In a recent article in this journal Lee argued that indirect medical costs should be ignored in economic evaluations. To reach this conclusion, Lee uses an unrealistic and uncommon budget constraint.

This comment highlights a number of methodological problems in Lee’s analysis. Moreover, it highlights that looking at current practice of economic evaluation, Lee’s model implies the inclusion rather than the exclusion of indirect medical costs.

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Journal of Health Economics
Erasmus School of Health Policy & Management (ESHPM)

Feenstra, T., van Baal, P., Gandjour, A., & Brouwer, W. (2008). Future costs in economic evaluations. Journal of Health Economics, 27, 1645–1649. Retrieved from