Remembering when PENICILLIN was as expensive as Avastin is today

In 1943, penicillin-at-cost (at least so claimed Big Pharma and no one ever asked for or got firm proof as to their accuracy) was sold to the US government for $20 per 100,000 units .

The most meaningful way to describe the effect on a family's budget in 1943, if they had had the chance to actually buy the stuff, is to ask how it would have taken them at work to earn that $20.

In 1943, the median male wage earner took about a week to earn $20, the median female about two weeks.

In today's terms, that meant it would cost about $1000 for that dose of penicillin.

Admittedly, that single dose back then in 1943 saved many a life -cured ! - and they didn't need to have another dose again.

By contrast , today's Avastin is a fairly costly cancer drug that can extend life in some terminal patients , but only for an additional four months on average , and at a potential cost of $100,000 a year and up.

To work, it has to be taken constantly every 2 weeks until the patient either dies of the cancer or of old age.

But there are some bacterial diseases ,then and now, that were invariably fatal unless given enormous seeming doses of penicillin  - often the penicillin must being given every few hours, for periods of several months.

Still the cures of even supposedly fatal cases of extraordinarily persistent and antibiotic resistant endocarditis can happen - but it has taken up to a kilo of pure penicillin to do so.

That is equal to 17,000 doses of Penicillin G, each of of 100,000 units in strength !

That is $340,000 in 1943 dollars at 1943 prices and would have  taken 340 years for the average male worker back then to pay for it !

But in the 1943 era, the actual maximum amount of penicillin ever give to an endocarditis patient was a still quite hefty 15 million units  - costing a median 1943 worker 3 solid years of labour to buy.

Three years work for the median worker today in 2013 is at least $100,000 - IE, the average cost for Avastin patients and or their insurers, private and government.

So in 1943, the miracle drug Penicillin G was as expensive for some patients as Avastin and other miracle cancer drugs are today.

But what is the real current at-cost/ bulk price of 100,000 units of Penicillin G today,  in 2013  dollars ?

That would be 2 cents : and would take today's worker not one or two weeks of 40 hour each to pay for it, but rather only about 2 seconds to earn !

Clearly Penicillin G has gone from being the most expensive lifesaver in 1943 to being by far the cheapest lifesaver in 2013 - a lifesaver cheaper than water, a lifesaver too cheap to meter.

The Official History version of why it happens credits those wonderful people at Big Pharma.

If you find that at all credible, you really shouldn't be reading this blog.....

World's most effective lifesaver is the most beloved AND the cheapest

That's not at all like Big Pharma, the world's least beloved industry.

Usually their effective lifesavers cost a big fortune and their ineffective ones merely cost a small fortune.

By contrast, our beloved inexpensive penicillin G has seen wide use among the world's poorest patients and as a result  billions of us have had a 'free ride' :  a quasi-herd immunity to millennium old contagious bacterial infections like Rheumatic Fever.

Gladys Hobby : a Calvinist, on a catholic mission...

From September 1940 till December 1943, Dr Gladys Hobby, a devout Presbyterian on a catholic mission ("Penicillin-for-all") , daily visited the Green wards of Columbia-Presbyterian hospital, where the young victims of green SBE waited out their inevitable deaths.

Daily, she held aloft before them a petri dish just aglow with radiated golden penicillium mold, as if it were some marvelous medical monstrance.

As she and her tiny team undoubtedly believed it was.

Lifesaving 'too cheap to meter:' the legacy of the smallest Manhattan Project

Remember that solemn pledge from the biggest Manhattan Project ?

After killing a few hundred thousand civilians overseas, they promised to make up for it by offering us endless, abundant, safe electricity at prices 'too cheap to meter'.

They were joking, right ?!

By contrast, consider the legacy of the smallest Manhattan Project.

It has offered us decades of lifesaving at prices 'too cheap to meter'.

That is an amazing feat considering it was performed against the combined resistance from the biggest of the wartime Allied  governments and from many politically powerful firms in wartime's Big Pharma.

Penicillin, more than 85 years after its initial discovery, still can stop cold the toughest bacterial infections going, and do so at prices dirt cheap, offering us true life saving at prices too cheap to meter.

Contrast that to today's to cancer drugs,  averaging at costs between $100,000 to $350,000 a year, that can only promise to extent the average life by about four months.

This is because natural penicillin was born in the public domain, born the original genetic drug , and Man failed totally to synthesize it and expensively patent it.

Penicillin is often called the miracle drug and perhaps its biggest miracle was economic, not medical : it could be given the opportunity to save hundreds of millions worldwide because it wasn't priced like Avastin but rather was almost as cheap as water.

(A real miracle - and I repeat, it almost didn't happen, we almost lost inexpensive penicillin.)

