John asks viewers to press Danaher and Cepheid to cut GeneXpert TB test cartridges to $5 (2023)
ask · status: reported back · last event: result reported (2025-09-30) · owner: John and Hank
In September 2023 John asked viewers to press Danaher and its subsidiary Cepheid to cut the price of GeneXpert tuberculosis test cartridges to $5. Within a week the standard cartridge fell from $10 to $7.97 with a pledge of no profit in poor countries; the drug-resistant cartridge stayed unchanged, and the brothers kept counting the outcome among the community's greatest accomplishments.
Told alongside: John asks viewers to pressure Johnson & Johnson to drop its secondary bedaquiline patent (2023) · John asks Danaher to release its promised independent audit of TB test costs by October 14 (2024) · John: Danaher and Cepheid will eventually respond to the TB test campaign because it will keep escalating (2023) · John: $5 GeneXpert TB tests would likely save hundreds of thousands of lives over 10 years (2023) · John (with Hank): amplify viewers' messages to Danaher on Twitter, Facebook, Instagram and Threads (2023)
About: Danaher Corporation, Cepheid, GeneXpert, TBFighters, Global Fund to Fight AIDS, Tuberculosis and Malaria, United States Agency for International Development, Stop TB Partnership
| date | event | what | video |
|---|---|---|---|
| 2023-09-12 | result reported | An update in the description and John's comment says that thanks to tbfighters.org and partners, Danaher agreed to make no profit on standard TB cartridges, in a deal brokered by the Global Fund, USAID and the Stop TB Partnership. | Barely Contained Rage: An Open Letter to Danaher and Cepheid creator comment |
| 2023-09-12 | asked | John says Danaher, a company most have never heard of, could save hundreds of thousands of lives over the next 10 years, and wants everyone to encourage it to do so. | Barely Contained Rage: An Open Letter to Danaher and Cepheid 00:00:13 |
| 2023-09-12 | reminder | John asks viewers to spend five minutes calling or emailing via the linked contacts and to tell Danaher on social media they won't accept this injustice. | Barely Contained Rage: An Open Letter to Danaher and Cepheid 00:06:24 |
| 2023-09-14 | reminder | John asks viewers inspired by the conversation to contact Danaher, tag it on social media and phone it, politely, since whoever answers is not the decision-maker. | Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES 00:37:33 |
| 2023-09-14 | result reported | John says 1,148 people are watching; Nerdfighteria has researched a list of Danaher's investors and is contacting some of them, with more on its Discord at nerdfighteria.com. | Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES 00:41:57 |
| 2023-09-14 | thanks | John thanks viewers, including one who reached a person at Cepheid's number within two minutes, for keeping up the pressure on Danaher. | Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES 00:58:13 |
| 2023-09-15 | reminder | The description asks viewers to check out TBFighters.org to help get the TB test price down to $5. | The Worst Disease in Human History video description |
| 2023-09-19 | result reported | John reports that USAID, the Global Fund and the Stop TB Partnership announced Danaher's standard TB cartridge will fall from $10 to $7.97, at no profit in poor countries. → refers to Barely Contained Rage: An Open Letter to Danaher and Cepheid | So, um.... GOOD NEWS?!?!?! 00:00:00 |
| 2023-09-19 | reminder | John says the community should keep advocating for lower-cost diagnostics, especially XDR-TB cartridges, but politely and respectfully. | So, um.... GOOD NEWS?!?!?! 00:03:55 |
| 2023-09-22 | result reported | Hank tells John the last couple of weeks were a new sensation: the community affected the world so much, so quickly, that it is disorienting. | A Feeling I've Never Felt Before 00:02:25 |
| 2023-09-25 | result reported | John says he doesn't know how to change the vibe from the community lowering the price of life-saving tuberculosis tests to Pizzamas. | PIZZAMAS IS HERE!!! 00:00:07 |
| 2023-09-29 | result reported | John says his 2007 self had no idea what it was like to have kids, to live in one town for 17 years, or to be part of an online community that convinced a multinational not to profit from TB tests in poor countries. | Like Apocalyptic Horsemen 00:03:33 |
| 2023-09-30 | result reported | After a string of such victories, John stresses how wildly uncommon it is for a pharmaceutical or diagnostics company to lower prices under pressure; these are massive wins. | An Incredible Update 00:02:26 |
| 2023-10-17 | result reported | In the last year Nerdfighteria has helped make hundreds of millions of dollars of impact in the cost of TB tests and treatment. | My Next Book 00:01:27 |
| 2023-11-21 | result reported | John says the community helped encourage Danaher to lower the price of its tuberculosis tests, which will let 5 million more people be tested for TB every year. | Minus Its Charms 00:00:16 |
| 2023-12-19 | reminder | The description points viewers to TB Fighters' work and asks them to join its Discord, telling Danaher it's time for five. | End of a Rough Year creator comment |
