A Rare Antibody in James Harrison’s Blood Protected the Lives of 2.4 Million Australian Babies

I recently purchased from Amazon, but have not read, Good Blood, which describes the discovery of a cure, and the struggle for acceptance of the cure, for the RH disease sketched in the passages quoted below. The disease affected my family, but I am not sure I remember exactly how. I am Rh positive and I think my mother was Rh negative. I think with each child after me, there was increasing risk and worry of possible bad health effects.

According to the Amazon summary for Good Blood, the book also describes the devotion of master blood donor James Harrison, whose recent obituary is quoted below.

Starting at least in the 1960s medical experts were often optimistic that future medical advances would come from designer chemicals enabled by scientific advances in our knowledge of chemistry and biological processes. Taxpayer funding was devoted to that approach in Nixon’s War on Cancer. But fewer medical advances have come from that approach than hoped, and more advances than expected have continued to come from the evolved usable chemicals (sometimes poisons, sometimes antibodies) of plants, animals, and exceptional human beings like Mr. Harrison.

Mao is often misquoted as saying ‘Let a thousand flowers bloom,’ but someone should say it (at least if the cost of planting the flowers is not too high).

(p. A25) James Harrison did not much care for needles. Whenever he donated plasma, he would look away as the tip went into his arm.

But Mr. Harrison was one of the most prolific donors in history, extending his arm 1,173 times. He may have also been one of the most important: Scientists used a rare antibody in his plasma to make a medication that helped protect an estimated 2.4 million babies in Australia from possible disease or death, medical experts say.

“He just kept going and going and going,” his grandson Jarrod Mellowship said in an interview on Monday [March 3, 2025]. “He didn’t feel like he had to do it. He just wanted to do it.”

. . .

Mr. Harrison’s plasma contained the rare antibody anti-D. Scientists used it to make a medication for pregnant mothers whose immune systems could attack their fetuses’ red blood cells, according to Australian Red Cross Lifeblood.

Anti-D helps protect against problems that can occur when babies and mothers have different blood types, most often if the fetus is “positive” and the mother is “negative,” according to the Cleveland Clinic. (The positive and negative signs are called the Rhesus factor, or Rh factor.)

In such cases, a mother’s immune system might react to the fetus as if it were a foreign threat. That can lead babies to develop a dangerous and potentially fatal condition, hemolytic disease of the fetus and newborn, which can cause anemia and jaundice.

. . .

In Australia, scientists from the Walter and Eliza Hall Institute of Medical Research in Melbourne are working to create a synthetic version of the drug using what some have called “James in a Jar,” an antibody that can be made in a lab.

But for now, human donors are essential: The anti-D shots are made with donated plasma, and Mr. Harrison was one of about 200 donors among the 27 million people in Australia, Lifeblood said.

. . .

Mr. Harrison knew the importance of his work firsthand. At 14, he needed a lot of blood transfusions during a major lung surgery. The experience inspired him to donate and encourage others to donate, too.

For the full obituary, see:

Amelia Nierenberg. “James Harrison, Whose Rare Antibodies Helped Millions, Is Dead at 88.” The New York Times (Saturday, March 8, 2025): A25.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the obituary was updated March 7, 2025, and has the title “James Harrison, Whose Antibodies Helped Millions, Dies at 88.”)

The Good Blood book, mentioned above, is:

Guthrie, Julian. Good Blood: A Doctor, a Donor, and the Incredible Breakthrough That Saved Millions of Babies. New York: Harry N. Abrams Press, 2020.

Trump Proposes to “Chop Domestic Spending to Its Lowest Level in the Modern Era”

Source of graph: NYT article cited below.

My entry today is part of a continuing effort to document Trump administrations actions to deregulate and downsize in the hope that the good from deregulation and government downsizing will dominate the bad potentially done by tariffs.

(p. A1) President Trump on Friday [May 2, 2025] proposed slashing $163 billion in federal spending next fiscal year, a drastic retrenchment in the role and reach of government that, if enacted, would eliminate a vast set of climate, education, health and housing programs, including some that benefit the poor.

Issuing his first budget proposal since returning to office, Mr. Trump sketched out a dim view of Washington. His blueprint depicted many core government functions as woke, weaponized, wasteful or radical, as the president looked to justify his request that Congress chop domestic spending to its lowest level in the modern era.

. . .

