BIG INTV: Mark Cuban Would Still Have Dinner With Donald Trump

14 Oct 2025 · 44 min · 16 chapters

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In short

Mark Cuban discusses AI’s role in entrepreneurship and IT automation, founder strategy amid political/economic chaos, U.S. immigration/brain drain, tech leaders’ relationship with Trump, and structural healthcare reform via transparency and “cost-plus” models. He also comments on Blue Sky moderation and social media/algorithm control for minors.

Guests

Mark Cuban (entrepreneur/billionaire; former Shark Tank host; co-founder of CostPlusDrugs.com; investor/tech entrepreneur). No other guests are interviewed in this transcript.

Key claims

AI should be used to automate business processes (not to build AI tech), and “more screwed up” conditions create more opportunity. Tech companies must engage politically because AI model markets are winner-take-all. Healthcare costs stem from deductibles and insurance-driven financing; transparency plus direct contracting can reduce costs.

Notable examples

Servo automating IT ticket work; CostPlusDrugs.com and “cost plus wellness” direct provider cash pricing without preauthorizations; ACA deductibles/out-of-pocket burdens; dinner with Trump and tech execs (Tim Cook, Sam Altman mentioned); Blue Sky ideological moderation; Cuban’s proposal to publish minors’ viewed content.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

Rapid-Fire Q&A with Mark Cuban

2:51 to 4:38

Mark Cuban shares insights on investments, education, and personal anecdotes.

“Mark Cuban, welcome to The Big Interview.”

Mark Cuban's Evolution and Advice

4:38 to 6:32

Cuban discusses his evolution from broke entrepreneur to successful businessman.

“No, I mean, I've talked about it many times, but health care comes first.”

AI as a Tool for Entrepreneurs

6:32 to 10:31

Cuban emphasizes the importance of using AI for business opportunities.

“And once you get past the first success, you know, it builds your confidence.”

The Importance of Small Businesses

10:31 to 12:27

Cuban encourages graduates to pursue opportunities in small companies leveraging AI.

“or one thing that I know you said and one thing I think you said.”

Current Challenges for Founders

12:27 to 14:01

Cuban discusses the chaotic environment for new founders and the opportunities it presents.

“Right, so even like the basic coding skills you got in eighth grade.”

The American Dream and Brain Drain Concerns

14:01 to 16:36

Discussing the importance of the American dream and fears of brain drain in the U.S.

“It feels like the vibes aren't there, but you're saying this is the moment.”

Long-Term Strategic Thinking in Tech

16:37 to 19:00

Exploring the need for long-term strategic thinking in technology against global competition.

“And so, yeah, we want people coming here.”

Navigating Political Relationships for Business

19:01 to 24:13

Analyzing how tech executives interact with political leadership for business survival.

“I think they're idiots if they don't do it.”

Healthcare, Politics, and Economic Imperatives

24:14 to 28:00

Debating the moral and business imperatives of tech leaders in improving healthcare amidst political challenges.

“But, you know, give me a better solution.”

Political Accountability and Change

28:00 to 29:06

Mark Cuban discusses the importance of taking action rather than complaining about political issues.

“And it says that the secretary of health and human services shall be in charge of implementing this.”
Show all 16 chapters

Healthcare Challenges and Solutions

29:06 to 30:51

Cuban outlines his experiences in healthcare and the need for systemic change to improve access and affordability.

“And so I teamed up with this guy, and that's all he does, all day, every day.”

CostPlus Drug Company and Transparency

30:51 to 37:58

Cuban explains the mission of CostPlus Drug Company and the role of transparency in reducing healthcare costs.

“you are changing the dynamics of sort of transparency around drug cost.”

Social Media Critique and Community Dynamics

37:58 to 40:17

Cuban shares his thoughts on the current state of social media platforms and their community management.

“And I want to ask you, I'm curious, I believe we've asked you this before, sort of, why get into this?”

Management Style and Philosophy

40:17 to 42:00

Mark Cuban reveals his management approach and how it has evolved over the years.

“Because it's the one platform that truly is moderated.”

Control-Alt-Delete: A Game with Tech Choices

42:00 to 45:38

Mark Cuban discusses his tech preferences through a playful game format.

“But now it's more about letting people do their thing until they give me a reason not to.”

The Algorithm Battle Among Tech Oligarchs

45:38 to 46:05

A discussion on the power dynamics of tech control and algorithm influence.

“Well, with that in mind, how are we feeling about Larry Ellison today?”
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Transcript

Automatic transcript. May contain errors.

0:00Every company says AI will make employees more productive, but most employees are still stuck waiting on IT. Waiting for app access, waiting for password resets, waiting for someone to fix a laptop issue so they can get back to work. That operational drag adds up fast, and IT teams are overwhelmed trying to keep up. Servo was built to automate that work. You describe what you want automated in plain English, and Servo builds it for you. No complicated workflow builders, no consultants, just faster support and fewer tickets slowing everyone down. Serval enables IT teams to build automations using plain English instead of drag-and-drop workflow builders.

