welcome to the wonderful world of blood donations around the world giving blood is seen as a symbol of generosity one of the noblest acts in modern society but the reality is different altogether. there's the perfect money making industry our willingness to pay for available therapies basically especially for a loved ones knows no bounds at the heart of this business plasma a yellow liquid rich in proteins it's the main component of blood it's more expensive than oil it's a look struck us you'll jump on our get down kitty does it process tell us a new book anybody smith's quite acceptable key doma shall die each system standard keep down may be beautifully shot of coffee did you pull. off a motor car. or the meanest it out please kill me so. i don't want to do

that number of most of us. we decided to explore a little known area within the health industry the blood trail. our investigation took us to france germany and the us they don't like us to interview the head on oh yeah they don't want something a door right they need to stop public want to know. today carlos is donating blood despite his busy job he's a regular blood donor at the red cross center in los on carlos sees his act as a sign of commitment to the community. more than one hundred million donations are collected each year worldwide in two thousand and fifteen. the swiss red cross registered three hundred eleven thousand donations. the figure diminishes each year

and they're constantly seeking new donors their message is clear giving blood saves lives. southwest of much of new. sickish it might add to. more similar to the dishes. that. just couldn't get one. pushed who've come in. the bold to pull on the need to get into this woman. who they are but blood is a quite peculiar juice said devil with glee but he's not the only want to be interested health is also an industry and blood donations are subject to the laws of the market. but. it will

it's just. that when you don't before giving blood these swiss donors must complete a medical question here and give their informed consent in particular there is one line at the end of the form a sentence in small letters i am aware that some components of my donation may be used for the production of drugs only a few donors read this line though it's crucial in reality most of the donated blood is sold to private companies something the red cross doesn't advertise. to help. sponsor thomas and luke spend on. the sin fold loot spend in the highest indies the boot spend and since not in style it's been just plus an. investment meet. and good thoughts to him

on that include pushed on tylenol is his prime plus muscle. but sent the samangan direct indenture tail him to be tail ticed. the uncool salute to little stop and. he says well the woman is at style to use the title to us into fast off to put scent gate in the still going on to talk till needed induced to leave us in fear. look that one to come and fish to the plasma fractionation industry these are the pharmaceutical companies that buy eighty thousand liters of plasma from the red cross each year the humanitarian institution makes nearly ten million swiss francs from the sale of the donors aware of it. yesterday between a song top boss. saying i know many. more

don't understand it d.l. said if it could the needle so priscus all that vernia. his weight he said don't his appeal to the song and watching. him when you don't do some shopping assault first discovery the majority of the donors blood is sold to pharmaceutical industries. the industry is so interested in carlos's blood for a specific reason it's liquid part called plasma contains sought after proteins. they are used to make very expensive and profitable drugs. who are the players behind this industry. we decided to track the plasma trade. but to see it out fast to fix fifty thousand.

courses. that transports water and usually. it is composed of approximately ninety percent water and ten percent protein. plasma industry is healing and a handful of companies share the world market baxter in the usa. in australia and your foals in spain and the company pharma in switzerland which we discover through these promotional films material is produced by the perfect bio reactor developed over millions of years of evolution the human body for these companies plasma is nothing but a raw material and very lucrative to europe and the professional term is fractionation the name of the procedure that transforms donors plasma into drugs to do this with a callback to freeze and mix thousands of liters of human plasma these companies

control a market which is worth seventeen billion dollars and growing steadily history so that the plasma gong margaery the president and co-founder of dr pharma is a very discrete person forbes estimates his fortune at six billion dollars this is one of his very rare public appearances how do you see the future developing these products lifesaving drugs and they will be required for some patient groups as a lifelong therapy presumably they're covered by in most insurance companies they have to be asked to very expensive but that is also the other part of the same from the same calling them many countries who simply cannot afford to provide this kind of level of treatment to the population yet at least it sounds easier to save applies will be available enough to just go through your country the plows and then you'll be in good shape when you make those products it's not the. case.

remains a family business dedicated to ways going to patients to go further in that life adventure. to route the world the lives of millions of patients depend on these treatments tomorrow is one of them today she is receiving her treatment at a hospital in bear since childhood she suffers from an immune deficiency that causes repeated infections. yeah thanks to her plasma based treatment to mars life has become easier so much so that it would be difficult for her to go without. before i don't have horns and they may say shut up it's very yawn yes. to escape was quick. to say. that today in fact in fact the only bit.

he will fight he had or didn't forsee all of whom are. going to skate let it rest but i'm ok. through. as the saying is he more openly. saying we. have to get they for the not there tomorrow when my head went out the clerk could have on the soap and make up but so you'd have a day before all set to. shop it up take them kindly softly the piece that i own them to could all see flash to seek. to clean it is something to see. as well. to see them. yet to. spend an hour through i mean america there is no man to come.

