I wonder if it's ever crossed his or his nominal boss' minds that telling the people who are the source of your tax money that you won't be giving any of it back has a built-in problem that appears once you escalate enough.
"Who knew healthcare could be so complicated?" Answers your question
I can see it now. "Who knew all those pesky liberal-leaning cities produced so much and paid so many taxes?"
Which would probably mutate into "urban liberals were hiding their wealth" within a couple of Trumpcycles. (A Trumpcycle being the time it takes a Redhat cultist to reject reality and adopt a substitute from the gilt messiah or the other cult leaders.)