In a medRxiv preprint dated 24 July 2026, Abhishek Pandey, Chad R. Wells, Yang Ye, Meagan Fitzpatrick, and Alison P. Galvani project that single-payer coverage under the Medicare for All Act would cut national health spending by $1,041 billion annually and, with the 2025 coverage retractions reversed, save over 114,000 lives a year. The authors attribute the savings to reduced administrative overhead, pharmaceutical prices, fraudulent billing, and avoidable emergency care; the unreviewed preprint should not guide clinical practice.