With health care, despite the fact that we as a nation have already chosen to provide health care in one form or another to everyone, we have, until Obamacare, chosen to pick the least cost-effective means, a mix of private and public offerings, of providing that care. That makes no sense.

In this quote, Mark Cuban critiques the way health care has been provided in the United States, specifically pointing out the inefficiencies in the system prior to the Affordable Care Act (Obamacare). He notes that while the U.S. has already made the decision to provide health care to everyone, the approach has historically been a mix of private and public options that were not the most cost-effective. Cuban is highlighting the financial inefficiencies that arise from the complex system of private insurance and government programs, which he believes do not make the best use of resources.

Cuban’s statement emphasizes that health care should be delivered in a way that is both effective and economical. By combining public and private offerings in a fragmented system, the U.S. has created a setup that, according to Cuban, wastes resources and leads to higher costs for both the government and consumers. He is advocating for a more streamlined, cost-efficient approach to ensuring that everyone has access to affordable care.

The quote also points to Obamacare as a step toward addressing these inefficiencies. While Cuban acknowledges that the Affordable Care Act was not perfect, he suggests that it was an attempt to improve upon the status quo by creating a more structured system of coverage. In this light, Cuban's argument is that reforms like Obamacare were necessary because the previous system was not sustainable or effective in providing comprehensive and affordable care for all.

In conclusion, Mark Cuban’s quote critiques the U.S. health care system, particularly the mix of private and public offerings that were in place before the implementation of Obamacare. He argues that the system was inefficient and that the country needed a more cost-effective approach to providing care. Cuban advocates for a system that ensures affordable access to health care while making the most efficient use of available resources.