(p. A17) For Mr. Trump, the budget served to formalize his conservative vision and his disruptive reorganization of the government, a campaign that has already shuttered entire agencies and dismissed thousands of federal workers without the explicit approval of Congress.

. . .

. . ., many Republicans have echoed Mr. Trump’s desire to slash federal spending, though warring G.O.P. factions have disagreed at times over the exact scope.

Party lawmakers have also raced to identify potentially trillions of dollars in cuts that they can include to finance a related package that would expand a set of expiring tax cuts for families and businesses, one of the president’s signature — and costliest — economic policy priorities.

For the full story see:

Tony Romm. “Trump Seeks Drastic Cuts To Core of U.S. Spending.” The New York Times (Saturday, May 3, 2025): A1 & A17.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story has the date May 2, 2025, and has the title “Trump Proposes $163 Billion in Cuts Across Government in New Budget.”)

Private Sector Succeeds Where Public Sector Fails at Operating a Successful Passenger Train

The New York Times recently ran a surprising (for them) article highlighting the success of the privately owned Brightline passenger railroad on the east coast of Florida. The Times contrasts the private success of Brightline with the public failures of Amtrak and California’s mostly undone proposed bullet train. Amtrak ran an operating deficit of over $700 million in 2024. The long-planned, barely-begun, pared-back California bullet train is now estimated to require over $100 billion to reach completion.

Maybe Brightline succeeds because the private sector allows entrepreneurs to use what Deirdre McCloskey calls trade-tested innovation to pursue their projects.

The private sector allows innovative dynamism.

The New York Times article is:

Michael Kimmelman. “What’s So Hard About Building High-Speed Trains?” The New York Times (Sat., April 19, 2025): B4-B5.

(Note: the online version of the article was updated April 18, 2025, and has the title “What’s So Hard About Building Trains?”)

McCloskey discusses trade-tested innovation in:

McCloskey, Deirdre N. Bourgeois Equality: How Ideas, Not Capital, Transformed the World. Chicago: University of Chicago Press: Chicago, 2016.

I discuss innovative dynamism in:

Diamond, Arthur M., Jr. Openness to Creative Destruction: Sustaining Innovative Dynamism. New York: Oxford University Press, 2019.

A World with No Tariffs, No Barriers, No Subsidies

Art Laffer and Stephen Moore had an op-ed a few weeks ago in which they encouraged Donald Trump to be the best version of himself on the tariff and trade issue. Trump has made inconsistent statements on tariffs and trade. Sometimes his goal seems to be to seek long-term tariffs that bring in substantial revenue. But his best version seeks a mutual reduction in tariffs to zero–a world of free trade, which when combined with deregulation and downsizing of government will allow entrepreneurs to innovate and trade so that we all flourish.

The best version of Trump is the one who spoke the following words in 2018 at a meeting of the Group of Seven in Quebec:

“No tariffs, no barriers. That’s the way it should be. And no subsidies. I even said, ‘no tariffs.’ . . . Ultimately, that’s what you want. You want tariff-free, no barriers and you want no subsidies.”

Source of quote:

Arthur Laffer and Stephen Moore. “A Win-Win Exit Strategy For Trump on Tariffs.” The Wall Street Journal (Tues., April 8, 2025): A17.

(Note: ellipsis in original.)

(Note: the online version of the commentary has the date April 7, 2025, and has the same title as the print version.)

(Note: Stephen Moore wrote a nice blurb for my Openness book.

“If She Ever Had a Clever Thought, It Died Alone and Afraid”

I still smile whenever I see a Tesla Cybertruck. Boldly audacious–its mere existence gives me hope for the future. If I could charge its battery as fast as I can fill a tank of gas, I would buy one tomorrow. I still worry that Musk will implode or cave. But right now he looks like a genuine hero, defending free speech by buying Twitter, taking on the deep state by creating DOGE, solving the engineering challenges to make the dream of Mars a reality!

(p. B1) When Jennifer Trebb first pulled into her driveway two years ago with her sleek Tesla Model Y, it was — as she put it — “kind of like a ‘Back to the Future’ moment.”

She was helping the environment, she said, but driving a Tesla also had cachet. “It was definitely a little bit of a cool moment to have something that was innovative and different,” she said.

