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  • It's a squeamish subject, but we all need blood...and a lot of it.

  • In fact, every three seconds, someone in the U.S. needs it.

  • Whether it's for having a baby, undergoing surgery, treatments for cancer, or chronic

  • medical conditions like anemia, blood saves millions of lives annually.

  • But the catch iswe can only get it from each other.

  • Which is why very altruistic people in the world donate blood.

  • Some 6.8 million people in the U.S. alone donate every year.

  • But where does all this blood go after it leaves your body?

  • Does it go to the patient down the street?

  • How about another city?

  • Let's start at the post-donation stage.

  • First, test tubes of your blood get sent to a lab to identify any infectious diseases

  • and blood type.

  • At the same time, your pint of blood, or unit as it's called, goes in a giant spinning

  • centrifuge where it's separated into three different components; red blood cells, platelets,

  • plasma.

  • And each of these have a designated function.

  • Red blood cells are what give your blood its color and contain a protein called hemoglobin

  • which help it transport oxygen and carbon dioxide to and from your lungs.

  • This is what's given to patients undergoing surgery or those with low blood cell count,

  • like anemia.

  • Platelets are fragments of other cells and they help your blood coagulate properly.

  • They're commonly used for cancer patients whose platelets have been affected from chemotherapy.

  • And finally plasma, a yellowish liquid that's a mixture of water, salt, and enzymesbut

  • also antibodies, clotting factors, and proteins.

  • While plasma's primary function is to be the literal liquid that shuffles cells throughout

  • your body, it can be broken down one step further.

  • The proteins, and antibodies can be extracted and concentrated into therapies for rare chronic

  • conditions.

  • The next step is storing all this collected good stuff.

  • Each of these components are actually stored for different amounts of time in varying temperatures.

  • Platelets can last up to 3 days, red blood cells last up to 42 days, and plasma can last

  • up to a full year frozen . So platelets and red blood cells are usually

  • used within the country they were collected frombut plasma, since it can be stored

  • for so long and is in such high demand globally, is the one that gets shipped overseas.

  • If someone from the U.S. donated today, their plasma could be sent to places like Australia,

  • Canada, Belgium, and the Netherlands.

  • It's something we don't think about, but plasma is a huge global market and the U.S.

  • is one of the major exporters.

  • And that's because they're one of the only countries to pay donors specifically

  • for their plasma.

  • According to data from the U.S. Census Bureau, plasma, vaccines, and blood exports in 2017

  • were valued at about 20 billion dollars.

  • Dr. Robert Slomin, a global economist at University of Sydney, estimates that 80% of the world

  • market is receiving plasma from someplace outside its country of origin.

  • SLONIM: For many countries for a very long time have not been able to collect enough

  • plasma for its needs the US has a paid system and it's through private blood banks.

  • It's basically the world's supplier of plasma.

  • For example in Australia about 50% of all plasma products that are provided by the hospitals,

  • that enter the market here, are coming from paid donors from the US.

  • There's a monetary incentive for plasma donations because it's a lengthy process

  • and can be uncomfortable.

  • SLONIM: So you can donate plasma much more regularly but it's a much more involved process.

  • The needle in typically is in the 40 to 45 minutes.

  • What they'll do as the needle goes in, they'll extract your whole blood.

  • They then put it through a centrifuge process and they are separating out your red cells

  • and the platelets from the plasma.

  • They keep the plasma they put everything back in to you.Very few countries seem to be self-sufficient

  • in plasma.

  • The only way they've done it is by having these private blood banks that collect plasma.

  • But this is where things get, sticky.

  • Giving a paid incentive like that is controversial.

  • The demand for blood and plasma is so high that economists some people argue it can't

  • be sustained with just selfless virtue.

  • But the World Health Organization some find the ethics of paid donations complicated and

  • there have been concerns with people lying about their health in order to get paid.

  • Based on his research in the field though, Dr. Slomin believes in giving a payment that's

  • not directly cash, like a tshirt or a gift card.

  • And they've seen positive increases.

  • SLONIM: If you offer some form of compensation, what happens?"In Italy they offered you a

  • paid days leave if you were a blood donor.

  • This program ran for two years and they found a 40% increase in the blood supply in the

  • communities that were offering this paid days leave.

  • Which was really pretty powerful.

  • Right now, with the need for blood so high, the best method might be to tap into our natural

  • altruism.

It's a squeamish subject, but we all need blood...and a lot of it.

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