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Medical Forum / General / General / April 2007

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How does the market work for blood donations; ethics on why they charge so much, but give so little

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Bradley Burton - 23 Apr 2007 01:58 GMT
How does the whole blood donation thing work.  how does the market
work?  Why do they give so little when donating for blood, but charge
so much for it at the hospital?  Is there something unethical going
on?  Is there a web page or something that explains this?

Thanks, Brad
Jeff - 23 Apr 2007 02:34 GMT
> How does the whole blood donation thing work.  how does the market
> work?  Why do they give so little when donating for blood, but charge
> so much for it at the hospital?

They give little for it because they don't want people donating for the
money. They fear that the homeless and poor (like the dude in the movie "The
Pursuit of Happiness") will sell their blood for money, and that people who
sell their blood for money are more likely to have diseases, including ones
they lie about, than those who donate their blood to help others.

The reason why they charge so much for the blood at hospitals is that the
blood has to be tested for various illnesses, including hepatitis a, b, c,
d, hiv and cmv, as well as liver disease. The people who collect the blood,
the equipment used (like the bags and needles), computer records, etc., all
have to be paid for.

>  Is there something unethical going
> on?

Charging to recover costs is not unethical.

>  Is there a web page or something that explains this?

try looking up blood banks on google, msn or yahoo.

Jeff

> Thanks, Brad
Robert1 - 23 Apr 2007 04:30 GMT
> > How does the whole blood donation thing work.  how does the market
> > work?  Why do they give so little when donating for blood, but charge
[quoted text clipped - 26 lines]
>
> - Show quoted text -

Point of clarification here. Blood donations for transfusions are all
voluntary and thus no money is given in return for such donations.
Private plasma centers do give money for blood products but these are
processed components that are purified and sterilized if such
components are to be used clinically.
Whole blood is not transfused. All blood is separated into red blood
cells, plasma and or platelets. In addition all red cells are filtered
to eliminate white blood cells and testing to insure removal of white
cells. Some people require additional testing such as CMV serology or
irradiation of blood blood. After all the testing as mentioned the
transportation to the hospitals also incures costs. If it is a stat
order then that would also cost per stat transportation. It is costly
to maintain safety and to have blood available in a timely manner
required.
Some blood banks will give you credit for blood units donated in your
name making them essentially free. Tell people to donate for you or a
family member and recieve free units in the future. Some people want
to wait and receive a specific donor unit that they want to be
transfused. It requires several days and again the cost is deferred
for the unit.
In addition people having elective surgery may donate their own blood
and have it saved for transufsion after they have their surgery.
There are several ways in which one can save money from such
transfusions. Contact your local blood bank or the American Red Cross
depending on the hospital contract with such centers.
Hospital blood banks can not charge for units not transfused and they
have to eat costs for ordering units not transfused. This is typical
for plasma that is thawed and good for only 24 hours or ordering of
platelet concentrates which last only a couple of days but are not
transfused. Those are thrown away and wasted but the hospital eats the
costs.
Medicare pays for units of blood and so the costs is uniform and
reviewed by all insurance carriers.

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