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https://twitter.com/CNBC/status/1542550530207019008 https://money.whatfinger.com/why-does-blood-make-up-over-2-5-of-all-u-s-exports-watch-the-video-to-learn-how-the-economy-of-blood-works-and-why-blood-plasma-is-so-valuable/

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Yes there are paid donations, but most blood drives are not getting paid. And you cannot elect to donate Plasma, Red Blood Cells or Platelets, only Blood, which is then separated.