A fictional short story set in a post-utopian society
Insulin is a miracle drug.
It's also horrendously overpriced.
That's because Big Pharma own the patents on it, and they're not shy about exploiting that fact. The patents Big Pharma own are for today's more advanced forms of insulin, however the earliest version of the drug was patented by its discoverers in 1923, who then sold it to a public research university for $1 as a statement of goodwill. One of insulin's inventors, Dr Frederick Banting, said, "Insulin doesn't belong to me, it belongs to the world".
But that was then.
Today, four big pharmaceutical companies (Eli Lilly, Sanofi, Novo Nordisk, and Pfizer) own patents on insulin formulas that are much more effective, however their plan isn't to give it to the world. Instead, it is to make maximum profit quite literally at the expense of human suffering.
These companies are within their legal right to do this, by the way, and that is true in all the different forms capitalism can take, so the cost of the miracle drug, insulin, can rise 600% over 20 years without any legal consequence.
However, in the self-declared Free Republic of United Helpers, everything is free, including insulin. In this large, but isolated community of less than 30,000 people, the inhabitants don't use money as a medium of exchange, like the rest of the world. Their economy is “help-based”. Products are only produced because of voluntary cooperation, and the decision to make a product is determined by the need for that product, as well as if the resources are available.
As it stands, even advanced forms of insulin can be created with only a moderate level of technology and resources, so when the United Helpers were able to manufacture insulin for their own people, Big Pharma moved to stop this.
What ensued was a battle between the people of a help-based free economy and the pharmaceutical companies of a money-based “real” economy.At first Big Pharma attacked the problem from the angle of patent infringement, sending the United Helpers a cease and desist notice. Problem solved, they thought. However the insulin patent owned by Big Pharma, including the entire legal framework it exists within, is not recognised in the Free Republic of United Helpers.
There are no patents in the region because there is no need for patents when everything is free, therefore the concept of patent law is also unnecessary. To a Helper, if you can build it, then that's all that matters. After careful consideration, the Council of Helpers correctly dismissed the cease and desist notice as inapplicable.
Since the United Helpers don’t use money, then money-based rules, rewards and punishments cannot apply.
In their return letter the Helpers stressed the point that their society is organised under a completely different system than the one the accusations of criminality are being levelled from. In a Helpers’ society, under their system and their rules, no criminal act is being committed.
Big Pharma then attempted to sue the Free Republic of United Helpers for damages, but using their own form of currency: Help.
The lawyers brought forward a case demanding compensation to an equivalent sum of money that Big Pharma claimed was owed to them in lost revenue. Total damages: $1.4 Billion dollars. If the economy was “help-based” then what United Helpers owed Big Pharma needed to be $1.4 Billion dollars worth of free labour - their interpretation of help - based on average wages. A successful outcome would either pose enough of a threat to stop the Helpers making the insulin or, at the very least, disrupt and possibly collapse the system United Helpers had created. A breakdown of their society would re-install capitalism to the region where Big Pharma’s patents could be enforced again. Either outcome was acceptable.
The problem, however, was that the United Helpers operated on a form of conditional volunteerism. The condition being that Helpers would only help other Helpers. If you weren't willing to help other Helpers then Helpers had no obligation to help you. It was a simple rule that acted as the central unifying idea for their entire community, but since none of Big Pharma's board members were willing to become Helpers themselves in order to qualify for receiving help in return, it made this particular legal approach rather pointless.
At this stage the corporate board members of these giant corporations were privately experiencing great forms of anguish and for good reason. They had to live with the cruel knowledge that their prized cash cow, insulin, was being created and distributed, for free, without any return to the legitimate owners of the patent, them. It was nothing short of maddening, and this prompted Big Pharma to adopt a far more desperate and underhanded approach: The use of propaganda as a weapon.
Hidden from public view, Big Pharma crafted an attack campaign against the United Helpers that was based around a clever lie, designed to shift public opinion about their community, and hopefully ruin them in the process. Not their bank accounts, because they had none, but their reputation as an alternative way of life.
After all, how dare they think they can find a loop hole in the established order of things by creating an entirely new system? It simply wouldn’t stand, and so this purposefully engineered deception would soon prove to be both believable and effective because it would confirm the common person's darkest suspicions about what the United Helpers might actually be: A cult.
A secretive group of individuals, hiding behind a wholesome façade, in order to disguise their nefarious intentions.
