Even with the 3.8% this bill is still basically a tax cut bill for the rich. You ask how this is so. It is because the cuts to Medicaid and much, much lower subsidies for those buying their own insurance add up to billions, which the Republicans have earmarked as tax cuts for those who make over $250,000 per year. McConnell's changes in the bill amount to a small pittance of what the actual costs to Alaska will be.