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The Gift Relationship Revisited.

Jeremy Frank Shearmur1

  • 1School of Philosophy, RSSS, CASS, Australian National University, Canberra, ACT, 0200, Australia. jeremy.shearmur@anu.edu.au.

HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
|October 11, 2014
PubMed
Summary
This summary is machine-generated.

Compensated blood donation, including for whole blood and plasma, is ethically and practically sound. Current paid plasmapheresis systems are adequate, and commercializing whole blood donation offers no inherent disadvantages.

Keywords:
Blood donationPlasmapheresisRichard TitmussThe Gift Relationship

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Area of Science:

  • Biomedical Ethics
  • Public Health Policy
  • Blood Supply Chain Management

Background:

  • Critically examines the ethical and practical arguments surrounding compensated blood donation.
  • Addresses the prevailing notion that unpaid donation is morally superior.
  • Analyzes the economic and safety implications of different blood sourcing models.

Purpose of the Study:

  • To challenge the ethical and practical objections to compensated blood donation.
  • To evaluate the adequacy of existing paid plasmapheresis systems.
  • To explore the potential benefits and implications of commercializing whole blood collection.

Main Methods:

  • Critique of Richard Titmuss's "The Gift Relationship" as a foundational text in the debate.
  • Economic analysis of compensated versus unremunerated blood sourcing.
  • Ethical reasoning on the morality of financial incentives in blood donation.

Main Results:

  • No inherent moral or practical objections found for compensated blood donation.
  • Existing paid plasmapheresis systems in the US and Canada are deemed adequate.
  • Suggests commercializing whole blood donation is a viable option.

Conclusions:

  • The rejection of compensated whole blood supply lacks a strong basis.
  • Paid plasmapheresis is sufficient, and commercialization of whole blood is permissible.
  • The debate should move beyond the moral superiority of unpaid donation.