> "Cost as many lives as they save" means the physician visits are actively driving deaths that would otherwise would not occur if those people had not visited their doctor (which is also what you said, like, two comments ago).

Unless there is spare capacity, a bunch of young, healthy people going to a the doctor means that older, unhealthy people are unable to. Is it really that hard to imagine a scenario in which more people visiting the physician could lead to more deaths occurring?