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Billionaire Mark Cuban Says Healthcare Costs Your Family More Than 5 Times What You Pay in Federal Income Tax — And That’s Before You Get Sick

Barchart·09/29/2026 09:00:18
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Health insurance is supposed to provide peace of mind. But what happens when a family spends thousands on coverage and still faces a massive bill the moment someone actually gets sick and has to use that insurance? 

Entrepreneur and billionaire Mark Cuban, founder of Cost Plus Drugs, has a blunt answer. The healthcare system needs fixing, and he says it’s one of the biggest issues facing Americans.

“I said I wanted to fix healthcare in the USA. That’s where I’m spending my money,” Cuban wrote in a 2025 post on X.

“Some people think helping Americans get out of this healthcare mess we are in is important. In fact I think it’s the most important issue Americans face.”

That post wasn’t just about cheaper prescriptions. Cuban laid out what he sees as a much bigger financial problem for American families, employers, and the economy.

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The Five-Times Calculation Is Where It Gets Ugly

“Healthcare will cost the typical American Family of 5, 5x what they pay in federal income taxes. BEFORE deductibles and max out of pocket,” Cuban wrote.

His point is that the cost doesn’t end with the insurance premium. Families can spend thousands just to maintain coverage and still have to come up with significant amounts of money before insurance takes on more of the cost.

Cuban said the employer cost tells another part of the story.

“It will cost your employer 30k for that same family. Leaving a lot less money to pay to you.”

That means the price of healthcare can reach beyond the monthly household budget. Employers paying heavily for family coverage have less money available for wages, while workers can still face deductibles and out-of-pocket costs when they need medical care.

For a family already struggling to save, that’s where the problem gets especially painful.

Having Insurance Doesn’t Mean Having The Money

Cuban didn’t mince words when describing what happens to people stuck with high deductibles and high out-of-pocket limits.

“And if you have a high deductible and high out of pocket plan, you are just fucked unless you are rich.”

The language is harsh, but the financial concern behind it is straightforward. A person can technically have health insurance and still lack the cash needed to use it comfortably.

Cuban pointed to Americans who don’t qualify for Medicaid but have very little money sitting in savings.

“Really tough when most people who don’t qualify for medicaid barely have $500 in the bank and avoid going to the doctor and just get sicker.”

That creates a vicious financial cycle. A person avoids care because the upfront cost is too high, the health problem can worsen, and the eventual treatment can become even more expensive.

The $30,000 Problem Doesn’t Stay At The Doctor

Cuban also argued that healthcare costs hit businesses and workers at the same time.

The $30,000 figure he cited for an employer covering a family of five represents money that isn’t available for other forms of compensation. Meanwhile, families can still face deductibles and out-of-pocket maximums when serious medical problems arise.

He pointed to plans with roughly $5,000 deductibles and $18,000 out-of-pocket maximums, arguing that those numbers can be nearly impossible for families without substantial savings to handle when something goes wrong.

That’s why his argument isn’t simply about making medicine cheaper.

It’s about whether Americans have enough money left over after paying for healthcare to actually weather an emergency.

Cuban Says Healthcare Deserves More Attention

The billionaire has made healthcare a major focus through Cost Plus Drugs, which aims to sell prescription medications with transparent pricing.

But his X post makes clear that he sees the problem as much bigger than the price of a prescription.

“All while there will be a debate about whether to extend ACA subsidies for 12.5m people,” he wrote. “Which is simultaneously the most important and most worthless conversation our politicians will have.”

Cuban argued that providing more money for healthcare doesn’t necessarily solve the underlying problem if much of that money ultimately goes toward insurance plans that still leave families with large deductibles and out-of-pocket limits.

He ended with a broader criticism of the national conversation.

“But hey. Let’s play gotcha about global politics instead of dealing with something that impacts all Americans and the economy more than any 1 percent interest rate cut ever will.”

In Cuban’s view, that’s the heart of the issue. Healthcare isn’t just another household expense. It can determine whether a family has enough money left for savings, whether an employer can afford higher wages and whether someone chooses to see a doctor at all.

And his five-times comparison was designed to make that burden impossible to ignore.


On the date of publication, Caleb Naysmith did not have (either directly or indirectly) positions in any of the securities mentioned in this article. All information and data in this article is solely for informational purposes. For more information please view the Barchart Disclosure Policy here.