So Much Blood
163 comments
·May 7, 2025blakesterz
ytpete
> even if it's not obvious what it's about from that title
Tangent, but: I wish Hacker News was a bit less dogmatic about preferring the original site's title over any better semantic summary the submitter might offer. Blog posts and news headlines have a strong incentive to be clickbait-ey or just plain catchy, which often makes them less informative and in turn makes the HN homepage harder to scan for interesting posts.
It also feels like an arbitrary dividing line where if the original title is too long to fit HN's max limit, the submitter edits it and their take on what's a good summary stands. But if the original title could fit, the submitter's headline is often overwritten with the article title by mods even if it's less useful.
zahlman
Agreed. I feel awkward sharing my blog here, because I title my posts to appeal to a hypothetical regular audience, but I'm trying to build a regular audience by showing it to non-regulars who lack the context to interpret the title. (Or rather: I want the title to be sensible and entertaining in hindsight.)
taneq
Could you title your posts in a HN-friendly style and subtitle them with your actual preferred title? And then (if this wouldn’t be considered Poor Form) swap back to the original title once it’s dropped off the front page?
smcin
Agreed. That's the second in the last few days: https://news.ycombinator.com/item?id=43880951
andai
On a vaguely related note, I hacked together a WayBack machine type thing on top of Common Crawl in like 50 lines of Python. So it transparently lets you load any page directly from the dumps (it loads only those few bytes from the crawl dumps, and gunzips them).
It was really easy, and I was surprised it apparently hadn't been done before.
The only problem is the index IP blocks you if you query it too often, and it gets queried once for every resource on the page.
I've been informed that there are ways around this (download an index?), does anyone know more about that?
RestartKernel
Couldn't this still work as a service if you run all queries through the front-end?
skylerwiernik
I imagine that they'd get blocked by CORS
speerer
This sounds a fantasic idea. Will you be releasing it?
mehulashah
First — 0.69% of total exports is blood still is surprisingly high! Remember, you can get blood from humans in your own country, and prepare it there. So, why do you need it from the US?
Second — it’s amazing the detail that you can achieve from public data.
Third — I’m left wondering if a true “Deep Research” like tool would be able to provide the same analysis. I find that Deep Research is fine for secondary sources, but not for Deep Analysis of primary source data.
youainti
The reason the US exports blood products is because it is one of 5 countries that allow commercial blood product harvesting. Well, at least plasma. I don't remember which organization it is, but there is an international organization that tries to get countries to be "self-sufficient" in blood products so that they are not internationally traded (the organization is something like WHO, UN, or Red Cross). Only those 5 countries that allow some level of commercialization actually meet their goals of being self sufficient (and export as on top of that).
Source: A guest lecture at my university by Al Roth, Nobel prize-winner in economics, who is currently focusing his work on these type of markets. Most of his work is on kidney exchanges right now.
ajkjk
Man it is weird that the word for that is "harvesting".
aziaziazi
I had that weird moment a few days ago learning that word is also used when you slaughter a (non human) animal:
"The chickens are harvest when they’re 32 days old"
Let’s sprout some semence in the cow (or not).
przemub
Pretty accurate though!
bliteben
Just wait till these robot maximalists figure out that a pile of oxygen, carbon, hydrogen, and nitrogen is much cheaper than robots made out of steel and carbon fiber.
hamilyon2
The other countries also export a lot of blood, just illegally. Those exports might count as US exports in statistics for laundering reasons.
Lerc
>Third — I’m left wondering if a true “Deep Research” like tool would be able to provide the same analysis. I find that Deep Research is fine for secondary sources, but not for Deep Analysis of primary source data.
In the searches I have done Google's "Deep Research" has been better at providing primary data (or very convincingly fabricating).
OpenAI's version seems to more likely to give the answer that everybody thinks is true. For the blood example I could see it finding many sources that repeat the 2% claim, and accept that because everyone seems to agree, then it must be right. That's a mixed blessing in that maybe most casual users might want the commonly accepted answer, but when I have used the deep research tools, it has almost always because I know the answer everybody gives for a particular question, but I suspect it might not be based in reality. This makes my reason for wanting an automated deep research tool coinciding with the weakest area of the tool itself.
