In countries where buying blood is illegal, and so relies on people’s altruism, it seems plausible that the government wouldn’t be able to operate at its ideal budget per QALY, and so that this was more effective than we would otherwise think. Although I could also imagine that the government doesn’t include the donors’ time in its cost, and so could actually go over its ideal budget per QALY, but that seems less likely to me.
In countries where buying blood is illegal, and so relies on people’s altruism, it seems plausible that the government wouldn’t be able to operate at its ideal budget per QALY, and so that this was more effective than we would otherwise think. Although I could also imagine that the government doesn’t include the donors’ time in its cost, and so could actually go over its ideal budget per QALY, but that seems less likely to me.