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# ![@mcuban Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::16228398.png) @mcuban Mark Cuban

Mark Cuban is focusing on fixing the US healthcare system, which he considers the most important issue Americans face. He criticizes the current system, particularly the role of big pharmaceutical companies, wholesalers, and pharmacy benefit managers (PBMs) in driving up costs. Cuban also supports efforts to increase transparency and competition in the healthcare industry.

### Engagements: XXXXXXX [#](/creator/twitter::16228398/interactions)
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### Mentions: XX [#](/creator/twitter::16228398/posts_active)
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### Followers: XXXXXXXXX [#](/creator/twitter::16228398/followers)
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### CreatorRank: XXXXXXX [#](/creator/twitter::16228398/influencer_rank)
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### Social Influence

**Social category influence**
[finance](/list/finance)  #5527 [stocks](/list/stocks)  XXX% [countries](/list/countries)  XXX% [cryptocurrencies](/list/cryptocurrencies)  XXX% [social networks](/list/social-networks)  XXXX% [technology brands](/list/technology-brands)  XXXX% [celebrities](/list/celebrities)  XXXX% [exchanges](/list/exchanges)  XXXX% [nba](/list/nba)  XXXX%

**Social topic influence**
[insurance](/topic/insurance) #94, [health](/topic/health) #1428, [money](/topic/money) 5.61%, [if you](/topic/if-you) 4.67%, [aca](/topic/aca) #42, [what is](/topic/what-is) 3.74%, [to the](/topic/to-the) 3.74%, [thank you](/topic/thank-you) 2.8%, [level](/topic/level) 2.8%, [$trump](/topic/$trump) #286

**Top accounts mentioned or mentioned by**
[@1234cti0n](/creator/undefined) [@grok](/creator/undefined) [@vishalojha_me](/creator/undefined) [@frenchtardi0](/creator/undefined) [@gebaidc](/creator/undefined) [@ric4100](/creator/undefined) [@closecongress](/creator/undefined) [@jlrizzoii](/creator/undefined) [@jahangirasgha10](/creator/undefined) [@drdigiorgio](/creator/undefined) [@ladybethspices](/creator/undefined) [@joegrant1900](/creator/undefined) [@rosiem00re](/creator/undefined) [@protectworkers_](/creator/undefined) [@costplusdrugs](/creator/undefined) [@iamjasonlevin](/creator/undefined) [@jackiemd64](/creator/undefined) [@wellsannw](/creator/undefined) [@cometcalls](/creator/undefined) [@jim_devinney](/creator/undefined)

**Top assets mentioned**
[Official Trump (TRUMP)](/topic/$trump) [Melania Meme (MELANIA)](/topic/$melania) [Costco Wholesale Corporation (COST)](/topic/costco) [Solana (SOL)](/topic/solana) [Coinbase Global, Inc. (COIN)](/topic/coinbase) [Ethereum (ETH)](/topic/ethereum)
### Top Social Posts
Top posts by engagements in the last XX hours

"This will help you understand why the big PBMs are bad. You can go to and buy a GLP1 for under $XXX and falling. It's cheaper because no PBM is involved Your company uses a big PBM for your pharmacy benefits. It charges your company $1300 for a GLP1 which means you pay $1300 during your deductible phase. The PBM then gives the rebate it gets from the money you paid to your company. And it won't allow you to buy the GLP1 from lilly direct. No PBM $XXX. Big PBM $1300 This is one of many reasons you should show this to your CEO and tell them to switch away from their PBM"  
[X Link](https://x.com/mcuban/status/1993766971742065119)  2025-11-26T19:41Z 8.6M followers, 840.6K engagements


"Just a reminder to everyone that wants catastrophic health plans for $10k. Yes. Premiums will be lower. But realize the deductible is so high you are just telling the insurance carriers that your premiums are free money that wont they wont have to pay out INsurance companies love high deductible plans. When you cant afford your deductible you dont get care. Which means no money from the carrier Now if you combine it with a guarantee of a loan from the Feds to cover your deductible then maybe"  
[X Link](https://x.com/mcuban/status/1996350698640785830)  2025-12-03T22:47Z 8.6M followers, 326.8K engagements