| 2023-12-19 | result reported | John says Danaher and Cepheid lowered the price of their standard TB test cartridge and pledged no profit on it in low- and middle-income countries, but have not lowered the price of the drug-resistant TB cartridge. | End of a Rough Year 00:02:55 |
| 2024-01-16 | result reported | TB fighters in the community pressured Danaher to lower the price of its tuberculosis tests; the effort is ongoing but has already cut the standard test's price and won a pledge not to profit from it in impoverished communities. | The Bank of Nerdfighteria 00:03:44 |
| 2024-02-16 | result reported | Hank says the community's biggest economic impact is probably pushing Danaher to lower the cost of its TB test, which took not money but time and attention. (hedged) | How Much Does it Cost to be a Nerdfighter 00:02:55 |
| 2024-03-12 | reminder | John says today there are accurate but still frustratingly expensive tests like GeneXpert that can tell within a couple of hours whether someone has TB. | How We End TB 00:01:56 |
| 2024-03-26 | result reported | John says the community recently helped pressure Danaher to lower the price of its standard TB test cartridge, letting literally millions more people a year access high-quality testing. | I Own Danaher 00:00:00 |
| 2024-03-26 | reminder | John asks viewers to sign the petition linked below and keep asking Danaher to lower its prices; this shareholder would appreciate it. | I Own Danaher 00:04:52 |
| 2024-06-18 | result reported | John has seen the community's power in reducing maternal mortality in Sierra Leone and driving down TB drug and test prices: never underestimate Nerdfighteria. | The Tea 00:05:45 |
| 2024-09-10 | result reported | Chest x-rays and molecular tests cheaper than ever, thanks to Nerdfighteria's hard work, let them find cases much sooner, treat effectively and offer preventive therapy. | The world will change. 00:02:55 |
| 2024-09-27 (happened 2023-09) | result reported | John says it has been almost exactly a year since Nerdfighteria helped convince Danaher to lower its TB test prices, one of the community's most amazing accomplishments. | Is It 2010? IT'S A PARTS VIDEO 00:03:05 |
| 2024-10-25 | result reported | Hank says the community helped make standard TB cartridges 20% cheaper, which is amazing. | I Don't Want them to Get Away With It… 00:04:23 |
| 2025-09-30 | result reported | Hank adds activism (wording unclear) that has forced companies to lower the prices of tuberculosis tests and medications. | WHO ARE WE AND WHAT ARE WE DOING 00:03:59 |
What is said about it
36 statements, by date (the events above are the turns of the thread; these are the details).
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — ask: The description asks viewers to let Danaher and Cepheid know how they feel on social media, linking Instagram, Twitter, Facebook and LinkedIn. — video description
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says the fast, accurate test exists: the GeneXpert machine, made by Cepheid, owned by Danaher, which tests for TB and drug response and also HIV, COVID and other diseases. — 00:01:27
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says that everywhere he has travelled in high-TB-burden countries people praise the GeneXpert machine, and thanks Cepheid and Danaher for building it. — 00:01:44
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says Danaher and Cepheid received over $250 million of public funding to develop these tests, mostly from taxpayers. — 00:04:57
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says since 2019 PIH, Doctors Without Borders and others have urged Danaher to cut prices to $5 per cartridge, through letters and public lobbying, with no response. — 00:05:26
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says Danaher is a company with $8 billion in profit and is not hurting. — 00:05:52
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says Danaher is hard to pressure as it owns little consumer-facing, except Pantone, which it is spinning off while its shareholders keep Pantone shares, so maybe pressure applies there. (hedged) — 00:05:55
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says Danaher must learn this is a bad business decision: people are watching and will make it cost Danaher more in reputation, recruiting and business than $5 tests would cost in profit. — 00:06:11
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — ask: John asks viewers who work at Cepheid or Danaher to tell their bosses they are not okay with this. — 00:06:54
- 2023-09-12 · Barely Contained Rage: An Open Letter to Danaher and Cepheid — John says he has benefited from such reminders even when they made him uncomfortable, and believes Cepheid, Danaher and their executives will too. — 00:07:33
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — John says Danaher shut down its public-facing phone line yesterday and it is still down, though another number takes messages. — 00:37:33
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — John says this is not a two-day campaign: MSF and the panelists have worked on it for years, and Danaher must know they are paying attention and it won't blow over. — 00:38:02