But Ms. Trebb recently made a U-turn, joining the ranks of Tesla owners in the United States and overseas — some well known, including the singer Sheryl Crow — who are selling their vehicles because the values and politics of the company’s billionaire chief executive, Elon Musk, are alienating them, they say.

. . .

(p. B6) In the United States, perhaps the most notable rebuke of the car brand was lodged by Ms. Crow, the singer-songwriter, who posted an Instagram video in February [2025] showing her waving goodbye as her electric vehicle was driven away on a flatbed truck.

. . .

In an appearance with Sean Hannity on Fox News, Senator John Kennedy, Republican of Louisiana, mocked Ms. Crow’s protest.

“I think she means well, but if she ever had a clever thought, it died alone and afraid,” Mr. Kennedy said.

For the full story see:

Neil Vigdor. “Tesla for Sale: Buyer’s Remorse Sets In For E.V. Owners Who’ve Soured on Musk.” The New York Times (Friday, March 7, 2025): B1 & B6.

(Note: ellipses, and bracketed year, added.)

(Note: the online version of the story was updated March 5, 2025, and has the title “Tesla for Sale: Buyer’s Remorse Sinks In for Elon Musk’s E.V.-Owning Critics.”)

Covid Handouts Raised Government Debt, Leading to Higher Inflation

During Covid, Democrats in Congress pushed for ever-greater government handouts to voters, that often were handed out to fraudsters, and substantially increased the U.S. debt. Former Democratic Secretary of the Treasury Larry Summers predicted that this would fuel inflation. Recent research by Ernie Tedeschi, the former Chief Economist at President Biden’s Council of Economic Advisors, confirms that increased debt results in higher prices.

The New York Times article summarizing Tedeschi’s research is:

Colby Smith. “Research Shows Link Between High Government Debt and Rising Prices.” The New York Times (Thurs., March 13, 2025): B3.

(Note: the online version of the article has the date March 12, 2024, and has the title “High Government Debt Is Seen as Stoking Inflation, Research Shows.”)

Colby Smith identifies Tedeschi as the author of the following research paper. The Budget Lab web site, where the paper is posted, does not identify the author:

“The Inflationary Risks of Rising Federal Deficits and Debt.” The Budget Lab at Yale. March 12, 2025.

Killer Conservationists

I have not read Cull of the Wild: Killing in the Name of Conservation, but from its title and description it sounds like it documents an important and under-appreciated point. The point is that to “conserve” some species, so-called “conservationists” sometimes kill large numbers of the members of other species. (See, e.g., my blog entry on west coast “conservationists” killing massive numbers of one kind of brown owl in order to preserve a similar species of brown owl.)

Species ebb and flow. This was true before humanity arrived and is still true now. “Conservationists” anoint some species as “indigenous” and others as “invasive,” which can only be done if some particular arbitrary moment is taken as the one that must be preserved or returned-to.

The book that looks promising is:

Warwick, Hugh. Cull of the Wild: Killing in the Name of Conservation. London: Bloomsbury Wildlife, 2024.

Trump Hits ‘New High Water Mark’ for Deregulation

In my friendly debate with fellow libertarians, the passages quoted below support my claim/hope that Trump’s deregulation and downsizing efforts will prove to be substantial.

(p. A2) WASHINGTON—President Trump is following through on his pledge to usher in one of the most sweeping deregulatory drives in modern U.S. history, moving swiftly to slash environmental rules and bank oversight, remove barriers to cryptocurrencies, and reverse the Biden administration’s restrictions on energy production.

The most aggressive plans for a red-tape rollback have come from the Environmental Protection Agency, which in a single day announced 31 actions to deregulate U.S. environmental policies, including rules for power plants, the oil-and-gas industry, electric vehicles and wastewater.

Venture Global, a liquefied natural gas exporter, in early March announced an $18 billion investment in a Louisiana project, following the administration’s reversal of President Joe Biden’s freeze on approvals for LNG gas export plants, which has yielded plans for new projects and expansions. The Trump administration is “getting the red tape, getting the federal government off the back of the worker, off the back of companies,” Interior Secretary Doug Burgum said in an address to workers at the Louisiana facility.

. . .

Trump’s deregulatory moves are widespread: The Securities and Exchange Commission is backing away from Biden’s climate-related disclosure rules; the Federal Deposit Insurance Corp. rolled back a Biden-era policy that had stepped up scrutiny of large bank mergers; and the Interior and Housing and Urban Development departments are aiming to streamline regulations to spur the construction of housing on millions of acres of federal land.