"Ill say it again. If you sell plans from the same insurance carriers that sell med advantage or ACA plans through Amazon or Costco or anywhere else what exactly do you expect to change Nothing. It will be the same garbage. Its not like going to Starbucks and you pick from a menu. Do you want your deductible to be $5000 or $10000 Would you like a lower premium with that say $XXX dollars Hell No. They have to set their plans. Maybe they add a single 10k deductible lower premium plan. And guess what Customer how much is your commission on this plan  I want choices why are there only X plans i"  
[X Link](https://x.com/mcuban/status/1996437407084724669)  2025-12-04T04:32Z 8.6M followers, 316.1K engagements


"Talking to independent physicians it's obvious that the big insurance carriers are doing to them what their PBMs are doing to independent pharmacies. They deny underpay slow pay clawback and create administrative mazes knowing their victims don't have the time or resources to fight. Why By putting financial pressures on physicians and pharmacies it makes them more likely to sell their businesses to them close their doors or refer the business to their captive pharmacy or provider. All benefitting the biggest insurance companies We need to ditch the concept of "claims" and make every delivery"  
[X Link](https://x.com/mcuban/status/1996622325559525683)  2025-12-04T16:47Z 8.6M followers, 371.3K engagements


"The ACA is garbage today. (They still should extend the premium subsidies a year ). Its XX years old. In XX years big companies are going to learn how to game any law that defines hundreds of billions of dollars. The fault isnt with the ACA its with politicians and administrations that let the abuse of the ACA occur. Now is the time to replace it. Ive already posted quite a bit about ways we can redo healthcare"  
[X Link](https://x.com/mcuban/status/1996641242638115229)  2025-12-04T18:02Z 8.6M followers, 814.8K engagements


"No. Not at all. As in every industry every company looks to exploit the rules. If no one stops them we get what we have today. It wasnt the ACA that created the behemoths. It was the lack of understanding of the industry by regulators that allowed it to Blaming the ACA for everything is convenient. But its not accurate"  
[X Link](https://x.com/mcuban/status/1996996090487271588)  2025-12-05T17:32Z 8.6M followers, 129.1K engagements


"Just found the old list of patents out IP lawyers for Broadcast com were going to file but never got around to under Yahoo. Not saying they all would have been granted but if you ever need prior art in this area here you go lol. Potential Patent Applications January X 1999 X. Geographic IP Identification Technique for pin-pointing the geographic location of a static IP device by triangulating routes taken by IP packets and building a database of IP addresses and DNS names. X. Hybrid Networks A commercial network of unicast and multicast enabled networks that terminates at a single point and"  
[X Link](https://x.com/mcuban/status/1921602958690509057)  2025-05-11T16:27Z 8.6M followers, 1.9M engagements


"What is the law Who have they stopped What refunds have you gotten to practices Any doctors in Ok seeing this in action Thanks"  
[X Link](https://x.com/mcuban/status/1997004764182151628)  2025-12-05T18:06Z 8.6M followers, 128.6K engagements


"The ONLY way drug prices go DOWN based on volumes is when the cost @costplusdrugs pays go down. Because we are the only company to pass on cost reductions with a standard markup and charge everyone the same amount with no membership fees. This is why we are the only company to publish a full price list. But as I said that's not how insurance companies hospitals or anyone else in healthcare works"  
[X Link](https://x.com/mcuban/status/1997732468162449641)  2025-12-07T18:18Z 8.6M followers, 145.4K engagements


"🔥🔥🔥 + PJ back. Mavs Roll"  
[X Link](https://x.com/mcuban/status/1997812864460161027)  2025-12-07T23:37Z 8.6M followers, 216.7K engagements