It's also been a bit eye opening how often commonly repeated but poorly founded claims, seem to turn up the same names of individuals, (or organisations, or individuals pretending to be organisations) as you trace them back.
rco8786
> So, why do you need it from the US?
I'm gonna go out on a limb and say that most other countries don't allow people to sell their blood for money.
riffraff
That is the reason. I also believe countries that do allow people to sell their blood have looser regulations on blood donations.
E.g. Hungary allows you to give blood every 56 days (and allows selling it), Italy requires you to wait 90 days (and does not).
derefr
> Remember, you can get blood from humans in your own country, and prepare it there. So, why do you need it from the US?
Random hypothesis:
• equipment needs for uranium enrichment for Manhattan project in 1940s
=> US cornering the market on centrifuges (in both a "we buy them all" sense and a "we won't let companies sell them to other state actors in quantity" sense) for decades
=> US biomedical manufacturing of anything requiring centrifuging as a step, quickly outstripping that of all other countries
=> eventual global logistical dependence on US-based suppliers for such products
philipkglass
Centrifuge enrichment was considered for the Manhattan Project but rejected because early experiments encountered many problems:
https://www.osti.gov/opennet/manhattan-project-history/Proce...
Centrifuge uranium enrichment wasn't developed to an industrial scale until the 1960s, and it first happened outside the United States:
https://world-nuclear.org/information-library/nuclear-fuel-c...
daedrdev
In reality simply that the US lets you pay people for blood plasma, an the market does the rest.
There are similar arguments made for kidney donation. Paying people a set amount kidneys is exploiting the poor, but most those who need kidneys are not well off and there is an enormous shortage causing massive shortages, so some argue that we should pay since society would be net better off.
hwillis
Well GPT-4o just insisted over and over that it was getting 500 errors while refusing to actually check the page. So... not yet.
cubefox
> Third — I’m left wondering if a true “Deep Research” like tool would be able to provide the same analysis.
Note that this analysis was performed by Dynonight, a rather bright blogger whose articles appeared several times on the HN front page. The vast majority of humans (I include myself here) probably wouldn't be able to achieve a result of comparable quality, even if it doesn't look that hard in retrospect.
LLM Deep Research can already exceed the performance of not-so-bright humans, but it is a quite different matter to outperform smart people like Dynomight. (I guess "research experts" isn't quite the right term here. The mentioned journalist from The Economist apparently was unable to research the topic to a similar degree, even though research is a main part of his/her job.)
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boesboes
Funny, because it is illegal to pay donors here. I used to be a donor, but the energy and effort it takes were too much for me at the time. And plasma donors have to 'free up' a lot more time.
Not to mention how i get a cookie and the semi-goverment organisation charges >600€ for a baggie to hospitals. Someone needs to pay for that CEO's third house and car collection!
-warren
Funny data story time.
I used to operate a database for a large North American alcohol retailer. We had a problem with our data that said that 30% of the ring from a particular store saw the name "A GIFT FOR YOU" on the CC stripe. After months of bitter accusations of my database being incorrect, we flew someone out to investigate.
We found that a block away from the store was a plasma "donation" facility. In order to skirt various laws, when you "donate", you are given a prepaid credit card. The name on the card is "A GIFT FOR YOU". Donators then took that card directly to the alcohol store.
All of the data was correct; 30% of the ring from one store was paid by credit cards from the plasma "donation" facility with "A GIFT FOR YOU" on the card. A large reputational battle then commenced as the retailer thought of themselves as a high-end "wine and craft beer" store, when ultimately it turns out Budweiser pays the bills.
*edited for clarity
sidewndr46
There's an industry piece that points out that a remarkable percentage of beer sales in the US are single cans stored cold, sold at convenience stores. Most residents of the US drive to convenience stores. Given that they are buying 1-2 cans at a time it doesn't take much in the way of inference to figure out that they are buying them to be consumed while driving.
raddan
When I was in graduate school, my wife and I bought an affordable house in a neighborhood with a big factory next door. It was otherwise a lovely place, and so my morning jog often took me up and down the rural roads around the factory. On every road within a kilometer of the factory, the roadsides were littered with beer cans. On one particularly early morning, I was running when the late shift got out, and I watched somebody finish work (around 6am), get in their truck, pop open a beer, start driving, and then throw the can out the window as they drove past me. Given the quantity of cans on the roadside, this probably went on for years.
afandian
Refrigerated beer is not allowed in retail shops in Sweden! Tangential but interesting.
xkcd-sucks
Same thing with nips (1oz liquor bottles) which you see everywhere on roadsides in some parts of the US - The product basically exists to make open containers immediately disposable
neutronicus
IDK
I live in Baltimore and I see a lot of people drinking singles out of a paper bag on the corner or their stoop. I've seen it on the bus, too.
