It's not at all obvious to me, because 1Password passwords are stored in the exact same places that 1Password-managed TOTP codes are. You might as well just concatenate the TOTP secret to your password.
I know having someone malicious get into your account multiple times vs once is likely worse, but its hard to quantify how much worse it is - and of course using that one login to change your 2FA setup would make them equivalently bad.
Both seem true, and what to do to protect yourself more depends on what kinds of attacks you're interested in stopping and at what costs. Personally, PM + U2F seems the highest-security, fastest-UI, easiest-UX by far — https://cloud.google.com/security-key/