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

  •  Vanth   ( @Vanth@reddthat.com ) 
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    507 months ago

    Anytime we ask questions about poor people doing things to make a buck, you probably won’t find me talking negatively or blaming the people with few to no options.

    I’ve been in a financial situation where selling my blood plasma was an easy, safe, guaranteed amount of money that kept me from getting deeper into the hole. I’m not going to knock anyone who does it, only the shitty social services that fail people to the point they have to sell their plasma to survive.

    •  Druid   ( @v4ld1z@lemmy.zip ) OP
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      167 months ago

      I’ve been there myself too. I didn’t necessarily have to donate plasma twice a week for a couple months since I could have asked my parents for money, but I’m very reluctant when it comes to asking for money and want to do things independently, on my own as far as possible. So yea, while between jobs, I was reliant on this steady source of income to be able to afford rent. It sucks but that’s reality. And yea, I quite agree that this is an underlying systematic failure of the government and not necessarily a fault of the blood bank

  • 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.

    In the US, AFAIK you can’t get paid for whole blood. If you did, you would have to be paid significantly more than they pay for plasma, given that you can only do whole blood every two months.

    To the question, it’s not a “scam” by any conventional definition. You are getting real money in return for the plasma.

    The problem with the whole system is that if there was no payment for plasma, there wouldn’t be nearly enough people donating plasma for the need that there is. (You’re typically looking at 1+ hour per session, 2x/week.) That doesn’t include whatever travel time is involved. That’s a pretty steep time commitment every week for something that’s a very nebulous public good.

    I think a better question is, is the amount that you’re being compensated fair and reasonable? Give the profit margins that are involved in products made from blood plasma, my inclination is that it is not a fair and reasonable amount. Plasma centers in my area vary in how much they pay, but it’s typically in the neighborhood of $50-$75 (USD); in other parts it’s lower, and in some areas it’s significantly higher. It’s clear that they can pay more, but choose not to because it increases their profit margin. That is something I have a problem with.

    • The problem with the whole system is that if there was no payment for plasma, there wouldn’t be nearly enough people donating plasma for the need that there is.

      In the contry I live in you cannot be paid for anything from your body for a medical purpose; blood, plasma, marrow, organs, whatever. Everybody gets those free if needed.

      Then again, its one of the countries with the highest transplant rates in the world per capita, so donating to savw others is deeply ingrained in society.

  • Donating blood plasma is good as it helps people in need. Sure, it sucks that there is a company in the middle making a profit, but not donating is not the solution to that problem, as it hurts the people in need more than the corporation in the middle.

    I think its kinda similar to the tipping situation. Yes it sucks that restaurants don’t pay their employees properly and that you have to tip to support the employees. But not tipping hurts the employees rather than the restaurant owner.

    In both cases, if we want change, we need to change the legislation.

  • In the UK it’s illegal to pay blood or plasma donors, and I think the only time we’ve had a shortage is due to a cyber attack.

    I think they do give you a medal or something after donating a certain number of times though.

  • 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.

  •  Dr. Bob   ( @DrBob@lemmy.ca ) 
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    97 months ago

    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)

  • Donating blood/plasma is a good thing. Economic conditions in which poor people feel obligated to give blood just to make enough money, whilst rich people don’t feel this same pressure, are bad.

    I don’t know how exactly private blood banks work (in plenty of countries blood banks are public and presumably non-profit), but regardless, I assume nobody can get blood transfusions if nobody donates. So until the political system is overhauled just keep donating? Your blood donations aren’t the root cause of capitalism

  • Blood is just as bad, but yes, the markup is insane in the US, compared to the machinery and time to collect plasma.

    Blood, for instance gets sold by the red cross to hospitals for around $215 per unit. Hospitals in turn will charge anywhere from $580 to $3,000 for it.

    Also, most blood is used for elective surgeries that are not life critical. Any time you hear about their being a blood shortage that could effect what hospitals can give, what they actually mean is that there’s plenty for emergency and necessary use, but they may have to postpone elective and cosmetic surgeries.

    Obviously, the issue would be solved easily by paying people enough to be worth it to donate. People would be lining up if they got something like $100 to donate a pint. Something that only takes about 30 minutes to do.

  • 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 donate plasma regularly - at least once per month. It’s illegal to pay people for blood or plasma here in the Netherlands so I’m just in it for the good feels. I also like the downtime and relaxed chatting and joking with the people who work there.

  • If they see it as a scam then they seem to expect certain financial gain from donating. In my opinion this is bad as donating life-saving goods should not be done just for the money.

    You can’t be scammed if you are doing it for saving lifes (except if they sell the blood to some shady labs instead hospitals).

  • 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…

    •  Druid   ( @v4ld1z@lemmy.zip ) OP
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      17 months ago

      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