Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • 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
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • 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
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

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.

ADVERTISEMENT

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

  • The next child

    Medicaid managed care and the case for mutual stewardship

    Steven Merahn, MD
  • How to build a dementia care pathway, not a referral sheet

    Gerald Kuo
  • AI in prior authorization: 3 contract questions for 2027

    Matt Hasan, PhD
  • Private equity in medicine did not kill private practice

    Brian Hudes, MD
  • Why are fewer family physicians delivering babies?

    Frista Gradica
  • Local news and public health: the segment viewers missed

    Ronald L. Lindsay, MD
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | 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

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

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

  • Terms of Use Agreement
  • 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...