0:34The platform is designed to eliminate repetitive tickets so IT can focus on strategic work instead of constant firefighting. Serval positions IT as the AI-powered operational backbone of the company, not just a support function. The company guarantees customers can automate 50 % of IT tickets and backs it up with a free 4-week pilot. Learn more or start a free 4-week pilot at serval.com slash uncanny. That's S-E-R-V-A-L dot com slash uncanny. Serval dot com slash uncanny. This show is supported by OutShift, Cisco's incubation engine. Today's AI agents operate in silos, limiting their true potential.

1:16We've been focused on building bigger, smarter models, but scaling up is just one approach. To reach superintelligence together, we need to do more. We need to scale out. And we actually have a blueprint from 70 ,000 years ago. Humans didn't just get smarter individually. The cognitive revolution transformed society because we began sharing knowledge, goals, and innovation. Agents are now at that same inflection point. They can connect, but they can't think together. That's why Outshift by Cisco is building the Internet of Cognition, transforming AI from isolated systems into orchestrated superintelligence.

1:54By creating an open, interoperable infrastructure, Outshift by Cisco is enabling agents and humans to share intent, context, and reasoning. The cognitive evolution for agents is here. Explore the Internet of Cognition at outshift.com. That's outshift.com.

2:17Welcome to Wired's Big Interview. I'm Katie Drummond. He recently left Shark Tank after more than a decade. But that doesn't mean entrepreneur and billionaire Mark Cuban is going anywhere. In fact, he's arguably more everywhere than ever. You probably see him on TV, or you read his posts on Blue Sky, or you listen to him on podcasts, including this one. I sat down with Mark to talk about his latest effort to disrupt health care, why he's all in on AI, and whether or not he joined President Trump at the dinner table alongside tech execs like Tim Cook and Sam Allman. Here's our conversation.

3:01Mark Cuban, welcome to The Big Interview. Thank you for being here. Thanks for having me. I'm delighted. And now, just so you know, well, it's too late now, but we always start these conversations with some rapid-fire questions, like we're going to warm up. Let's warm up. I'm making warm-up gestures that nobody can see. Are you ready? I'm ready. All right. What is the smartest investment you ever made? Myself. Ooh. What's the dumbest purchase you ever made? A lot of alcohol. Ooh. Do you still drink? No. All right. One word to describe the startup pitches that you hate. Self-absorbed. Would you rather invest in passion or in numbers?

3:43Numbers. After health care, what's the next industry ripe for disruption? Education. Tell me a little bit about why. Just because the whole thing is built on accreditation, which is ridiculous in and of itself as opposed to outcomes. And it's because those accreditation organizations have got so much power, it influences the structure of universities in particular. And that structure has led to an overemphasis on administrative positions as opposed to actual teaching. And it's also allowed cost creep so that they become, rather than educational institutionals, they become sports institutions that also happen to teach.

4:28And I think that's just ripe to what's a great way to teach kids that allows them to learn, that feeds their curiosity without all the extraneous shit. So are you doing it or what? No, I mean, I've talked about it many times, but health care comes first. First piece of tech you use every day? My phone. The book you recommend the most? Fountainhead. I know, don't hate me. Oh, that could be a whole second podcast episode that we do. Who do you text with the most? My kids and my wife. proudest NBA owner moment? Winning the championship. See that? Larry O 'Brien, that shiny thing back. Oh, you can't see it.

5:14Well, I can see it. Nobody else can see it. Sorry, guys. Yep. All right. Let's get into it. Let's get into it. So you've had an incredible trajectory. You've evolved significantly yourself over the years and the decades. Kara Swisher, friend of Wired, we've all read her book. She remembers you as super arrogant in your early years. but you attained mensch status in her memoir. How do you describe your own evolution? When you look back 10, 20, 30 years, what stands out to you? You know, just evolving. You know, when I first started, I was broke. And that was my impetus. You know, I was living with five guys, you know, six of us in a three-bedroom apartment, sleeping on the floor, eating mustard and ketchup sandwiches.

6:01and your motivation is just to get out of a shithole, you know, to get somewhere and have, you know, just start having a semblance of normalcy. I got fired from a job and that led me to start my own business. And in those circumstances, again, you know, it's the power of broke. It just motivates you. And where I stood back then as I started to achieve success and wanted to stay away, right? Because you're always afraid you're going to fall back into what happened before. That kind of helped me evolve. And once you get past the first success, you know, it builds your confidence. But then you start realizing that if you're really going to have an impact, you're nowhere near as smart as you think you are.

6:45And you need help. And, you know, just as I got older, that just became more and more of a realization. I mean, how do you react to being described as arrogant? Do you think you were arrogant? Mm-hmm. Absolutely. I'm still arrogant. The difference is being arrogant and not listening. Sure. Being arrogant and being able to listen. All right. So if you were starting today, let's say you were broke today, no capital, how would you make your first million? So I'm essentially asking you, what's your advice to entrepreneurs in this moment, someone who's living with five guys in an apartment in San Francisco, desperately wants to get out of that situation, wants to make it big.

