The flip-side of the "Dems don't care about rural americans" is that Republicans not only don't care about urban americans (especially "urban" americans), they are explicit that they are not "real" Americans at all and not legitimate political actors.
In fact, animosity against "those" people has been the guiding ideology of the GOP since 1968!
Republicans only pretend to care about rural Americans anyway, their policies harm their own base-perhaps more than those policies harm the Democratic base.