By Evan D. Gumas, Munira Z. Gunja, and Reginald D. Williams II,

Firearm mortality in the United States has been well documented, and for good reason: far more Americans die of firearm-related causes than do residents of any other high-income country. Firearms are the leading cause of death for children in the U.S. and the weapon used most in interpersonal violence against women. The Centers for Disease Control and Prevention (CDC) estimates that nearly 49,000 Americans died from firearm-related causes in 2021, up from about 45,000 in 2020.1 In 2019, firearms accounted for 10.4 deaths for every 100,000 people in the U.S., around five times greater than in the countries with the second-and third-highest death rates, France (2.2) and Switzerland (2.1). Less publicized, however, is how gun violence burdens the healthcare system. Each year in the U.S., firearm-related injuries lead to roughly 30,000 inpatient hospital stays and 50,000 emergency room visits, generating more than $1 billion in initial medical costs. In 2020 alone, deaths from these injuries cost $290 million, an average of $6,400 per patient. Medicaid and other public insurance programs absorbed most of these costs. But the impact of gun violence reaches far beyond the hospital room. Firearm injuries leave victims with hefty medical bills. Medical spending increases an average of $2,495 per person per month in the year following the injury. Survivors are also more likely to develop mental health conditions and substance use disorders, areas in which the U.S. has poor outcomes.

New York: Commonwealth Fund, Apr. 2023. https://doi.org/10.26099/a2at-gy62