Pivot
Pivot

Mark Cuban on High Drug Prices, Taxing Billionaires, and 2028

August 21, 2026

AI Summary

5 min read

Mark Cuban on High Drug Prices, Taxing Billionaires, and 2028

Mark Cuban has been pestered online for years about buying the domain GoBlue.com. He finally gave in at $38,000, redirected it to Indiana University's NIL page as a rivalry joke, and then got a cease-and-desist from the University of Michigan's general counsel and president demanding he hand it over for free. Cuban refused, kept the domain, and now tells the story on every podcast he can. "I'm going to take advantage of it and get more than my $38,000 worth," he said. It's a small window into how he operates: use leverage, don't back down, and treat opacity as an attack to be countered with transparency.

How Drug Prices Actually Dropped—and What Didn't Cause It

When prescription drug prices posted their biggest year-over-year drop in more than sixty years, both the Trump and Biden camps claimed credit. Cuban, whose company Cost Plus Drugs partners with the TrumpRX.com portal, gave a more grounded explanation. TrumpRX refers traffic—people search for a drug, and if Cost Plus is the cheapest option, they get sent there. Since the portal launched, Cuban says Cost Plus has dropped prices on over 200 medications because higher volume drives down their own costs, and they pass those savings through at a fixed 15% markup.

Continue reading the full summary in the app — free to try.

Read Full Summary →

Free • No credit card required

What you'll learn

  • 1 (06:18) **Healthcare as the Core Focus** - Mark Cuban signals that healthcare is his primary topic, pivoting from banter about Michigan and Indiana
  • 2 (07:53) **Biden’s Medicare Drug Negotiation vs. Biosimilars** - Cuban breaks down what actually drove the historic price drops
  • 3 (10:31) **Why He Won’t Engage on Trump Personally** - Cuban explains his hands-off approach to political attacks, focusing instead on policy results
  • 4 (11:13) **The Bigger Economic Picture: Deficit, Interest Rates, and Healthcare Costs** - Cuban connects healthcare inflation to macro economic forces
  • 5 (13:44) **How Healthcare Middlemen Drive Up Costs** - Cuban names the core structural problem: a few giant conglomerates controlling everything
  • 6 (16:28) **The PBM Formulary Weapon** - Cuban reveals the specific mechanism PBMs use to block competition
  • 7 (18:54) **The Fight Club Secrecy** - Cuban describes how PBMs hide their prices even from the government

+ Full timestamped outline available in the app

Guests on this episode

Show Notes

Scott-Free August continues, and Kara sits down with Mark Cuban — entrepreneur and co-founder of Cost Plus Drugs. They dig into why prescription drug prices are finally falling, Cuban's war with the healthcare industry, and Costco's surprising Medicare play. Then: why Cuban thinks chips are the new crypto, and California's controversial billionaire tax. Plus — will Cuban actually run for president?

Learn more about your ad choices. Visit podcastchoices.com/adchoices

Pivot

More from this podcast

Pivot →