Sen. Roger Marshall of Kansas told voters at a Kansas State Fair debate that he was not ready to back President Donald Trump’s $5,000 dividend plan, reports The Hill. A moderator asked Marshall and Democratic challenger Adam Hamilton whether they supported the dividends and pointed to a reported $1.2 trillion price tag amid rising national debt. Marshall said he would gather all the information and then decide. “But look, this is not the first time I’ve disagreed with President Trump, and it probably won’t be the last,” he said. He said he would instead stay focused on Kansas jobs, Kansas agriculture, and the state’s cattle industry. On Wednesday, he had posted on X, “Comment how you will spend your $5,000 Trump Dividend when Republicans win in November.” Marshall has Trump’s endorsement. On Tuesday, he also wrote on X that he would fight to keep Bombardier’s more than 1,200 Kansas jobs after the president threatened to bar the Canadian plane maker from U.S. sales, and that he had already raised the issue inside the Oval Office. Debate crowd interrupted Marshall over earlier patient-debt reports People in the audience cut in during Marshall’s answers more than once. Some chanted “shame on you” as he answered claims that his legal team sued more than 700 patients when he worked as a doctor and that 81 were arrested over unpaid medical bills, according to The New York Times. Marshall called those steps “common, common business practices” and said they would wait a year before sending anyone over. He labeled the coverage a “hit job.” Comment how you will spend your $5,000 Trump Dividend when Republicans win in November.— Dr. Roger Marshall (@RogerMarshallMD) September 10, 2026 The Times said Kansas court records showed Marshall’s practice filed suits against more than 700 patients with leftover bills. Arrests followed in 81 cases after missed court dates, the paper reported, and lawyers asked for warrants in 13 other suits. The practice also garnished wages and bank accounts and charged 18 percent yearly interest, according to that reporting. One patient, Joe Vasquez, said police came to his home on Easter weekend in 2007 over a $4,561 bill from his wife’s emergency hysterectomy three years earlier. He said the couple missed a court date, spent two days in jail, and got out after their son borrowed bond money. Kellie Clutts said she was sued in 2015 over a $129 postpartum visit and later had her bank account garnished. Meischa Zimmerman said she was arrested three times over a C-section bill, including while eight months pregnant. The financial strain of medical debt is a persistent issue, as Howard Lutnick has claimed the proposed $5,000 Trump dividend would not come from taxpayer money but from a new platinum card. I’m going to fight to keep Bombardier’s over 1,200 Kansas jobs. I’ve already taken that concern inside the Oval Office.We agree on the mission: bring more good-paying manufacturing jobs back to Wichita. America buys more than half of what Bombardier sells. If that’s the market,…— Dr. Roger Marshall (@RogerMarshallMD) September 8, 2026 Spokeswoman Payton Fuller said Marshall treated patients for decades, whether they could pay or not and that judges, not doctors, issue warrants when people keep missing court. Attorney Steven Johnson, who handled many of the debt cases, said warrants helped make sure defendants showed up. He said Marshall set the 18 percent interest in patient contracts but left the timing of warrants, arrests, and garnishments to the law firm. About half the suits carried Marshall’s name, and the rest came from Heartland Regional OBGYN, which he owned or co-owned for years, the Times reported. Some collection work continued after he won a House seat in 2016. Fuller said the hospital Marshall chaired gave millions in unpaid care and followed the same collection steps as other Kansas hospitals. In July 2025, Marshall introduced a bill that would bar hospitals from suing patients unless they posted their prices in public. Hamilton is the underdog in November. No Democrat has won a Kansas Senate race since 1932, though Gov. Laura Kelly is a Democrat. After Hamilton’s primary win, Sabato’s Crystal Ball moved the contest from safe Republican to likely Republican. The race has drawn national attention, as Trump’s proposed $5,000 dividend for every American adult has been a key GOP talking point.