Taken together, Trump’s moves are setting “the new high water mark in terms of the deregulatory agenda,” said Travis Fisher, who served in the first Trump administration and is now the director of energy and environmental policy studies at the Cato Institute, the libertarian think tank. He added that Trump is “moving more boldly than Ronald Reagan.”

Investors, bullish about Trump’s deregulatory agenda, sent stocks soaring after the election.

For the full story see:

Scott Patterson and Amrith Ramkumar. “Deregulation Hits ‘New High Water Mark’.” The Wall Street Journal (Sat., March 29, 2025): A2.

(Note: ellipsis added.)

(Note: the online version of the story has the date March 28, 2025, and has the title “Trump Ushers In ‘New High Water Mark’ for Deregulation.” The passages quoted include a couple of sentences that appear in the online, but not the printed, version of the article.)

Ramaswamy Avowed That the F.D.A. “Erects Unnecessary Barriers to Innovation”

The New York Times article quoted below worried that if Vivek Ramaswamy succeeded in “slashing regulation” of drugs, his own drug development firm would have benefitted. Maybe so, but that misses the main point–all the rest of us also would have benefitted by medical entrepreneurs being allowed to create more and quicker cures. Presumably The New York Times was relieved when Ramaswamy resigned from DOGE, but I was discouraged.

I was in favor of Elon Musk’s push to reduce the number of federal employees. But I was even more in favor of Vivek Ramaswamy’s push to deregulate innovative entrepreneurs.

[By the way, isn’t it predictable that The New York Times delights in highlighting Roivant’s one failure, but gives only passing scant mention to its six successes?]

(p. A10) Vivek Ramaswamy is the less famous and less wealthy half of the duo of billionaires that President-elect Donald J. Trump has designated to slash government costs.

. . .

At 39, he is one of the world’s youngest billionaires, having made his fortune in the pharmaceutical industry.  . . .

Mr. Ramaswamy, who owns a stake currently valued at nearly $600 million in a biotechnology company he started, has called for changes at the Food and Drug Administration that would speed up drug approvals.

. . .

Since being named to jointly lead DOGE, Mr. Ramaswamy had until recently been posting on Mr. Musk’s social media site X, hinting about where he may look to make changes in the government.

He called for slashing regulation, not just cutting government spending. He pointed to federal workers focused on diversity as potential targets for “mass firings.”

And he has been taking aim at the F.D.A. “My #1 issue with FDA is that it erects unnecessary barriers to innovation,” he wrote on X. He criticized the agency’s general requirement that drugmakers conduct two successful major studies to win approval rather than one.

Mr. Ramaswamy founded his biotechnology company, Roivant Sciences, in 2014, betting that he could find hidden gems whose potential had been overlooked by large drugmakers. The idea was to hunt for experimental medications languishing within large pharmaceutical companies, buy them for cheap and spin out a web of subsidiaries to bring them to market.

The venture is best known for a spectacular failure.

In 2015, Mr. Ramaswamy whipped up hype and investment around one of his finds, a potential treatment for Alzheimer’s disease being developed by one of his subsidiaries, Axovant. Two years later, a clinical trial showed that it did not work, erasing more than $1.3 billion in Axovant’s stock value in a single day.

Mr. Ramaswamy personally lost money on paper on the failure, but thanks to the savvy way he had structured his web of companies he and Roivant weathered the storm. Six products have won F.D.A. approval, and today Roivant has a market valuation of $8 billion.

Mr. Ramaswamy sold some of his Roivant stock to take a large payout in 2020, reporting nearly $175 million in capital gains on his tax return that year. But he is still one of the company’s largest shareholders.

If Mr. Ramaswamy recommends changes that speed up drug approvals through DOGE, that could be good news for Roivant, which is developing drugs that might come up for approval during Mr. Trump’s second term. The faster it can get medicines onto the market, the more valuable the company — and Mr. Ramaswamy’s stake in it — stands to become.

For the full story see:

Rebecca Robbins, Maureen Farrell and Jonathan Weisman. “From Ramaswamy’s High-Profile Perch, a Web of Potential Conflicts.” The New York Times (Thursday, January 16, 2025): A10.

(Note: ellipses added.)

