The China Youth Daily Social Survey Center recently conducted a survey of 2083 people through the Public Opinion China Network and the Sohu News Center. Among them, 77.9% were concerned about the "blood shortage" and 76.5% said that the number of unpaid blood donations around them was low. 88.3% believe that public trust in voluntary blood donation is insufficient.

There are many people who are concerned about the blood shortage, but there are not many people who participate in and trust in blood donation. This is an indisputable fact. Fundamentally speaking, the blood shortage is a new problem that has emerged from the specific historical stage in which the planned economy has transformed into a market economy, where the traditional morality is weak and the system construction fails to keep up. Recently, the blood reserve centers in many provinces, regions and cities in China have reported an emergency situation. In the most serious time, the blood reserves of Yunnan Kunming Blood Center are less than 20,000 milliliters, which is 1/20 of the stocks that should be reached. In Beijing, the “ischemia” situation of major hospitals has existed for several years, and patients with more blood need more “blood donation”. The "blood prompt" that was broadcasted by the National Blood Donor Service Network in recent days showed that blood cells of type A, type B, and type AB all require "emergency blood donation."

The blood shortage means there is a serious shortage of supply. In the sample survey mentioned above, only 45.5% of people expressed their willingness to donate blood, 37.7% said they were "unwilling to do it," and 16.8% said they couldn't say it. From the reality, the data provided by Deng Haihua, director of the Publicity Office of the General Office of the Ministry of Health, shows that the donation rate of the population in China is only 8.7 ‰, which is lower than the 45.4 ‰ in the high-income countries and 10.1 ‰ in the middle-income countries. There is also a certain gap between the 10 recommended by WHO.

To fill the gap, people must first of all rely on moral advocacy, that is, obligation to donate blood. I think that the key now is to advocate public officials to “lead and offer”. Those “family members” who eat public food have the most reason to take more responsibility in blood donations. It is always the students, military personnel, and migrant workers that serve as the main forces for voluntary blood donation. Some people just sit back and enjoy it. For a long time, the main force of blood donation will feel that “this phenomenon also makes people feel unbalanced” and it is inevitable to make the obligation The road to donate blood goes further and narrower. At the same time, it is necessary to publicize more scientific knowledge of voluntary blood donation and open up more credible and safe channels for collecting blood and blood.

Apart from moral advocacy, institutionalization, especially taking the road of public welfare and reciprocity, is still the ultimate solution to relieving blood shortages. Looking at the mechanism of blood supply, we must adhere to the road of public welfare. Blood shortage is the trust shortage, and this kind of trust desert is relying on the "visible" public welfare to restore trust. For example, in addition to the normal cost of blood supply, medical and blood-supply agencies must make people “visible” to eliminate extra profits; it is necessary to make “visible” blood resources that have been hard to save properly and use; and, The blood supply is aimed at making people “visible” for specific medical purposes.

In addition, it is necessary to continue to carry forward the mechanism of “mutual blood donation” for the family members that are widely existing in the real world. In addition to the moral advocacy for voluntary blood donation, medical and blood-supply agencies must develop more reciprocal compensation channels. For example, families who have enjoyed blood transfusions should mobilize their family members to donate blood afterwards in order to give back to the society as long as the conditions permit; and when conditions are ripe, they can also try to establish family reciprocal blood bank as family members. Under the premise of self-protection, we will serve the society through mutually beneficial channels.