7:25What do you tell them to do? What would you do? Get a job. First, you get a job because you've got to be able to pay the bills. And there's, you know, 24 hours in the day. And hopefully you're only working eight of those. And maybe, you know, you're taking a little bit of time for yourself for a few other hours as well. But then you with AI, oh, my God. You know, every library, every book, every professor, every consultant is right at your fingertips. And so whereas before, I might have had to sit in a bookstore or a library trying to gather information and then use the internet and go through 50 different links to find something I think is relevant.

8:05Now, AI, although it's not perfect, it's a great democratizer for entrepreneurs to give them access to information to get a head start on everything and anything. And part two to that is, if you don't, whoever is, they've got you beat. So for a kid with a phone and access to the internet, I don't care if you're in the shittiest of shitty situations. You have that opportunity to have access to the exact same things somebody at Harvard or Yale has access to in terms of information. Now, not in terms of connections and networking, but to start a business, particularly something that's with sweat equity, right, where you're selling a service or something you're doing, oh my God, that's exactly where I would start.

8:51And that's exactly how I did start, right? When I started out back in the day, right, it was the early days of PC technology and look-wearing networking technology, and nobody really knew what it was all about, just like AI today. There were a lot of conversations back then about, you know, the PC revolution and, you know, the digital divide. And as a kid, I took the time to learn it. And I would tell myself, you know, when a new piece of software came out, whoever invented the software knows it the best. But I'm tied for second. You know, and if I really put in the time to learn it, then I can be in second place and use that to my advantage for my business and to help my customers, to gain customers just by demonstrating I know what I'm doing.

9:37AI is the exact same thing. It's in the exact same place right now. And so imagine for a business, particularly a small to medium-sized business, they're going to need help. And if you put in the time and you apply yourself and you even use the tool itself to educate yourself, you know, hey, I think I can help the shoe store. Okay, chat, GPT, perplexity, whatever. Explain to me the basics of a shoe store business and how I might be able to apply AI and how I might be able to use agents. And then write the agents for me and give me an explainer of how I'll explain it to them. and then give me a step-by-step guidebook on how I can implement for that company.

10:15Could it be any easier, right? It's just a matter of going out there and doing it. Now, when I say easy, it's not gonna be perfect in the explanation and instructions it gives you, but you're gonna be way ahead of the game because you're willing to take that chance and you're willing to put in the time to learn. I wanna parse two sort of things that you said, or one thing that I know you said and one thing I think you said. The first is, you know, for an emerging entrepreneur, a wannabe entrepreneur, get a job and then use artificial intelligence. Use these tools to educate yourself, right? Spend your time there.

10:47When you talk to entrepreneurs now or, you know, someone looking to start their first company, do you point them towards AI as a business opportunity? Like if you were starting your first company today, would you be in the AI startup business? Yes, but I wouldn't be trying to create AI applications or AI technology. Sure. I would be using AI to apply it to business processes that are happening right now. In my own businesses, in our Shark Tank companies, that's what we're doing. We're saying this is a manual process that drives everybody crazy. You're spending X number of hours to review this, this, this, and this.

11:24You're waiting for information before you can make a decision. An AI agent can do that in a millisecond. Right. And so let's apply it. And now imagine that there is a shoe store that's been run by the same family for 37 years and they have four stores. They're not going to have a technology department. And so a 14-year-old walking in and saying, let me show you how agents work. Boom. And so I've literally made the point to start talking to more and more high school kids and college kids. And this is exactly what I'm telling them, that there is no better time to start a business than right now.

12:05And in terms of looking for jobs as a graduate, particularly for college grads, stop trying to get a job with the big companies. because the big companies see AI as a way to cut costs and they already have internal IT people who know to keep their jobs, they have to learn AI. Right, so go small. Go small and be the smartest AI person in that room. Right, so even like the basic coding skills you got in eighth grade. You've been using ChatGPT or Cloud or whatever to cheat through three years of college, right? You know it better than them. Right. And so use it because those small companies have no idea.

12:43Now, maybe it's a come down. You wanted to work for a big PE firm. You wanted to work for a big bank or consulting firm. And those jobs, they're not hiring as readily as they used to. But right now, the opportunity to work for small or medium-sized businesses because you are an AI native is enormous. I like this advice. I do. And I want to ask you, and AI might come back into this, it might not. I'm curious about what you think this moment looks like for founders. explain this to me, sort of unravel this to me. Trump administration, hella chaotic. We all know that. Interest rates are high. Market enthusiasm for AI is very high.

13:25Inflation is touch and go. It all feels confusing, at least to me. How do you think all of that, sort of these political factors, these economic factors, the AI of it all obviously is key here. How does all of that sort of shape the path for a new founder right now? How should someone be thinking? It doesn't at all. It doesn't. No, the more things are screwed up, the better the opportunity. Because there's always, there's going to be more and more people saying, yeah, I can't do it. Or, you know, this is an inhibitor, a roadblock to my path. You know, it's such a mess right now. The vibes aren't there, right?

