The cost of firearm injuries in the United States in 1990 was an estim
ated $20.4 billion. This includes $1.4 billion for direct expenditures
for health care and related goods, $1.6 billion in lost productivity
resulting from injury-related illness and disability, and $17.4 billio
n in lost productivity from premature death. While these are the best
available national estimates, it is likely that they underestimate the
economic impact of firearm injuries because they are based on relativ
ely old data and on many assumptions necessitated by data gaps. The ne
ed for better data and improved estimates, and their policy relevance,
are discussed.