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 class mom a yellow liquid rich in proteins it's the main component of blood it's more expensive than oil and has a look struck that's showing. it down kitty does it process tell us a new book anybody smiths called acceptable p. dumb i shall die inch systems damn you keep down may. be sure to pull she did you pull. a motor car. or the meanness it out please kill me so. i don't want to do the animal or falsity 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 you know they don't want something a do all 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 or it might add to. more similar to the dishes. that. this couldn't keep one. pushed who've come in can to build a pool on the naked crucial not to get into this woman from. who they are but blood is a quite peculiar jew 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 ear 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 them. sponsor thomas and luke spend them for ya. does sin fold luge bend in the us highest in these the boot bend and since not in the loop in this plus an. investment. plethora. and given thoughts to them on the include tile in the system plus muscle. sent the samangan

direct into entropy taylor get off to the indian. ticed. the uncool salute to low stop and decent these as well the woman is at stealth and uses the title to us into fast off to put scent gate in the so going on to talk till needed induced to leave us in fear. look they're on to come and tell them 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. doesn't have or needed doing yesterday between a song pop boss. saying by no memo the boss of the shows i.

don't wonder so i'm against the defense because we don't need most on a p.r. priscus this or that vernia. case wait to see it done is appeal to the summit and watch. them when you don't use too much openness old 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. to fix fifty five percent of our blood it's made of. plastic. other liquids poisons the whole flight that transports water and nutrients. it is composed of

approximately ninety percent water and ten percent. of the plasma industry is healing and a handful of companies share the world market baxter in the usa bearing in australia and your foals in spring and the company farm 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. the president and co-founder of 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 and presumably they're covered by in most insurance they have to be as 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 say replies will be a bit well enough to just go through your population your country the ploughs well and good shape when you make those products it's not the case.

remains a family business dedicated to the way it's going to patients to go. in that like the bench. throughout the world the lives of millions of patients depend on these treatments tomorrow is one of them today she's 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 tamar's life has become easier so much so that it would be difficult for her to go without. the me. to escape it. today. we had our.

tumor. yeah. but i'm ok. as a safer more globally especially trying. to get day for the not fair amount on my head from theology clerk to divine the south and make up but so you have a day before all set to create. as a bishop got up to take some kind this off with the police and. on them to could also flash plugin to do seek to try and quantify a net is something to see them. as a. feat to see them simply react to fit on the cake approach band unorthodox mean america right there is no magic amount of the no coming on the very most likely to emulate creator for us and we see that clear out that. the case of

the so that. that group from pivot called on this moment that would be arched brasso. kopeks it was mostly 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. not

just in roswell also thought in yet in britain is they not only caught up to and it's. down to. the department they still use known steve minnow he said. ali quote trying it i think will be down to taste. but the bait but the. live feed. didn't do. the k.p. so it was going to endorse. a sick buffalo the fish. competition made up stuff for my pleasure ok it's good to feed him as he stands because look you more. or less. stand off to the forum for me to see. the fish eating occurrence.

of police to. the us i was so it's far worse than say worse or worse on gets the name. if he's in the letters he still see from from a few teeth and says see th at the negro announcing he was a minute he feel a spin. i was. in from star. simpson and i let these had to do you see in he was a monster fighting to the last inference he's making. it includes to do from cleveland. west twenty fifth street. hope there is no cleveland united states we decided to travel there.

with up close it's almost. like a spliff. last time we chased. each one of them carrying twenty kilos of drugs. that they just step towards world. is the three we have mean. they have. this is for me. i like it. but i don't know maybe they don't make or. break right. now well. right.

now not ones up. enough less often i don't want my next nights out the definitions and i'm back. when seeking i need. taken in equal sitting. down to get done and then you get really boring. really think i'm. going to let me. suss out. the next guest's feeling if one means a leftist that he not be deep but learn. them tokyo find it he's going to keep going to him.