14:00Right, right, right. It feels like the vibes aren't there, but you're saying this is the moment. That's always the best time. Yeah. Where there's change, there's opportunity. You know, when the vibes are there, you know, interest rates are low. the money's flowing, everybody and their uncle is starting a business. Now's the time. That's not the time. Do you worry about brain drain in this country? I mean, obviously, you're talking to college students. You are very much invested in sort of an entrepreneurial ecosystem in the United States. But do you worry that in 10 years, we will all look around, the editors at Wired will look around, we're looking for interesting, disruptive people to cover, and we will realize that the best founders, the best entrepreneurs, are living and working and innovating somewhere else, right?

14:41Or if they live somewhere else now, they're not going to be moving to the United States in the first place, right? Tell me how you think about that. Terrifies me. Really, really, really does. You know, on one hand, you've got people downplaying capitalism, which inherently, and I don't care if you can like or dislike capitalism, to me that's not important, but if you're downplaying the American dream, that's what makes this country different. That's why people want to come here and start companies. You know, there's not a French dream. There's not a German dream. There's not a Chinese dream. There's the American dream.

15:15And I think, you know, that's why I was on Shark Tank for so long. And that's why we get, you know, tens of thousands of people applying to be on the show every year. Because in this country, there's nobody that you've ever talked to, including yourself, that said, oh, I got this idea. What do you think about this idea? That is uniquely American. And if we start to diminish that at all for any number of reasons, from top to bottom, bottom to top, whatever it may be, it's really going to hurt us. Particularly when, you know, the birth rates are declining and we need new ideas and new opportunities and a lot of success.

15:54You know, we want a good economy for people to feel good about having kids. And we want to create new things. I mean, just, you know, more importantly, just to compete in the global economy, you need that 14, 15, 12, whatever, 57, 97-year-old person coming up with an idea that makes everybody say, why the fuck didn't I think of that? What a great idea. That is the game changer. And you want that coming here because that's what makes our reserve currency stronger. That's what makes the country stronger. That's what gives confidence to people. That's what allows us to invest in schools. Now, the politics aside of how we choose where to invest, you got to have the money to invest one way or the other.

16:37And so, yeah, we want people coming here. I don't remember what the stat is, but of the Fortune 500, you know, and the largest market cap companies, many of them are non-American born. Well, sure. I mean, I agree with absolutely everything that you just said. At the same time, it feels like on a weekly basis at Wired, we're reporting on something that in some way will impact exactly what you just sort of described as the American aspiration, as the American imperative. I mean, this week it was, you know, China has now introduced a visa program for entrepreneurs, right, for qualified and sort of talented individuals essentially to compete with H-1Bs and what the Trump administration is doing with regards to those visas here.

17:23How does this start to change? How do we start to sort of tip the scales back in favor of, you know, retaining the best and brightest? I'm glad you brought up China because you got to start thinking like China and not in terms of four years. Right. If you just think in terms of eight months, nine months or four years for that matter, you'll drive yourself crazy. if you think in terms of a longer horizon and more strategically, then it's not as dramatic as it seems right in the moment. But we have to pay attention to it and start thinking strategically to try to get more people investing in themselves, investing in their own education.

18:01Because as much as all those things I just mentioned about AI being a tool for entrepreneurs here, it's just as much a tool for entrepreneurs globally. Oh, of course. Of course. And why would they come here unless there's a good reason to? Speaking of sort of long-term strategic thinking, I want to go back a few weeks. Maybe it was a month ago. We saw a group of tech executives having dinner with Donald Trump at the White House. It was on C-SPAN. It was widely covered. A few weeks after that, we saw something similar with the president and several of those executives in the UK. I think they were in a very ornate palace.

18:33I'm curious about sort of how you see big tech's relationship to the president. and specifically in the context of sort of short-term gain, long-term pain. Do you worry that we have technology leaders and tech companies right now who are making short-term entreaties to this administration in a way that might harm not only their companies, but sort of the U.S. economy and U.S. innovation more broadly after that four-year horizon? No. I think it's the exact opposite. I think they're idiots if they don't do it. Tell me more. Yes. Yeah. So look at the Gen. AI foundational model business. How many models are going to be, is it going to be a winner-take-all model, business model?

19:18Is it going to be top two, top four? Which one of these is going to be Yahoo? Which one of these is going to be America Online? Which one of these is going to be CompuServe or Prodigy? You know, all leaders during their time back in the day, right? And so they don't know either. And so they have to go all in. And if they need to get knee pads that are embroidered with a D on one knee and a T on the other knee and show up at the White House every day, they don't have much of a choice because they're spending tens of billions of dollars a year. They're going into debt. They're raising additional capital where needed in order to try to play the game and keep up, knowing that there is as good a chance that it's a winner-take-all as any other business, if not more so.

20:06But the difference here is there are trillions and trillions and not a trillion, not two trillion, five trillion, ten trillion, a hundred trillion dollars at stake over the next 30 years. Probably more than that. So if they didn't do it and you were on the outs with whatever AI policy they came up with, that would be – that would be – you would be fired immediately and you should be. So if you were running one of those companies, how would you be handling political pressure from the Trump White House? Would you be at dinner? Would you be – Yeah, I would just be drunk. You'd be drunk. I mean, I hope for their sakes that they were all drunk, but you would be at dinner.

