Gay men can't donate blood in Orlando

Discussion in 'Off-Topic' started by BurnPyro, Jun 16, 2016.

  1. Boozha

    Boozha I need me some PIE!

    If I had to think up a biologically reasonable explanation, I'd assume that there is a possibility of active vires existing in a sufficiently low quantity to be undetectable, but in sufficiently high quantity to reproduce, in donated blood. Also, tests have a false negative rate. I don't really see how this law is unreasonable, given the potential for death if anything goes wrong. And people with HIV are barred from donating, afaik, aren't they?
     
  2. Boozha

    Boozha I need me some PIE!

    No, I'd rather you donated blood if someone needed it. It grows back.
     
  3. Comissar

    Comissar I need me some PIE!

    Given they screen the blood anyway, there's no sensible explanation. I'm willing to bet the law was instituted back when the AIDS epidemic first kicked off and nobody understood what was going on with it. While it may have served a purpose then (not looked into it, don't know how good the identification of AIDS was in the early days of it), it certainly doesn't serve any purpose now. Our screening methods are constantly improving, and an archaic law does not need to still be in place.

    Touched on it in my response to Boozha. When HIV/AIDS was first appearing, there were a lot of people who (incorrectly) thought it could only be transmitted by affected homosexuals, at least without transfusing blood. I would guess the logic was 'If they've gone a year without sex and haven't picked up HIV/AIDS, then they must be clean', or something along those lines. We understand the illness far better now, and while the incidence of HIV/AIDS is higher within the LGBT+ community, our improved understanding of the illness along with our drastically improved screening methods mean the old law does nothing but stop those who want to donate blood from doing so legally.

    Then why not 'Anybody who has had sex in the past year cannot donate'? HIV/AIDS is not limited to LGBT+.
     
  4. Boozha

    Boozha I need me some PIE!

    You might be right and the law might be strictly outdated due to our better understanding of HIV now; there should be an official statement by someone responsible for blood donations (don't you have this fancy "surgeon general" or something?), making the scientific position on that clear. If it is outdated it should be changed, but, well, the wheels of bureaucracy turn slowly.
     
  5. Comissar

    Comissar I need me some PIE!

    There's certainly a spotlight shone firmly upon it currently, though the circumstances required to do so are depressing. Hopefully the level of focus on the matter will be enough to get the law repealed.
     
  6. Sokolov

    Sokolov The One True Cactuar Octopi

    That's kind of the point tho. The law here doesn't target HIV specifically. It targets sexually active gay men. Additionally, there is no way for them to test if you had sex 12 months ago or not.

    And if your blood tests for HIV (or any other number of possible problems), you can't donate more.

    Yes, while gay men have a slightly higher incidence of HIV, testing problems would increase the problem of the blood supply in ALL cases - whether the HIV came from a gay man or not. If the potential for death with a gay man donating blood is "reasonable" to restrict their donation based on sexual activity, while isn't the increased risk of HIV based on sexual activity of heterosexual men also a concern?


    In reality, the bigger issue is with lax application of proper procedures:
    https://www.propublica.org/article/...ighlights-its-troubled-history-of-blood-servi

    "A few weeks ago, the Food and Drug Administration hit the American Red Cross with a nearly $10 million fine for safety violations, lax oversight and faulty testing of its blood services. The fine is just the latest of more than a dozen the Red Cross has racked up in the last decade."

    If we are really concerned about the safety of donated blood, there are bigger fish to fry than "sexually active gay men whose donated blood would be tested anyway."
     
    Comissar likes this.
  7. Boozha

    Boozha I need me some PIE!

    "The government requires that the Red Cross (like any blood services operation) have multiple safeguards for its blood services. That includes asking a donor questions to identify any risks, checking his or her name against a national list of people who aren't allowed to give blood, testing for infectious diseases, keeping track of blood units so infected blood isn't released, and investigating any deviations from standards.

    Because blood transfusions always carry a degree of risk, the FDA considers every step in that process critical to minimizing problems. "Failure of an individual safeguard does not automatically translate into the release of unsafe products," an FDA spokeswoman told ProPublica in an email, "however, it may increase the potential for risk.""

    I mean ... if there is a notable difference between the safety of the blood of gay people and straight people, for whatever ever so unrelated reason, then it isn't really unfairly discriminatory to make a safety regulation out of it.

    There is not enough data to make a clear decision one way or another, and I have no fixed opinion on this topic.
     
  8. Comissar

    Comissar I need me some PIE!

    But again, as Sokolov's said several times, it's not about whether or not they're carrying a disease. It's about whether or not they've had sex. Incidences of HIV/AIDS are higher in LGBT+ communities, but it's still communicable in heterosexuals. And again, there are screenings and restrictions in existence for the illness.

