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Bleeding for Dollars
by Rick Giombetti

Not many people get paid to bleed, but I do. I count myself among a small class of people, about 400,000 nationwide, who earn cash selling their blood plasma at the more than 400 plasma centers nationwide. It's not a pleasant experience, but it helps me get by.

I was a journalism student at Colorado State University in need of money when I first sold my blood plasma in May 1997. What I thought would be just a temporary method of paying for groceries has become a permanent source of income for the foreseeable future. Whatever the benefits of plasma-based products for sick people, I do it out of economic hardship, not magnanimity. The $45 in cash I make in two weekly trips to the Sera-Tec plasma center downtown - $15 for the first bleed and $30 for the second one, always paid out immediately after the plasma is drawn - is not going to pay my rent. It doesn't even cover my entire shopping bill, but $180 every four weeks means food on the table and money for rent for some people.

During a visit to Sera-Tec a few months ago, I met first-time bleeder Randy Toupes, 38, of Seattle. Toupes, who is single and responsible for two dependent children, works as a forklift operator at Max West, Inc. in Seattle. He made his first stop at Sera-Tec strictly for the money. Like me, he was doing it because he had to.

"If money wasn't an issue for me right now, you could bet that I wouldn't be here," he told me. "I have to borrow money from family every now and then to make ends meet, and I like to avoid doing that as much as possible." Toupes' job gets him by, but there is no money left over after bills come due the first of the month.

Selling blood plasma should not be confused with donating blood. An individual can only donate his or her whole blood once every two months. An individual can undergo plasmapheresis twice a week. During plasmapheresis, a seller's plasma is separated from their red blood cells by a machine called a centrifuge. It's then used to manufacture a myriad of medical products, like Antihemophiliac Factor, a medication used by hemophiliacs that enables their blood to clot.

Since a seller's plasma will eventually be used to manufacture medical products that will be used to treat illnesses in others, the eligibility guidelines for plasma sellers are very strict. Only healthy individuals aged 18-59 who weigh at least 110 pounds are eligible. In this age of HIV, Hepatitis C, and other diseases, a laundry list of behaviors are strictly verboten: intravenous drug use, having been paid or paying for sex anytime since 1977, etc. You must live at a verifiable residential street address in order to sell your plasma. Also, for you fashion victims in trendy Seattle, you can't sell your plasma if you have gotten a tattoo within the past 12 months.

Other barriers are not so formal. If you don't like needles, then a plasma center is about the last place you want to be, since plasmapheresis entails receiving a considerable puncture wound in your arm. The hollow needle, through which the blood is drawn, is inserted by a staff medical worker called a phlebotomist. While the Food and Drug Administration licenses plasma centers, it requires no certification to be a phlebotomist. Sera-Tec, for example, is responsible for training its staff; this particular center requires a medical background for the job. The only job an individual without a medical background can get at Sera-Tec is in processing plasma sellers before they undergo plasmapheresis.

In the two centers I have sold my plasma, a NABI-owned center in Fort Collins and now at Sera-Tec downtown, the needle insertion has always been done with great precision and care. It should be noted here that you have to have a vein that is big enough to encompass the diameter of the needle. Even if your vein is big enough, it is no guarantee that the puncture wound won't injure it. I've seen blown-out veins; it's not a pretty sight.

Selling plasma is physically demanding work. Not only do plasma sellers have to be able to take getting poked with needles, they also have to be able to endure losing roughly a pint of a vital bodily fluid. I myself have seen plenty of first-time sellers on the verge of passing out before the required amount of plasma has been drawn. I have never experienced any side effects from selling plasma, outside of a few hunger pangs. Eating plenty of food before and after selling plasma is recommended, and I have found it especially helpful. But you can never tell how selling plasma will affect your body until you try it.

Everything today is big business, and the manufacture and marketing of biological medical products is no different. Although the kind of crowd that sells plasma is mostly working-class, what happens to your blood plasma is a long way from the plasma center floor, where you watch Adam Sandler movies while bleeding with your fellow working stiffs. When I bleed at Sera-Tec, my plasma gets converted into marks, as Sera-Tec is a company based in Germany which was recently bought out by Baxter, the multinational giant pharmaceutical company. Sera-Tec is still in a contract to sell its plasma to a Baxter competitor, German pharmaceutical Bayer. It's listed in the Yellow Pages as a Bayer Corporation plasma center. Alpha Therapeutic, which has two centers in Seattle, one in Ballard and one in the Rainier Valley, is based in Los Angeles and owned by Japanese pharmaceutical company Welfide. NABI is a Florida-based corporation traded on the New York Stock Exchange. Once you have agreed to have your bodily fluid extracted, it becomes just another product in the machinations of large multinational corporations.
 

 

 

 

       
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