I’ve had a little of a debate with a commenter recently where they’ve argued that “donating” (selling, in their words, because you can get money for it) your blood plasma is a scam because it’s for-profit and you’re being exploited.
Now, I only have my German lense to look at this, but I’ve been under the impression that donating blood, plasma, thrombocytes, bone marrow, whatever, is a good thing because you can help an individual in need. I get that, in the case of blood plasma, the companies paying people for their donations must make some kind of profit off that, else they wouldn’t be able to afford paying around 25€ per donation. But I’m not sure if I’d call that a scam. People are all-around, usually, too selfish and self-centered to do things out of the goodness of their hearts, so offering some form of compensation seems like a good idea to me.
In the past, I’ve had my local hospital call me asking for a blood donation, for example, because of an upcoming surgery of a hospitalised kid that shares my blood group. I got money for that too.
What are your guys’ thoughts on the matter? Should it be on donation-basis only and cut out all incentives - monetary or otherwise? Is it fine to get some form of compensation for the donation?
Very curious to see what you think
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O- here. I frequently get called up when the red cross needs donations. We don’t get paid either but it’s an hour I’m off work and it does save lives.
Hello fellow universal donor. I’m blessed with the same blood type, so I donate the blood when I can at my local hospital. Usually 3x a year.
At first there was not much thought behind it, as both my parents went there too. When I turned 18 they just asked: “Do you want to go too?” And my answer was obviously yes, because why not? It was day off school, after all.
Now it’s just automatic. Since I only donate in my local hospital (small town, 15k people) I believe my blood gets to help people. They don’t pay for it, it’s volunteer, organized by red cross. They used to cover bus ride, but lately switched that for “food stamp” instead. We also get juice, coffee and snack once donated. The good part is, it’s still day off work where I live.
My disorganised thoughts in no particular order:
In Australia, donation of blood products is not paid. I think you get a cup of tea and a few biscuits (“cookies”).
I don’t have a problem with that, and I’m very grateful to those anonymous people who volunteered their time and blood so that I could have blood during my stem cell transplants.
I also don’t have a problem with people in other countries who are paid for their blood products; I understand what it’s like to be in dire straits, and blood is a renewable resource. However, I feel that if a company is making money from selling blood, they should be paying a fair price to donors.
Ethically, I feel that any donation of blood (or organs) should be completely anonymous, altruistic, and uncompensated in order to remove any hint of obligation between donor and donee. The idea of being paid for donations makes me personally uncomfortable, even though I just said that I don’t mind other people being compensated.
I’d like to contribute and save lives and whatever, but I have incurable blood cancer (multiple myeloma) and they won’t allow me to donate.
The US has laws that bans paying for blood, but they can pay for plasma. All healthcare in the US is a for profit venture.
If you donate blood in the US, you are the only one in that process who is making a donation. Every other organization in the chain between your donation and the patient who receives it will add a markup for their own profit.
Organ donations work the same way. If you get killed by a car, and your heart is used to save someone’s life, they will be charged nearly two million dollars for the operation. Not only does your next of kin not get a cut of that two million, your estate will still get a bill for whatever treatment failed to save your life.
I can think of little that is more unethical than being the only one donating. Plasma is better because the donors are paid. If healthcare is for profit, at minimum the profits should go both ways. Plasma is the one time it does.
In general even if your donating the blood for free they will still charge the person who gets the blood thousands of dollars at least in the US. They might just bill it as the service of sticking the needle in and hanging the bag up for you or whatever, but in essence they do charge for the blood and make a profit off of it.
I do think its a good thing to donate and help people, but i also do think that companies take advantage of the situation to make a profit off of it, and it is definitely exploitation. Donating blood plasma specifically is not a fun process, and it can leave a permanent scar on your arm if done a lot. The pay for it compared to the problems, and the profits they make on it is definitely understandable to see as a scam.
Now is the answer to that to just let people who need blood die? Obviously no. The answer is the make laws that say companies must provide a fair market rate for peoples plasma if selling it, or ideally just make laws that make all healthcare free so its not an issue anymore.
I think the larger issue is that the blood supply is for profit in the US. Everyone is getting exploited, including the people that require the transfusion.
I donate regularly in Canada and give it away for free as does everyone else. I don’t donate plasma because it’s not especially useful with my blood type (AB+ is universal for plasma, O- for other products).
I’m just surprised there isn’t a shadow industry of selling blood products fed on people altruistically donating for free (like, as far as I can tell, every country with public healthcare does) with corrupt pseudo-legal marketing ensuring that blood products are not sold for profit (because they sell the bag, not the blood, or they sell the service of delivering blood, or some bullshit like that)
TBH, it was a crucial life line for me at a tough time in my life economically.
I didn’t have the energy to work a part-time job and just 90 minutes a week translated to an extra $400-$500 bucks a month.
