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

  • x00za@lemmy.dbzer0.com
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    1 day ago

    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.

  • zxqwas@lemmy.world
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    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.

  • Hikermick@lemmy.world
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    2 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.

  • PapaStevesy@lemmy.world
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    2 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”.

  • communism@lemmy.ml
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    2 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

  • sjmulder@lemmy.sdf.org
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    2 days ago

    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.

  • TheYang@lemmy.world
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    3 days ago

    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.

  • Tudsamfa@lemmy.world
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    3 days ago

    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
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      2 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.

  • averyminya@beehaw.org
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    3 days ago

    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
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      2 days ago

      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
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        1 day ago

        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.

    • ADTJ@feddit.uk
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      3 days ago

      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.

      • The important part is that the individual people spend more per capita for worse healthcare, too. You, private citizen reading this, are worse off and are paying more than you would be with socialized medicine in this country. Pretty much no matter what level you’re at, too.

  • ColeSloth@discuss.tchncs.de
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    3 days ago

    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
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      3 days ago

      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.

      • ColeSloth@discuss.tchncs.de
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        3 days ago

        Yes, but no one dies if they get pushed back 2 weeks. Also, the cosmetic surgeries are first on the chopping block.

        And again, it’s supply and demand. The hospitals want the profit. They don’t want to pay any overhead for the product.

  • eldavi@lemmy.ml
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    3 days ago

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

    • Piece_Maker@feddit.uk
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      2 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.

    • flashgnash@lemm.ee
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      3 days ago

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

      • Iceblade@lemmy.world
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        2 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.)

      • LwL@lemmy.world
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        3 days ago

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

    • Taleya@aussie.zone
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      3 days ago

      Which is fucking hilarious at this point since the overwhelming AIDS demographic is the straights

      • HelixDab2@lemm.ee
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        3 days ago

        Blatantly false. “MSM [men who have sex with men] accounted for 67% (21,400) of the 31,800 estimated new HIV infections in 2022 and 87% of estimated infections among all males.”

        When you consider that gay and bisexual men make up a small percentage of the overall population–under 5%–the fact that gay and bisexual men account for 87% of all HIV infections in men tells you just how alarming this is.

    • mortemtyrannis@lemmy.ml
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      3 days ago

      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.

      • eldavi@lemmy.ml
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        2 days ago

        bigotry exists in all forms; but it’s only the kind expressed by the uneducated & poor that gets rebuke and this one has been committed in plain sight since the 1980’s by the wealthy and educated.

      • TheYang@lemmy.world
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        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.

  • captainlezbian@lemmy.world
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    3 days ago

    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

  • Etterra@lemmy.world
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    3 days ago

    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.

    • corsicanguppy@lemmy.ca
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      3 days ago

      That’s a terrible sword to live by. How do you expect to get blood, then? If you’re unconscious you can’t take it by force.

  • Sludgeyy@lemmy.world
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    3 days ago

    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.

    • sjmulder@lemmy.sdf.org
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      2 days ago

      I do in fact sit down for an hour once or twice a month to give plasma without compensation and many other people do so as well, given that it’s illegal to be paid for blood or plasma here in the Netherlands, but I can see why paying people a bit would help.

      The reason people can’t get paid for it here is to avoid perverse incentives, mainly people donating when they shouldn’t, lying on the form or to the doctor to pass the pre-donation check.

  • Sumocat@lemmy.world
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    3 days ago

    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.