@Jefromi Well, I have an upvote from at least one CM :P Hopefully the others agree. I was hoping that this might be the case... I knew my chances would be better on a Beta site.
Particularly since they take their entire network experience into account rather than only their performance on that one site.
@Jay Sure... but everyone has those sorts of things in their life... all of the people who are running who I've talked to have kids and jobs and stuff... that's why there's three mods, not just one.
@Jay yup - but if you're up anyway, you can just as well nurse in front of the computer or rock your baby to sleep at your desk. (Ask me how I know...)
@Jay I feel your pain. They had the bloodmobile here last week and I couldn't either... though, your reason (if it's the reason I think it is) is stupider.
You don't have to feel pressured to donate blood just because you saw the advert. There are many other ways to give back to society, and you are certainly using them more than others I know.
So, they justify it by saying that it's correlated with STI risk (which is true) but I'm not 100% sure that they've fairly eliminated other things with similar levels of STI risk.
@rumtscho Maybe not back in the 70s and 80s... but it is now. "let's ban a group of men from donating blood just because of their sexual preferences"... but not every other group of potentially high-risk donators...
@rumtscho Anyone in their 20s-30s who has multiple sexual partners? My dad and his husband can't give blood even though they've been together for 20 years... how is that more high-risk than my husband and I?
I must admit I am not all that versed in blood donation rules, but if you are going to make a question of discrimination out of it, I could imagine that stopping the other high risk groups is a better answer than allowing men who have sex with men to donate.
I also tend to believe that even if it's more work, it's worth extra effort to try to be more fair, rather than targeting minorities just because it's easy.
> Although MSM represent about 4% of the male population in the United States, in 2010, MSM accounted for 78% of new HIV infections among males and 63% of all new infections.
You could try defining less risky subgroups such as monogamous MSM, but this makes it more complicated, both in setting up the prediction model and in getting out good data.
@Jefromi Who? That's silly... of course they should screen for it... but treating the entire group of men as if they have HIV just because they have sex with other men seems a bit absurd.
but else, it makes very good sense from a pure risk management point of view, even though it touches on sensible subjects and is unfair for some people.
I definitely think it's worth the effort to try to do such things (and I don't know how hard they tried in the recent re-evaluation), because we kind of have an obligation not to heap additional unfair treatment on minorities.
@Catija No. They are treating them as having a higher chance to have HIV than others, creating very high costs of risk management. They just decide to avoid these costs.
> Although an estimated 38 percent of the U.S. population is eligible to donate blood at any given time, less than 10% of that eligible population actually do each year.
@rumtscho They still have to test all of the blood regardless... right? They're not going to actually trust what the people who donate tell them... lots of people don't even know that they have these diseases.
That's an interesting number. 62% seem to be uneligible. And only 4% are estimated to be MSM. So, it's not that MSM are singled out for eligibility, there must be many other reasons too.
I don't know what the actual number is, but even if it's 1% false negatives, that can easily result in actual people getting HIV if they don't pre-screen.
@rumtscho Well, MSM are singled out in terms of HIV screening.
Also, a person shouldn't feel like it is normal to be eligible and it is a rare thing to be pronounced ineligible. It seems that the normal thing is to not be eligible.
In fact, some sort of new guideline (in Texas, anyway) seems to imply that any woman who has ever been pregnant should consider whether donation is a good idea... I didn't see the questionnaire that my husband filled out recently when he donated but there was something about having been pregnant ever in there.
@Catija people who develop questionnaires include the probability of false information into their calculations. They test for it. And different types of question get different false answer rates.
I haven't seen data on that particular questionnaire, but I have some experience in psychometry, having developed questionnaires myself and read books on the psychology of survey responders. My intuition is that something like "have you had unprotected sex in the past year" will get significantly more false answers than "have you had sex with a man last year".
And also, let's do some back of the envelope calculation. Assume that a MSM has 10 times more risk to be infected than another person (my calculation would also work if the number is 5 times more or 20 times more, let's go with 10).
Assume that there are 4% of MSM in the population and 50% of them are monogamous, and that they have the same donation rate as the rest of the population.
But the risk would inevitably go up, even though it won't be the whole 10 times more risk. Even if it only goes up by 50%, that's a lot of risk for 2% more blood.
If rumtscho's back of the envelope calculations are right here, then yes, the current situation might make sense, and that would be a convincing reason people shouldn't get upset about it.
But absent that explanation, it's totally reasonable for people to not be happy about it.
Or they should just not get upset about it in the first place, and rather inquire about the reasons behind it, and calmly propose a change if reasonably possible.
And not accuse other, specific people of discrimination all the time.
Now you can see a moral problem in it, but I really don't see "donating blood" as an innate right people have to fight for. Even though I disagree with the "you get nothin out of it" idea, it is just one of many possible forms of altruism.
And so it's unproductive to point that out at every turn.
There are a lot of issues in the world that are emotionally meaningful to people, and the only way to make progress on them is to acknowledge and work with people, including those emotions.
To say it'd be better if they just weren't upset is to dismiss their concerns.
@rumtscho I generally agree, but at the same time, I think we also should try to be as fair as possible about things even when they aren't innate rights.