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — John says the pressure works: many Danaher and Cepheid employees message him that they dislike it and didn't enter the business to deny patients access; internal pressure is mounting. — 00:38:31
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — announcement: John says they have heard nothing from Danaher and Cepheid, their usual strategy, but will eventually because they will keep escalating. — 00:39:11
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — John: Asked by a viewer how much of GeneXpert's development was publicly funded, John says it was $250 million but he doesn't know what share of the total that was. — 00:39:57
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — Animesh Sinha: Dr. Sinha adds that Cepheid received around $250 million in public funding to develop the Xpert technology. — 00:40:54
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — Animesh Sinha: Dr. Sinha says Cepheid and Danaher should drop the GeneXpert cartridge price to five dollars for all diseases, including TB, to find missing cases and treat them early. — 00:52:28
- 2023-09-14 · Talking Tuberculosis, GeneXpert, J&J, and more with MY HEROES — John thanks the audience, including a viewer who called Cepheid and reached a person within two minutes, for keeping pressure on Danaher and monitoring J&J on bedaquiline. — 00:58:13
- 2023-09-15 · The Worst Disease in Human History — Hank says because TB is the deadliest infectious disease, hits poor communities, and kills millions a year while disabling more, the tests' cost must be as low as possible, especially for multidrug-resistant TB. — 00:04:22
- 2023-09-15 · The Worst Disease in Human History — Hank says the people at Danaher and Cepheid, despite their pricing targets, can look hard at the spreadsheets, ask what is right, and get MDR-TB cartridges to about $5. — 00:04:58
- 2023-09-19 · So, um.... GOOD NEWS?!?!?! — John reports that minutes before recording, USAID, the Global Fund and the Stop TB Partnership announced Danaher's standard TB cartridge would fall from $10 to $7.97, not the hoped-for 50% cut but significant. — 00:00:00
- 2023-09-19 · So, um.... GOOD NEWS?!?!?! — John says Danaher has committed to making no profit in poor countries from its standard TB cartridge. — 00:00:29
- 2023-09-19 · So, um.... GOOD NEWS?!?!?! — John says Danaher also agreed to improved maintenance conditions, making GeneXpert machines easier to fix when they break. — 00:00:29
- 2023-09-19 · So, um.... GOOD NEWS?!?!?! — John says an immediate, accurate GeneXpert diagnosis could have spared Phumeza much suffering; she might not have lost her hearing or endured years of disabling illness. (hedged) — 00:02:31
- 2023-09-19 · So, um.... GOOD NEWS?!?!?! — John says millions more available tests mean the chance to transform millions of lives for the better. — 00:02:31
- 2023-09-19 · So, um.... GOOD NEWS?!?!?! — John hopes Cepheid and Danaher may eventually treat XDR cartridges like the standard ones, which would help patients and prevent the most dangerous TB strains. (hedged) — 00:03:00
- 2023-09-30 · An Incredible Update — John says tens of millions of dollars will be saved by the Global Fund and low- and middle-income countries, money that can treat more people for tuberculosis. — 00:02:36
- 2023-12-19 · End of a Rough Year — John reports that the Time for Five coalition of TB activists is drawing attention to the price of drug-resistant TB test cartridges with ads on bike shares, a bus stop near the maker's headquarters and in today's Washington Post. — 00:00:00
- 2023-12-19 · End of a Rough Year — John says that as TB fighters their only priority is lowering the global burden of tuberculosis, best achieved through cheaper and more abundant testing, though Danaher's choice may make sense from its perspective. — 00:03:00
- 2023-12-19 · End of a Rough Year — John says that with existing resources twice as many people could be tested, and Danaher could still make money, if the tests cost half as much. — 00:03:56
- 2024-01-16 · The Bank of Nerdfighteria — John: The Global Fund recently estimated that Danaher's price reduction alone will save $32 million over the next three years, letting millions more people get accurate, fast tuberculosis tests. — 00:04:15
- 2024-03-26 · I Own Danaher — John explains that Cepheid, owned by the conglomerate Danaher, makes GeneXpert tests, the best available TB tests; similar cartridges test for HIV, hepatitis or extensively drug-resistant TB. — 00:00:00
- 2024-09-27 · Is It 2010? IT'S A PARTS VIDEO — John says Danaher promised, as part of that deal, to pay for and release an independent audit of its TB test costs, but a year on has not, which is frustrating. — 00:03:20
- 2024-09-27 · Is It 2010? IT'S A PARTS VIDEO — John calls himself a big fan of the Global Fund, founded to fight TB, HIV and malaria, which has saved so many lives. — 00:04:05
- 2024-10-25 · I Don't Want them to Get Away With It… — Hank says the standard TB cartridges got 20% cheaper, but those testing for drug resistance remain $15 though by all accounts they cost basically the same. — 00:04:25
- 2024-10-25 · I Don't Want them to Get Away With It… — Hank says it is frustrating that Danaher has not released the audit. — 00:04:33