Abstract

In Reply.— We are pleased to respond to the comments of Drs Menitove, Bove, and Westphal and are in total agreement with the assessment that our article presented exclusively the legal perspective. This caveat was stated in our article, while we also underscored the importance of medical, ethical, and political considerations. The following is in response to their specific comments. We seriously question Dr Westphal's statement that the safest blood comes from volunteer donors, not designated donors. To our knowledge, there are no prospective, controlled studies that have demonstrated that volunteer blood is safer. Likewise, we did not state that directed donations are safer. Our intent was to encourage the medical community to explore the legal implications of following established blood banking guidelines. We emphasize that designated donor blood should be subjected to routine screening procedures. The blood banking community's opposition to directed donations does not necessarily protect potential defendants

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