The Obamacare website is open for business. But the Charlton Memorial Hospital in Folkston, Georgia, is closed. Because Republicans in half the states have blocked the expansion of Medicaid, funds to public hospitals with large uninsured populations have been slashed. Desperate to try to blame everything and the weather on the Affordable Care Act, Republicans have tried to pin the cuts in subsidies to hospitals on the dynamics of the law alone. Purely for ideological reasons, Republicans are creating a health care crisis — in their own states.