"If you thought Tik Tok was a manipulative you aint seen nothing like a free open source Chinese AI model designed to influence what Americans think. The HUGE point people miss about the AI wars between our foundational models and those from China is that if its perceived their models are better and cheaper China will open source theirs. Our companies and global developers will use them for most everything. At that point not only will China have won the AI tech war they will have a trojan horse to influence how we all think Scary"  
[X Link](https://x.com/mcuban/status/1984645790229233929)  2025-11-01T15:36Z 8.6M followers, 1.1M engagements


"@GeBaiDC For kids. Absolutely. But you didn't answer the question. How many kids are you ok with dying without vaccine mandates"  
[X Link](https://x.com/mcuban/status/1994603010807542050)  2025-11-29T03:03Z 8.6M followers, 319.3K engagements


"Let me introduce you to Ryan Nembhard"  
[X Link](https://x.com/mcuban/status/1995723024524349948)  2025-12-02T05:13Z 8.6M followers, 356.3K engagements


"AI geeks. What's the best way to create agents to do this manual work for independent physicians and clinics with BCBS"  
[X Link](https://x.com/mcuban/status/1996703021196349925)  2025-12-04T22:07Z 8.6M followers, 392.3K engagements


"How @costplusdrugs would have saved taxpayers hundreds of millions of dollars"  
[X Link](https://x.com/mcuban/status/1998123341421396218)  2025-12-08T20:11Z 8.6M followers, 202.6K engagements


"Is every IPO going to be treated like a meme coin from now on"  
[X Link](https://x.com/mcuban/status/1957896065509650638)  2025-08-19T20:02Z 8.6M followers, 855.9K engagements


"For everyone who says "why not medicare4all" or Universal Health Care other countries do it " Here are some considerations taken right from @BernieSanders proposal legislation"  
[X Link](https://x.com/mcuban/status/1992751188069281930)  2025-11-24T00:24Z 8.6M followers, 553.3K engagements


"@GeBaiDC We aren't in COVID any longer. How many unvaccinated kids dying this year is acceptable collateral damage for your dogma Whooping cough measles influenza XXX XXX XXX How many dead kids are you ok with to prove a point"  
[X Link](https://x.com/mcuban/status/1994601558043234739)  2025-11-29T02:57Z 8.6M followers, 167.1K engagements


"HSAs were created in 2003. Today there is $XXX billion in HSAs. That is a lot of cash. Why havent XX years of HSAs ever pushed down prices for care"  
[X Link](https://x.com/mcuban/status/1996996867063009563)  2025-12-05T17:35Z 8.6M followers, 617.9K engagements


"1 - 2- You know what to do @IndianaFootball"  
[X Link](https://x.com/mcuban/status/1997523539969319316)  2025-12-07T04:28Z 8.6M followers, 166.4K engagements


"Who decides what healthcare you get the ins company or your doctor #"  
[X Link](https://x.com/mcuban/status/1997706232329838886)  2025-12-07T16:34Z 8.6M followers, 76.5K engagements


"Fun day. Got named Top XX in Healthcare and Top XXX in Sports over the last XX years"  
[X Link](https://x.com/mcuban/status/1998178227278487741)  2025-12-08T23:49Z 8.6M followers, 257.9K engagements


"If meme coins are the way maybe Ill issue one. With a twist. Same terms as $TRUMP . XX% float. Same release schedule. One difference. All the revenue from the sale of the coins go to the US Treasury. The wallet address will be published so everyone can track it. If you want to gamble gamble. But at least use it to make a dent in the US Debt You in"  
[X Link](https://x.com/mcuban/status/1881445569727758392)  2025-01-20T20:55Z 8.6M followers, 8.4M engagements


"The best response to this is for EVERYONE to do their own $TRUMP and $Melania coins. Apparently There is absolutely nothing that can stop you. Do it on Solana Base Ethereum Fillintheblankchain. Get Paid This is the new crypto that @coinbase and others want. Give it to them"  
[X Link](https://x.com/mcuban/status/1881352476554617282)  2025-01-20T14:45Z 8.6M followers, 1.3M engagements


"100 pct this. More PBM shenanigans. Great article @RealClearHealth A Hidden Insurance Scheme Is Hurting Patients"  
[X Link](https://x.com/mcuban/status/1963029256155627915)  2025-09-03T00:00Z 8.6M followers, 116.4K engagements


