On July 1, the hospital in rural Belhaven, N.C., closed — a victim, in part, of the decision by the state’s governor and legislature to reject the expansion of Medicaid under Obamacare.

Six days later, 48-year-old Portia Gibbs, a local resident, had a heart attack. The medevac to take her to the next-nearest hospital (as many as 84 miles away, depending on where you live) didn’t get there in time.