Institutional flaws plunged the enthusiasm of unpaid blood donors

Ministry of Health spokesman Deng Haihua pointed out that at present, the country's annual blood volume is 3,935 tons, and about 70,000 people need to donate blood every day. By 2015, about 120,000 people will need to donate blood every day. However, the current rate of donation in China’s population is only 8.7%. , It is lower than 45.4% of the world’s high-income countries and 10.1% of middle-income countries. There is also a certain gap from the 10% recommended by the World Health Organization. (People's Daily, December 14)

In recent years, "blood shortages" have frequently occurred throughout the country, making it impossible for hospitals to perform surgery. It is generally believed that the problem lies in two aspects: First, with the continuous improvement of living standards, people's demand for medical services has become stronger and stronger, leading to blood supply to the blood bank. On the other hand, many local blood donation populations are of a single structure. Basically, they are mainly university students and migrant workers. Upon holidays, blood donors return home in a concentrated manner, and patients often gather in these cities where high-quality medical resources are gathered. The blood bank will naturally rush. .

In addition to the above reasons, the “blood shortage” has a more important issue that has been neglected by the people. It is that China’s reward system for unpaid blood donors is flawed. There are two policies for rewarding unpaid blood donors in the Blood Donation Act. First, Article 6 of the Act stipulates: Regarding blood donors, related units may give appropriate subsidies. This provision appears to have legal regulations for awarding unpaid blood donations. However, in actual practice, the wealthy units can receive large subsidies, while those without money do not pay even one cent, or send very little. This difference will undoubtedly tumble down the enthusiasm of many people for donating blood. In addition, Article 14 of the “Blood Donation Act” stipulates that: When blood donors need to use blood for clinical purposes, they are exempted from paying related expenses; when the spouse and immediate family members of unpaid blood donors need to use blood, they may also be exempted or reduced by relevant regulations. cost. This provision shows that there is nothing wrong with the care of unpaid blood donors and their relatives. But the problem is that not every blood donor and his relatives will need blood in the future. This has led some people to feel that the future blood transfusion problem is far away from the present and they are less willing to donate blood.

This defect in the reward system directly leads to fewer and fewer unpaid blood donors. How to resolve it? The first is to unify the subsidy system, or to delete it uniformly, or to make clear that non-remunerated blood donors enjoy the same standard of nutritional subsidies, and those without a unit are uniformly distributed by the government, so that unpaid blood donors are equal before the subsidy system. The second is to increase the selectivity of compensating for the free use of blood system. Unpaid blood donors can enjoy the benefits of free use of blood, and they can also translate this “free treatment” into other free medical services of a certain standard. In this way, there is no difference that someone has enjoyed free use of blood, and some people have not enjoyed free use of blood.

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