Lin, Jin-Mann S, Resch, Stephen C, Brimmer, Dana J et al. · Cost effectiveness and resource allocation : C/E · 2011 · DOI
This study measured how much money ME/CFS costs people and society in Georgia. Researchers found that people with ME/CFS spend about $3,300 extra per year on medical care and lose about $8,500 in yearly income compared to similar people without the illness. Across Georgia, ME/CFS may cost the state over $1.5 billion annually when you add up healthcare spending and lost wages.
Understanding the economic burden of ME/CFS is essential for advocating resource allocation toward research, treatment development, and clinical care. This study provides quantifiable evidence of the substantial individual and societal costs of ME/CFS, which can inform healthcare policy and guide prioritization of interventions to reduce disease burden.
This study does not prove causation—it documents association between CFS diagnosis and increased costs and reduced earnings. The findings are specific to Georgia in 2004–2005 and may not generalize to other regions or current conditions. The study cannot determine whether lower earnings are due solely to functional impairment from ME/CFS or are partially driven by reduced educational attainment and other confounders.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Lin, Jin-Mann S, Resch, Stephen C, Brimmer, Dana J, Johnson, Andrew, Kennedy, Stephen, Burstein, Nancy, et al. (2011). The economic impact of chronic fatigue syndrome in Georgia: direct and indirect costs.. Cost effectiveness and resource allocation : C/E. https://doi.org/10.1186/1478-7547-9-1
BibTeX
@article{mecfsatlas-lin-2011-economic-impact,
author = {Lin, Jin-Mann S and Resch, Stephen C and Brimmer, Dana J and Johnson, Andrew and Kennedy, Stephen and Burstein, Nancy and Simon, Carol J},
title = {The economic impact of chronic fatigue syndrome in Georgia: direct and indirect costs.},
journal = {Cost effectiveness and resource allocation : C/E},
year = {2011},
doi = {10.1186/1478-7547-9-1},
note = {PubMed: 21251294},
url = {https://www.mecfsatlas.com/evidence/lin-2011-economic-impact},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/lin-2011-economic-impact
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