So, if it's not possible to be more fair on this subject, okay, that sucks. If it is, we should definitely try. And the way the FDA (for example) has spoken about this hasn't given me great confidence that they've actually been fair in their evaluations - but maybe they have.
Imagine that somebody gets infected through donated blood, and this can somehow be traced back to a gay donor (don't ask me how the tracing happens. But hospitals are extremely good on recording data nowadays).
> The risk for acquiring HIV infection through blood transfusion today is estimated conservatively to be one in 1.5 million, based on 2007--2008 data (2). This report describes the first U.S. case of transfusion-transmitted HIV infection reported to CDC since 2002 (3).
> During his interview, the donor reported he was married but had sex with both men and women outside of his marriage, including just before his June 2008 donation. He indicated that the sex often was anonymous and occurred while he was intoxicated.
Honestly, the government is pretty crappy at saying stuff in a way that doesn't sound discriminatory. That whole "if you're female and you're not on birth control, you shouldn't drink" thing was a fiasco.
Yeah, I know. But you have to be careful about protecting minorities like that.
@Catija I guess so, but on the other hand, how do you see "if you're female and you're not using any form of contraception and don't want to get pregnant, you shouldn't have sex"?
I think in that case, the CDC was relatively sane, and the media was responsible for a lot of the discriminatory-sounding phrasings.
@Jefromi Even when I was trying to get pregnant, I knew that there were times I could be certain that it was safe to drink... and I would drink then, in extreme moderation...
Let's say that I want to send a letter to somebody who lives a kilometer away from me. The postman could take it from my outbox and bring it to their inbox on the same day.
Usually, people in the political centre are against discrimination, and they will support those on the far left who fight it. But, when the far left fight a case of what they see as discrimination but the centre as insignificant or legitimate, they risk losing the support of the centre for the whole fight against discrimination. That's why I think moderation is advisable if you want to change society.
But in the name of efficiency, all letters from outboxes are brought to the main post office, sorted overnight, and given to the postmen on the next day.
I have gotten the impression that there might be room for a wee bit more fairness here without much additional risk, and would like to see the FDA really address that, that's all.
I am assuming that the FDA or CDC or whoever is responsible has done a better feasibility analysis than I did when deciding on their criteria, and that they knew what they are doing. Maybe that's too strong of an assumption given that they are government agencies :)
I think my doubts come less from general government incompetence and more from my impressions of their incentives and society's biases as a whole.
Hm, from wiki:
> In the United States in 2005, MSM, African Americans, and persons engaging in high-risk heterosexual behavior accounted for respectively 49%, 49%, and 32% of new HIV diagnoses.
Yes... I'm sure that it's solace to some people to know that the blood they're receiving doesn't come from someone they find morally repulsive... which I find reprehensible... but people are stupid.
@Catija That's not really what I meant, just that I don't think overall people are going to spend a lot of effort trying to do right by people they might have subtle biases against.
@Catija the kind of people who find it repulsive to get blood from somebody who had gay sex yesterday are probably just as repulsed about getting blood from somebody who had gay sex a year ago.
@Catija maybe they did, but the ban reduction was still enacted. Which is a good sign that the people who make decisions about the ban are not overly concerned with such opinions.
@Jefromi That's not surprising at all. Generosity is a feeling which changes with the way you perceive your social status and your access to resources as a whole. Somebody who is poor is unlikely to be generous even with things he can replenish easily.
Scientists seldom are... real ones, anyways. It's more of a trust but verify thing... I don't know they're being discriminatory so much as I don't think they're doing enough to explain why they're making the restrictions they are and to explain that they're not ignoring other risky groups... in a way that you don't have to be a scientist to understand.
@rumtscho Perhaps that's why (though I'd guess more about free time than generosity), but anyway my point was more looking at that in combination with the HIV infection rates.
Naively, you wouldn't lose many donors and you'd cut HIV risk dramatically if you banned African American donors, but I don't think that's an option on the table. (and I'm glad it's not)
Basically what's documented here:
What formula should be used to determine "hot" questions?
We have a few tweaks:
Succeeding questions from the same site are penalized by increasing amounts. So, the first question from SO in the list gets multiplied by 1.0, the second by 0.98, the third ...
I put some sous vide chicken breast in my cast iron skillet for a minute or two - my first time using the cast iron skillet. now it looks a lot lighter where the chicken breast was, even after rubbing a bit of oil on it again afterwards. is that normal?
@rumtscho "Somebody who is poor is unlikely to be generous even with things he can replenish easily.": I actually believe that is not true, that poor people donate just as much as rich people, comparatively. This has been researched.
As much as social psychology can be trusted, of course.
@Cerberus Interesting. I haven't seen research data on this, but have observed both rich and poor people, and also ones who transitioned from poor to rich (and became more generous after doing so).
> The poor are more generous than the rich when it comes to giving to good causes, according to research which challenges the "Robin Hood" myth of charity as an agent of redistribution.
I know people who are poor in the sense of having to choose between paying the electricity bill and the rent, and people who are rich in the sense of being middle class people in a Western society who can afford a bit of luxury in their lives.