At its core, it shouldn’t be necessary for people to sell blood and plasma, but Americans vote for for-profit health care and their own impoverishment every two years, so regardless of one’s thoughts on the matter, your very blood is now commoditized at the consent of the voters.
Considering you said you’re german, I think the whole Idea of “Ehrenamt” and subsidiaries of it runs counter to the entire system that has been built. If we monetize everything, I think it’s fine that people get paid for taking time out of their day and bodies to do good shit.
Basically, don’t do unpaid labour in this system?
U.S. here. I “donate” blood regularly to Vitalant. I enjoy the way they do it. You get “points” or often something free for donating (shirts, your name in their sweepstakes to win something large, etc.). You can use the points to redeem gift cards or choose to “donate” the gift card amount back to the organization.
My thoughts: I think these organizations have more donors when they offer compensation, even small vs if they did not. I saw Red Cross offer a chance to win a PS5 once and I’m quite sure it caught some peoples attention and earned them more first time donors -> potential long-term donors.
I think that the commenter lives in a country with for-profit hospitals. In Europe hospitals get subsidized so they all make good money and aren’t driven to pursue profits. Prices are being kept low because of taxes and social health care. There are some for profit hospitals, but not many.
youguysgetpaid.jpg ?
Here if you go donate you get a sandwich and a day off work
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TBH most people I know don’t actually take the whole day, we’ve all got too much shit to do at work.
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Do you get paid for the work day? I used to donate plasma twice a week because that $240 a month was the only money I had. I stopped because now I don’t need that money and I work too much to have time for it.
If I got a paid day off work for every donation I would be there as often as they let me.
Depending on what you donate, you may have to wait 3 months between one donation and the next, we often donate whole blood; Plasma donations must be at least two weeks apart I think. I’m pretty sure there must be a limit to the numbers of days off you can get. It’s all managed through the national mutual assitance org, the employer must seek reimbursement through them as they would for sick days.
I’m assuming you’re in Germany? So envious of your labor rights there and in the broader EU.
We were allowed to donate plasma eight times per month. $25 first donation of the week $35 second.
Italy, actually. It’s bonkers to me how the labor movement, so strong in the USA at the start of the past century, is so weak nowadays.
For example it’s outrageous to me that you hold voting on a work day while not making it a national holiday or day off of some sort.
The thing about making it a holiday is interesting. Everyone in the service industry would be forced to work, probably extra hours as well. Because here any holiday means people who are lucky enough to be middle class and above will be consuming, especially eating out or ordering food in.
I’d prefer mandatory voting like Australia but with ballots mailed to everyone automatically. Make it as easy as possible.
Idk, we’ve got Ferragosto for example as a national holiday where EVERYTHING is closed…
I think it’s fine to pay some for it.
I don’t know how your healthcare system is structured. But let’s assume there is a profit motive in getting you to donate blood. Let’s also assume profit is a problem. So we want to reduce profits.
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If you get €25 per donation that is €25 less profit for them per donation.
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The demand for blood is going to stay the same. No one will decline a live saving surgery because it’s a bit expensive and will pay anything to get it. Increasing supply will decrease profit margins.
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I’ve donated blood and plasma and each time I’ve been offered rewards but don’t bother claiming them. I do it to help others. My job pays me enough to live on.
How could selling something you naturally produce be a scam? I can see how easily you could get ripped off on the price, but in the end you’re still making money and automatically replacing the plasma lost. Even if they’re not actually using the plasma for their stated purpose, I’d still argue the donator is not the one getting scammed. I guess it really comes down to your definition of “scam”.
In germany - I think - blood and plasma donations are most commonly done with the DRK (German Red Cross). I might be wrong, but DRK is not a for profit organization, but “gemeinnützig”. Organizations with that status get controlled by the government for it, so they are non-profit. I think the 25€ are an incentive to come and donate, just as the chocolate and drinks and the small goodies, that you get there. And you only can get the money, if you go to one of the fixed DRK locations. If the DRK comes to somewhere near you (as they often do with churches, town halls, schools and universities) you don’t get any money. I can at least believe, that these two are monetarily similar for the DRK. If you come to them, they don’t need to pay for getting the equipment and people to you. And providing incentives for donating blood is in effect a good thing, as they are working, thus we have more blood to save lifes.
Ofcourse actors later in the chain are probably profit oriented. Though there I would see the discussion disconnected from the donation. It is more about if we want profit oriented actors in healthcare.
And - as always - the US healthcare system seems to do the worst thing possible every time. Sorry, americans, don’t want to bash you, but capitalism…
It’s actually a separate company - a joint venture I think - not related to DRK. It’s octopharma + TMD (Gesellschaft für transfusionsmedizinische Dienste mbH), apparently, so probably a private company. The other place I can donate at in my city is the local Uniklinikum (it’s like a hospital that’s closely linked our university where med students can work). Both provide a monetary compensation for the donation.
Yea, the US is kinda fucked, ngl