20:52You have no choice. Look, it's like right now with health care. I mean, I've campaigned for Kamala. Yeah, you sure did. So my feelings are known. There's no surprises about where I stood. But what's more important, my personal feelings or trying to find a way to improve health care for 300 plus million people? What's more important, how I feel about, and I don't dislike him personally, but how I feel about what he's doing and how I feel he's doing it to the country. Or biting my tongue, knowing that at CostPlusDrugs.com, we're helping millions of people be able to afford their medications. And I don't want to do anything to undermine that.

21:35I'm sorry. You know, to me, I care more about the American people than going back to my ego, right, and what I might look like. And yeah, I understand the point, particularly from far left progressives, that any support for him is, you know, not good for the country. But I just won't look at it that way. I'd rather do things that help the American people, even if, you know, we have to give something along the way. I'm thinking about what you're saying. And I'm thinking about, I take all of your points and I'm digesting them. and I'm thinking about sort of YouTube earlier this week, you know, spending$24.5 million to settle this lawsuit with the president.

22:20A lot of that money going to his ballroom. Oh, yeah, look, don't get me wrong. You know what I mean? Like, there's nasty stuff here. Yeah, but what's more important? What is more important? Worrying about the ballroom and the dumb shit he does or the person who can't afford their cancer medication, the kid who can't get their pediatric cancer injectable. Oh, well, sure. I mean, tell that to immigration enforcement, you know, when they're when they're deporting eight year olds with cancer. I mean, Sundar Pichai is not talking about health care. At least we're having a conversation about life saving medication.

22:53So in his mind, he is in his mind. You know, he's fixing health care at some level. Via artificial intelligence and the research. So so to you, I guess what I'm what I'm driving towards is there sort of this question about or the simple version to ask the question is. okay, are these guys doing this because of a business imperative? Yes, clearly to some degree they are. But what about the moral imperative? And I think what you're saying is those two things can't be unwound. There is a bigger picture moral imperative to the economic well-being of the United States of America, and that needs to be top of mind, even if it means you're getting drunk on C-SPAN.

23:34Yep, because we're in a position where we have to make those choices. Obviously, the preference would be, and that's why I did what I did in November, right, or October. Yeah, sure. You know, but that's not where we are. We are where we are. And the circumstances we face are the circumstances we face. Now, you know, if you want to get into politics, we can. But the reality is, if you're going to try to help the American people, you have to do the things that help the American people. even if you have to swallow your pride or work with people you otherwise might not like, right? In tech, you know, coopetition.

24:12You know, now in this case, there's a lot more at stake, obviously, than two tech companies battling it out. Yeah, of course. But, you know, give me a better solution.

24:27150 years ago, they were hunting us down to kill us, and now they're hunting down immigrants to deport them. This is First America, the true story of how the United States came to be and how we got to this present moment. Listen to First America wherever you get your podcasts.

25:03We are where we are. The president is who the president is. And I think, just speaking very plainly, it's easy to criticize, right? I think there is a lot of criticism happening for very good reasons. I think what maybe feels so frustrating to so many people right now who are lobbying these criticisms is that there's not an easy solution, right? Because do I want to see Tim Cook walking into the Oval Office with a tchotchke? Of course I don't want to see that. I hate seeing that. I'm sure he hates doing that. Of course. It is ridiculous. Do I want to see companies whose value sort of props up this entire economy tank?

25:44No, I don't want to see that either. And so it's a very, very uncomfortable place. I think we're in a very uncomfortable place. So if you think of it as three years and three months, right? We're actually before that. Whatever it is, three years, right? Because we're three years and one month to get to that election. And yeah, I know. Oh, will there be election? Yeah. Let's just put that aside, right? Sure. Because we can't address that. We don't know. But what is it that, even for the midterms, what creates change to change that balance of power in our government? And that's taking action items.

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26:19action items that get people of the united states of america to understand that there are people who care about their well-being now right now x percentage whatever it is 40 think donald trump cares about their well-being and they trust him now we're not giving them reasons to trust somebody else you know when you look at the the government shutdown when you look at other things it's not like the Democrats are out there saying, we are doing this for you. No, they're saying, okay, they're playing politics. You know, they're not walking into places and saying, look, here's for healthcare. Look, I get what they're doing now with the shutdown with the ACA and the premium subsidies.

27:01I get it. But at the same time, let's understand what the ACA subsidies and premiums really are. They're tens of billions of dollars given into the most hated industry in the United States of America, the healthcare insurance industry. They're not saying we're doing this temporarily because we have no choice. This is what's on the table. We need to keep the ACA alive for the people who can't afford their deductibles or are past their deductible for this year, right? They're not saying we understand that the premiums aren't the hard part. The out-of-pocket is, the deductible is the max out-of-pocket.

27:35And so if the average ACA silver plan family of four deductible is$4 ,000, it doesn't matter if you have insurance or not. Right. And so they're not coming out and saying, here is the fix. They're not, you know, they might say, well, universal health care. Well, that's been done and tried. And by the way, read the first paragraph of every Medicare for all, a universal health care proposal that's been offered. And it says that the secretary of health and human services shall be in charge of implementing this. How would that go right about now? You know? I laugh. So the point is, if you don't like the guy in office at the top, if you want to change the balance of power, instead of bitching, do things.

