The difference between voluntary blood donation and unpaid blood donation

People may often confuse compulsory blood donation with uncompensated blood donation, which are actually two different concepts, the difference between compulsory blood donation and uncompensated blood donation is the distinction between paid and uncompensated.

Compulsory blood donation

Compulsory blood donation in China is carried out in accordance with the provisions of the State Council [1978] No. 242 document, "the implementation of the system of compulsory blood donation by citizens". Compulsory blood donation is a form of paid blood donation, and the way of organizing it is usually that the government issues the target of compulsory blood donation to the regional organs, factories, mines, enterprises and public institutions, schools, military forces, and the streets or townships, and each unit organizes its own employees or residents to participate in blood donation, and after the donation of blood, the blood collection unit issues the "nutritional subsidy for blood donation" to the compulsory donors in accordance with the standard stipulated by the government's pricing department.

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Uncompensated blood donation

The definition of uncompensated blood donation by the World Health Organization and the International Red Cross, among others, is that a person who voluntarily provides his or her own blood, plasma, or other blood components without receiving any payment is called a voluntary uncompensated blood donor. Either cash or gifts can be considered as a substitute for money, including vacations and trips.

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The current practice of gratuitous blood donation in China is based on the provisions of the People's Republic of China Blood Donation Law, which stipulates that "the State shall implement a blood donation system".

Uncompensated blood donation refers to the act of donating one's own blood voluntarily and unselfishly in order to save the lives of others, and the donor does not receive any economic reward or benefit for donating blood, so only by practicing voluntary uncompensated blood donation can we really guarantee the safety of blood from the source.

The purpose of gratuitous blood donation is to help unknown patients rather than to gain any personal benefit, and it is a personal act that receives no remuneration and is completely voluntary. Thus, blood donors are able to understand why certain standards are set for donor health, and are able to provide truthful information about the circumstances under which they could be unfit to donate blood, or self-exclude (i.e., be unfit to donate blood). Moreover, unpaid blood donors generally have good health conditions, lifestyle habits, and are educated about safe blood transfusion, and the incidence of all types of blood-borne diseases among them is lower than that of the general population, and much lower than that of professional blood sellers, and thus the potential risk of transfusion-transmitted diseases occurring in blood users who use the blood of unpaid blood donors is also the lowest.

Compulsory blood donation is a transitional product of uncompensated blood donation, and although it is not equivalent to blood selling, it is based on administrative apportionment and the implementation of directive blood donation, and a considerable portion of the people do not have a clear purpose for donating blood, or exaggerate their illnesses due to the subjective unwillingness to donate blood, or lead to illegal behaviors, such as selling blood in disguise and impersonation, due to the high level of subsidies. Coupled with a variety of tangible or intangible pressures, so that some of the organizers of the blood donation work there is resistance to the safety of blood transfusion hidden dangers.

The professional blood sellers are mostly from the poor people at the bottom of the social strata, with low living standards, no good living habits, lack of general knowledge of hygiene, no education on safe blood transfusion, and a high proportion of drug addicts, homosexuals, and sexually disordered people, so the proportion of viral carriers is bound to be much higher than that of the general population, and the motivation for donating blood is impure. The motivation for blood donation is impure. In order to obtain financial rewards by selling blood, they may donate blood and plasma continuously within a short period of time. As a result, the quality of blood donated by blood sellers is not guaranteed, and recipients not only do not get the treatment they deserve, but may even be at risk of contracting blood-borne viruses (e.g., Hepatitis B, Hepatitis C, and AIDS, etc.).

Due to the influence of traditional concepts, the implementation of many years of unpaid blood donation bottleneck has not been resolved, especially in recent periods of clinical blood tensions of necessity for mutual aid blood donation, may contribute to the extinction of many years of paid blood sales have risen, and the potential risk of medical clinical use of blood increased. Only the effective promotion of blood donation is to ensure that the clinical blood safety, effective fundamental.