While that could accurately describe the Big Pharma board members themselves, it would serve as an excellent foundation for the propaganda the board would slowly construct about United Helpers, even though it sat directly opposite from the truth.
The attacks began with paid news reports. Rumours surrounding strange disappearances of young women.
Interviews with distraught parents. “We felt our daughter slipping away from us the more she became lost in that horrible cult”. Stories that hinged on vague accusations and slippery details, but always plausible enough to start a narrative of suspicion and mistrust. Then came the allegations of illicit drug-use mixed with bizarre rituals to distance the Helpers as being “the other”. Different. Apart. And on and on it went.
The same key words purposefully inserted into every printed article and news segment that began a drumbeat of repetition, and with it a momentum of fear in the average person's heart.
As the ”Helpers are a cult“ narrative gained traction, it also created a vacuum for contrarian news reports about the United Helpers in general. Any kind of information which could reveal a darker side to the United Helpers became instantly popular, and the most popular of these stories was the Douglas Mitchell interview.
Douglas was rumoured to be a disgruntled Helper living in the Free Republic of United Helpers. Disillusioned by the system he was now a part of, he didn't mind going on record to tell the unvarnished truth about what’s really been going on.
To the editors of the corporate news outlets, this was gold.
It turned out Douglas Mitchell was previously an accountant in his old life back in Missouri, and he was against everything that these Helpers stood for. He didn't enjoy the average Helper's world view, didn't like their demeanour, their earnestness, nothing. Douglas had kept his mouth shut for the last 18 months he had been living here, but when he was given the opportunity to speak to the press about how things actually operated, he went for it.
“We’re recording", informed the camera man.
Douglas sat in his dilapidated unit, bathed in an aura of bright light coming from the stage lamp the camera crew had brought with them. Douglas nodded to the camera man and, prompted by his interviewer, began describing the entire system these Helpers had created as being an unmitigated mess.
"It's like I've chosen to live in a third-world country. If only you people knew the luxuries you have at home. What you take for granted, on a daily basis, it’s... you just don’t realise. Being here is a hard life. It's tough. You've got to do a lot yourself, and you've got people always checking in on you, like a prison, but where all the inmates are looking after each other, without guards. It's weird... It's a weird and horrible place and I would urge anyone who is thinking about coming here to take a closer look because it's not the utopian dream you think it is.”
The interviewer asked, “If it’s so bad, then why do you stay?”
Douglas let out an exasperated sigh, like telling this next bit was a chore for him. "Because back in Missouri I was diagnosed with Type 1 diabetes, and I had lost my job as an accountant of a big firm, so that meant I didn't have Health Insurance anymore. I had no job so I couldn't afford the $500 a month that insulin costs. I was facing homelessness as a diabetic. It was either come here or die.”
"And that's the reason you became a Helper?”
“Yes. Insulin is free here".
And that was it. Right there. That was the moment when Big Pharma's propaganda suddenly and spectacularly backfired.
"Oh...", replied the reporter, trailing off. Having what he’d later come to understand as an epiphany. ”Yes, of course".
Douglas continued, ”The [beep]ing [beep]ers at Big Pharma can't stop us from making our own insulin, even if they own the patents. Patents are a money thing and we don’t use money, so we don’t need patents. [Beep], we don’t even need permission. We just make it! And because we’re free to live like that, free to make these things for free, like the insulin I need, it means, well… it just means that, uh…”, his previous intensity began to crack with real emotion, “...coming here has literally saved my life”.
The interview went on, but the damage was done. The public reacted to the news story with a renewed sense of curiosity about the Free Republic of United Helpers. Not to confirm their darkest suspicions anymore, like they were quietly being manoeuvred to do, but instead to find out if this place is somewhere they could pin their hopes onto.
Is it really a place where the act of “helping others” is the currency between people? A place where the rules of money no longer matter? What's it like to live there? People now wanted to know because, like the reporter interviewing Douglas Mitchell, they too had an epiphany.
An epiphany is very different from a discovery though. Whereas a discovery is the moment when you find something that was previously hidden, or obscured, an epiphany is recognising something that was always right there in front of you.
In this case, it was an idea.
This short story was written by Mat Brady and inspired by a YouTube video by Russell Brand: https://youtu.be/kk7d5JocgvY
and further inspired by the Open Insulin Foundation: openinsulin.org
Thanks also to the Facebook group, Moneyless Society, where it was first published.