"Whatever it takes to get someone healthy. And you have the right to be paid fairly for your work. Don't complain about whether health care is a right. Complain why the DOJ is not dealing with the companies that underpay you and make healthcare unaffordable by controlling healthcare markets"  
[X Link](https://x.com/mcuban/status/1994225933927239942)  2025-11-28T02:04Z 8.6M followers, 461K engagements


"@GeBaiDC You are avoiding the question. What is acceptable collateral damage to you XXX XXX 1000 More At what point would you say it's acceptable to mandate that every child be vaccinated"  
[X Link](https://x.com/mcuban/status/1994604977743171904)  2025-11-29T03:10Z 8.6M followers, 113.9K engagements


"@GeBaiDC And I'm for mandating any vaccine that can drive the number of deaths or serious outcomes as close to zero as possible"  
[X Link](https://x.com/mcuban/status/1994607501506220521)  2025-11-29T03:21Z 8.6M followers, 52.8K engagements


"@GeBaiDC Does it matter how many kids die 1m kids die from the measles. No mandate Blame the parents"  
[X Link](https://x.com/mcuban/status/1994609547089252599)  2025-11-29T03:29Z 8.6M followers, 11.8K engagements


"Im all for federally offered or narrowly defined catastrophic 3rd party insurance. The taxpayer is the payer of last resort anyway. We need to simplify it and make the numbers work. I would love to know the math of a federal program of catastrophic insurance"  
[X Link](https://x.com/mcuban/status/1995283947463537092)  2025-12-01T00:08Z 8.6M followers, 228K engagements


"Which insurance companies will those retailers use The same that got us into this mess Or will they create their own And who will regulate them to make sure they have th needed capital Will you allow them to make further acquisitions to arbitrage more aspects of healthcare"  
[X Link](https://x.com/mcuban/status/1996344831916826966)  2025-12-03T22:24Z 8.6M followers, 213.5K engagements


"Which is the better coin to own"  
[X Link](https://x.com/mcuban/status/1881111736197288439)  2025-01-19T22:49Z 8.6M followers, 958.9K engagements


"It's happening"  
[X Link](https://x.com/mcuban/status/1993680561945141325)  2025-11-26T13:57Z 8.6M followers, 1.2M engagements


"How do you determine when not to treat someone who is sick"  
[X Link](https://x.com/mcuban/status/1994255439022690306)  2025-11-28T04:02Z 8.6M followers, 298.5K engagements


"Yes they are. But contagious diseases mutate. You realize this. Correct And people who are uncompromised like cancer survivors don't always get the full benefit of a vaccine You know this as well Correct And that 6.6pct of our population is immunocompromised And that vaccines are not always prophylactic They may provide protection against death or serious illness but the recipient could still get ill Losing the ability to earn a living for their family. Or becoming disabled in some manner You know this right Prevalence of Immunosuppression Among US Adults Allergy and Clinical Immunology JAMA"  
[X Link](https://x.com/mcuban/status/1994600113122017618)  2025-11-29T02:51Z 8.6M followers, 50.6K engagements


"This has nothing to do with Ant. It was the fact that @NBAOfficial s chose not to make an easy call. That's the issue. It's not Adam Silver telling them what to call or not. They just decide themselves. I brought it up to the head of officials when we played the twolves in the playoffs X years ago. When Ant hit game winning FTs against us and obviously stepped over the line. The people in charge of the refs ignored it. They also ignored it in the L2M report. (Something they do a lot of ) But if you speak about it on NBA podcasts that changes their behavior. So many changes in officiating that"  
[X Link](https://x.com/mcuban/status/1995146977198190612)  2025-11-30T15:04Z 8.6M followers, 1.6M engagements


"Mark Cuban seeks Trumps backing for drug fee relief to spur generics manufacturing"  
[X Link](https://x.com/mcuban/status/1996664982377800061)  2025-12-04T19:36Z 8.6M followers, 139K engagements


