The folks whose support really matters to DeSantis are invested in other states and countries; they don’t depend on the success of the Florida economy for their continued wealth.

They can import skilled immigrants to serve them, including in their hospitals and nursing homes. They can then ensure those workers remain non-citizens — meaning that they can be abused without any political recourse. So they don’t need their own city’s local children (who are mostly brown anyway, but are citizens — for the moment) to grow up to be doctors.

(Remember: Doctors are mostly working-class these days, in the technical Marxian sense: they work for a salary; heck, they may not even get equity. The elite can buy doctors abroad and keep 'em in their basements.)

Fascist strategy: To the working class, sell hate & cruelty for their entertainment, thus also providing a payoff to hate media outlets. To the rich, sell low taxes & no rights for the poors — but demand absolute political loyalty from business leaders, punishing political dissent even by the rich (see Disney). Get rid of birthright citizenship; establish a permanent racial servant underclass of immigrants without political rights.