Brain Injury: Is an Economist Needed?

By Christopher Skerritt, M.Ed., MBA, Chief of Economic Services · Published · Reviewed

Traumatic brain injury claims almost always justify an economist, because cognitive and behavioral effects can end a career even when physical function returns, and because the care and supervision costs can extend over a lifetime. The economic claim combines lost earnings and earning capacity, lost fringe benefits, the replacement cost of household services, and the present value of the future care documented in a life care plan or treating recommendations. Counsel considering an economist should understand that the size of the claim depends on inputs prepared by others: the medical and work-capacity opinions define the post-injury path, and the economist prices it.

Checklist

  1. Gather the person's earnings history and, for a young person, the educational and occupational path they were on
  2. Determine whether the record contains an opinion on what work, if any, the person can do now
  3. Identify whether a life care plan is planned and who will author it, since its present value is often the largest figure
  4. Document the household work and supervision the family now provides without pay
  5. Note the person's age, because a long remaining worklife drives the earnings component

Questions to ask the economist

Timeline

Two to three weeks to a preliminary view, because the post-injury path depends on medical and work-capacity opinions that may not yet exist. The full report follows the retention and records phases.

Required documents

Common pitfalls

Frequently Asked Questions

Can the economist estimate what the injured person can still earn?

No. That opinion comes from the medical record or from vocational findings supplied by other experts. The economist takes the post-injury capacity as given, prices it with occupational earnings data, and measures the gap against the but-for path. Retaining the economist alone does not close that gap in the record.

How long does it take to reach a preliminary view in a brain injury case?

Longer than in a straightforward injury case, because the post-injury path depends on neuropsychological and treating opinions that may not exist yet. The earnings base and the fringe benefit rate can be established from the financial records in the first weeks; the gap measurement waits for an opinion on what work the person can do. Counsel should expect a provisional range first and a full analysis after the medical picture settles.

Who supplies the supervision and care hours the economist prices?

The life care plan or the treating providers supply the care and supervision items, and the family's account documents the unpaid hours now being provided at home. The economist prices those hours at replacement rates, reconciles them with the household services claim so no hour is counted twice, and states the source of every input. The economist does not decide how much supervision the person needs.

References

Request a consultation on Traumatic Brain Injury or call (201) 343-0700. Plaintiff and defense counsel.