"Normally I would agree. The market is always better. EXCEPT there is a real question of whether market dominance allows the players to charge more and cost consumers more than they would lose from government inefficiency. I would argue the huge vertically Integrated insurance companies cost us all more than the government would lose from screwups The issue would be to make every accounting entry of the federal insurance company made public in real time. So we can see where the waste is. AI would go a long way towards making this work"  
[X Link](https://x.com/mcuban/status/1996670017568719295)  2025-12-04T19:56Z 8.6M followers, 114.6K engagements


"@JahangirAsgha10 So until prices are published they are just an expensive savings account Does your practice publish all its prices Not trying to be rude. Just curious"  
[X Link](https://x.com/mcuban/status/1997055115572674900)  2025-12-05T21:26Z 8.6M followers, 2895 engagements


"@pa_coyote94151 There are 40m people with HSAs totaling around 161b. Why hasnt it had an impact so far They have been around since 2003 HSAs are a great buzz word right now. Im all for allowing more to be invested into them. But it wont change much"  
[X Link](https://x.com/mcuban/status/1997717568032067924)  2025-12-07T17:19Z 8.6M followers, XXX engagements


"The big PBMs collude with the biggest drug wholesalers to price everything relative to the retail price of the drug. They price many of the fees rebates services and more they each offer as a percentage of that retail price. So the higher the price the more they make"  
[X Link](https://x.com/mcuban/status/1993769549573890212)  2025-11-26T19:51Z 8.6M followers, 137K engagements


"Can you post a redacted contract so we all can see it"  
[X Link](https://x.com/mcuban/status/1996640630748131669)  2025-12-04T17:59Z 8.6M followers, 224.4K engagements


"Which insurance companies do this the most"  
[X Link](https://x.com/mcuban/status/1997004138639409549)  2025-12-05T18:04Z 8.6M followers, 166.3K engagements


"The economics of health care are very simple. There are X questions: X. What is the Price X. Who Pays for It X. Who Takes the Financial Risk When the Patient Cant Pay We know that insurance companies dont want to insure. That the real risk takers are the Re-Insurance Carriers. We know that we dont know prices and Vertically Integrated companies game the economics where they can. Until we know real costs all this chatter is a waste of time. You cant know what the risk is if you dont know what the cost is. And you cant come up with a plan to deal with costs payments and risk whether its"  
[X Link](https://x.com/mcuban/status/1987575693224595502)  2025-11-09T17:39Z 8.6M followers, 803.4K engagements


"This is dumb. Really dumb. Really Really Dumb. Why Because when you give it to Ins Carriers under the ACA they have to spend at least 85pct of it on care for plan holders. When sent to people's HSAs there is no assurance that the money will be spent on healthcare costs at all. A recipient can save the money and take it out when they turn XX. MORE LIKELY people will get that HSA cash immediately take it out pay the XX pct penalty and buy whatever they want So your tax dollars could be throwing parties Does this mean I like the subsidies going to the big insurance carriers No. It means there"  
[X Link](https://x.com/mcuban/status/1989476687298334921)  2025-11-14T23:32Z 8.6M followers, 1.1M engagements


".@SenRickScott you are doing a lot of advanced work here. Thank you Questions for you. Whats the actuarial value of taxpayer dollars delivered directly into an HSA As opposed to delivering tax payer dollars only at the time of care utilizations Are you expecting to end premiums using a taxpayer is the payer of last resort approach Or expect the recipient of funds into their HSA to use the money to pay premiums to insurance companies"  
[X Link](https://x.com/mcuban/status/1991518230008008868)  2025-11-20T14:45Z 8.6M followers, 711.9K engagements


"That doesn't answer the question. What about contagious diseases How much risk is someone allowed to create for another person"  
[X Link](https://x.com/mcuban/status/1994596346167496711)  2025-11-29T02:36Z 8.6M followers, 580.8K engagements


