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Do We Really Need More Gun-Violence Research?

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Later this week I am scheduled to attend a two-day conference at the Academy of Sciences Health and Medicine Division Institute in Washington, D.C. The conference topic is: “Health Systems Intervention to Prevent Firearm Injuries and Death.”  The purpose of the conference is to update recommendations for additional gun research, a task recommended by President Obama after Sandy Hook. Of course this would mean that the CDC research spigot would be turned back on.  Yea, dream on.

smith manual              I’m not going to the meeting because I do not believe we need any more research on gun violence.  What are we going to find out? That there’s some way to point a gun at yourself or someone else, pull the trigger and not suffer an injury or death? Oh, I forgot. We can always do yet another study which assumes that keeping the gun ‘safely stored’ will reduce gun violence.  Except other than a couple of hundred youngsters who are accidentally shot each year by a dumb parent or older (or younger) child, safe storage doesn’t do squat.

You don’t walk around with a gun safely stored. You walk around with a live gun because you believe it will protect you from someone else who has a gun, or from someone else who wants to steal your money, or from someone like the kid in Corpus Christie this past weekend who got into an argument with another family member “over nothing” (according to a witness) then pulled out a banger and – bang! – four people were dead.

The Urban Institute study indicates that one out of three adolescents and young men in certain Chicago neighborhoods either have or plan to walk around their neighborhood with a gun. These neighborhoods experience killing rates twenty or thirty times higher than the national fatal gun-violence rate. How did that happen?

If one more physician tells me that he or she would like to advise patients to avoid guns but, after all, the Constitution gives the patient the ‘right’ to own a gun, I’m going to suggest that said doctor go back and read the Hippocratic Oath which happens not to mention the Constitution at all. If a patient walked into a clinic and admitted to being a smoker, would a physician dare avoid telling the patient that he shouldn’t smoke? Because in case you didn’t know it, smoking is also a Constitutional ‘right.’  It’s Article 1, Section 8, Clause 3 – the Commerce Clause.  I can buy as many cigarettes as I want.  In my state I have to be 21 to buy smokes. But I also have to be 21 to buy a handgun.  How come the doctor insists that I shouldn’t exercise one Constitutional ‘right’ but I should just behave in a ‘reasonable’ way when I want to exercise the other Constitutional ‘right?’

Lester Adelson was Cuyahoga County coroner for almost thirty years. He had plenty of experience with gun violence and wrote a remarkable textbook on forensic homicide which should be read by everyone in the gun-control crowd. In 1980, he published what I believe is still the best and most concise opinion-piece on gun violence, and you can download it from my website here. I quote Adelson apropos of what happened in Corpus Christie: “With its peculiar lethality, a gun converts a spat into a slaying and a quarrel into a killing.”

Next time you buy a gun (ha ha) open the box and you will find an owner’s manual. If you don’t want to buy a gun, you can read one right here.  Notice right on the first page it says in big, bold, red letters: “FAILURE TO FOLLOW THESE WARNINGS MAY RESULT IN SERIOUS INJURY OR DEATH TO YOU AND OTHERS.”

If gun makers don’t try to hide the fact that their products are dangerous, why do we need more research to learn the same thing?  Since the medical community hasn’t figured this one out I’ll explain it: you reduce gun risk by getting rid of the risk. Gee, that was a tough one.

 

 

Guess What? With Your Help There’s A Chance That CDC-Funded Gun Research Might See The Light Of Day.

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Friday is usually a quiet day when it comes to gun news, for that matter it’s usually a quiet day for all news, particularly as we enter the Holiday season and office parties usually trump any real work.  But a news item out of DC caught my eye this morning and rocked me back on my heels.  I am referring to the fact that CDC funding for gun violence research might actually survive the House budget negotiations and get into the bill.

conference program pic              What?  A federal budget that actually contains money for CDC-funded research on guns?  How is this possible in today’s political climate?  How is it possible that one of the NRA’s most sacred totems, i.e., the defunding of gun research, could be overcome when every Republican Presidential candidate has followed Trump’s lead in calling for more, not less access to guns? Even the police unions and various chiefs are saying that we all need to be armed.  And wasn’t it CDC-funded research back in the 90’s which found that the notion that guns can protect us just wasn’t true?

The NRA has been claiming that armed citizens prevent millions of crimes each year.  And this claim, which has been repeated by right-wing think tanks and right-wing politicians again and again, is bandied about by gun-rights supporters hither and yon.  If you want the latest and slickest version of this canard, just tune into Wayne-o mouthing the same bromide to all his video fans. And what is this entire claim based on?  A telephone survey published in 1994 by Gary Kleck in which a few folks working for him allegedly spoke to 213 people who claimed they had used a gun to prevent a crime. If I had a nickel for every time this so-called research has been debunked, I wouldn’t have to work for a living, and even Kleck himself recently backed down from his own claim.  But if serious researchers can’t get financial support to validate anything that Kleck said, it doesn’t matter whether it’s true or not.

The problem with public health research is that, by definition, either it’s evidence-based or it doesn’t get published and read at all. Which means you need money to dig up and analyze the evidence  before you can contribute to the debate at all. Which is exactly why the NRA managed to defund CDC gun research after 1996, and is exactly why the spurious claims made by Kleck and his followers have taken on a life of their own. Because as a country whose legal system rests on due process, the law in most jurisdictions requires that any legislation must first be debated in a public forum, which means you have to hear from both sides.  And if one side presents arguments that are nothing more than opinions and marketing claptrap, while the other side can’t respond because they can’t conduct research to elucidate the facts, guess who wins the public debate?

This has been the sorry state of affairs for the past twenty years, and this is the state of affairs that might actually change in the budget negotiations on Capitol Hill.  I have to assume, incidentally, that there’s some connection between the idea of refunding CDC-sponsored gun research and the spate of mass killings which appears now to be totally out of control.  The good news for Trump, et. al., in the latest mass slaughter iteration was that the moment the shooters were linked to some kind of terrorist something, the fact they had acquired their guns and ammo legally just went by the board.

Here’s the bottom line, folks.  Anyone who believes that 100,000+ gun deaths and injuries each year doesn’t constitute a public health issue can go lay brick.  As for everyone else, here’s a link to a little app put online by Doctors for America that get you onto the phone to make a call to DC.  Needs to be done today.  Needs to be done now.

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