Is it a scam? Are they taking your "generous donations" and selling it for profit? Are they drinking it to honor their lord satan? Something doesn't sit right with me about it.
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Is that all they're doing is covering costs? Or are they making a profit? Because I can't sell my blood directly to the hospitals, I have to go through the blood donation orgs as a middleman.
Yes. They make a profit and take it in form of salary.
The average salary for American Red Cross employees is $70,435 per year
That's a very high salary that comes with vacation time and benefits.
You can give blood directly to a hospital if you don't want to deal with red cross or other blood orgs. Any local hospital in your area will be more than happy to take your donation.
They can pay.
To your point, at the very least they're throttling the open market to prevent competition from rising.