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The appalling carnage in Uvalde, Texas, Buffalo, New York, Tulsa, Oklahoma, and other communities across the country is a deeply painful source of grief, outrage, and national shame. Since 2009 more than 2500 people have been killed or wounded in 277 mass shootings in The United States\\u2014 more than the number of U.S. military personnel killed in hostile action in Afghanistan over the same period.

But as horrible as they are, mass shootings represent a small percentage of overall firearms-related deaths. In 2020 \\u2014 the latest year for which numbers are available \\u2014 more than 45 thousand Americans were killed in shootings, including accidents and suicides. That\\u2019s more than the number of deaths on roads and highways.

In this episode we look at some ways to reduce the huge toll. Our guest is Dr. Patrick Carter, a professor of emergency medicine and health behavior at the University of Michigan, and a leading expert on firearm injury prevention. He argues that instead of endless debate, we need to think of gun deaths "as a public health issue and a science issue." Then we can make real progress, he argues.

Key soundbites:

05:13 We should think about the crisis of gun-related fatalities "not just as a single thing, but of a multi-faceted problem with lots of potential solutions: From engineering\\u2014 how we construct guns and firearms safes\\u2014 to how we change behavior around how people own and use guns, to how we address populations that are particularly high-risk and shouldn\'t own guns or shouldn\'t have access to guns when they are in crisis."

05:40 "I really think we can change the direction of firearm deaths and we have done that with cars... with drownings in this country. We\'ve done that with all types of injury-related issues."

20:30 "I don\'t think you can solve this problem with the science-based approach I\'ve talked about without engaging the people who own guns... We need to understand what things will change behaviors and to do that we need to engage with firearms owners around common-sense solutions."

Recommendation: The weekly online newsletter by conservative writer David French. He is also a contributing writer at The Atlantic. Richard says he often disagrees with David, but finds his writing to be respectful and even kind towards liberals and others who see the world in a different light.

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