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?
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
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.
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.
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.
I've donated plenty of times, because it makes sense that there is no other way to save lives than to donate.
On the other hand, I've been wondering for years, that while I've been told a million times that "blood reserves are low - donate blood now!", I've not ever heard that a single person died due to lack of available blood.
Why would something like that not be reported if you want to motivate people to donate?
My personal guess is that this comes because "lack of avaiable blood donations" isn't a valid cause of death, the cause of death is whatever else (gun shot wound, knife severed artery / complication during surgery etc), thus it's hard to pinpoint. Also Doctors may try to "save" blood, when they know little is available, and people may die that may have lived if they had gotten (more) blood, but also they may not have and it is hard to tell.
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.
Well, that's a new thought. Donating blood is necessary, so we get paid by the Red Cross to do it, in money or a small meal. But the Red Cross then immediately upsells that blood to the hospitals that need it. In a sense, we are exploited workers without a contract.
The real reason donating blood is unethical is because we cannot unionize.
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.
If you get €25 per donation that is €25 less profit for them per donation.
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.
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.
If your blood plasma helps save somebody’s life, either directly as an infusion or indirectly in research, that’s not a scam. The monetary reward is compensation for time and an incentive to try to meet demand. The donation is free, but the time and energy required to make the donation are an expense. That’s what the compensation covers. It’s only a scam if your donation goes to feed a literal or wannabe vampire or their bathing fetish.
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).
You can donate blood in 20 minutes. It takes an hour plus to donate plasma
Am I going to sit in a chair for an hour plus without any compensation? Maybe once or twice here and there. But you can donate plasma at least twice a week.
It requires two donations for a single unit. If you donate once and don't donate the second, then your first donation is unusable. You have to get them to donate twice.
When I was donating plasma, it paid about $75 for each donation. 50 first, 100 for second. The money is pretty good. $300 a month is a lot for a lot of people.
If you didn't compensate people for plasma donations, a lot wouldn't do it. They currently need more people to donate.
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.
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.
You lack the cultural lens of America. About half of our country governs from the perspective of "why should I?" with the most negative and self-preserving mindset possible.
Why should I pay for others healthcare, even if it means they pay for mine? Why should I donate my blood if it doesn't benefit me?
Solve that problem by giving you $25-100 for your "donations"
In France you're not paid for your donation, well, it is a donation, but the organization collecting it is kind of for profit as they are not entirely relying on public funds. The blood and plasma are still going to save lives so I'll continue
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.
People are getting paid to donate plasma?! The only scam here is that I've been giving it away for free!
I donate to the Red Cross here in America. Honestly, I'm happy to donate. I get to sit and relax for a couple hours, the Red Cross I go to has TVs attached to the chairs so I can watch a movie while I donate, and I get free drinks and snacks afterward.
They're always hurting for plasma donations and you can donate every 28 days, so I visit frequently. I don't really see how it could be a scam. They always tell me plasma is more important than blood donations. Blood goes bad quickly, but they can keep plasma for a long time. And pretty much everyone can use it. Unlike blood, which you need a compatible type to use.
I donate because I enjoy helping others. I'm not looking for a way to personally benefit from it, so I don't really care if they offer to pay or not. I feel like that should be the default mindset going in. But I understand there are people who are hurting financially, and donating blood or plasma is an easy way to make a buck. So I'm fine with them offering to pay for donations.
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.
I get around $120 a week to sell my plasma in the middle of the US at a BioLife center. Payment varies a little depending on the center you go to and various promotions, but it's usually pretty close. It's about 2-3 hours a week commitment.
In college, the money was necessary, but now I do it for extra side cash. My wife and I own a home, two vehicles, and are doing well, so I don't need the money. I do it to supplement non budgeted items for fun, like weed, one or more snowboarding trips to actual elevation, and bass guitars and bass guitar accessories to name a few. Could it pay more? Probably, but I don't feel like I'm getting ripped off for the time I'm giving.
I used to double dip, and do my hourly job while donating, which got me out of the office earlier, and got extra money. Now I'm salary and have meetings and shit.
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...
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".
I donated blood for many years, starting the first day I was allowed (mom took me). I’ve been an organ donor from the day I was able and am loud about that. And for a few months after college I sold plasma for money. It definitely felt scummy, but I think it’s ultimately a good thing, though it is selling part of your body to a for profit company at a rate that’s pretty bad. So the cons are really that it definitely feels seedier than whole blood donation and that the phlebotomists are worse. I can’t donate blood anymore because they gave me a track mark and I can’t risk my other elbow’s veinous access.
I think paying for blood or other bodily fluids is bad. It provides incentive for desperate people (addicts etc.) to lie on the safety forms to keep getting paid.
I know a few people who donate blood despite not getting anything in return. I personally stopped donating plasma after a few times for health reasons (nothing dangerous in the plasma itself, luckily). To me, being able to help a hospital or a person by simply sitting back and watching shows on my tablet is probably the easiest, laziest charity you can support. The snacks are nice, too.
Not everyone can donate blood, but everyone who is able to, you should consider it, even if you won't get paid for it. You can doom scroll and browse Lemmy like normal, except you're sitting in a weird chair and get free food.
I suppose in the shittier countries, where all blood donation stuff is run for-profit, you should let them pay you if they're making a profit off of you, but I still think it brings a bad incentive.
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.
Never heard anyone getting payed for donating anything in Germany. You can get an compensation for expenses, yes. But this is not supposed to be a payment for your donation, it is supposed to compensate for your expenses. For example: Finding a babysitter or paying for bus, train, gas. Sometimes you have to make a medical examination beforehand, which also can take some time.
The German Red Cross for example explicitly doesn’t pay the donors so nobody gets the wrong idea and tries to donate as much and often at the cost of their own health.
I think the idea that a compensation is equal to a payment is flawed beyond reason. If someone has a problem with any organisation misusing donations for profit, they should (rightfully) engage in changing the law. Categorically not donating at all is…well it’s just selfish and stupid.
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.
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 order to answer this, I'd need to compare the efficacy of both the for-profit and the non-profit organizations. In some countries you don't get paid, and I don't know if that leads to blood shortages.
I side with you. I've donated over a gallon of blood and blood products throughout the years. You're helping someone. The reason they pay you is to incentivize coming and doing it. It's painful for the donor, and it takes a while for your body to recover. The company doing so is (in my experience, anyway) a non-profit organization. They exist to help people. They do make money, but that's because they have to pay their employees and donors, as you've mentioned.
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.
Tissue, cell and organ donation (including blood, semen and oocytes) can and should be done strictly not-for-profit. This is how it's done in Spain (well, you do get a snack when donating blood and a small amount of money for oocytes since the process is quite long) and there's usually no shortage of blood components in hospitals. Local governments do a lot of campaigning, set up mobile units etc., which seems to work; people see all of that, think of it when planning their day, and many even go in small groups to donate.
Maybe it should be like other charitable donations and there should be a set tax deduction per ml or better yet how about they take enough for donation and decanter a portion out an do blood testing both to make sure the blood is clean but alsoso the individual is aware of they are free of X. You could get like a qr code you can use to identify the results later.
The only way you're getting blood out of me for any reason other than medical purposes is if you pay me or commit a crime. That goes for the plasma too.
There are no payments for allogenic plasma donations. It’s used to manufacture other products. If you’re getting paid it’s not a donation in the “someone is dying and is getting this unit of blood/plasma/platelets/cryo/etc” sense.