something now coming on the very most likely to madrid trigger foods met some us and we see that clear out that. the case of the so that. that group from people call on this moment what do ya spasso. coppa clip was quickly said to be a seed of. where is her life changing drug from where is the blood in the drug from from swiss donors. does. i want me. to race me. next they. didn't know what. the plasmas origin isn't public information it's a trade secret we decide to visit swiss medic this is the swiss authority in charge of drug control including their origin these expert analyzed plasma samples each

week as well as the blood derived products that are used in hospitals and. not just in profit also thought in yet interesting is they not only cooked and it's. down to. the department they still use known steve minnow. are equal to it i think will be down to tastes. but the bait but the. live feed. didn't do. the k.p. so it was going to. sit up all the fish. competition made up stuff and a ration. for good to feed him as he stands because look you more. or less. his fan base will comply fully formed

for me to see. the fish eaten occurrence. of police to take one stone fish then we're so as far we're still worse or worse on gets a name. you can see in the images to steal. from from few. months doing. the feeling when. i was. to. sit down with these had to do the scene he lost the fight to the last inference he scraped the. includes to through from cleveland. west twenty fifth street. cleveland united states we decided to travel there.

like comcast for example is a company that is an anti-american as they get it as if it's a company as anti-democratic as it gets comped as. of course they owe us out of it and of course our. parody epic sketches and see. that sacking a foreign minister the same time serving the terrorists so those people who are in that so situation should understand that they are terror. bosler no dubrovnik in venice or will fix travel destinations so it must be nice to live there or is it. crowds of tourists disrupt the city's economic and social life before this on the celestial get out to all such as the traditional. sun nas comes by him sometime

soon as we know as my money into a school my days are done that the while the city has tried desperately not to collapse. the profit of. who puts. the example will probably go on the dole coffee cup at home in the us is up the on saabs knock up the suppose it's a minute. to defeat the taliban. as a tourist phobia wolf in a phone tone identity. quest twenty fifth street the address listed in swiss medics register some of the plans

used in the drug sold in switzerland comes from here. this blood collection center belongs to the australian company c.s.l. donate plasma save lives earn up to two hundred dollars a month. there are donor ads everywhere which tell us that the volunteers are paid for their blood. as opposed to most european countries the usa allows compensation for blood donations this practice is legal. we enter the premises which are under heavy surveillance impossible to speak with the status it . just it it's taking actions against me as you know we differ from the ok for us the creation across the street it's good to get. to. the center is in one of the city's poorest neighborhoods. cleveland is

a devastated city the financial crisis of two thousand and eight was a fatal blow. pastor lester williams knows the reality of life in this neighborhood. many of his church followers sell their plasma. t.v. here you should love that. would you know i guess you know it's legal so i will probably get it does when people just do that but what you strange is that companies they continue to call this a donation. but which is a donation when when you pay someone is not

a dolt as. it's not it's not free just little donation should be should be free of until they do exploiting exploring people who are in whatever condition the is economically. and actually not to do a nation actually paying for what i'll be in charge of a. charge in switzerland for the pleasant and soul to make your money on it and both of you know the little good they're giving to these people is not very much. in cleveland all the market leaders are represented to see south riffles. we also find octo pharma the swiss company which produces tamara's drug. like that to. the head of a bull market goes there twice

a week to sell its plasma. budget right now where a month for thirty two bucks for red forty five dollars for a full fifty dollars a month i'm sure it's so so out of it to say of the ballpark. true. and i found out that i can with a plasma or. you know that's the problem when you're on tight budget it's a fragile thing you know. we wanted to go inside with him to speak with the people in charge this turned out to be impossible the hostility increased the closer we got to the center. nothing to you you were and public property it is that everybody is now my friend. so we question donors outside in the parking lot. this kind of like the extra money thing you know just to get a little money on the. indian it just kind of became

a regular firstly first start you get fifty dollars the first. new customer in after day on tuesday or thursday is any two days a week you get twenty dollars in any go up to forty dollars along if you've been donating now for a year. it's starting to let you know. that's yes this. is good for the families is good for my family and. one hand wash the. you know and does it for any kind of moral reason no one does it for them or no one no one does it because it helps people it's just it's one of the side effects is that it helps. the procedure is well established as soon as the plasma bottle is full the donors credit card is credited. here there are very few now.

