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If they switch plans from the big guys to transparent comps, if only to push the cost of care down for everyone. So many of the same people who want m4a , will get upset if their employer switches insurance companies and they have to change doctors. Even if it costs everyone in their company more

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Sorry for the novel. But I live this stuff every single day. I spend my days trying to convince CEOs to move away from conglomerates that keep prices up. To transparent companies , direct contracts and other resources that push prices down But employees fight any change.

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10 прямых ответов · 66 сообщений

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If you want change and a chance for M4A , why aren’t you calling your senator screaming for them to support the Break Up Big Medicine Bill from Sens warren and Hawley? That’s your best first step

Ответ для Mark Cuban

GOP ruined ACA replaced it with nada

Ответ для Mark Cuban

Thank you for your thread. I did wonder though… if you’re yet to break even how come you are rich?

Ответ для Feelingantsy 🇬🇧🇩🇪. Maker of Puns

Cuban made the majority of his fortune in the '90s tech boom, mainly by selling a company to Yahoo for an insane amount of stock and hedging it before Yahoo imploded.

Ответ для Mark Cuban

@mcuban.bsky.social How about copy & paste from Canada? Done!

Ответ для Mark Cuban

So many assume to already know why, but I'd like to read your explanation: Why don't others of your means step up in practical ways to help this nation?

Ответ для Mark Cuban

The U.S. healthcare system won't change until the people who design it have to live with it. Until executives and policymakers face the same delays, denials, and financial burdens as everyone else, the status quo will continue.

Ответ для Mark Cuban

I’d love to help. I think you can do a better job of making this easier to understand for most voters.

Ответ для Mark Cuban

This may come as a surprise, but Congress doesn’t listen to us common folk. If I didn’t know any better, I might get the impression they’re bought and paid for…

Ответ для Mark Cuban

Except for senators up this November, IME better to "scream" at them next year - unless you see them in person, though even then talking to them would be better.

Ответ для Mark Cuban

My representative is a MAGA asshole who won't even speak to his constituents any more because it might make Daddy Trump angry. Isn't that right, Representative McClintock? I am hoping @votemasuda.com can pull off a miracle, but Central Valley California tends to vote against their self interests.

Ответ для Jeff Messer

Talk to your family and friends. This could be the election. It’s often about turnout and Dems getting discouraged and not bothering

Ответ для Jeff Messer

Sounds like the bill is in the senate. This is the first I’m hearing of it - going to check it out

Ответ для Jeff Messer

Same. And when I did call, email, and write the only response I received was calls, texts, emails, and mailers asking for money. GOP doesn’t give a f about anyone other than big donors.

Ответ для Mark Cuban

There are sweeping changes I'd like to see. But I also know that swift changes always wind up hurting people. So, I'd like to see slow, gradual change rather than this constant swing between Reich Wing barbarism and Democratic Do-Nothingness.

Ответ для Doug "Daenen" Whittaker

Also, Mark. I know you don't 100% agree with @zohrankmamdani.bsky.social, but one recent change he made to cut red tape and government bullshit was to remove a requirement for an Ice Cream license for businesses that already had a Food license. For some reason, NYC had two separate requirements.

Ответ для Mark Cuban

I'll do that! What's the most helpful is for an expert like yourself to lay out concrete bullet points of what steps we have the ability to do.

Ответ для Mark Cuban

Josh Hawley is a traitor to the US he should be impeached for his actions on 1/6

Ответ для Mark Cuban

The regime murdering Americans in the steeet with impunuty, gutting social programs to fund tax cuts for you, and asking for trillions to fund a war department and police state isn't going to hear your screams. And MO - Hawley's state - is trying extra hard to silence voter voices.

Ответ для Mark Cuban

I will call today!

Ответ для Mark Cuban

I still say we pool our money and buy up the biggest insurance company we can afford and act directly on the marketplace. It'd be nice for the senate to help, but I bet we the people could do more if we were organized and had a game plan to act directly on the market

Ответ для Mark Cuban

I don't know if you remember it, but before you became a billionaire you could not get your Senator or Congress member on the phone. If you wrote them a stern letter you'd get a form letter in response. Donations still equal access, Mark. An angry voter means nothing to most of them.

