Name: 為什麼馬克-庫班對兩個政黨都感到厭煩？ (Why Mark Cuban is Fed Up With Both Political Parties | Working Capital)
Uploaded: 2025-01-08T08:59:59.000Z
Duration: 22 min 32 s

Well, if we're in agreement, maybe it's true then.

好吧，如果我們意見一致，那也許就是真的了。

I mean, it feels good, but it means I'm just on to the next thing.

我的意思是，這感覺很好，但這意味著我又要開始下一件事了。

Yeah, I feel satisfied because I know I'm learning.

是的，我感到很滿足，因為我知道我在學習。

You know, when I first started, I was the youngest guy in the room, you know, and people were like, oh, you're too young, whatever.

你知道，剛開始的時候，我是房間裡最年輕的人，你知道，人們會說，哦，你太年輕了，隨便你怎麼說。

Now I'm the oldest guy walking in the room, and I'm like, well, what's this guy know about technology or AI?

現在，我是房間裡最年長的人，我就想，這傢伙懂什麼技術或人工智能？

Why are you trying to compete with all these big companies?

你為什麼要與這些大公司競爭？

He's sort of the type of person that I understand least in the world.

他是我在這個世界上最不瞭解的一類人。

His whole life is about competition and beating the competition.

他的整個生活就是競爭和擊敗對手。

And he said that he wakes up thinking about the competition, and I think that's actually insane, and I can't imagine existing that way.

他說他一覺醒來就想著比賽，我覺得這簡直是瘋了，我無法想象這樣的生活。

We're going to figure out if there's something wrong with me or something wrong with him.

我們要弄清楚是我出了問題，還是他出了問題。

America has its fair share of eccentric billionaires.

In a lot of ways, the weirdest thing about him is how aggressively normal he seems.

從很多方面來看，他最奇怪的地方在於他看起來是多麼的積極正常。

But for weirdness, it's hard to top hearing one of the richest people in the country say that paying taxes is something that they look forward to.

但說到怪異，很難有人比得上聽到全國最富有的人之一說納稅是他們最期待的事情。

One of the most patriotic things that you can do when you're wealthy is pay your mother****** taxes.

富裕之後，最愛國的事情之一就是繳納母****** 稅。

Whether it's hardballing investors on Shark Tank.

無論是在 "鯊魚坦克 "節目中與投資者硬碰硬。

You can't be that stupid, Robert, to even think there's any law in the world.

羅伯特，你不會那麼蠢吧 居然認為世界上還有法律存在

Lashing out at basketball refs on the court.

Or dunking on anti-diversity, equity and inclusion cranks on social media.

或者在社交媒體上灌輸反多樣性、公平和包容的歪理邪說。

The latest target of his good-natured wrath is the American healthcare system, which he's aiming to disrupt with his latest venture, Cost Plus Drugs.

他善意憤怒的最新目標是美國的醫療保健系統，他的最新企業 Cost Plus Drugs 就是要顛覆美國的醫療保健系統。

So I got a cold email from Dr. Alex Oshmayansky, who wanted to build a compounding pharmacy in Denver to make generic drugs that were in short supply.

於是，我收到了亞歷克斯-奧什馬延斯基博士的一封冷冰冰的電子郵件，他想在丹佛建立一家複合藥房，生產供不應求的仿製藥。

And it was right around the time that Martin Shkreli was getting ready to go to jail.

就在馬丁-史克利準備入獄的時候。

And it was apparent to me that if he was able to raise the price of Daraprim, this was not an efficient market.

很明顯，如果他能提高達拉匹林的價格，這就不是一個有效的市場。

And so working with Alex and talking to Alex, the key element that was missing in the industry is transparency.

是以，在與亞歷克斯的合作和交談中，我發現這個行業缺少的關鍵因素就是透明度。

It was and is dominated by three big pharmacy benefit managers.

過去和現在都由三大藥房福利管理公司主導。

And they set pricing despite their claims otherwise.

而且，儘管他們不這麼說，但他們還是制定了定價。

And so we felt like if we could create a company that was completely transparent and show our costs, etc., that it would start to bring back the one thing that was missing in the healthcare system, which was trust.

是以，我們認為，如果我們能創建一家完全透明的公司，並展示我們的成本等，就能重新喚回醫療系統中缺失的信任。

是以，我們創辦了 costplusdrugs.com。

And if you go to the website, you put in the name of the medication, we'll show you our actual cost.

如果您登錄網站，輸入藥物名稱，我們就會向您顯示實際成本。

And if you want it delivered via mail order, it's $5 to the pharmacist, $5 for shipping.

如果您想通過郵購送貨，藥劑師收取 5 美元，運費 5 美元。

And the prices are just dramatically cheaper.

So do you feel like it's a failure of government that you have to be doing this?

那麼，你是否覺得你必須這樣做是政府的失敗？

No, no, definitely not a failure of government.

不，不，絕對不是政府的失敗。

It's not a failure of government from a legislative perspective.

