Republicans continue to punish the poor - for being poor.

Republicans put red state hospitals at risk (Click on this headline to read more)

Among the myriad tactics Republicans are using to sabotage the Affordable Care Act, the "coverage gap" is perhaps the most visible. Because 26 GOP-led states have refused to accept the federally-funded expansion of Medicaid to their residents earning up to 138% of the poverty level, at least five million Americans will needlessly be left without health insurance in 2014. As it turns out, that Republican rejection will deal a second body blow to the red state health care systems that need help most by draining funds from hospitals that currently serve the uninsured.

As the New York Times reported, Memorial Hospital in Savannah, Georgia "is now facing the loss of nearly half of its roughly $100 million in annual subsidies known as disproportionate share hospital payments." The Times explained how the Republican temper tantrum after the Supreme Court made Medicaid expansion optional for the states is putting red state hospitals at risk:

Now, in a perverse twist, many of the poor people who rely on safety-net hospitals like Memorial will be doubly unlucky. A government subsidy, little known outside health policy circles but critical to the hospitals' survival, is being sharply reduced under the new health law.

The subsidy, which for years has helped defray the cost of uncompensated and undercompensated care, was cut substantially on the assumption that the hospitals would replace much of the lost income with payments for patients newly covered by Medicaid or private insurance. But now the hospitals in states like Georgia will get neither the new Medicaid patients nor most of the old subsidies, which many say are crucial to the mission of care for the poor.