Mark Cuban
๐ค SpeakerAppearances Over Time
Podcast Appearances
And when you get your insurance or anybody gets insurance from a big company and they show you five, six, seven different plans, and one of them is a $1,500 deductible, but you're 25, you know, and so you take the $5,000 deductible. Who takes on that risk of the $1,500 versus the 5,000? The doctors in the hospitals.
Now there's a limit. Only if it's above 500, they change some of the rules.
Now there's a limit. Only if it's above 500, they change some of the rules.
And for some of the lost money by the hospital, there's this thing called dish payments that the government will give the hospital to try to make up for it, but it doesn't.
And for some of the lost money by the hospital, there's this thing called dish payments that the government will give the hospital to try to make up for it, but it doesn't.
Clearly, clearly. But it's worse than that because it's the government making the determination of which insurance plans that they approve for Medicare and Medicare Advantage.
Clearly, clearly. But it's worse than that because it's the government making the determination of which insurance plans that they approve for Medicare and Medicare Advantage.
Yeah. So here's the thing. Yes. The government can work okay if it's an efficient, transparent market. If it's not efficient and transparent, even though it's big and you would think it can negotiate well, it doesn't.
Yeah. So here's the thing. Yes. The government can work okay if it's an efficient, transparent market. If it's not efficient and transparent, even though it's big and you would think it can negotiate well, it doesn't.
No, the government just isn't smart enough sometimes to make the obvious decision. We want you, we're only going to do business with you, pharmacy benefit manager, if you publish us exact prices and we're not going to allow you to use rebates if you want to do business with us because we'll just go to the pass-through PBMs.
No, the government just isn't smart enough sometimes to make the obvious decision. We want you, we're only going to do business with you, pharmacy benefit manager, if you publish us exact prices and we're not going to allow you to use rebates if you want to do business with us because we'll just go to the pass-through PBMs.
The government has choices. They just don't choose to make the obvious and best choice.
The government has choices. They just don't choose to make the obvious and best choice.
Yeah.
Yeah.
That's what it seems like. There's nobody with clean hands in any of this. Right. Everybody has the role. So then the question that Bernie was on here again, he'd be like, well, single payer, Medicare for all. That's where we're going.
That's what it seems like. There's nobody with clean hands in any of this. Right. Everybody has the role. So then the question that Bernie was on here again, he'd be like, well, single payer, Medicare for all. That's where we're going.
The question is, how do you get there? How do you get there and who are the participants that are making it work?
The question is, how do you get there? How do you get there and who are the participants that are making it work?
AI would be better than the people we have negotiating right now because we are in this form of government with this republic that we have and there's so many influences and so many constituencies that have to be appeased. You're not going to get an optimal system. And so the only way to get through that is to educate the people who have an influence.