Blood Donations from People in Their 20s Have Halved in 15 Years — Why Won’t Young People Donate?

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The story

According to Ministry of Health, Labour and Welfare data, the number of blood donors in their 20s fell from roughly 1.13 million in fiscal 2009 to about 660,000 in fiscal 2024. A Nippon Foundation survey found that fewer than 10% of people in their teens and 20s have ever donated blood. On 5ch’s “Live News (Anything Goes)” board — a general live-commentary board — this figure sparked a thread with over 40 replies debating why young people won’t donate, from the point that being on regular medication disqualifies you, to frustration with a system that leans on unpaid “goodwill,” to calls for paid donations or tax breaks.

What people said

1AnonymousSep 4, 2026 20:20
According to the Ministry of Health, Labour and Welfare, the number of blood donors in their 20s fell from about 1.13 million in fiscal 2009 to about 660,000 in fiscal 2024.
A Nippon Foundation survey found that fewer than 10% of people aged 10 to 29 have ever donated blood, even once.
Recent statistics show about 210,000 donors aged 16-19, about 660,000 in their 20s, and about 700,000 in their 30s — the younger the age group, the fewer the donors.
4AnonymousSep 4, 2026 20:20
Sounds like the main donor base is old geezers in their 40s
9AnonymousSep 4, 2026 20:22
It's because they reject you instantly if you're on any medication at all

I can't donate anymore since I can't go without my meds
20AnonymousSep 4, 2026 20:23
Re: #9
If it's just a little medication, quit it before you get dependent, dumbass
19AnonymousSep 4, 2026 20:23
I'm not getting paid, so I have zero interest in helping anyone else
Cracks me up thinking some idiot might die because I didn't donate
25AnonymousSep 4, 2026 20:24
Re: #19
Bet you'll remember this post while you're dying in an accident because there wasn't enough blood for your transfusion
22AnonymousSep 4, 2026 20:24
Working folks already carry a huge burden, and now they want to squeeze blood out of them too — rough being young these days
33AnonymousSep 4, 2026 20:27
Re: #22
The ones getting squeezed are the geezers in their 40s
24AnonymousSep 4, 2026 20:24
No way I'm giving away my blood for free, you'd better pay me a fair price for it
28AnonymousSep 4, 2026 20:25
Re: #24
Back when selling blood was legal, a lot of people pushed themselves too hard selling it and died
27AnonymousSep 4, 2026 20:25
It's on you guys for spreading hepatitis and HIV around with blood products and reused needles
There's no point doing something that carries risk with zero upside
31AnonymousSep 4, 2026 20:26
Re: #27
It was America that made the HIV-tainted blood products
39AnonymousSep 4, 2026 20:29
Might as well let supply run short
They should build a system that can sustain itself without relying on people's goodwill
43AnonymousSep 4, 2026 20:31
Re: #39
You're the one who'll die from lack of blood when you get in an accident
45AnonymousSep 4, 2026 20:31
Re: #39
That's actually a fair point
There's even a theory going around lately that the intestines produce blood (a fringe pseudo-science claim)
46AnonymousSep 4, 2026 20:32
In the end this problem would be solved instantly if we stopped pouring resources into extending old folks' lives
58AnonymousSep 4, 2026 20:34
Re: #46
Is there actual data backing that up?
48AnonymousSep 4, 2026 20:32
It's because what you get for donating has gotten so cheap
Also give out way more detailed test results
Do that and I'll consider it
52AnonymousSep 4, 2026 20:33
Re: #48
It's already way more detailed than a regular health checkup, that should be plenty
53AnonymousSep 4, 2026 20:33
Why are they trying to get someone else's precious blood for next to nothing?
That's basically begging
55AnonymousSep 4, 2026 20:34
Re: #53
Back in the day it was called bloodletting — they paid you to have your blood drawn and thrown away
75AnonymousSep 4, 2026 20:40
Old folks have more free time on their hands, so just have them donate instead
Why don't they do that?
77AnonymousSep 4, 2026 20:41
Re: #75
Can't — their blood pressure's too high
78AnonymousSep 4, 2026 20:41
Re: #75
Old folks probably have chronic conditions and are on medication
88AnonymousSep 4, 2026 20:45
Heard most of it ends up being used to keep old people alive longer
91AnonymousSep 4, 2026 20:47
Re: #88
Do old people really run that short on blood? Why?
92AnonymousSep 4, 2026 20:47
I'd like to donate but I don't have the time and I hate needles
Also I don't know my own blood type so I probably can't anyway
94AnonymousSep 4, 2026 20:48
Re: #92
They check your blood type every time
They take about a millimeter of blood from your fingertip right before
93AnonymousSep 4, 2026 20:48
Give me your blood for free! Though if there's extra I'll just go sell it myself lol
97AnonymousSep 4, 2026 20:49
Re: #93
It's basically like recycling collection
100AnonymousSep 4, 2026 20:51
If cash rewards are a no-go, why not just hand over a solid amount of necessities like food or hygiene products as compensation instead? Blood's a huge money-maker anyway, right?
104AnonymousSep 4, 2026 20:52
Re: #100
With prices this high, something like that might actually help
109AnonymousSep 4, 2026 20:55
Re: #100
The Red Cross's blood donation program basically runs at a loss
Who told you it's a huge money-maker?
102AnonymousSep 4, 2026 20:51
Calling it "goodwill" — are you trying to say people who don't donate are "evil"?
How rude of you
106AnonymousSep 4, 2026 20:53
Re: #102
You'll do as today's target, I guess
108AnonymousSep 4, 2026 20:54
If direct cash payments are off the table, they could at least track it through the My Number system and give a resident-tax discount for every donation
116AnonymousSep 4, 2026 20:57
Re: #108
A tax break for donors sounds reasonable
Though honestly, taxes are too high even without that — they should just scrap the consumption tax

Background and Key Points of This Debate

Japan’s blood supply shifted entirely to unpaid, volunteer donation in 1964, after an incident in which the U.S. ambassador to Japan was stabbed and the poor quality of “purchased blood” used in his transfusion became a public scandal — ever since, “voluntary, unpaid donation” has been national policy. The 1980s also saw the drug-induced HIV scandal, in which unheated blood products imported from overseas spread HIV infections; the exchange in replies #27 and #31 is a reference to that history. Elderly people often fail to meet donation eligibility criteria because of high blood pressure or regular medication, which is part of why the burden of supplying blood falls disproportionately on the working-age population — feeding young people’s sense of being unfairly squeezed. Calls for paid donation remain persistent, but the Japanese Red Cross Society’s blood donation program itself reportedly runs at a loss, which is why some in the thread proposed alternatives like tax breaks instead.

※This article is excerpted and summarized from the 5ch (“Live News (Anything Goes)” board) thread “[Mystery] Ministry of Health, Labour and Welfare: “Young people these days don’t donate blood at all. Makes no sense”.”

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