and his work was because did it because he didn't seem quite a cultural fit and i told the friends. west twenty fifth street the address listed in swiss medics registered some of the plasma 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 stance that. yes. yeah i think it just kind of taking shape and you trained me you know we did from the outside from the caves as a class a strange good. yeah. 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 that. would

you know i guess you know war is legal so i will probably get it does when people just do it but what you strange is that companies they continue to call this a donation. but what she's a donation way when you pay someone is not a go this. is not it's not free just a little donation should be should be free of a deal to do exploiting exploring people who are in whatever conditions he is economically. and actually now to do a nation actually paying him for i'll be in charge of acute awareness of the charge and. for the pleasant soul to make your money on it and both work

you know the little good they're giving to these people is not very much. in cleveland all the market leaders are represented c.e.o.'s south. we also find pharma the swiss company which produces tamara's drug. like that to use. it as a tool mart goes there twice a week to sell its plasma. budget right now where for thirty two bucks for forty five dollars for a fifty dollars a night shirt the so so out at the same ballpark. trying to turn twenty five. and i found out that i can with a plasma or you know 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. looking at you you were and public property it is never happy that is now behind 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 a new. indian or just kind of you know became a regular firstly first start you get fifty dollars the first five times as a new customer in after day on tuesdays or thursdays any two days of the week you get twenty dollars in any go up to forty dollars along if you've been donating and now for a year. it's starting to let you know as we. yes this

school. is good for the families is good for my family and. so one hand wash does. no one does it for any kind of moral reasons. no one does it for them or no one no one does it because it helps people it's one of the side of things is that in. the procedure is well established as soon as the plasma bottle is full the donor's credit card is created. here really here now. this is the plasma burn core so almost. like a regular. they put money on your car immediately after you get done and. 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 stuff 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 quadruples emergency food assistance goes through the roof so when all of these things are put in the same direction. we walked into the plasma clinic down the street and 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 it to they're only out. 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. them. and it's very important because. i take my blood pressure medication and i think i think i. said if you can donate it it's a it's a financial issue it is it is it is. likely it's not life or death it's not asked to do it. as valuable stuff. that i might have to run for along with a 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 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 don't have a lot of money is you get raided it when you get raided it means you can basically go there for free and get health care and as we're qualifying the lady do it you

say oh you're way below poverty level. you know there's below and it is 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 you know no thanks but no thanks to a god to farm on. it's kind of easy money. it's necessary at least for me it's necessary. that crock pot it right up. for mark and many other americans blood is his last source of income. if you got sick he could no longer donate he'd have no wind. but all of these blood donations are affecting his

health. david margolick this is a doctor in one of the city's largest public hospitals in metro health is the safety net system for cleveland we take care of people were guard us 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 plus mile and once a week i couldn't find anything in the literature describing what the effects or i know from talking to my patients who do down a plasma that they're tired so they get fatigued they have headaches but beyond that you know 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 freeze so. this is the this is the dilemma that we're in. now. but 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 and diseases you could also the usa is the world's main exporter of human class 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 pharma. i caved in the mud as dead heat we were abject at and i want to get no more i just smog that they need flour we need but. i don't want to do gangnam i got to raise you know it is look i'm providing. you know. i'm giving.

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 this is how our it's donors selected to check we had to go and see for ourselves with a hidden camera. thank you for new to the game this is how it works now the economy is built around corporations corporations run washington washington media the media control over voters elected to businessman to run this country business equals power you must it's not business as usual it's business like it's never been done

before. the two thousand and eight economic crisis turns some countries into pigs these are the countries with we can recall them is that needed austerity policies if you are in a situation of flow bloat even the recession austerity is a very bad idea it doesn't work and it makes millions of people very unhappy those who are unemployed see their wages decline almost a decade how good are the results then usually peaceful by the people gathered in which the wider world beat people with you what i do. believe will be she was i mean if a legal. challenge nothing more than this she was always think it's the family and not getting paid while the same measure is still in place to one of the consequences is to weaken blue bird flu dispute over who will first

one of this is the truth the consider is the consequences are actually quite acceptable to the decision maker. basile in the dubrovnik in venice are all fixed travel destinations so it must be nice to live there or is it wrong. and. right to. go crowds of tourists disrupt the city's economic and social life in general to report this on the celestial get out to all such as the photograph traditional story sun us i am somebody yes you've done as we've done as minor leagues in a school much better than that while the city has tried desperately not to collapse all powerful corporations collect the profit of. newport to its upper will probably the globe on the dock coffee cup at home in the bushes up the on saabs knock up the

supposed it to me of a new and to the. u.s. security. according to the foreign ministry. warning that. children.