28:22And don't just say, hey, we don't have a majority anywhere. So, you know, we can't do that. No, you can. You know, instead of saying the oligarchs are ruining everything. What percentage of Americans do you think care about me as a billionaire on their day-to-day life? I think they care very little other than resenting all of you. And we all have resentment at one level or another, right? Sure. Right? So what are you doing to change shit? Because if you're not trying to change anything, your party brand is going into the shitter. You know, you're not going to change your brand of any party because you do nothing except bitch.

29:01You're not going to change the attitude of voters if you do nothing but complain about the guy who's already there. you could go to rich guys like me and say, together, we're not in power, but let's put together this program for, like one of the things that I put together a program with, politician didn't want to get involved, was, you know, people who couldn't get their authorizations approved. And so I teamed up with this guy, and that's all he does, all day, every day. And we work with people who are going to die if they don't get their authorizations approved. It could have been something that any Democratic politician put forward, took credit for, worked with, amplified, replicated across every city.

29:41Right now, the Trump Rx stuff and all the Trump drug pricing stuff, right? Yeah. And they're pushing, all you have to do is read it, and they're pushing to improve cash pricing. Great. No downside at all, except that if you go and buy your Eloquist at a cash price, unless you're in Tennessee or Texas, you can't just send in the receipt for that drug and have it apply against your deductible max out-of-pocket? Where is one single Democrat, or Republican for that matter, proposing that? Because it's not something that hasn't been discussed a thousand times before. Well, let me ask you this. Are you in touch?

30:18Are you asking them? And? Yes. And? I'm waiting. You're waiting. And just to be clear. As a matter of fact, I just tweeted it before I came on here again to all the governors. And you're still not running. You've been asked. It's been answered. Yes, because, look, when it's all said and done, I really think I have a chance to change health care. And I want it. Maybe it's the arrogance. Maybe it's the arrogance. But I think I do. We've helped millions of people at CostPlusDrugs.com. As Wired has covered before, you're the co-founder of the Mark Cuban CostPlus Drug Company. And you are genuinely, and I say this as a cynical journalist, you are genuinely disrupting the pharma industry, right?

30:56You're challenging the middlemen. you are changing the dynamics of sort of transparency around drug cost. So what I'm curious about is, you know, ultimately, do you think that transparency alone is enough to drive down cost? Or what kinds of sort of deeper structural reforms need to happen? I mean, maybe it's sort of some of what you were just talking to me about. Right. So is it enough to drive down prices? Yes, absolutely. But you have to do more than just pharmacy. So healthcare is the easiest business I've ever been involved in. Easiest. Easiest. Easiest. Why is that? It's not even close because it's so easy to understand.

31:37You go to the doctor. You either get good news, medium news, or bad news, right? If you get good news and you need nothing, you just walk out the door. Right. If you have to buy something, care, or a medication, there's only two questions. How much does it cost and how do you pay for it? That's it. how much is it cost and how do you pay for it is the underpinning of our entire healthcare system, the financial side. And we've just fucked that up royally. So the question becomes, how do you simplify all of that? So just think about what happens. How do you get your own personal health insurance?

32:12Through my job. Okay. And your job probably offers you a couple plans every year, right? They do. And then you make a decision, a little bit more premiums, a little bit less in premiums, a little bit more deductible. Has anybody ever asked you for a credit check for your deductible to see if you could afford it? Absolutely not, Mark. So, and you know that there are people that you work with that can't afford their deductible. Yeah. No, for sure. You know, they're just stuck. The insurance companies know that too. And that's why they create those high deductible plans, because if you can't afford it, If somebody can't afford it, they're just collecting premiums and that's never coming out of pocket.

32:53And then what happens is those same people still need health care. And so let's just say somebody works with you at Wired and they make$30 ,000 after taxes in California, which is being broke. Right. And so but it's not not low enough for Medicare. They need care. They go to the doctor. The doctor says, you know, you say, here's my insurance card. and they say, okay, your deductible is, and you cry and walk out the door. But now the hospital or provider will say, okay, we'll help you figure it out because they want to get money from the insurance company. So they'll either connect you to a financing company or they'll finance it themselves.

33:32We've turned providers, hospitals, the entire healthcare system into subprime lenders. Right. Yes, we have. And so what happens then is you hear about all this horrific, a medical debt. It's because the plans have been designed in a way knowing that people can't afford their deductibles where they're out of pocket. A family of four making, you know,$97 ,000 a year, $100 ,000 a year isn't rich, but they have a$19 ,200 max out of pocket. That's almost 20 % of their income if something horrible happens. Ain't nobody affording that, right? And yet, what do we do? So, you know, we've got to start to address that issue.

