Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Why guns should be tracked and studied

Karen Bonuck, PhD
Health Policy
July 6, 2018
Share
Tweet
Share

A relative taught me to drive in a burgundy Lincoln Town Car in an empty Long Island parking lot in the 1980s. After emphasizing the need to practice driving in reverse, he also warned: “A car is a weapon. You can kill someone, or get killed, in an instant.” I am a safer driver (forwards and backwards) thanks to his warning.

This relative had purchased several handguns over the years. He moved to Virginia with his wife; years later, they relocated to New Jersey to be nearer their family. He came back north in a black Lincoln, toting a little black briefcase that never left his side. He never let us touch that bag.

Now he suffers from dementia and uses a wheelchair. A home health aide poking around in his closets discovered three weapons in a camera case, with a cache of bullets in their magazines. By the time of the firearms’ discovery, I had become responsible for his care and had power of attorney.

When guns exceed their owners’ “shelf-life”

An NPR poll recently found that Americans’ support of gun control is at a near-record high. The Parkland shooting and other mass shootings have, in turn, led to Americans changing their minds about owning guns. One man even posted a video of himself sawing apart his AR-15.

Some people have had such changes of heart, but some have not. A New York Times article highlights the risks — to themselves and those around them — of the elderly owning firearms. It cites a new CDC report showing that rates of suicide rose 25 percent between 1999 and 2016 and that for men over 65, firearms are the suicide method of choice. For men of all ages with known mental health conditions, firearms were used in 41 percent of the incidents where the owner took his own life.

Clearly, I really needed to get rid of my relative’s guns.

Weapons-disposal dilemma

The nation has 300 million-plus guns; they’re easy enough to get. I soon learned how hard it is to remove them from circulation — and how little we know about who owns guns, or where.

While gun dealers rarely lose their licenses after violations such as selling to felons, I met obstacles at every turn when I sought to have my relative’s guns destroyed lawfully. The desk officer at his local police department said I would need to show the licenses for all three guns, adding “You can’t just dump your guns here.”

I turned up just one license. After two weeks of calling police departments in New York, New Jersey and Virginia and the Bureau of Alcohol, Tobacco, Firearms and Explosives, I was routinely waking up in the middle of the night, distraught about the guns. Finally, a detective from my relative’s New Jersey police precinct returned my call late on a Sunday afternoon. I could bring the guns in for destruction if I presented my relative’s identification and my power of attorney.

I went to the precinct immediately. In the detective’s office, he removed the guns from the case and quickly emptied the bullets from their magazines onto his desk. They formed a shiny gold mountain. I had never had direct contact with a gun or ammunition, and was slightly freaked out. I took photos for my records.

Next, he searched for my relative’s name in the New Jersey database, and found nothing. I naively inquired about a national registry that might help us track down the licenses in New York or Virginia. He looked at me in disbelief. “We only track guns when they’re used in a crime. We don’t keep records of innocent people. This is America.” Federal law, it turns out, doesn’t require licensing of guns owners or purchases, and just 13 states require licenses to buy or own guns.

After the guns, magazines, and bullets were bagged and locked, I was led downstairs to file a complaint and sign an affidavit. I asked how the police were going to destroy the guns and was told the county would be responsible for that. Another detective told me the guns were worth around $1,800. While the cash would have come in handy, I still wanted them destroyed.

The need for data

I’m a medical school researcher; I deal in data and evidence. Without data, uncertainty, conjecture and ignorance flourish. That was precisely the intent of the 1996 Dickey Amendment, which quashed the Centers for Disease Control’s funding of gun-violence research. Thus, while the licenses of “problem drivers” are tracked — as are motor vehicle fatalities — the muzzle on national data on guns and gun owners thwarts rigorous study. This leaves researchers without the basic tools of epidemiology — case-counting and analyses of risk and protective factors — with which to understand gun violence and its impact on human health.

A 2015 Washington Post article demonstrates why, like cars, guns should be tracked and studied. It examines why death rates from both sources are now roughly the same. The 65-year decline in motor vehicle deaths came not from “hopes and prayers,” but from improved technology and smarter regulation. I can’t see why we don’t treat guns as we do cars, the way other countries do: by requiring written and performance tests, licensing, registration and insurance. Already, there is evidence that regulations, education and reduced gun ownership can result in fewer gun deaths. Accidental deaths have decreased by 48 percent; experts attribute this to stronger regulations, better training and decreased ownership. And the decrease in accidental deaths has been greatest in states with the fewest guns and the strongest laws.

