Friday, February 23, 2018

Parkland Gun Violence


Gun Violence - What Can Be Done?
Following the recent massacre that brutally left seventeen bright children dead in the hallways of their school in Parkland, Florida, the response on various issues has been predictably impassioned and debated in depth.  But, this time feels different.  Why?  I believe it’s because we have now seen two separate tipping points; tipping points on both end of the spectrum, both in terms of gun violence/mass shootings and in terms of action on problem solving. Let me explain.

A good friend, Dr. Alex McDonald, is one who is actively trying to do his part as he was involved with the American Academy of Family Physicians as they joined other frontline physicians, including the American Psychiatric Association, in a public call for the government to act on gun violence, in large part by labeling it a public health epidemic.1  

An epidemic?  Many people will be skeptical about the use of that word.  Merriam-Webster defines an epidemic as excessively prevalent and/or characterized by very widespread growth or extent.  So, yes, it is fair to call gun violence a public health epidemic, especially when you compare it to other accepted epidemics.  For example, the swine flu epidemic in 2015 killed 2,035 people and the Ebola virus epidemic killed somewhere north of 11,300 people from 2013-2016.2  Meanwhile, there are close to 13,000 gun HOMICIDES per year in the US alone.3  Furthermore, looking at the data from the number of mass shootings4,5, and the number of deaths and injuries6 from mass shootings, it is easy to see that that there has been an exponential rise over the past few years.  2016 tied 2012 with the most ever mass shooting fatalities to that point, then 2017 saw a 61% increase over that, and 2018 is on pace to continue the trend, which is, again, part of what constitutes an epidemic.  There are many charts that are easy enough to find, but I’ve included a couple for reference.  Yes, there have been spikes for a year here and there in the past, as you would expect, but never have we seen a period like the one we are in now and the trend is clear, which you can see easier if you do a best fit curve or smooth it out by mapping different lengths of time.  And, this doesn’t even take into account thwarted attacks such as we saw just last week in Vermont.7





This got me thinking of someone else who talked about epidemics; Malcolm Gladwell, in his book ‘The Tipping Point’.  The premise of his book is that there are epidemics in many aspects of life, which ‘are a function of the people who transmit infectious agents, the infectious agent itself, and the environment in which the infectious agent is operating’ and that each epidemic has a tipping point where factors, sometimes seemingly small, cause ideas, products, messages, or behaviors to spread just like viruses do. 

So, what has been the tipping point?  Some say violent video games, movies, and television, while others say mental illness, or public security.  Sure, those may play a small factor and, without a doubt, there has to be more done in terms of mental health.  But, those have been around for a long time and other countries have the same access, illnesses, and security without anywhere close to the United States’ level of gun violence so it’s got to be deeper than that.  We must look at what is different, what has changed, and what has caused that tipping point.  Here are a few that I see:

·         Rise in popularity of social media platforms

·         Rise in the prevalence of hate groups

·         Number of and access to weapons and bullets

Most of these perpetrators have a warped sense of striving for infamy.  Sadly, the media gives perpetrators their fifteen minutes of fame and many in the public even remember their names.  That concept of fame is combined with support that can be found online for just about any sick fetish along with the rise in various forms of social media connecting these people to both supporters and those that anger them giving these, often otherwise outcasted individuals, platforms that empower them.  Most perpetrators have been found to have posted clues online or to have been frequent visitors to certain sites.  In addition, in this same timeframe, there has been a 20% rise in hate groups in the US8, with a rise in number each year.  I don’t think this is a coincidence.  While not all mass shooters are associated with a hate group, it certainly often plays a factor and the similarity of the underlying psyche shouldn’t be ignored.  For example, the last one I can remember in my area involved the killing of Muslim students.  Finally, the number of guns in the US along with the ease of access to these weapons and bullets is far greater than anywhere else in the world.9  Further along these lines, most perpetrators of mass shootings have more than one gun and a frighteningly large number of bullets at the time of the shooting.10  I believe this mix has created the tipping point causing the spike in gun violence over the past few years.

But, like I said, the reaction and discussion after this latest tragedy feels different and I think we’re seeing a tipping point in that respect, as well.  For too long we have seen our own citizens killed with no substantial attempts at solving the problem.  So, what has changed? 

·         Less time between tragedies

·         Exposure of lobbyist influence and political hypocrisy

·         Children victims/survivors organizing and speaking up

Part of the change is that the increase in tragedies has not allowed enough time to pass that scars have formed.  This enables the momentum to keep going and makes the argument that ‘now is not the time to talk about it’ sound as ridiculous as it is, while at the same time continually increasing the number of people either directly or indirectly affected by the violence.  Also, after each tragedy that results in inaction, we find out more about the amount of money lobbyists such as the NRA spend, which politicians are in their pocket, and how politicians have voted on different measures.  This is important because the more exposure there is, the more likely there will be change as it will be more difficult for these politicians to win votes as public anger builds.  Finally, the biggest difference we’re seeing this time around is that a group of very intelligent, passionate, and motivated young survivors have exposed the raw emotion and heartbreak that gun violence has caused in a way that most of the public have not seen in the past.  It’s harder for leaders to push them aside without looking cruel, and it’s resulted in more media coverage, top politicians listening, and several politicians making promises of steps that have been ignored until now as they strive to ride this wave.  These kids have forced Congress’ and the President’s hands.  Even if these new proposals don’t pass now, they won’t be forgotten the next time we see a tragedy.  So, one way or another, I believe we’ve seen a tipping point in which action will finally start taking place.