That was because our busy wartime Allied bureaucrats and busy wartime drug executives spent zillions in scarce tax dollars to try to synthesize and patent penicillin rather than getting down to doing Job One with readily available natural penicillin.

Their Job One and Two and Three should have been saving lives in a worldwide war crisis.

Henry Dawson's 'Penicillin-for-all' did not just mean making it available to all at a steep price, like Avastin : it meant making it available to all patients, at a price even the poorest can afford...

"Irish Jimmy" Duhig and his Uisce Beatha : Penicillin as Orange Juice

I woke up the middle of last night to find I had a bad cold and so naturally got to thinking about its prevention and cure.

Its natural and unnatural cure and what all this had to do with the unknown history of wartime's crude penicillin.

Naturally, one avoids respiratory colds and worse by eating lots of fresh fruits and vegetables , drinking lots of liquids, getting plenty of rest, and living a secure existence in a well ventilated sizeable home.

One gets more and deadlier respiratory diseases living stressed lives in cramped, il-ventilated homes without adequate fresh fruit and vegetables.

The other way to avoid colds and such is to daily pop a lot of synthetic vitamin pills for your entire life.

You will then have become that most sought after client of Big Pharma : someone from (A) a sizeable group of people who have a (B) 'chronic' 'disease' and (C)  who can afford to buy the moderately expensive solution to the disease, daily, from a drug company for the rest of their lives.

Insulin for middle class diabetics was a big money spinner for Big Pharma , starting in the 1920s, for just those reasons ---- just as the mania for vitamin pills for the middle class was in the 1930s.

No mind that the middle class were hardly needing any vitamins, based on their adequate and varied diets based on the more expensive fresh products of Nature.

They may not have needed any tiny white synthetic vitamin pills .

But they did have enough money to buy them and they did have the necessary ingrained faith in "Science" that helped them swallow Big Pharma's claims regarding the need for daily synthetic vitamin supplements to succeed in this "busy, complex, Modern Age."

Now adequate Vitamin C is regarded as vital to prevent and limit colds.

We can get enough simply eating enough fresh vegetables but most  of us like to supplement this with a tasty morning glass of golden orange juice rather than dash down a tasteless dry little white pill of 100% pure synthetic Vitamin C.

Horrors ! said 1930s Big Pharma and its tame pill-pushing scientific "consultants".

That glass of orange juice or the even more basic orange or lime itself is so impure - containing merely a tiny fraction of one percent pure Vitamin C.

Who knows what bad toxins lurk within it ?

Well we now agree that the orange or lime holds only other goodnesses - like soluble and insoluble fibre.

Scientists knew this even back in the 1930s, but the majority had tagged along on a culture-wide Modernist mania for purity - racial and chemical - and couldn't see the fibre benefits for all their dark fears of possible unknown impurities in the innocent orange.

Nasty Reds lurking under "only innocent-looking" orange beds or groves.

Jimmy Duhig, along with Henry Dawson, Robert Pulvertaft and a very few others didn't buy all this : they thought that the golden solution of crude penicillin was the literal Water of Life, Aqua Vitae or Uisce Beatha , for their dying patients.

Even after 100% pure natural penicillin was available after the war, Dawson's co-worker Gladys Hobby, now a key employee of Big Pharma, was allowed to publish a scientific article seeking to demonstrate that crude penicillin was ,in some way, more effective than the pure stuff !

But back to our trios of modern-day James Linds.

Instead of waiting - perhaps centuries - for a patently-profitable synthetic penicillin pill , they did a James Lind and starting saving lives - right now ! - with the penicillium equivalent of Lind's natural lime juice for scurvied sailors : natural crude penicillium juice.

The fact that these still-unknowns saved many lives while the now-famous Howard Florey merely fiddled about trying fruitlessly to make synthetic penicillin merely reminds of the power of Big Pharma and their many scientific sycophants on Nobel Prize committees.....

I propose to a (book) editor.... in an elevator

Clutching my manuscript to my heaving chest (insert bodice here) I got down on one knee and said to her , "This Manhattan Project is from Venus ---- and so are most of your customers."

"So enough already on any more books about Manhattan Projects that kill. This wartime Manhattan P. saved lives : its all about life and love and the whole nine months."

"Listen to your mother, she says you won't even be here if it wasn't for penicillin : cheap, abundant, natural, non-patented penicillin."

"Now does that sound like how Big Pharma normally operates ?

Yeah, exactly --- this time, despite America being at war, Doctor Mom was in charge and she saw to it that it was done up right."

"If this book proposal has legs - and I think it does , try to think of those legs as being shapely, shaved and belong to an avid reader of character-driven narratives ."

"Besides, market-wise, isn't it long overdue for a Good News Story to come out of WWII's Bad News War ?"

"Give it a read and then get back to me before the bidding war gets heavy -----  'cause, baby, this here book project is all about peace, love and understanding...."