The National Rifle Association and politicians it contributes to see any safety measures as threats to their bottom line, just as automakers did before the publication of Ralph Nader’s Unsafe at Any Speed in the 1960s. As a public health measure, we need better regulation of guns, but we also need to make it easier for family members and reluctant gun owners to dispose of weapons so that we can be sure they don’t hurt someone.

As my relative said, “A car is a weapon.” So is a gun; we should treat them the same way.

Karen Bonuck is a professor of family and social medicine, Albert Einstein College of Medicine, Bronx, NY. She blogs at the Doctor’s Tablet. 

Image credit: Shutterstock.com

Prev

How today's EMRs are like self-driving cars

July 6, 2018 Kevin 10
…
Next

Address physician well-being as we would any other disease

July 6, 2018 Kevin 1
…

Tagged as: Health Policy and Public Health, Washington Watch: Health Policy

< Previous Post
How today's EMRs are like self-driving cars
Next Post >
Address physician well-being as we would any other disease

ADVERTISEMENT

Related Posts

  • A disturbing study about children and guns

    Christopher Johnson, MD
  • Taking guns away from people in crisis: Does it work?

    Liz Szabo
  • Limiting access to guns may not be the best solution to the present crisis

    John Corsino, DPT
  • Let’s talk about guns as a health crisis

    Aldis Petriceks
  • Gun control is our lane: Physician opinions on guns matter

    Karen S. Sibert, MD
  • Physicians have an obligation and an opportunity to reach out and speak out about guns

    Michael Hirsh, MD

More in Health Policy

  • End-of-life decision-making is never a solo act

    Chinmeri Nwuba
  • Neonatal care in humanitarian crises is conditional

    Maddie Beans
  • Insurance consolidation is a patient safety problem

    American Society of Anesthesiologists
  • Health care affordability is now a moral crisis

    Narinder Singh Parhar, MD
  • U.S. drug shortages threaten national health security

    Anmol Gupta, MD, MPP
  • The real reason value-based care has not delivered

    Jeanne Cohen
  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Violence against doctors: 5 forces that ignite it

      Timothy Lesaca, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Why does post-discharge care keep breaking down?

      Katherine Owen, RN | Conditions and Diseases
    • Physicians must shape AI in medicine, not watch it

      Sonal Patel, MD | Health Technology
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions and Diseases
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
  • Recent Posts

    • You don’t have to feel called to medicine to be a good doctor [PODCAST]

      The Podcast by KevinMD | Podcast
    • When a divorce ends a physician’s career

      Donald J. Murphy, MD | Physician
    • How to read IVF success rates before choosing a clinic

      Mark P. Leondires, MD | Conditions and Diseases
    • The Medicaid reckoning for applied behavior analysis

      Steven Merahn, MD | Conditions and Diseases
    • Why physician-led deal sourcing beats traditional VC

      Harsha Moole, MD | Physician Finance
    • What the eGFR race correction teaches us about AI

      Craig Hauben, MPA | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 6 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Violence against doctors: 5 forces that ignite it

      Timothy Lesaca, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Why does post-discharge care keep breaking down?

      Katherine Owen, RN | Conditions and Diseases
    • Physicians must shape AI in medicine, not watch it

      Sonal Patel, MD | Health Technology
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions and Diseases
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
  • Recent Posts

    • You don’t have to feel called to medicine to be a good doctor [PODCAST]

      The Podcast by KevinMD | Podcast
    • When a divorce ends a physician’s career

      Donald J. Murphy, MD | Physician
    • How to read IVF success rates before choosing a clinic

      Mark P. Leondires, MD | Conditions and Diseases
    • The Medicaid reckoning for applied behavior analysis

      Steven Merahn, MD | Conditions and Diseases
    • Why physician-led deal sourcing beats traditional VC

      Harsha Moole, MD | Physician Finance
    • What the eGFR race correction teaches us about AI

      Craig Hauben, MPA | Health Technology

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why guns should be tracked and studied
6 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...