this post was submitted on 15 Sep 2024
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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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[–] communism@lemmy.ml 11 points 3 days ago

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

[–] x00za@lemmy.dbzer0.com 2 points 2 days ago (1 children)

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.

[–] v4ld1z@lemmy.zip 1 points 2 days ago
[–] Vanth@reddthat.com 72 points 4 days ago (1 children)

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.

[–] v4ld1z@lemmy.zip 22 points 4 days 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

[–] sjmulder@lemmy.sdf.org 9 points 3 days ago (2 children)

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.

[–] Hagdos@lemmy.world 1 points 1 day ago

The same worries exist here too though. The blood bank isn't allowed to pay you for your plasma, but it's absolutely a for-profit organisation that runs on selling your plasma to pharmaceutical companies.

I still believe it's a good thing to donate, but sometimes it feels a little icky that there's also a businessmodel around it

[–] Switchy85@sh.itjust.works 2 points 2 days ago

Man, the Netherlands sound pretty pleasant, overall.

[–] TheYang@lemmy.world 12 points 3 days ago (1 children)

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.

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[–] eldavi@lemmy.ml 24 points 3 days ago (7 children)

I'm not allowed to give blood since I'm gay and have an active sex life

[–] mortemtyrannis@lemmy.ml 9 points 3 days ago (2 children)

It’s fucking discriminatory in my opinion and it has always made me uncomfortable filling out the blood donation paperwork.

We can reliably screen for HIV (all blood donations are) why the fuck are homosexuals discriminated against over this.

[–] TheYang@lemmy.world 11 points 3 days ago

We can reliably screen for HIV (all blood donations are) why the fuck are homosexuals discriminated against over this.

except that the tests are (per cdc) up to 90 days late in detection. So you may get infected and spend 3 months testing negative.

And judging by OPs being german, where the rule (admittedly only since 2021) is "you may only have fucked one guy for the last 4 months", this seems like being on the safe side, but not completely excessive to me.

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[–] Piece_Maker@feddit.uk 3 points 3 days ago

I found out not long ago that I can't donate blood in the US because I'm British and lived here during the 1990's so could theoretically be carrying mad cow disease.

[–] v4ld1z@lemmy.zip 6 points 3 days ago

That's the worst thing. At this point, they shouldn't even be allowed to even ask that

[–] flashgnash@lemm.ee 4 points 3 days ago (3 children)

Do they not just... test the blood before they use it anyway? You'd think they'd want to do that regardless

[–] LwL@lemmy.world 8 points 3 days ago

They do, but HIV infections can take a while to turn up positive while already being transmittable.

[–] Iceblade02@lemmy.world 3 points 3 days ago

In addition to what @LwL said - It has to do with how testing is done, and that some diseases can't really be tested for. It is quite expensive, and is generally done on small samples from lots of people mixed together. If it is positive they split the batch and test again (look up binary search).

The lower the incidence rate of diseases, the larger batches can be done. Ditching certain denographics with significantly higher risks for certain diseases can make testing orders of magnitudes cheaper and faster. (Other groups, at least where I live, include people who recently changed partner, recently went abroad, have ever gotten a blood transfusion, have gone through a recent surgery, have recently been sick, etc. etc.)

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[–] HelixDab2@lemm.ee 46 points 4 days ago (5 children)

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.

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[–] Tudsamfa@lemmy.world 11 points 3 days ago* (last edited 3 days ago) (1 children)

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.

[–] sjmulder@lemmy.sdf.org 5 points 3 days ago* (last edited 3 days ago)

I wouldn’t mind it for that reason. The Red Cross do good work that need to be financed.

Here in the Netherlands they do that by contracting out volunteers for first aid services to events like fairs and runs. The volunteer donates their time, gets trained for free, the Red Cross gets paid by the organiser and makes money for their mission and an small army of experienced first aid people and EMTs to help out when disaster strikes.

I’m such a volunteer and it’s a great distraction from my normal job. I also get to use my skills outside of the Red Cross, e.g. as an action medic at protests.