Now, what action should be taken is the million dollar question.  As mentioned, I fully support improvements in mental health.  This would involve research, care, and restrictions to guns for those with certain kinds of mental illness.  Arming teachers is definitely NOT something I support.  My parents were school teachers and I went to a public school system, contrary to most of the politicians proposing this.  Besides the disturbing fact that teachers are expected to pay for their own supplies but it’s being proposed that they be supplied with guns or get bonuses if they carry, I’ve seen and known of many student/teacher altercations that could have been catastrophic if the teacher had a gun to name just one of the many problems with this proposal.  However, I do support armed guards or veterans at schools along with metal detectors.  I wish we didn’t need them, but I think it would help.  Obviously, the FBI could and should have done a better job in the Parkland situation and they need to address those shortcomings.  I also support closer scrutiny and research into markers from social media use, online site, and hate groups.  I do NOT support repealing the second amendment.  I do NOT support taking the average person’s guns away.  I do support increasing the age limits for gun ownership, assault weapon limitations, bump stock bans, and longer waiting periods to name a few others.  Other options such as taxing bullets, limiting the number of bullets purchased within a certain amount of time, limiting the size of magazines, restrictions on certain felons, stalkers, or domestic violence offenders can be looked into.

There are a lot of common sense actions that can be undertaken if only people are willing to.  Will they stop every shooting tragedy?  Of course not.  It’s extremely rare a solution is 100% effective.  But saying things like ‘bad people will always find a way’ or ‘guns don’t kill people, people kill people’ is completely ignorant.  Our laws and criminal system is pretty darn good at keeping a safe and efficient society.  And, while people may still find ways to commit murders and/or get their hands on assault weapons, why make it easy for them?  If it saves even a few lives, it makes a big difference and can be done without harming anyone.  That sounds like a simple win-win.  On the other hand, such things as arguing about the definition and number of mass shootings is irrelevant and does nothing to address the problem.  Whether it’s three or four killed at a time or five or eighteen shootings this year, it’s too many.  Trust me, I understand the thrill of firearms.  It’s a rush to hit a target or clay pigeon.  But, weapons that serve no real purpose but have been used to kill human beings should be heavily regulated at minimum.  We pass important safety laws and regulations in so many other cases, we spend billions of dollars protecting us from things that don’t cause a single percentage of the damage of gun violence, we know it makes a difference.  To say ‘I feel badly but just don’t know what can be done’ is false.  It’s obvious what can be done, we just have to be brave enough to do it.  The biggest argument I see against these points is along the lines of the second amendment and the feeling that these actions would somehow weaken the amendment with the potential to lead to the degradation of our constitution.  However, ensuring safe limitations within the spirit of the second amendment, just as has been done with the first amendment is doable and makes sense.  Our forefathers were smart and were problem solvers.  Their writing of the constitution was in part to ensure and fair and safe democratic society.  For example, the idea behind freedom of religion was in large part because they saw the internal strife and loss of life that had occurred in other countries without that freedom.  They would not merely sit on their hands as more people die in their country from a single factor than all wars combined.  There’s a reason they called for a ‘well regulated’ militia. 

Listening to the fear mongering, inaccurate, and downright disturbing speech by the NRA Chief Executive, Wayne LaPierre, yesterday brought all of this into more of a focus.  No, I don’t hate the second amendment or individual freedom.  No, I’m not trying to form a socialist society.  I couldn’t care less about what political affiliation you are.  I care about doing what’s right and finding ways to combat an epidemic that has led to a massive loss of innocent life.  To claim that people trying to do so are simply exploiting the tragedy is ludicrous and shows the depth that some will go to in order to push their agenda.

I applaud Trump for having the listening session and stating support for the bump stock ban and age limit increase.  However, we need to see real action from him, congress, among others and hopefully we will.  Just along the points I’ve made about what caused this tipping point, take these actions into consideration and then consider the momentum we’re seeing now:

·         Trump’s only gun legislation to this point has been to REVOKE restrictions and gun checks for the mentally ill11

·         The Trump administration REMOVED a program grant at UNC after it had already been awarded that studied anti-extremism and white supremacy.12

·         A bill addressing bump stocks was introduced into congress after the Las Vegas concert massacre with the supposed support of the NRA and some politicians with the obvious expectation that it would go nowhere, which it did.

·         Trump has called for an assault weapons ban, longer waiting periods, and bump stock bans in the past only to reverse his stances and/or do nothing13

·         Trump’s budget proposal calls for CUTS to programs aimed at school safety, responding to school violence, and research into gun violence14


THIS MUST CHANGE

Yes, we have seen a tipping point that has caused a spike in gun violence and mass shootings, especially over the past few years.  But, I’m fairly confident and hopeful that we’ve also now seen the tipping point, or are at least very close to one, in which we will finally start to see some important steps taken by our leaders to make a multi-faceted approach to combating this epidemic.  It falls on all of us to continue the pressure and accept the fact that we CAN create a safer nation around improvements to mental health, public safety, and gun control within the boundaries of our constitution.