The outrageous cost of our love for guns

Jennifer Longdon was one of at least 750,000 Americans injured by gunshots over the last decade, and she was lucky not to be one of the more than 320,000 killed. Each year more than 11,000 people are murdered with a firearm, and more than 20,000 others commit suicide using one. Hundreds of children die annually in gun homicides, and each week seems to bring news of another toddler accidentally shooting himself or a sibling with an unsecured gun. And perhaps most disturbingly, even as violent crime overall has declined steadily in recent years, rates of gun injury and death are climbing (up 11 and 4 percent since 2011) and mass shootings have been on the rise.

Yet, there is no definitive assessment of the costs for victims, their families, their employers, and the rest of us—including the major sums associated with criminal justice, long-term health care, and security and prevention. Our media is saturated with gun carnage practically 24/7. So why is the question of what we all pay for it barely part of the conversation?

A top public health expert describes the chill this way: "Do you want to do gun research? Because you're going to get attacked. No one is attacking us when we do heart disease."
Nobody, save perhaps for the hardcore gun lobby, doubts that gun violence is a serious problem. In an editorial in the April 7 issue of Annals of Internal Medicine, a team of doctors wrote: "It does not matter whether we believe that guns kill people or that people kill people with guns—the result is the same: a public health crisis."

And solving a crisis, as any expert will tell you, begins with data. That's why the US government over the years has assessed the broad economic toll of a variety of major problems. Take motor vehicle crashes: Using statistical models to estimate a range of costs both tangible and more abstract—from property damage and traffic congestion to physical pain and lost quality of life—the Department of Transportation (DOT) published a 300-page study estimating the "total value of societal harm" from this problem in 2010 at $871 billion. Similar research has been produced by the Environmental Protection Agency (EPA) on the impact of air pollution, by the Department of Health and Human Services on the costs of domestic violence, and so on. But the government has mostly been mute on the economic toll of gun violence. HHS has assessed firearm-related hospitalizations, but its data is incomplete because some states don't require hospitals to track gunshot injuries among the larger pool of patients treated for open wounds. The Centers for Disease Control and Prevention (CDC) has also periodically made estimates using hospital data, but based on narrow sample sizes and covering only the medical and lost-work costs of gun victims.

Why the lack of solid data? A prime reason is that the National Rifle Association and other influential gun rights advocates have long pressured political leaders to shut down research related to firearms. The Annals of Internal Medicine editorial detailed this "suppression of science":

Two years ago, we called on physicians to focus on the public health threat of guns. The profession's relative silence was disturbing but in part explicable by our inability to study the problem. Political forces had effectively banned the Centers for Disease Control and Prevention and other scientific agencies from funding research on gun-related injury and death. The ban worked: A recent systematic review of studies evaluating access to guns and its association with suicide and homicide identified no relevant studies published since 2005.

An executive order in 2013 from President Obama sought to free up the CDC via a new budget, but the purse strings remain in the grip of Congress, many of whose members have seen their campaigns backed by six- and even seven-figure sums from the NRA. "Compounding the lack of research funding," the doctors added, "is the fear among some researchers that studying guns will make them political targets and threaten their future funding even for unrelated topics."