I have calc a $6,682 refund. I added expenses for an adult dependent who cost me $39,584 of deductible medical costs. But my rebate only went up less than 1,000! Why??

I completed my turbo tax return input and came up with a $6,682 refund. I then added in additional information covering expenses for an adult daughter dependent who cost me $39,584 of deductible medical dependent costs. My AGI hurdle limit (7.5%) was $23,508 so this allowed me $16,076 in medical expense deductions. However upon adding the details my rebate only went up from $6,682 to $7,180! I was expecting it to increase by about $4,500 with these deductions, why did all these additional costs not give me a bigger rebate?