"Alex the US taxpayer rarely pays doctors directly. They typically send money to states (Medicaid) Hospitals and Providers(traditional Medicare) to insurance carriers (MA and ACA) and indirectly through tax savings for individuals and employers ) You are right that we overpay. We spend far too much on healthcare. We overspend because we send the most money to the carriers and give them every good reason to scale as big as possible to contract at inflated prices to invent fees and to delay and deny care when they can. Then there are the PBMs etc etc Break up the big carriers by vertical make"  
[X Link](https://x.com/mcuban/status/1994878586176569596)  2025-11-29T21:18Z 8.6M followers, 304K engagements


"If you plan on the existing big insurance carriers offering plans to retailers and associations this plan will be garbage. The big insurance carriers will not only do what they do today they will create more information asymmetry for the associations and retailers than what we see today. Which will allow them to do more of all the fucked up things they do today. The ACA has failed because you and your peers on both sides did nothing to stop insurance carriers and hospital networks from becoming the behemoths they are today. They will continue to underpay or no pay everyone they can. They will"  
[X Link](https://x.com/mcuban/status/1996348347435688113)  2025-12-03T22:38Z 8.6M followers, 267.7K engagements


"Say more. How does this work"  
[X Link](https://x.com/mcuban/status/1996639965040857306)  2025-12-04T17:57Z 8.6M followers, 267.3K engagements


"Should the federal government create a catastrophic insurance plan available to anyone not on Medicare or Medicaid (we will pick the threshold amount in the next post )"  
[X Link](https://x.com/mcuban/status/1996667030867521979)  2025-12-04T19:44Z 8.6M followers, 202.8K engagements


"I didnt know Prompt Pay laws existed in all states. Do any practice billing systems automatically file a complaint with the insurance commissioner or whoever enforces them Why dont they associations repping Indie Physicians track them all and embarrass the fuck out of late paying insurance companies You should be wearing out your state insurance commissioner and if they do nothing let me know. Ill call out the governor"  
[X Link](https://x.com/mcuban/status/1996746213895385147)  2025-12-05T00:59Z 8.6M followers, 120.7K engagements


"Im guessing their parent companies do the exact same thing with independent physicians practices and clinics. Anyone want to comment"  
[X Link](https://x.com/mcuban/status/1997001490075210189)  2025-12-05T17:53Z 8.6M followers, 104.6K engagements


"Congrats @BeatboxBevs"  
[X Link](https://x.com/mcuban/status/1997044340720357827)  2025-12-05T20:44Z 8.6M followers, 662.7K engagements


"Thank you Some thoughts. @costplusdrugs has the ability to manufacture generics here in the USA. Doesnt matter whether they are OTC or prescription. The ingredients their cost and the cost to manufacture are exactly the same. We did the math. We can bring tablet manufacturing of generics to the USA. Take us about a year. But we cant. If we want to manufacture 1000 new drugs and get ANDAs for them thats 365m in fees to the FDA. (365k ea). Waive those fees. We will be up and running and selling them on and TrumpRx for the same or less than it costs for those made overseas Thank you for your"  
[X Link](https://x.com/mcuban/status/1997126980177666494)  2025-12-06T02:12Z 8.6M followers, 386.3K engagements


"So amazing when it goes OTC Loratidine 10mg XX tablets from @costplusdrugs $XXXX Claritin 10mg XXX tablets. OTC from Amazon $XXXXX. No Brand name OTC is $XXXX @DrMakaryFDA"  
[X Link](https://x.com/mcuban/status/1997131007485510070)  2025-12-06T02:28Z 8.6M followers, 303.5K engagements


"HSAs wont bend the cost curve. Ever. There is no reason for insurance companies or hospitals to lower prices. Its more like university tuition. The more money available the higher tuition goes"  
[X Link](https://x.com/mcuban/status/1997719039574266080)  2025-12-07T17:25Z 8.6M followers, 203.9K engagements


"Sounds like someone at instacart used to work for a big health insurance company or their PBM Same strategy. No transparency"  
[X Link](https://x.com/mcuban/status/1998560398866628619)  2025-12-10T01:08Z 8.6M followers, 438.3K engagements