OK, so the Repuke Gov of Georgia and his bubbas in the State Legislature decided NOT to expand Medicaid that was going to be paid for by US Government funds means that Obama is "fucking Grady Hospital?" You might want to work on your cognitive skills, there, rockbutt.
Yes, the Federal subsidies of states' Medicaid only is in effect for 5(?) years, but this should give most states with signs of intelligent life time to figure out how to pay their own way. Sounds kind of Reagan-like, doesn't it? Does "unfunded Federal Mandates" ring any bells?