Ответ для cactijack

This should not be true. You can call your senators office, you won’t get the senator but they have legislative aids that take calls. Or at least Dem ones generally do. Taxpayers pay for those staffers. You don’t need to call DC, you can call their local office

Ответ для Mark Cuban

How does Europe and Canada do it? What we need are our politicians to be looking at their models, picking the best points, and figuring out how to implement it without sinking the whole medical economic system,losing jobs, keeping quality. We need smart people like you to figure it out

Ответ для guitarsparky
L

Frontline did a great episode on national HC in 5 countries called “Sick around the World” in 2008. It can be done here if politicians wanted to help us instead of divide us. Count up all premiums paid by corps, individuals, workcomp, car insurances & it is probably more than nat’l HC taxes wld be.

Ответ для Mark Cuban
S

Thanks for mentioning it - I hadn't heard about it and I will look into it!

Ответ для Mark Cuban

1. My wife works for a large Ins. company. This particular company happens to hold a stake in a pharm company who is primarily delivery by mail. She has taken a medication for nearly a decade and had it filled at our local pharmacy (literally across the street).

Ответ для Mark Cuban

2. Recently, that very company, a big ins company owning this stake in a big delivery by mail pharmacy, told her it would no longer cover her prescription unless she got it by mail through the pharmacy they own!!!

Ответ для Mark Cuban

3. How can this be allowed? There was not even a change to her script. They just up and decided. Here's the really sinister part... Originally, from our local pharmacy she was getting the generic. Now she is forced to use the brand name! When has the brand name EVER been cheaper than a generic?!?!?

Ответ для Mark Cuban

4. Lastly, the new "great" delivery service has screwed up her script at least 3 times. This has caused a disruption to her health care and yielded side effects from the new medication. For what? And she gets zero choice? >>She's looking for a new job and we're 100% behind busting up big healthcare.

Ответ для Mark Cuban

Because we can pass M4A without doing something to personally make you even wealthier than you are now. You could be doing the kind of things that Bloomberg is doing, but you choose not to.

Ответ для Mark Cuban
D

I suspect that a lot of people who support m4a are not familiar with what is actually covered by straight Medicare. For example, Medicare doesn't include dental. This is why many seniors opt for Medicare Advantage plans, which are administered by the big insurance companies not the government.

Ответ для Mark Cuban

lol

Ответ для Mark Cuban

Mark. It’s America in 2026. You could personally cut the president a check for like $25 mil and he’d sign an executive order for universal healthcare tomorrow. You’re an oligarch living in an oligarchy telling people to use the power of democracy to change things. Wake the fuck up dude.

Ответ для Mark Cuban

“Why aren’t you….” Assumption without evidence.

Ответ для Mark Cuban

I like Mayor Pete’s idea of Medicare for those who want it. It should be included as an option.

Ответ для boscobuddy

What happens is that sick people choose it. Healthy people dont. That will increase premiums and deductibles for everyone

Ответ для Mark Cuban

People are just people. Everyone has medical issues. I was healthy as a horse for most of my life but I would be dead now if I didn’t have an operation at 9 yrs old. I’m old now. Just take the profit margin down to a dull roar so those on the margins financially can obtain necessary medical care.

Ответ для Mark Cuban

Then why pretend that you're for M4A when you aren't, and disingenuously claim there's "no plan"?

Ответ для Mark Cuban

This may be a little off topic, but I don't see much changing until and unless Congress and all elected officials at all levels are required to use the same insurance/healthcare system as the rest of us. The same goes for retirement plans. Medicare and Social Security would be fixed in a heartbeat.

Ответ для Mark Cuban

Love it when there's actionable advice

Ответ для Mark Cuban

Update.. Multiple calls back and forth and multiple promises of shipping "tomorrow" have come and gone and she still doesn't have her script! Today is the day she's supposed to start her next dosage! Just wrong!

Employees don't trust their employers. What do you think this might about?

Where/How can an owner of a small company (I am an owner of a 3 person company) find out about these transparent companies?

Ответ для Jay Talerman

They can't really help you. You are better off using CostPlusDrugs com and goodrx for drugs. And for medical , calling the provider, hospital doctor and asking for a cash price and a payment plan If something catastrophic happens,a provider will work out a payment plan.

I don’t know how the pharmacy drug supply chain works. But, in the past after getting a prescription (I’m on Medicare) I’d get a breakdown of who paid what; $500 prescriptions cost me &53 and my insurance co. $0 to a few dollars. Without my $25/mo I’d pay $500. Inflated prices or sleight of hand.