Cool sidenote: there’s this network any CPR certified person can join to get alerted by emergency dispatch when CPR is needed close to your home or work. This has helped massively to get CPR started within 6 minutes mostly anywhere in the country, even when ambulances can’t get there that quickly.

[–] zxqwas@lemmy.world 2 points 2 days ago

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.

  1. If you get €25 per donation that is €25 less profit for them per donation.

  2. 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.

[–] ColeSloth@discuss.tchncs.de 13 points 3 days ago (1 children)

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.

[–] Taleya@aussie.zone 16 points 3 days ago (2 children)

Worth remembering that a lot of serious life-changing surgeries are 'elective'

By which i mean shit like joint reconstruction, endometriosis removal, ear grommets, cataract removal, etc.

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[–] jet@hackertalks.com 27 points 4 days ago (1 children)

Donate to a non-profit organization, that's well audited and regulated, that's not a problem.

Donating to a for-profit organization is a huge problem. The incentives are all misaligned. And should not be encouraged.

[–] shapesandstuff 14 points 4 days ago

Theres also some nuance between non-profit and for-profit. Non profit still can / must make some income to pay for expenses, wages. And for profit might still not be cyberpunk style capitalists exploiting under the veil of medical care.

[–] Sumocat@lemmy.world 16 points 4 days ago (1 children)

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.

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[–] DrBob@lemmy.ca 20 points 4 days ago (1 children)

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).

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[–] averyminya@beehaw.org 8 points 3 days ago (2 children)

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"

[–] JovialMicrobial@lemm.ee 2 points 2 days ago (1 children)

As someone from the US i always saw it as people can't afford to take time off to donate, so compensating them for their time makes it so they can afford to donate.

A few states make it illegal to be monetarily compensated for your blood or plasma, but others it's completely fine.

[–] averyminya@beehaw.org 2 points 2 days ago (1 children)

I'm sure.its a bit of that too, but I do feel like the ultimate reason is still, "well why are you taking time off to do something that isn't only benefitting you?"

basically the same mindset that created this culture is what developed compensation for our time, as opposed to just taking the loss for the day to do a good thing.

[–] JovialMicrobial@lemm.ee 2 points 2 days ago

That's a fair assessment, and I can definitely agree with that

[–] ADTJ@feddit.uk 6 points 3 days ago (1 children)

100% and I'm sure you know this too but just to add to your point, I believe the US government spends more money per capita on healthcare than anywhere in Europe, so even under the "Why should I?" lens, the current approach costs individuals more because they have to pay for it in taxes and then also in insurance premiums, copay etc.

It's not just for the benefit of society as a whole, "you" as an individual would also be financially better off under a socialised system.

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[–] Hildegarde@lemmy.world 18 points 4 days ago

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.

[–] Sludgeyy@lemmy.world 12 points 4 days ago (1 children)

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.

Plasma "donation" is a good thing.

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[–] Lemvi@lemmy.sdf.org 17 points 4 days ago

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.

[–] RobotToaster@mander.xyz 18 points 4 days ago* (last edited 4 days ago) (3 children)

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.

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[–] whyNotSquirrel@sh.itjust.works 17 points 4 days ago

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

[–] DirigibleProtein@aussie.zone 15 points 4 days ago

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.

[–] Damage@feddit.it 11 points 4 days ago (9 children)

youguysgetpaid.jpg ?

Here if you go donate you get a sandwich and a day off work

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[–] cobysev@lemmy.world 13 points 4 days ago (5 children)

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.

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[–] Hikermick@lemmy.world 2 points 3 days ago

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.

[–] BassTurd@lemmy.world 11 points 4 days ago* (last edited 4 days ago) (1 children)

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.

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[–] PapaStevesy@lemmy.world 2 points 3 days ago

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".

[–] captainlezbian@lemmy.world 6 points 3 days ago (3 children)

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.

But it got me through a rough time

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[–] EABOD25@lemm.ee 10 points 4 days ago (6 children)

Even if it is for profit, it can still be used to save someone's life.

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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.

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