Trump is using a staged approach. Give them a chance to respond to lighter measures and keeping the big stick in his back pocket for later.
Do these people know anything about negotiating?
There are people who are dying or in their old age giving up everything they have for a medication they can't afford. It's extortion by the pharmaceutical companies.
I have a neighbor who had a positive result from a new drug test. Taking that test was risking his life. Once the test was over, he wasn't allowed to keep taking the drug. How crazy is that?