34:18So what am I doing, right? So I try to put myself in the shoes, not just of the people who can't afford it, but certainly from their perspective, but also from the perspective of the hospital and doctors. And by the way, doctors are the most underpaid profession of all professions, right? It's insane. And nurses not far behind, but in any event. So why is it, how do hospitals in particular, and doctors as well, collect, how do they get paid? And how do they determine charges? Well, everything they do is drafted behind the insurance plans that they have to collect from. And so when they, you know, it's funny, there's transparency rules that say they have to show the procedures and what they cost for the top 500 procedures, I think, and now more so.

35:06And when you just go in and look, the rate negotiated with the local hospital, with the biggest insurance companies, the BUCAs, the biggest six insurance companies, right? Any Joe Schmo with a credit card can walk in and get a better rate. How does that make any sense in any world, in any business possible? So what I said was, all right, for my companies, we're going to eat our own dog food, right? And we created what we called cost plus wellness. And this is new, right? This is a new. This is new. We haven't, yeah. This is not a business. This is something we're opening as a template for everybody to use for free.

35:42And so we went to all these providers and we said, we know the insurance companies are ripping you off. We know that they're underpaying their contracted rates. we know that they're doing all these games with pre-authorizations, not just to deny care, but to delay care so they get the time value of money on the premiums. And then when they go through that process to try to retain all that extra interest earned, it slows down your doctors because they're meeting in front of committees for heart surgery with a podiatrist who hasn't practiced in 97 years. So what we said was, we're going to do a direct contract with the provider.

36:20we're going to pay you the cash price up front. We're going to pay you that cash price. And we also are not going to have any preauthorizations. We're going to do that before it even gets to you. So by the time you or I need some care, we've already dealt with that on our end. And so by doing so, my hope is we can completely disintermediate a lot of the insurance processes that take place, which will in turn push down costs. And then if we have transparency, and the costs go lower, then maybe we can copy a Canadian model. What happened in Canada for them to get care? Oh, I'm proudly Canadian. Right?

36:59And so I think it was Alberta in 1947. Proud Albertan. There you go. So maybe you can tell me if I'm right here, where they said, we're going to, at the province level, we're going to put together a budget and we're going to, we know basically for our population, you know, how much it's going to cost and we'll cover it. Might raise your taxes, some might not. And then other provinces replicated it. Well, if we have complete transparency, then the city of Dallas could say, look, here's what we know for our employees and their members and our members for the city of Dallas. We know because it's completely transparent based off of a history of claims with growth, with extrapolating, it's going to cost us$18 billion and we have a budget of$16 billion.

37:43So we'll cut out this, this, this, but we'll pay for the rest. You can start having those conversations and creating those options available to companies, to counties, to cities, to states, to the country, whatever, once there's transparency. That's kind of my vision. And I want to ask you, I'm curious, I believe we've asked you this before, sort of, why get into this? Why do this? You're a businessman at the end of the day. Is cost plus drug company lucrative for you? Is there a return on investment in this endeavor at this point? No. No. No money? Nope. I'm losing less and less every day. How many are we talking losing eight figures, seven figures?

38:28How much money are you losing every year? Enough that, you know, I'm not going to go broke. Fair. Yeah. Do you anticipate that changing? I hope so. You do. Yeah, I hope so. So you'd like to see a financial return on investment on this? No, not a return. I like to be able to reinvest further to do more. Okay. You know, I like for it to be, you know, our pricing is so good and we have so many patients and customers that instead of it being cost plus 15%, it's cost plus 14%. Right, right. You're clearly a very outspoken person. You're also a very online person. You post, you're on the social media.

39:04And I mostly interact with your stuff on Blue Sky. And I know you've had some very strong words for them in the last few months. What's your sort of current theory on the case with Blue Sky? I know you've been in hot water, but I think they screwed up. Tell me more. It's become a little community. basically, with a lot of lines in the sand about what's accepted and what's not. Ideologically, you mean. Yeah, which is the antithesis of a social network. Right. And particularly one that has so many great tools. You know, trying to push people out of their church is not very church-like. And, you know, I just think that's unfortunate because, you know, a year ago, it was amazing.

39:49You know, I remember posting things, getting a thousand responses and not one single hateful response. Right. Those days are gone. And I think that was a missed opportunity. You know, could they get it back? Yeah, because they've got some really smart people working there. Yeah, they do. But I think they still have too much of an emphasis on the technology and not enough from the individual user experience perspective. Even like if they siloed communities intentionally, like all the Republicans go here. We'll protect you. We can protect you here. Because it's the one platform that truly is moderated.

40:30Oh, I mean, from a tech point of view, I think that what they're doing with decentralization is incredible. I mean, I think there is a lot of good. But it's not enough. It's not enough from a business perspective. The decentralization is great technologically, and it creates opportunity for people to develop applications that can really do a good job. But you're not going to compete with X. You're not going to compete with Instagram getting people to do the work for you. You know, even Reddit doesn't require the mods to do much work. And so what would you like to see them do differently then? What's it going to take?

41:03Either segregate their user base and open up new doors, right? Because if the whole idea is to have your own server, create some other servers that branch off of the homepage so that Republicans can go in there. But the minute I say that, we don't need no fucking Republicans. Get those fucking Nazis out of here. Da-da-da-da-da-da-da. And then they block you immediately. I think you're what, the fourth? Yeah, I'm the fourth most blocked person. Congratulations. I think J.D. Vance is probably still number one. Yep, probably. Oh, man. Well, let me ask you this, and then we're going to play a game, and then we're going to go.