Ответ для left-coast-1000

I no longer get the breakdown. On vacation I met a drug co. benefits manager who when challenged couldn’t explain it. We once had to refill one of my wife‘s expensive prescriptions while traveling in Europe, with no insurance it was literally a fraction of U. S. prices. Why? Thanks for your efforts!

Of course the employees fight. The work to do such changes is overhead, so C-suite tries to do it on overtime, preferably unpaid. Workers have figured out there is NO LOYALTY DOWN from you guys at the top. You get none back. So this is 100% on you and your CEOs to work out. Don’t blame the victims.

No apologies - this is a very helpful explanation. Appreciate your time for writing it.

Employees? You're pointing that finger in the wrong direction. Directors & VPs make recommendations to the C-suite for a decision. Employees are stakeholders, but have very little voice. Unions are more successful at this than nonunion shops.

Are you serious right now? My insurance changes constantly - company layoffs, "cost saving measures," DOGE idiocy - employees have about zero control. Multimillionaire and billionaire execs call these shots AND prop up the obstructionist pols. I dont recall ever being asked what I want.

Ответ для nomadRuss

The ONLY quasi-choice (a dictated list) I have is what doctor, a choice fickle execs force me to make more than I want. It takes forever to establish / get appointments as a new patient, and more doctors are refusing new patients - we can't all pick any doc or specialist our money can buy like you.

Ответ для nomadRuss

Privlege check - how long have you had your personal physician? Did an HMO determine who that is because you could only afford the cheapest plan? Are you forced to sort through a new list every couple of years? Do you change medical with every move forced by employment relocation? Doubt it.

Ответ для nomadRuss

Those billionaire and rich execs have no clue. They bitch about costs going up as much as you do You may be better off looking for cash prices. It may be cheaper than your out of pocket

Ответ для Mark Cuban

Got a knee xray recently. Insurance paid $12. I paid $400. Pocket change for you. A week's groceries for my family. We're vastly better off than most & can pay. But inordinate amounts of cash being soaked up by billionaire execs and not available to the 99% *is* the problem with the system.

Ответ для nomadRuss

By the way - X-ray revealed nothing. MRI was next step. My outcome? Opted out. Don't want that bill. Your outcome? You'll just pay whatever amount. And this isnt a debilitating injury for me, just a recurring annoyance. But many with serious medical issues are going without.

Ответ для Mark Cuban

You're an AI fan. Here's an AI answer: Recent reports citing figures between 756 and 924 billionaires in the United States. Wealth Concentration: This tiny fraction holds a disproportionate amount of wealth, with combined U.S. billionaire wealth estimated between $5.7 trillion and $6.9 trillion.

Ответ для nomadRuss

i.e. the cash is not available to me and others. The wealth of this nation is hoarded elsewhere. So don't flippantly tell me to pay cash when you and others like you are sitting on most of it.

Ответ для Mark Cuban

Trump is killing a $3.6 billion program that held down Medicare drug plan premiums. It ends after 2026. Mark Cuban on Trump: "Together, we're gonna make something special." Good job, letting Trump make a jackass of you, buddy..

Ответ для Lee Kanne

lol

Ответ для Mark Cuban

Billionaire presidents that hold press conferences with you, the same one you offered $10 million for an interview years ago? thehill.com/policy/healt...

Trump administration ending Medicare premium subsidy programThe Trump administration on Tuesday said it would move to end a Biden-era Medicare premium subsidy program, alleging it benefited insurance companies more than enrollees.  As a result, Medicar…thehill.com

We live in a similar boat. First it’s the Broker (Usually Mercer) and they have a contract that no one read. If can get past that the company doesn’t want to leave a BUCA even if you can keep the entire network intact. Not sure what the point is of either, but greatly appreciate any suggestions. 😜

Ответ для nkato3

Tell them to run a part of their health contracts through Claude with the prompt "where are we getting ripped off " It will shock them

Ответ для Mark Cuban

We work with ERISA lawyers on contracts. The bigger issue happens when the CEO tells a department to fix the plan. This is when employees drag their feet and use additional contracts to tell everyone to stay in their lane and don’t do anything. Then months/years pass with no movement. Thoughts?

D

1) Thanks for cost plus. Huge fan, and a customer. 2) You are spot on. M4A sounds great superficially but I suspect the politicians will have insurance companies manage it. 3) Everyone has to pay for health insurance, otherwise it’s just cost shifting. It’s been the case my entire career (since 91)