(Note: the online version of the story has the date Jan. 15, 2025, and has the title “Ramaswamy Has a High-Profile Perch and a Raft of Potential Conflicts.” At one point this entry was posted on March 30. I had not noted that another entry had been posted for March 30, so for consistency I moved this entry to April 23.)

If Risks Are Low and Alternatives Few, Let Patients Try Therapies That Lack Proof of Efficacy

I like Dr. Shirvalkar’s decision process quoted below. He says that a patient should be allowed to take a therapy without proof of efficacy, if the costs and risks are low.

This decision process is consistent with my suggestion that the F.D.A. should stop mandating efficacy, and limit itself to only mandating safety, thus greatly reducing the costs of drug development.

(p. D7) Acetaminophen. Acupuncture. Massage. Muscle relaxants. Cannabinoids. Opioids. The list of available treatments for low back pain goes on and on. But there’s not good evidence that these treatments actually reduce the pain, according to a new study that summarized the results of hundreds of randomized trials.

. . .

Aidan Cashin, the paper’s first author and deputy director of the research group Center for Pain IMPACT at Neuroscience Research Australia, said the aim of the study was to identify which first-line treatments for low back pain had any specific effects beyond a placebo, which might merit further study and which may not be worth pursuing.

. . .

One limitation of the type of analysis that Dr. Cashin conducted was that it aggregated data from different studies and different populations in order to emulate one large trial. But in the process, a strong signal from one study that a treatment worked could be diluted amid noise from other studies that may not have been designed as well, he said.

. . .

The evidence for something like heat might be inconclusive, doctors said, but they would still recommend that patients try it. “It’s cheap, it’s accessible, it almost causes no harm,” Dr. Shirvalkar said.

For the full story see:

Nina Agrawal. “Low Back Pain Relief Is Stubbornly Elusive.” The New York Times (Tuesday, March 25, 2025): D7.

(Note: ellipses added.)

(Note: the online version of the story was updated March 24, 2025, and has the title “What Works for Low Back Pain? Not Much, a New Study Says.” Where the versions differ, in the passages quoted above, I follow the online version.)

Pasteur Saw That “Germs Were Everywhere in the Air”

The passages quoted below show how Pasteur respected his audience by finding a clear and compelling way to communicate that “germs” float in the air. The essay quoted below is adapted from Zimmer’s recently released Air-Borne book.

In other parts of Air-Borne, Zimmer discusses how the W.H.O. and the C.D.C. ignored the implications of the findings of Pasteur and others, relevant to the air-borne (aerosol) spread of diseases such as Covid-19.

(p. D8) On the evening of April 7, 1864, in an amphitheater filled with Parisian elites, Pasteur stood surrounded by lab equipment and a lamp to project images on a screen. He told the audience it would not leave the soiree without recognizing that the air was rife with invisible germs. “We can’t see them now, for the same reason that, in broad daylight, we can’t see the stars,” he said.

At Pasteur’s command, the lights went out, save for a cone of light that revealed floating motes of dust. Pasteur asked the audience to picture a rain of dust falling on every surface in the amphitheater. That dust, he said, was alive.

Pasteur then used a pump to drive air through a sterile piece of cotton. After soaking the cotton in water, he put a drop under a microscope. He projected its image on a screen for the audience to see. Alongside soot and bits of plaster, they could make out squirming corpuscles. “These, gentlemen, are the germs of microscopic beings,” Pasteur said.

Germs were everywhere in the air, he said — kicked up in dust, taking flights of unknown distances and then settling back to the ground, where they worked their magic of fermentation. Germs broke down “everything on the surface of this globe which once had life, in the general economy of creation,” Pasteur said.

“This role is immense, marvelous, positively moving,” he added.

The lecture ended with a standing ovation. Pasteur’s hunt for floating germs elevated him to the highest ranks of French science.

For the full essay see:

Zimmer, Carl. “He Showed That Germs Floated in Air.” The New York Times (Tuesday, February 18, 2025): D8.

(Note: ellipsis, and bracketed date, added.)

(Note: the online version of the essay was updated Feb. 18, 2025, and has the title “Louis Pasteur’s Relentless Hunt for Germs Floating in the Air.”)

Zimmer’s essay, quoted above, is adapted from his book:

Zimmer, Carl. Air-Borne: The Hidden History of the Life We Breathe. New York: Dutton, 2025.