According to @mcuban, U.S. health insurance carriers are so large and vertically integrated that they set the rules, and he argues the ACA is not employer-driven (Source: Mark Cuban on X, Nov 28, 2025, twitter.com/mcuban/status/1994504415152120002). He states the solution is to break up the behemoth carriers to give the market a chance to become efficient, emphasizing antitrust-driven structural reform (Source: Mark Cuban on X, Nov 28, 2025, twitter.com/mcuban/status/1994504415152120002). He delivered these remarks in a reply to Bill Gurley’s post, underscoring criticism of vertical integration and rule-setting power within managed care (Source: Mark Cuban on X, Nov 28, 2025, twitter.com/mcuban/status/1994504415152120002; x.com/bgurley/status/1994451234732875864).