摘要
根据《纽约时报》于 2026年9月8日发表的一项调查，堪萨斯州联邦参议员 罗杰·马歇尔（Roger Marshall） 在从政之前担任妇产科医生期间，曾采取非常强硬的方式向自己的病人追讨医疗欠款。该调查分析了大量堪萨斯州法院记录。(The New York Times)
- 马歇尔及其医疗诊所起诉了700多名病人，要求追讨未支付的医疗费用。
- 欠款金额从最低101美元到数千美元不等。
- 一些病人的工资和银行账户被扣押或强制执行。
- 病人通常还被收取18%的年利率。
- 法院记录显示，在这些案件中，81名病人因错过法庭日期而被逮捕。
- 此外，在另外13起案件中，马歇尔的律师申请了逮捕令，但不清楚最终是否真的发生了逮捕。(The New York Times)
一些被起诉的人是经济困难的新母亲，医疗债务涉及分娩、剖腹产、流产后的手术或其他紧急医疗服务。
典型案例
一名叫 梅莎·齐默尔曼（Meischa Zimmerman） 的女性，因为一笔与剖腹产有关的医疗债务和错过法庭日期，在六年内被逮捕了三次。第一次被捕时，她已经怀孕八个月。(The New York Times)
另一对夫妇因一笔 4,561美元的紧急子宫切除手术医疗账单被起诉。在错过法庭日期后，马歇尔的律师申请了逮捕令，这对夫妇被警方拘留，并在监狱里待了两天，直到家人筹钱支付保释金。(The New York Times)
马歇尔方面的回应
马歇尔的发言人表示：
逮捕令是由法官签发的，而不是医生签发的。
发言人还称，马歇尔多年来一直为病人提供医疗服务，不论他们是否有能力支付费用。
不过，《纽约时报》审查的法院记录显示，马歇尔的律师曾多次主动要求法院签发逮捕令，理由通常是被告没有遵守法院命令。马歇尔的一名律师则表示，马歇尔本人并不直接参与决定何时申请逮捕令、扣押工资或冻结账户，但律师事务所代表他采取这些追债行动。(The New York Times)
简而言之
准确的说法是：罗杰·马歇尔并不是亲自逮捕这些病人。 然而，他和他拥有或共同拥有的医疗机构对700多名病人提起医疗债务诉讼，而他的律师在一些案件中积极申请逮捕令；最终，法院记录显示至少81名病人在这些债务案件中被逮捕。
因此，可以说他的强硬医疗债务追讨和诉讼行为导致病人进入了一个最终可能被逮捕的法律程序，但逮捕令的正式签发权仍属于法院。(The New York Times)
According to a September 2026 New York Times investigation based on Kansas court records, Senator Roger Marshall, before entering Congress, pursued an unusually aggressive campaign to collect medical debts from his own patients. (The New York Times)
Summary
- Marshall and his OB-GYN practice sued more than 700 patients over unpaid medical bills.
- The debts ranged from as little as $101 to several thousand dollars.
- Patients' wages and bank accounts were garnished, and the practice routinely charged 18% annual interest on outstanding debts.
- Court records indicate that 81 patients were arrested, generally after missing court appearances connected to these debt-collection lawsuits.
- Marshall's lawyers repeatedly requested arrest warrants; warrants were sought in an additional 13 cases where it was unclear whether arrests occurred.
- Some of those sued were new mothers or patients struggling financially, including people dealing with bills from childbirth, miscarriages, C-sections, and other medical emergencies. (The New York Times)
One especially striking case involved Meischa Zimmerman, who was reportedly arrested three times over a C-section debt, including once when she was eight months pregnant. Another couple was arrested over an unpaid medical bill after missing a court date and reportedly spent two days in jail. (The New York Times)
Marshall's response: His spokeswoman argued that judges—not doctors—issue arrest warrants when defendants repeatedly miss court dates, and said Marshall treated patients regardless of their ability to pay. However, the Times reported that court records showed Marshall's attorneys repeatedly asked courts to issue warrants in collection cases. (The New York Times)
In short: Marshall did not personally arrest patients, but his debt-collection lawsuits and his lawyers' requests for court enforcement actions contributed to a legal process in which at least 81 former patients were arrested. That distinction is important when describing the allegations accurately. (The New York Times)