Might be more of a hood corner store thing than a rural guy in a pickup buying a beer for the drive home type thing.
stickfigure
I'm not following the logic. Why do you assume they aren't drunk at home?
nicbou
For some people, a beer is a once-in-a-while add-on to their purchase, a bit like a chocolate bar. I rarely drink at home but I can be tempted by a balcony beer when the weather is right.
bombcar
I'd actually be willing to take that bet against the inference. Here's my logic:
The only places that sell individual beers are convenience stores
Some of them are driven too, sure, but lots are also in city areas
Even so, people who only have a few bucks drive to the store where they can buy the beer, and drive home and drink it
If these were common cases, cops would lay in wait and nab them for open container.
nfriedly
The obvious solution is better public transit!
(Joking.. but not really.)
criddell
Have you actually looked up what how much a blood bank CEO makes? Is it a lot?
Edit: I just did a bit of research and didn't come up with a lot. I found this example [1] where the CEO's total compensation is $414k. That doesn't seem all that high...
[1]:https://givefreely.com/charity-directory/nonprofit/ein-57066...
boesboes
Well, not in the us. here that is considered an unenthical amount for a semi-public servant.
In 2011 they made 260k€, which was at then time about 50% more then our prime minister made. Which is used as a norm to limit how much you are allowed to make when working for public services.
Permit
Is it enough to have three houses and a car collection as you previously stated?
GuinansEyebrows
I need to shout into the HN void that, yes, $414k is a very high compensation.
pinkmuffinere
The CEO of a blood bank likely has the skills and connections to be a CEO of many other for-profit companies, where they would make much more than $414k. Intermediate FAANG employees are paid more. I’m perfectly happy that this person gets $414k for their role in _saving lives_.
marbro
[dead]
keybored
> That doesn't seem all that high...
Maybe not that high by SC/HN standards.
delfinom
That's nothing. In NY, the "non-profit", "New York Blood Center" has a monopoly on blood harvesting, even the Red Cross has no blood drives here as a result.
Their CEO makes $3 million, most of their executives above $400k.
https://projects.propublica.org/nonprofits/organizations/131... (look under Compensation)
Fuck this shit.
They also award them bonuses.
They are so bloated that they invest in PE funds with their spare cash.
treis
I interviewed at a place that made the software to track blood as it moved around. It's a regulated thing to make sure that the blood stays cold and that they can track who donated. Anyways, the point is that the guy who interviewed me casually mentioned that the PE firm bought up companies until they controlled 90% of the market. I'm sure they're making bank off blood as well.
simonw
Which country are you talking about? I believe it's legal to pay donors on the USA.
Presumably a European county given you quoted euros?
Looks like the EU encourages member states to encourage unpaid donations:
> Furthermore, Member States should take measures to promote Community self-sufficiency in human blood or blood components and to encourage voluntary unpaid donations of blood and blood components.
boesboes
Yeah, I am in the Netherlands.
They say paying donors puts them & patients at risk, because it would stimulate donors' to lie about their health when donating and we can't be asked to test blood for everything. And the say it is unethical to pay for human tissues.
Except when they are selling it ;)
ozornin
I have the same story in the same country with presumably the same organization (Sanquin). I used to give blood, but not anymore because I don't find what they're doing ethical.
refurb
I can assure you that the Netherlands tests all blood donations. It’s been standard for decades now.
People have diseases they don’t know about and if people are ashamed by a disease, they’ll lie even when donating.
I just shuddered thinking that donations wouldn’t be tested.
n4r9
It is legal in the US. In fact you can potentially make a decent bit of money if you're paid $70 per donation and can donate 100 times per year [0]. Don't know if it would be worth the time to travel to the centre and wait in line, for many HN users.
