Did you take into account the limits for itemized deductions? there's a SALT limit (State and Local Taxes) of $10,000. Half that if married filing separate. Medical expenses have to exceed 7.5% of your AGI before they come into play. Take a look at https://www.irs.gov/newsroom/tax-reform-brought-significant-changes-to-itemized-deductions to see what other things can come into play here.
