Patti Adair’s Congressional Bid Focuses on Affordability Amid Policy Controversies
Patti Adair, a Republican and Deschutes County commissioner since 2019, has entered the race for Oregon’s 5th Congressional District. Her campaign is centered around themes of affordability and cost reduction, despite her previous support for a Trump administration measure that could result in up to 12 million Americans losing Medicaid coverage.
Adair is set to challenge the incumbent, Democratic Representative Janelle Bynum. She has publicly supported the One Big Beautiful Bill Act (OBBB), a significant tax legislation from President Donald Trump’s second term. Promoted by Republican Senators Markwayne Mullin and Rick Scott, OBBB is celebrated for its tax cuts for the wealthy, achieved through extensive reductions in federal spending.
The OBBB legislation proposes a $1 trillion cut to Medicaid, affecting insurance coverage for low-income individuals. This cut directly impacts 206,000 people in Adair’s district who rely on Medicaid for their health insurance needs.
Senator Scott has argued via a social media post that Medicaid fraud is prevalent among enrollees, a claim that conflicts with several reports indicating that fraud is predominantly perpetrated by healthcare providers and contractors, as detailed by the Kaiser Family Foundation.
The Medicaid cuts are anticipated to have a detrimental effect on rural hospitals and healthcare providers, which rely heavily on Medicaid reimbursements for revenue. Within Oregon’s 5th District, five healthcare facilities could see a revenue reduction of $55 million over the next decade, with St. Charles Medical Center in Bend facing nearly a $23 million loss.
Additionally, the OBBB permits the expiry of tax credits that previously reduced the cost of Affordable Care Act (Obamacare) plans. Consequently, the House Joint Economic Committee forecasts that 26,500 residents in Adair’s district might lose health coverage due to the combined impact of Medicaid cuts and the cessation of tax credits.
Adair has been a vocal opponent of Obamacare, having previously called for its repeal. In a 2017 social media post, she urged for the immediate repeal of the healthcare act.
The financial reductions outlined in OBBB extend beyond healthcare, with a proposed $186 billion cut from the Supplemental Nutrition Assistance Program (SNAP), which assists over 42 million Americans with food purchases.
Janelle Bynum, meanwhile, opposed OBBB and emphasizes the protection of Medicaid on her campaign platform. Her website states, “No person should be a medical emergency away from bankruptcy, but sadly that happens all too often in our country. We need Congress to act—and that starts with protecting Medicare, expanding Medicaid, and lowering the cost of prescription drug prices.”
Adair, a long-time supporter of Donald Trump, also served as a delegate during his 2016 presidential campaign, aligning her political operations with the former president’s policies.