從立法角度看，這不是政府的失敗。

It's a failure of government in that by choosing to allow companies that the PBMs that they work with for Medicare Part D or Medicare Advantage, then they're reinforcing the fact that there's no transparency because of the contracts that they've signed with them have no transparency, right, for the most part.

這是政府的失職，因為政府選擇允許那些與他們合作的醫療保險 D 部分或醫療保險 Advantage 的 PBM 公司，那麼他們就在強化一個事實，那就是沒有透明度，因為他們與他們簽訂的合同沒有透明度，對吧，在大多數情況下是這樣。

And then it's a bigger failure on the part of all the companies that self-insure, particularly the big companies.

而所有自我保險的公司，尤其是大公司，則是更大的失敗。

If you're a CEO of a big company, medium-sized company, your company, right, your core competency is not worrying about health care costs, right?

如果你是一家大公司、中型公司的首席執行官，你的公司，對吧，你的核心競爭力不是擔心醫療成本，對嗎？

You work with an employee consultant or whatever it may be, and you just think they're doing their job.

你與僱員顧問或其他什麼人合作，你只是認為他們在做他們的工作。

But the reality is health care costs have become your second largest line item right after payroll.

但現實情況是，醫療費用已成為僅次於工資的第二大開支項目。

So when you ask why are we, where are we at?

所以，當你問我們為什麼，我們在哪裡？

It's not because we should have legislated against them.

這並不是因為我們應該立法禁止他們。

It's because the government should say, OK, if you're going to be part of Medicare, you have to be transparent to us in your actual costs.

這是因為政府應該說，好吧，如果你們要加入醫療保險，你們的實際成本就必須對我們透明。

You have to be transparent to us in your markups.

You have to be transparent in your prices.

And we're going to publish all those things.

And if you try to game it by using offshore companies to do, you know, rebates, then we're not going to work with you.

如果你試圖利用海外公司來做遊戲，你知道，回扣，那麼我們不會與你合作。

If the government did that with Medicare and Medicare Advantage and those partnerships, it'd be a whole different game.

如果政府在醫療保險和醫療保險優勢項目以及這些合作項目上也這樣做，那將是一場完全不同的遊戲。

Are the pharmaceutical companies too powerful?

Are you talking about the manufacturers or the PBMs or?

The PBMs, yes, because now they're vertically integrated and becoming more so.

PBMs 是的，因為它們現在是垂直整合，而且越來越垂直。

And so we hear a lot of talk about regulatory capture, but it's scale capture where they basically...

是以，我們聽到了很多關於監管俘獲的說法，但這是規模俘獲，他們基本上......

A scale capture is where they go into a company and they say, we're so big, if you don't do work with us, you're not going to be able to get all the services and prices and everything.

規模捕獲是指他們進入一家公司，然後說，我們規模很大，如果你不與我們合作，你將無法獲得所有的服務、價格和一切。

And we're not going to share with you what we're doing with everybody else, but we're the biggest.

我們不會和你們分享我們和其他人在做什麼，但我們是最大的。

No one ever got in trouble for doing business with IBM.

從來沒有人因為和 IBM 做生意而惹上麻煩。

And, you know, we hear story after story about people who can't afford their healthcare, can't afford their medications, and it doesn't have to be that way.

你知道，我們聽到了一個又一個關於人們負擔不起醫療費用、負擔不起藥物費用的故事，但事實並非如此。

And I really, truly believe that there's a straight line from where we are today to completely fixing healthcare in the United States, if we can get, in particular, big companies to become transparent in their negotiations and to publish what they do.

我真的真的相信，如果我們能讓大公司在談判中變得透明，並公佈他們的所作所為，那麼從我們今天所處的位置到徹底解決美國的醫療問題是一條直線。

If for the Medicare Advantage program, they just don't, they don't approve anybody for Medicare Advantage that works with the big three PBMs, right?

如果是 "醫療保險優勢計劃"，他們就不會準許任何與三大 PBM 合作的人参加 "醫療保險優勢計劃"，對嗎？

They, the big companies, they stop working with the big three PBMs and publish their contracts.

這些大公司停止了與三大 PBM 的合作，並公佈了他們的合同。

We're looking at the United States of America as the shining light of a healthcare system.

我們將美國視為醫療保健系統的璀璨明珠。

While Cuban often points to the market failures of America's healthcare system, he still has a strong faith that markets and entrepreneurs will point the way towards solutions to many of society's problems.

雖然庫班經常指出美國醫療保健系統的市場失靈，但他仍然堅信，市場和企業家將為解決許多社會問題指明方向。

So obviously, at some point, we were going to talk about Ayn Rand.

所以，很明顯，在某些時候，我們會談論艾恩-蘭德。

You used to be a bit more of a libertarian.

I still am, but there's times when you adjust, right?

我現在依然如此，但有時你也會調整，對嗎？

I'm not hardcore Ayn Rand anymore, right?

我不再是艾恩-蘭德的鐵桿粉絲了，對嗎？

Because just reality sets in and I'm more about- I really like her writing.

因為現實就是這樣，我更喜歡她的文字。

You loved Atlas Shrugged or The Fountainhead?

你喜歡《阿特拉斯聳聳肩》還是《泉源》？

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