Securing a Safer Blood Supply:Two Views

In response to renewed concerns over illnesses related to blood transfusions, this volume provides two diverging perspectives on how a high-quality blood supply can best be achieved and maintained. The authors describe the evolution of the blood services system in the United States, present information on the scope and nature of transfusion-related disease, and offer their alternative solutions.

Ross D. Eckert argues that the quality of our blood supply is diminished by an unnecessarily large volunteer donor pool. As a result, the risk factors associated with transfusion-related diseases, particularly hepatitis and AIDS, are inadequately screened. He advocates a smaller, more tightly screened pool of donors who could receive cash payments to encourage regular donation. Eckert further argues the lack of competition in the market for blood services has been counterproductive to the attainment of a safer blood supply.

Edward L. Wallace defends the current volunteer donor system and the role of the American Red Cross, arguing that the system has brought about a marked decline in the incidence of transfusion-related disease and that a well-coordinated national blood services system is optimal. He supports the elimination of commercial services and paid donors, opposes their reentry, and praises the Red Cross for helping to promote and maintain an adequate supply of high-quality blood.