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I know there's already a thread right now about the ethics of Hemalurgy, but it primarily deals with those getting spiked, and whether they can recover. Based on two pages of results for "Hemalurgy," and seeing nothing about industrial Hemalurgy, I decided to make a thread for speculating about Hemalurgy's use on a large scale. Hemalurgy isn't super efficient. It can be used to kill one person and preserve their power for a few more people until said power becomes so small as to be negligible. With the use of Feruchemical gold, a spikee can be spiked multiple times without dying--though they probably suffer from so many scars that using gold is impractical. If Hemalurgy were to be treated like organ donorship is today, it would clearly not have a large supply. Lots of people abhor the idea of getting spiked in the chest, even if it helps their fellow Scadrian/worldhopper/their country as a whole. Because of this low supply, efficiency in distributing and using Hemalurgy is critical. Ethics are a part of this discussion, particularly because Hemalurgy causes physical, as well as psychological, discomfort. How does an advanced society use Hemalurgy, and how can it do so without committing war crimes? There are several choices regarding the distribution of spikes--help the military, or improve infrastructure, or perhaps safely remove spikes from people after their task is done? Does a Pewter-Tin Allomancer rifleman retire? Should a Steel-Compounding rescue operator return their spikes when off-duty? Is gold plentiful enough for use (like an IV) in any hospital, or is it reserved for the elite or the workers with dangerous but irreplaceable jobs? Can people charge for, or buy their own, spikes? What should be the Hemalurgic appendum to the Geneva Convention, and how should ethics be weighed over efficiency?