In Gun Debate, Physicians Edge Closer to Front Lines

Joe Cantlupe, for HealthLeaders Media , December 20, 2012

"We should not be prevented from discussing anything with patients about their health. So that's the overarching concern even beyond the gun issue."

Bernard Wollschlaeger, MD, FAAFP, a family practice physician in Miami who is among the group of physicians who successfully sued to halt the Florida law, has counseled patients about gun use.

"We need a collective effort of our entire society. I do not see politicians as catalysts of change," Wollschlaeger told me after the Connecticut shootings. "We can't rely on politicians to resolve this problem. It's a collective effort. For a mentally unstable person, to give him a weapon of war, it is crazy. These are weapons intended to hunt, not weapons to be used for self-defense. These weapons should be in the hands of law-abiding citizens. For what purpose could it be? Armageddon? It's insane."

The AMA is expected to discuss the shootings soon. Lazarus says in the interview that education is needed among "public and policy makers and there is also a need for more (mental health) services" including more specialists in mental illness care.

In his blog, Lazarus health leaders must "work together as a medical community and [with] the public to make evidence-based interventions when available, and continue public discussions on some of the important tradeoffs between individual rights and protection of the public. We must not keep blaming ‘the system.'"

When will the gun control debate return to a subterranean slumber as it often does, waiting for the next tragedy to wake it up? It won't go back underground, at least, not if some physicians have their way.

Joe Cantlupe is a senior editor with HealthLeaders Media Online.
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2 comments on "In Gun Debate, Physicians Edge Closer to Front Lines"

DR. GREMILLION (12/20/2012 at 5:36 PM)
right. as if doctors have enough time to ask critical questions. they need to get on board to insist metal detectors and at least 1 armed guard are assigned to each school. dont do that you are spitting in the wind. but the ama has been doing that for decades.

Gainer Pillsbury, MD (12/20/2012 at 4:25 PM)
Mental health facilities must be expanded, but in addition, there are some concrete measures lawmakers can develop and strengthen as well. I have been a gun owner and a hunter for 60 years and was a former member of the NRA. Based on that experience, I have some suggestions for commonsense measures that might reduce the incidence of such horrific events as we hear about much too often. 1. Guns are tools, and as such there are risks involved with their utilization. I believe everyone who buys a gun should produce evidence that they have had a gun safety course. This is required in most states before a person can buy a hunting license, so why not require one of everyone who wishes to purchase a firearm of any kind? This is the issue I quit the NRA over because their position is that owning a gun is a "constitutional right" and a person need not learn how to use one first. 2. Background checks should be required for everyone buying a gun. Gun shows should not be exempt and there should be penalties for selling or giving a gun to another person without a reasonable effort being made to be sure the person receiving the gun was not mentally impaired or has a criminal background. Selling or trading guns over the internet should be restricted. 3. Violent video games depicting humans being killed should be rated. Young children often love to see people being shot and blown up, and I believe that desensitizes them to the horrible effects real ammunition has on real people. The animated characters get up and fight again, but not so a human being. Shooting animals, monsters, cartoon characters, etc are fine, but games depicting human figures should be X-rated to keep them out of the hands of impressionable children and teenagers. 4. In a similar vein, I believe human silhouette targets should not be permitted at shooting ranges unless they are utilized by police officers or for self defense courses. Before I go deer or elk hunting I shoot at life size targets of those animals. This desensitizes me so when I see the real animal in the field, I am less apt to become nervous and not make a good shot. I see people shooting at human silhouette targets frequently at rifle and pistol ranges, and I believe that experience desensitizes some of them making it easier to target real people. I would not be surprised to learn that the mother of the shooter in Newtown let her son shoot at human silhouette targets at the range where she took him – and he got used to it. 5. There is no need for a gun used for hunting or target practice or even home protection to have a capacity of more than 7 or 8 bullets. Clips allowing more should be outlawed. Although automatic firing should not be permitted, a semiautomatic mechanism is useful for some people because the recoil is diminished by the ejection of the shells. Whether the gun looks like a traditional rifle or like an assault weapon is immaterial as long as the magazine capacity is limited and the gun cannot be converted to automatic firing mode. All hunters of migratory birds such as waterfowl are used to the fact that they may have no more than 3 shells in their shotgun. A plug must be put into those guns that would hold more. Game wardens routinely check to be sure the plug is in place and a fine imposed if the plug is not there. All waterfowlers have gotten used to this restriction and I have never heard any serious complaints. 6. There is no need for any hunter or target shooter to utilize armor piercing bullets. These are only useful to penetrate body armor and should be restricted to law enforcement individuals and the military. There are no restrictions on guns that will completely eliminate gun violence, but I believe the 5 commonsense recommendations I made will help. I am a physician executive in a large urban hospital, and we have shooting victims regularly. Our trauma surgeons refer to the "Saturday night gun club" These are usually single events where disturbed people settle their differences by shooting one another, but in the aggregate, the numbers are staggering.




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