**First, Do No Harm—Unless They Owe You Money**
**First, Do No Harm—Unless They Owe You Money** Before Roger Marshall became a Republican United States senator from Kansas, he practiced obstetrics and gynecology. During his medical career and the collection efforts extending beyond it, he pursued more than 700 lawsuits against patients over unpaid bills. Patients were arrested in 81 of those cases after missing court dates. Behind those numbers were families who had needed medical attention, lacked enough money to settle the resulting bills, and found themselves facing a collection apparatus backed by the power of the courts. One of those patients was a mother named Meischa Zimmerman. Marshall had delivered one of Zimmerman’s children by Caesarean section, leaving her with an outstanding bill of $3,596. After being sued, she agreed to pay fifty dollars a month. Even that amount sometimes exceeded what she could manage while keeping her household afloat. She described choosing between making the payment and paying her electric ...