Out of Patients
with Matthew Zachary
An Open Letter (Again) to Mark Cuban on Behalf of American Patients
Mark Cuban walked into the Senate with spreadsheets and receipts. He called PBMs a cartel. He saved Medicare $2 billion. But math doesn't show up at town halls. Receipts don't vote. Here's the hole in his equation and an invitation to fix it.
$1.7 Trillion Dollars. $54 Billion in Profits, 10 Million Fewer People.
In 2025, seven insurers generated $1.7 trillion in revenue and $54 billion in profit while covering 10 million fewer people. Premiums hit $26,993 for families. Public funding expanded. Consolidation deepened. The incentive structure driving American health insurance stands exposed.
Dear Mark Cuban: Trump’s Healthcare Plan Protects the PBM Cartel
An open letter to Mark Cuban on why the Great Healthcare Plan fails patients. It leaves PBM power intact, ignores pricing abuse, and turns transparency into theater. Patients already know how often claims get denied. We live it every day.