Solzhenitsyn later reopened the issue, claiming that he had not authorised a Slovak dissident, Pavel Licko, to give the manuscript to Bethell, and that Licko was a Soviet agent. Bethell rejected those claims, pointing out that Solzhenitsyn had accepted royalties from the publication of the translation over the years. Solzhenitsyn had been completely unknown in the West until Cancer Ward was published, and he won the 1970 Nobel Prize for Literature, primarily for this work, although he was banned by the Soviet government from receiving it until 1974.