41:35you have your hands in a lot of different things. I imagine you manage a fair number of people. Ultimately, what I'm curious about is what Mark Cuban is like as a boss. I really don't directly manage a whole lot of people. And the people I do directly manage is almost always via email. I don't do a whole lot of meetings or calls. I'm not a micromanager. I used to be when I first got started, when I knew everything. But now it's more about letting people do their thing until they give me a reason not to. Fair enough. All right, before we end, I want to play a little game. It's called Control-Alt-Delete.

42:17It's like Fuck, Marry, Kill for nerds. Okay. So I want to know what piece of tech you would love to control, what you would love to alt, so alter or change, and what you would delete. What would you vanquish from the earth if given the opportunity? I would delete social media for anybody under 18 from the earth. Beautiful. I would love to control the algorithms that exist. What would you do with the algorithms? You're Larry Ellison. You own TikTok. What are you doing with it? I publish the source code, first of all. Okay. I would make available to the parents of any minor the HTML file with every video or post that was viewed by your child who's under the age of 18 so that people know.

43:05And I actually went to TikTok and I told them that, suggested that. And they said, no, because then people would reverse engineer our algorithm. And then in terms of all, I don't know, AI. And how would you alter it? I would make it more democratic where I wouldn't try to fight, you know, any of the efforts at all to try to monitor. I would just open up as much of it as I could because the race is so fast and so expensive it's you know you you're buying and you're buying all the technology that you can you're inventing all the technology you can and it's almost immediately out of date so you don't have to worry so much about what other people see when you're that environment you more have to worry about what you're doing yourself which is why you see meta trying to pay all these insane bonuses is to get the best talent.

43:55Oh, it's wild. So as long as you've, yeah, so as long as you've got the best talent and you've got somebody with great ideas, as long as you've got your own Jonathan Ivey, right, for, you know, using an Apple analogy, you can be more open. You don't have to be afraid. You don't have to hold back. You know, um... So you want to see AI development move even faster than it already is? Is that what you're saying? Yes, it has to. Because China ain't waiting for nobody. What happens if China wins? Quote-unquote wins that race. We're fucked. We're fucked. So first, let me take a step back. Winning, right?

44:27There's still a long way to go. AI still is effectively stupid. It doesn't have the intuition. It doesn't have the immediacy of a worldview that people have. So it's still dumb. Now, it still makes it smart at processes and the things we've talked about. But I don't see this big general threat in terms of a takeover in the next 20 years. And in order for AI to really be all-knowing, it's got to be able to see what you see, see what I see, determine that it's not of value or of value, and then communicate that everywhere. Well, but so just to sum up, you want to alter AI so that the industry moves faster.

45:09We live in the matrix. But all of the videos that my child is generating using Sora 2, you want me to have a copy. Yeah, for sure. Right? Perfect. And by the way, the best way to know what your kid is into is by looking at their Instagram and TikTok feed. Oh, for sure. That'll tell you more about your child. But in any event, you know, that has more impact on everything that happens. And again, going back to politics, whoever controls the algorithm controls the world. Well, with that in mind, how are we feeling about Larry Ellison today? To be determined. I won't jump to any conclusions. Let's see what happens.

45:46Because it could backfire. Just because you have control doesn't mean you win. There is certainly a risk, but the risk not just to the output from the algorithms, but risk to how he operates the company. And you know Zuckerberg's going to do all we can to fuck him up. And you know Elon's going to do all we can to fuck him up. And so all these things it's going to be, that's the true battle of the oligarchs right there. Who controls the algorithm? Mark Cuban, thank you so much for doing this. Thank you for being here. Yeah, it was a lot of fun. Thank you.

46:21This show is presented by McKinsey & Company and is produced by Jessica Alpert with help from Adriana Tapia and Sam Egan. Sound design, mix, and original music by Pran Bandy. Kate Osborne is our executive producer. Pondé Nast head of Global Audio is Chris Bannon. And I am, of course, your host, Katie Drummond, Wired's Global Editorial Director.

46:50Thank you.

47:20Join head of editorial content at Vogue, Chloe Mao, and head of editorial content at British Vogue, Chomenadi, as they explore style and culture through the lens of fashion with guests like Martha Stewart, Kamala Harris, and Tracee Ellis Ross. The Run Through with Vogue, new episodes every Tuesday and Thursday, wherever you get your podcasts.

From the publisher

Billionaire Mark Cuban, owner of the Dallas Mavericks and co-founder of Cost Plus Drugs, talks to Katie about the state of entrepreneurship, American healthcare, and tech under Trump. The investor campaigned for Kamala Harris, but thinks tech execs have a “moral imperative” to play nice with the president. Why? It’s good business.

Join WIRED’s best and brightest on Uncanny Valley as they dissect the collision of tech, politics, finance, and business, from Alexis Ohanian's newest tech venture to the effects of inaccurate information from artificial intelligence (AI) chatbots on social protests.

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