this is the plasma or a blood bank or so most. like a regular visa card your they put their money on your car immediately after you get done. sometimes. they forget to put the money on your car and you've got to call the number on your car you know because if you don't call the number on your card you're going to be without money. after the economic crisis donations soared in the usa going from fifteen million in two thousand and seven to thirty two million in two thousand and fourteen luke schaefer is a sociologist at michigan university. when we look at the numbers of families reporting cash incomes below two dollars per person per day in any given month. it well more than doubles over

a fifteen year period and when we look at the number of families who are who are on food stamps it actually quadrupled emergency that goes through the roof so when all of these things are put in the same direction and. we walked into the plasma clinic down the street just ask people why are you here what's going on people lost their jobs haven't been able to find work you know in many cases that's going to be the only and i mean in the household to their only option. we rejoined mark at the entrance to the center it didn't work out the way he wanted the center refused him because his blood pressure was too high. to be able to donate. and it's very important. i take my blood pressure medication and i think i think. that then if you can build a it's it's it's

a find it show you see it is it is it is. likely it's not life or death it's not asked to do. its. i might have to ask friends if they you know just for you know i mean i'll take care of it soon i'll be able to i'll be able to get my blood pressure straighten out and that's why it is good for me to travel. we accompanied him to a small subsidized apartment that he's been living in for a year. money to make a cell phone home when i had my stroke it was about three years ago i went

into the doctor's to be quite honest i was drinking a lot i was doing drugs i was combining a lot of bad stuff you know so the next day i went to the cleveland clinic which is one of our really good hospitals in cleveland and the word with people that told of a lot of money is you get raided it when you get raided it may mean you can basically go there for free and get health care and as we're qualifying the lady doing it you say oh you're way below poverty level i'm like way below you know there's below and there's a way below so that was an eye opener. there are times when. for my own self-esteem. i don't want to accept help or want to be able to. say no thanks but no fix to a god to form. it's kind of easy money. it's

necessary at least for me it's necessary. for mark and many other americans blood is the last source of income. he could no longer donate he'd have no income. but all of these blood donations are affecting his health. david is a doctor in one of the city's largest public hospitals metro health is the safety net system for cleveland we take care of people or guard this of their ability to pay for a lot of our patients and the people that we take care of at metro health this is their one of the few strategies that they can use to get money out of the

literature of say about the long term effects of donating blood to the weak i couldn't find anything in the literature describing what the effects or i know from talking to my patients who do donate plasma that they're tired so they get fatigued they have headaches but beyond that. now all i know is the red cross has one time a month and these guys are doing it twice a week. to talk to this individual who was donating my patient and he may not be able to afford a cell phone bill or rents and that is more important for his health potentially than the down side effects of donating because if he doesn't have a cell phone he can't get a job. or he can't pay his bills. you know how free is so. this is the this is the dilemma that were and. what if you

could earn extra money while doing something great for others to farm up last month you can not only our plasma donations by dole to the treatment of rare chronic internet diseases you could also the usa is the world's main exporter of human plasma with seventy percent of the world market their success is based on a foolproof recipe by building on this type of campaign they nurture the image of a country with excellent sanitary conditions. the market is under the supervision of the food and drug administration the f.d.a. stamp is a guarantee of quality opening the doors to the international market each week frozen plasma is dispatched in shipments mainly to europe. this is the other side of the american dream masses of poor people willing to sell their blood they provide an unlimited pool of primary material we wanted to understand the conditions in which blood is collected seven am in cleveland in the

parking lot of the pharma. i caved in no more dead heat we were out and i want to get no more i just smog and i didn't need flour we need it most kill me so. i don't want. did and i'm i get it dad now praise you know it is look i'm providing. a motor car. and. these stories illustrate the industrial pace and inadequate checks however the pharma assures the authorities that there is strict donor monitoring but if that's the case why didn't the swiss company let a sentence have just why did they prevent us from talking to the staff it's how are its donors selected to check we had to go and see for ourselves with a hidden camera.

do the same. keep there on the cheap bus and then do it through all the countries from let's ideas remove their right to go to a sculpture he said to me give them everything slip to the bus. be. discounted because of america this is what we don't understand how we are poor in such a country it's. the nurse into the minds of the us in terms of noticing i'm going to. the soon to run up or lose similar solution john a good one. because if you feel if the minutes of on board not that god can we believe again in the world with the phone about the computer with the

plane. to come back to the three story you have to see. at least a. few move. to move you. out here. much as if. it doesn't. tell you that outside of god not on the and. by then got a session on the nod that a. by then is a shift on. a stop not a sudden loss is going on more. so. you know so it was if you have the multiple injuries among.

the kids a few. shows. a few members of the civil service a. bookie. something. that. maybe maybe maybe all of that. was. i.

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