    Being LGBT+ doesn't make your HIV/AIDS more dangerous than a heterosexual's, or somehow less likely to be caught. Like I said in a previous post, I can understand why this law came into existence initially, and it is possible it was beneficial in preventing the spread of HIV/AIDS in the early days of the illness. But the restriction is entirely redundant now.
     
  9. BurnPyro

    BurnPyro Forum Royalty

    Just like there is a good reason for citizens united, right? There can't possibly be a law in the US of A that doesn't make sense!

    Go on, tell me. I'll wait.
     
  10. darklord48

    darklord48 Forum Royalty

  11. Sokolov

    Sokolov The One True Cactuar Octopi

    Sure. For me, I simply question whether "have you had sex in the last 12 months" for gay men specifically is effective as a screening question at all for the reasons I have already discussed.

    Additionally, surely, sexually active in general ALSO creates a notable difference between the safety of blood vs people who are not sexually active, but there is no 12 month ban on sexual activity in general for blood donation - and it's not as though you are suddenly "cured" of HIV if you don't have sex.

    To be clear, I have NO PROBLEM with risk factor analysis and restrictions/limitations based on such analysis.

    I am just not sure this specific case makes much sense.
     
  12. Sokolov

    Sokolov The One True Cactuar Octopi

  13. Comissar

    Comissar I need me some PIE!

    Agreeing with Sok, thankyou for sharing that. It's good to know that the rule isn't in place as a kneejerk thing but does have statistical basis, and it was an interesting read from a purely personal standpoint as well. I didn't realise the incubation time was as long as 12 months for some STD's.

    Given it does not appear to be a rule based upon discriminatory action, the only further thing I'll say on it is that I hope screening methods improve to a point where the rule can be safely repealed. It's pretty crappy to be ready and willing to help only to be told you can't, even if the reasons do have sound justification.
     
  14. Boozha

    Boozha I need me some PIE!

    This kind of makes my point - it seems a way to minimze the chance of excluding a great amount of donors. It's a statistical decision, not a discriminatory one.
     
  15. Sokolov

    Sokolov The One True Cactuar Octopi

    As I said, I don't have a problem with the idea... I am just not convinced that the particular ban or restriction is actually effective at achieving that goal.
     
  16. Geressen

    Geressen Forum Royalty

    the exclusion seems to be based on the assumption that all homosexuals are sexcrazed fiends who cannot enter monogamous relationships and practice safe sex and thus all have diseases.

    I do not know about gay people in Orlando but wouldn't the % of aids infected have normalized to levels comparable to the straight population over the past decade(s)?
     
  17. Sokolov

    Sokolov The One True Cactuar Octopi

    Related to this too is the idea of using similar risk factor analysis for criminals (or potential criminals):

    http://fivethirtyeight.com/features/prison-reform-risk-assessment/

    "Criminal sentencing has long been based on the present crime and, sometimes, the defendant’s past criminal record. In Pennsylvania, judges could soon consider a new dimension: the future.

    Pennsylvania is on the verge of becoming one of the first states in the country to base criminal sentences not only on what crimes people have been convicted of, but also on whether they are deemed likely to commit additional crimes. As early as next year, judges there could receive statistically derived tools known as risk assessments to help them decide how much prison time — if any — to assign.
    "

    If there's a statistically higher chance of you re-offending based on race, socio-economic background, etc., should you get a longer sentence than someone with a statistically lower chance?

    Obviously there is more at stake here than blood donation, but it is the same principle.
     
  18. Boozha

    Boozha I need me some PIE!

    No, just a statistically relevantly increased chance to have diseases, and therefore a reason to be excluded. I don't really know what the statistics say, but historically gay people were much more likely to bear STIs than hetereosexual people, for reasons that are entirely irreelevant to the issue of blood donation safety.
     
  19. Boozha

    Boozha I need me some PIE!

    It's not the same principle at all. Not being able to donate blood is not a punishment. You don't go to prison for being more likely to have an STI, you just can't donate blood.

    A better comparison would be someone being banned from working in construction because his frail body looks like, even though that might not be accurate, like he can't safely handle heavy machinery. (Except that person would have to pay to work in construction, too - donating blood is a bit stressful on the body.)

    (Also, punishment based on statistical factors sounds more unconstitutional than taking away guns, but I don't think the two-toothed nuts will care.)
     
  20. Sokolov

    Sokolov The One True Cactuar Octopi

    The STATISTICAL principle is the same is what I meant. I agree that it is absolutely quite different in the effect on the individual.
     

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