

You might as well argue that healthy people are a drag since care in old age is so expensive.
See, I’m German. We have a solidarity based health insurance (mostly). I’m a young, reasonably healthy guy with a reasonably high income. All in all I pay 840€ every month (that’s the maximum amount), even though I cost next to nothing. And I’m okay with that.
Yes, smoking is bad and I don’t like smokers. But denying them healthcare is deeply deeply inhumane. And in Germany even unconstitutional.
Trump used to be rather transactional, though.
It’s an evil logic, but there was an internal logic behind what he did in his first term. He bullied you into submission, and agreed to a deal if he thought it benefits him (him, not the USA).
Now, he’s just on full autodestruct. There’s zero logic behind it. Not even chaotic franticness like before, just erratic randomness.