Well, well, well—look who’s finally come around. Mark Cuban, billionaire entrepreneur, Shark Tank loudmouth, and professional Trump antagonist, just admitted something most of us already knew: President Trump’s executive orders on healthcare—especially drug pricing—actually make a lot of sense.
In a rare moment of clarity, Cuban took to social media Wednesday to praise Trump’s reforms, saying they could “save hundreds of billions” and that several of the president’s policies align perfectly with his own mission at Cost Plus Drugs, the startup Cuban launched to cut out the pharmaceutical middlemen and bring cheaper drugs directly to consumers.
Trump’s executive order takes direct aim at pharmacy benefit managers (PBMs)—those shady, profit-skimming middlemen who somehow became gatekeepers in the healthcare system. Both Cuban and Trump agree: PBMs are a bloated layer of bureaucracy designed not to help patients, but to jack up prices and shield pharma companies from scrutiny.
“Make them about wellness, not pay-for-play like a grocery store endcap,” Cuban wrote, echoing Trump’s move to eliminate rebate games and demand net pricing transparency. That’s right—no more shell games, no more “specialty drug” designations used to justify $10,000 price tags. As Cuban bluntly put it: “There is nothing special about specialty drugs. They call them special to jack up the price.”
Gotta be honest. The @realDonaldTrump EO on healthcare and in particular, drug pricing could save hundreds of billions.
Here is how:
1. Divorce formularies from PBMs. Require them to come from independent organizations with no economic incentive from the formulary
Make them…— Mark Cuban (@mcuban) April 16, 2025
Under Trump’s order, PBMs will now be required to report all data to employers, state governments, and drug manufacturers—pulling back the curtain on years of backroom deals and pay-to-play schemes. Cuban, to his credit, didn’t just endorse the idea—he even offered to help the Trump administration implement it.
“Put me in, coach! I’m here to help,” he joked.
Of course, this isn’t the same Mark Cuban who moralized about Trump on The View last year, sneering that “you never see him around strong, intelligent women.” That little gem went over like a lead balloon with the many conservative women who happen to be, well, strong and intelligent—and have the law degrees to prove it.
But Cuban’s new tone? Let’s just say it’s a welcome change. For a man who’s spent years trading barbs with Elon Musk and criticizing the GOP, Cuban seems to have realized that when it comes to lowering drug costs and gutting corruption in healthcare, Trump was right all along.
Even billionaires can learn something from the America First playbook.
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