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You think paying ~~donors~~providers would reduce the number of people willing to ~~give~~sell blood?
No. I think you'd rapidly find yourself in a situation like in West Africa, where the blood sellers typically have 3x the rate of having a blood born illness than the general population.
There is one thing countries that refuse paid transfusables have in common, and that is a near-zero infection risk from blood transfusion. Something that is not true for countries that accept paid "donors."
And the dumbest thing of it all is it still wouldn't reduce costs. It would increase them for patients, so why the hell do it at all?
The problem is not that "donors" aren't getting a cut. The problem is the boomers are the last generation that got massive public awareness campaigns about the importance of donating blood, and they're aging out of the health requirements or just, you know, dying.
Does West Africa collect plasma as well as whole blood?
West Africa has an extraordinarily low donation rate, even with payment. I don't accept that they are a reasonable analog to the US.
Which is the bigger danger to patients, the risk of infection from paid donors, or the risks posed by the 7000-unit per week shortage the Red Cross is claiming?