[0] https://www.goodrx.com/health-topic/finance/how-much-donatin...
aidenn0
You could sell your plasma twice a week in the town I went to college. We also found that it took significantly less alcohol to get drunk if you had nearly a liter less plasma running through your veins, so it would also save us money in the evening!
psini
You can donate every 3~4 days in the US? In France I believe it is only once every 2 months for men and every 3 months for women!
edit: confused plasma donation with blood donation; it is still only every 2 weeks for plasma donations over here
mcculley
My understanding, at least where I live, Florida, is that plasma can be sold, but whole blood must be donated. I still get a $25-$35 gift card every time I donate a pint of whole blood (as close as possible to every 8 weeks).
3pt14159
Possibly Canadian, where it isn't legal to buy human blood.
e_i_pi_2
On the other side, it is legal to pay donors where I am, but then it makes it feel like a waste to donate because you could be getting paid for it
tshaddox
No more of a waste than, say, any monetary donation.
riversflow
Yeah, same. Illegal to pay donors here too. I’ve donated multiple gallons, kinda felt it was my duty as a driver on the road… but at some point I came in to donate and got told they were extra short staffed and I’d have to wait at least an hour. The clinics already have terrible hours that seem to mostly cater to retirees, never open in the evenings and most clinics are closed on the weekends too, the one nearest me that I was going to stopped opening on the weekend entirely, meaning I had to travel quite a ways. I’m basically poor and the cost in terms of time, travel, energy and food is not insignificant. Meanwhile the high level staff making the cuts to the clinics have secretaries to reply to the emails they solicit from donors. Even though I sent them a long, insightful email, with followups, about my detailing why they are struggling as a young millennial (supposedly an audience they are trying to attract), and after all of it I get phone calls from the vampires minimum twice a week every week, sometimes every day.
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ParacelsusOfEgg
I think there might be some confusion by commenters in this thread about selling blood in the US.
Blood can be separated out into its plasma, red blood cells, and platelets by an apheresis machine. The machine cycles the unused components back into the donar so only one component is donated.
Blood plasma (~55% by volume), the amber colored water and disolved proteins, can be sold. Red blood cells (~44% by volume), and platelets (~1% by volume) can NOT be sold in the US by donars.
Most blood drives that you'd experience at school or in the workplace takes whole blood (so there is no need for the apheresis machine) which is more exhausting than if just one of the components was taken.
Source: an O+ blood donar with 50+ pints donated.
smallpipe
Didn't expect to see Thor mentioned so much in a comment about blood donations
dvaun
Fun reference (I had to look up what you meant).
For anyone reading: Donar is "Old High German" for Thor.
hamaluik
Plasma can be used outside of prophylactics as well, I don't think this is accounted for in the article (human plasma is used in cosmetics for example).
A lot of plasma is also separated out of whole-blood donations and manufactured into all sorts of things. I don't know all of the end-user financial ramifications of this, but hospitals absolutely do pay (sometimes quite a pretty penny depending on rarity of antigens and antibodies) for RBCs and platelets (and plasma) from suppliers like the American Red Cross.
Purely anecdotally, I have heard stories of some donors being compensated extremely handsomely for their regular donations because of the rarity of their blood attributes - even being flown across the country and wined and dined to obtain their blood on top of thousands of dollars per donation.
bee_rider
Am I misremembering that, also, donating plasma for whatever reason tends to be much rougher on the donor for some reason?
sgerenser
I don’t think that’s correct. Specifically because it’s easier on the donor, it’s allowed to be done much more frequently than whole blood donation.
Symmetry
Mostly because its a lot harder to acquire an infection via plasma, though there are some diseases like Hepatitis E that can be transmitted that way.
weinzierl
0.5% of all goods is still a lot and much more than most people would have expected.
Also interesting: "In 2023, total US goods exports were $2,045 billion, almost exactly ⅔ of all exports, including services."
Havoc
It’s because the US has a massive blood for money industry while other countries explicitly ban payments.
