Sign announcing a blood donor clinic. Traditionally Canada has maintained a voluntary and altruistic donor system Private for profit companies want to change that and cash in on a lucrative international blood-products market. (Dan Kingsley- via Radio-Canada)

Proposal to ban private “for profit” blood clinics.

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A member of Canada’s Senate has tabled a bill to ban “cash for blood” clinics in Canada.

Traditionally blood has been collected in Canada on a voluntary basis.

Independent Senator Pamela Wallin has introduced bill S-252 which would ensure private clinics that offer financial incentives for blood donations would be banned across Canada.

The proposal comes after the regulatory body Health Canada said last week it had no objections to paid private plasma clinics in order to increase Canada’s supply.

In her speech to the Senate Wallin said, “Honourable senators, I rise today to speak to Bill S-252, with both pride and sadness — pride that this chamber will now take on this issue, and sadness that, 20 years after the tainted blood crisis, we still haven’t moved to fix an obvious problem. It seems we are living through the old adage that if we don’t learn from our history, we are doomed to repeat it”.

Senator Pamela Wallin. (Adrian Wyld-CP)

She was referring to what is known as the “tainted blood scandal” in which Canada distributed “paid for” blood from US clinics between 1980-1990, some of it collected at U.S prisons.  Some 30,000 Canadians given blood ended up with HIV and Hepatitis-C, and thousands have died. Some 8,000 Canadians are still living with the consequences and related health problems, and may die prematurely as a result.

A subsequent national inquiry was led by Justice Horace Krever.. In his 1997 report he concluded that to prevent such events in future, Canada’s blood supply should remain voluntary, public and accountable.

His findings included five basic principles:

  1. “Blood is a public resource.” given altruistically by persons in Canada for the benefit of others.
  2. Profit should not be made from the blood that is donated in Canada.”
  3. “Donors of blood and plasma should not be paid for their donations, except in rare
  4. “Whole blood, plasma, and platelets must be collected in sufficient quantities in Canada to meet domestic needs for blood components and blood products.” “Self-sufficiency in blood products is a desirable goal. 4. “Canadians should have free and universal access to blood components and blood products.”
  5. “Safety of the blood supply system is paramount.”

In a statement, the large and influential Ontario Public Service Employees Union (OPSEU) stated its support for the Bill. Sean Allen, chair of OPSEU’s Blood Services and Diagnostics Division noted that private companies always want to increase profit which could result in cutting corners on testing and screening.

A protest in Moncton, New Brunswick on May 30,2017 outside one of Canada’s two legal for-profit blood clinics (Maggie McDonald)

He added,  “Donating blood is one of the most common forms of pure altruism. We give our blood to save the health or life of someone who, most often, is a total stranger. When blood donation is seen as a matter of dollars and cents, instead of a free gift of life, yet another societal good is sacrificed to the god of profit.  Furthermore, blood-for-pay will certainly discourage donors from giving voluntarily. A paid blood system will not increase the overall quantity, while its quality will be diminished. It’s a lose-lose proposition all the way down the line.”

Proponents of so-called “cash for blood” clinics say there have been no confirmed cases of disease transmission from such operations in over two decades.

While provincial laws prevent private, for-profit clinics in Ontario, Alberta, British Columbia, and Quebec there is no federal law. Private plasma clinics offering financial incentives are operating legally in Saskatchewan and New Brunswick,   Eighteen more clinics are awaiting approvals.

Critics of the Bill note that Canada continues to import the majority of plasma medication from the U.S. and so the complaints against for profit clinics here is disingenuous.

While the expert panel for Health Canada said such clinics could help increase supply in Canada, supporters of Senator Wallin’s bill counter that the Canadian clinics export all the blood products they collect in Canada to the highest bidder

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3 comments on “Proposal to ban private “for profit” blood clinics.
  1. Just a few things:

    1. A group of Canadian professional ethicists and economists have put forward a statement against this Bill. It is available at http://www.donationethics.com.

    2. No one calls them “cash-for-blood” clinics. Instead, people call them “pay-for-plasma” clinics or “paid plasma” clinics. The reason why is because no one pays for blood, and the issue is about paying for (blood) plasma, not blood.

    3. Plasma can be used for transfusion, but also to make plasma-derived medicinal products, like immune globulin, albumin, and clotting factor. Only plasma collected in order to make medicine is paid for. This is because, in making the medicine, we can take viral deactivation and removal steps, like heat treatment, use of solvents and detergents, nano filtration, and so on (which cannot be used on plasma for transfusion).

    4. There are three private, for-profit pay-for-plasma clinics, not two: In Saskatoon, Moncton, as well as one in Winnipeg. The one in Winnipeg has operated since 1984. It used to be called Cangene, but is now called Prometic Plasma Resources.

    5. It is worth pointing out that about 80% of our plasma medicine comes from paid plasma jurisdictions, mostly the United States. Ontario is now using more paid plasma medicine than it was when it banned paid plasma in 2014.

    6. Both of the Canadian paid plasma companies are members of the Plasma Protein Therapeutics Association, and participate in the International Quality Plasma Program (IQPP). The IQPP mandates safety steps over-and-above what is required by regulatory bodies like Health Canada and the FDA. This is the opposite of “cutting corners” — it is creating new corners, at the expense of profit, in order to ensure a safer product.

  2. Bela Vados says:

    Pamela Wallin was lucky to have avoided Jail but she should not be endangering a supply of Blood that is dangerously low and very little of which is supplied in Canada. Our system is providing far less blood to our own use (being Canada) than pay for blood services in the US. While it is admirable to be a voluntary approach it is not realistic.
    Introducing a Bill to prevent this in the future given the facts is absurd and as the article states disingenuous, or in other words stupid. Quit wasting tax payers time and money and step down Wallin.

    • Sean Allen says:

      She isn’t endangering supply. The private for profit collectors are eroding the donor base in the two areas they are set up. The World Health Organization wants countries to be voluntary and in depended. The private guys are not helping Canadians, they are collecting and selling the raw material on the world market. How does that help? How does the bill to protect Canadians and secure supply endanger? My hit the bottom line of big pharma and their investors.