Gerson, 29, who plans to join HealthAccess, has a high-deductible plan for now. But she still faces steep out-of-pocket costs because of her skimpy coverage. Adding HealthAccess, she says, makes a lot more sense than buying comprehensive health insurance.

"There's nothing inherently valuable about health insurance," she says. "It's just a mechanism that hopefully enables you to get care. But if it's getting in the way, just get it out of the way and go straight to care, which is what people actually need."

To help spread the word, Gerson invited Fine to speak at the November Pecha Kucha, and she's also helping him reach out to other groups and develop a stronger online presence.

"There are at least 150,000 people uninsured in Rhode Island," she says, "so we need to get louder promoting it here."

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