That distorts supply/demand between countries
sidewndr46
if I understand correctly you can only sell "plasma" which is just one component of blood
orwin
And less dangerous to the donor to harvest I think.
ilikecakeandpie
Behind the Bastards recently did a two part podcast on the blood industry in America, particularly how lack of regulation and taking advantage of the incarcerated (focused on Arkansas) led to the spread of blood borne illnesses and how it killed a lot of people. I had no idea blood was such big business and that it was in our top 10 domestic exports
https://podcasts.apple.com/us/podcast/part-one-how-tainted-h...
tvier
> and that it was in our top 10 domestic exports
Note that a main point of the article is that it is not in the US' top 10 exports
ilikecakeandpie
Well one of these has to be incorrect then as this was said it was the US's ninth largest export
abound
Like the GP said, the whole topic of this article is getting an accurate figure, and how the 2%/9th largest figure is incorrect.
tekla
BtB is not a serious news source, its mostly ragebait.
make3
I remember reading that the presence of for profit prisons in an area increases the rates of incarceration in that area. So many of them have heavily under minimum wage, almost free forced work, and now blood harvesting. Modern USA is so dystopian in a lot of places
declan_roberts
Do we really have 38% of Europe's BLOOD as a bargaining chip in trade agreements? This does not bode well for them.
abxyz
it's outsourcing by choice rather than necessity. Europe can grow its own blood. The much more permissive laws in the U.S. which cause an oversupply for local usage mean it's cheaper to import it. During periods of high demand that exceed current supplies, countries are typically able to increase donations substantially to cover the shortfall, and long term, could pursue similar laws to the U.S. There is no prospect of blood being a meaningful bargaining chip in a trade war.
Sanzig
Yep, blood donation infrastructure isn't like an oil pipeline or a refinery. Sure, it'll be painful for a little while, but it doesn't take nearly as long to set up, especially if there's an urgent shortage motivating a country to move fast.
debo_
Yes, all the blood economy needs is a shot in the arm.
riskable
Blood from US
Sweat from China
Tears from everywhere else
layer8
Denying the blood would increase the US trade deficit though, so it would cut both ways.
pkaye
In the past the WHO recommended countries don't compensate for blood or plasma donations. The following countries countries decided to still allow compensation for plasma donations for drug products: Austria, the Czech Republic, Germany, and the US.
Its just that the US has the largest population of these five countries. And generally the rest of the countries outside the five don't get sufficient plasma donations to make the drug products needed for their patients and have to import it.
The plasma can be separated out to different products to treat various diseases many of them genetic.
https://www.fda.gov/vaccines-blood-biologics/approved-blood-...
The only ones to hold accountable are the WHO and those countries that followed their advice. If more countries paid for plasma donations there would be more supply of these drug products available.
tomjen3
You also have most of our digital services.
Use either as a bargening chip and you are likely to lose them.
keybored
People could just donate more. Just make a campaign that you can Stick it to Trump and Help Your Country and you would get an influx of plasma.
As long as the demand is not steep. Since you can do it only a dozen or so times each year according to recommendations. (American Red Cross recommends every 28 days; private donors are not beholden to that)
busterarm
Globalization has led to most countries deluding themselves about supply chain vulnerabilities for a long time. COVID was the first shock. Now Trump's tariffs are the second.
kspacewalk2
However, I think people grossly overestimate the degree to which this state of affairs is static. If the supply chain shows itself to be vulnerable, economies often adjust quite easily. Even when it's not "easy", like natural gas in Europe post-2022, it's still very much doable without too much hullabaloo and frozen seniors.
Point being: if it no longer makes sense to import 38% of blood from the US or whatever, it'll be imported from elsewhere or made locally, and that's pretty much the whole story. This is true of most goods and services, though not all.
busterarm
That's only really true for raw materials and assemblies.
Chip production is the very obvious and real hole in this argument. It'll take half to a full decade to get new chip fabs up to what TSMC's Taiwan fabs are doing now.
Quality steel production and machining is going to take time and investment as well.
traktorn
I love Dynomights writing. I highly recommend subscribing to his newsletter.
fmsf
Fascinating article, fun that even blood has tariffs https://www.searchtariff.com/?q=blood
I wonder when we are going to start seeing proper effects of all these tariffs in the market.
Disclaimer: I am the founder of DataLinks which in turn powers the searchtariff website
andai
The article links to this, which I also enjoyed.
"Please show lots of digits"
philipwhiuk
I enjoyed it, but I'm not convinced by it.
aezell
Bummed there wasn't one vampire joke or pun or allusion in this entire article.
panzagl
Or Garth Marenghi quote.
thimkerbell
I don't understand why an otherwise reputable forum (HN) would be so tolerant of meaning-uninferrable clickbait link titles. Sentience, posters, sentience.
It's worth a read, even if it's not obvious what it's about from that title.