Republican lawmakers passed legislation this year that cut more than $1 trillion in federal health care spending to help offset large tax cuts.

Republicans then created a special $50 billion fund to help rural hospitals stay afloat...

But, nothing extra for urban hospitals.

...analysis deemed 109 hospitals most exposed to the coming Medicaid cuts, because they share three risk factors: They serve vulnerable communities, their finances are already fragile, and more than a quarter of their patients rely on Medicaid. Of those hospitals, 85 percent were in urban areas.

However, urban areas are primarily Democrat majorities. Thus, Republicans don't care.