San Francisco Marin Medicine, Vol. 95, No. 2, April/May/June

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PRESIDENT’S MESSAGE Michael Schrader, MD, PhD

THIS IS OUR LANE The recent slaughter of children at the Robb Elementary School in Uvalde, Texas has focused our national attention on the carnage toll that gun violence takes on children. The Centers for Disease Control have reported that in 2020 gun violence and accidents had become the leading cause of death among children ages 1-19. The recent massacre at the Tops supermarket in Buffalo, New York reflects the terrible toll that firearms take on Black communities. Black men are 37% of homicide victims in the United States. This is a health equity issue. In addition to these highly reported tragedies, there are multiple mass shooting events (defined as more than four victims) that occur regularly in the United States. More than 110 Americans are killed daily and more than 200 are shot and wounded. This rampant gun violence also results in post traumatic stress disorder (PTSD), adverse childhood events (ACE), and perpetuates a cycle of violence. The firearm industry has promoted a false narrative. Namely, that guns offer security and protection. We know that gun ownership is linked to higher rates of homicide and suicide. Guns are are not defensive weapons: the notions of deterrence and a good guy with a gun are disproved by recent events. Deterrence does not work when the suicidal aim of the shooter is to be shot and killed. The good guys with the guns don’t have firearms and tactical gear to match an automatic weapon. The deaths of children and minorities are not simple collateral damage for an over armed society: they are victims of the firearm industry and its powerful lobby, the NRA. Every mass shooting and school shooting causes a surge in gun buying and a boost for politicians who espouse Second Amendment rights for political expediency. The Second Amendment protects the right to bear arms contingent on the necessity for a well regulated militia. Let us focus on the words “well regulated.” And let us define what “well

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regulated” means: background checks, red flag laws, gun safety education and research, and a ban on ghost guns. A majority of Americans supports rational restrictions on firearm ownership. Many gun owners concur. Over the past several decades the NRA has transformed from an association of sportsmen that promoted gun safety and responsible gun ownership. The current NRA opposes any restriction on firearms because it is the tool of the firearm industry. An industry that uses government to profit from using human lives as a commodity. The NRA isn’t about the right to own guns. It is about the right of the gun industry to profit from carnage. In 2018 the American College of Physicians published an update of a 2014 policy paper, “Reducing Firearm Injuries and Deaths in the United States,” that proposed commonsense policies to reduce gun-related injuries and deaths. The response from the NRA: “Someone should tell self-important anti-gun doctors to stay in their lane.” This gave rise to the reaction from physicians using #ThisIsOurLane hashtag.

What can we do?

• Increase purchase age for semi-automatic rifles from 18-22 • Ban high capacity magazines and bump stocks • Close ghost gun loophole • Create federal requirements for safe gun storage • Reinforce red flag laws • Community violence prevention measures This is our lane.

Dr. Schrader chairs the SFMMS delegation (with Dr. Ameena Ahmed, newly-elected vice-chair) and is president of the SFMMS.

APRIL/MAY/JUNE 2022 SAN FRANCISCO MARIN MEDICINE

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