Posts Tagged ‘violence’

What’s The Truth About Violent Crime In America?

Friday, February 3rd, 2023

Let me ask you a question. In the last 30 years, has the rate of violent crime in America:

  1. Increased (by a little, by a lot, doesn’t matter);
  2. Stayed about the same; or,
  3. Declined?

I’m going to suggest that you, like 63% of Americans surveyed by Gallup, picked number 1.

But you all would be wrong. Not wrong by a little, but wrong by a lot. The rate of violent crime in America has declined precipitously since 1991. How precipitously? By nearly 50%, from 758 reported incidents per 100,000 persons in 1991 to 403 in 2021, according to the Department of Justice. Our rate of violent crime today is the same as it was in 1970.*

Reported violent crime in the US from 1990 to 2021

But it hasn’t always been like this. Here is another chart showing violent crime levels since 1960.

Putting aside the steep rise from 1960 to 1991, we’re faced with two more questions:

Why do so many Americans believe violent crime hasn’t dropped?

Gallup has surveyed Americans perceptions about violent crime since 1994. In that year, 80% of us believed violent crime was on the upswing, and the second chart would bear that out. Since then, however, the rate of violent crime has dropped like a brick off a table, but 63% still believe crime is on the rise. Interestingly, they see their own environs as fairly safe and stable; it’s everywhere else that’s seeing violent crime rise.

It seems to me there is one overarching explanation for this faulty perception, and it is the way local, national and social media present news to us every day. Tune in to your evening news, either locally or nationally, and I guarantee you will see and hear about at least one violent crime that has happened that day, usually a murder or two, maybe more. Social media only amplifies the bombardment of the blood and gore. And when we’re faced with a mass shooting or an instance of police brutality the media guns start blazing even more.

Super fast and broad-based technology has enabled us to learn of all the bad things that happen in the world as they are happening, and Twitter, Facebook, et al, keep it front and center all the time. We can be forgiven for thinking we’re heading decidedly in the wrong direction. This perception is also constantly reinforced on cable news channels, especially Fox, although it is interesting to note that immediately following the recent midterm elections Fox’s focus on violent crime nearly disappeared.

Why does our media lead with the bleed? Well, there’s a lot of money to be made in selling bad news.

Why and how has the drop in violent crime happened?

There is no single, simple answer to this question, which is why it is so complicated. There are a lot of things that have, in their own ways, helped to drive down the rate of violent crime. Trouble is, people crave simple, wrapped-tight-in-a-sound-bite, answers, and the simple sound bite most often tossed out concerns incarceration.

The lock-em-up-and-throw-away-the-key crowd point to our imprisonment rate as the prime mover in the drop of violent crime.

As we have experienced our three decade decline in violent crime, we have seen a concomitant growth in our prison population. It’s tempting to view this as a cause and effect phenomenon, an assumption having some validity, but not as much as you might expect.

Although the U.S. has only 5 percent of the world’s population, it has nearly 25 percent of the world’s prisoners. As of 2022, there were 2.2 million people in prisons and jails in this country. With an incarceration rate of 710 inmates per 100,000 people, which is more than six times the average rate in the 38-country OECD, the United States trails only the Seychelles in the frequency with which it deprives its residents of liberty, and vastly outpaces that of Iran, Zimbabwe, and even notoriously punitive Singapore. Here is our incarceration diving board.

While it might be intuitive to latch onto the idea that locking up all the usual suspects led directly to the decline in violent crime, we should go gently down that road. Reasonable as it might sound, the research shows this to be far less conclusive. A panel from the National Academy of Sciences looked at the existing research for its landmark 2012 report on the American prison system. They concluded that “on balance,” higher incarceration rates had a “modest” effect on the decline. But they also cautioned that a lack of clear evidence means any benefits were “unlikely to have been large.” The researchers conclude “the United States has gone far past the point where the numbers of people in prison can be justified by social benefits and has reached a level where these high rates of incarceration themselves constitute a source of injustice and social harm.”

Moreover, a 2022, 3-year study from the Brennan Center For Justice, examined data from 1.56 million prisoners (The Center could not get access to the data for the nation’s other 640,000 incarcerated people, because most were in jails around the country, which made data accumulation difficult). The study underscores the National Academy of Science’s work taking care to validate our rate of incarceration is only minimally responsible for the drop in the rate of  violent crime. Yes, there is a relationship between the two, but it’s tenuous at best. According to the Brennan Center’s study:

Rigorous social science research based on decades of data shows that increased incarceration played an extremely limited role in the crime decline. It finds that social and economic factors, and to some extent policing, drove this drop. Though this truth is counterintuitive, it is real.

Studies from the Brookings Institute’s Hamilton Project and the National Academy of Sciences corroborate findings from the Brennan Center and leading economists: “When the incarceration rate is high, the marginal crime reduction gains from further increases tend to be lower, because the offender on the margin between incarceration and an alternative sanction tends to be less serious. In other words, the crime fighting benefits of incarceration diminish with the scale of the prison population.” Although there is some relationship between increased incarceration and lower crime, at a certain point, locking up additional people is not an effective crime control method, especially when imprisoning one person costs $31,000 a year.

An editorial comment about our incarcerated population: It is hugely and disproportionately comprised of people of color, primarily blacks. According to the Pew Research Center, “In 2017, blacks represented 12% of the U.S. adult population but 33% of the sentenced prison population. Whites accounted for 64% of adults but 30% of prisoners. And while Hispanics represented 16% of the adult population, they accounted for 23% of inmates.” If this is not an example of racism run amuck, institutional racism, I don’t know what is.

In addition to imprisonment, what else could account for the drop in violent crime? Here are a few suggestions:

  • Law enforcement and better policing – In 2015, the Brennan Center found a “modest, downward effect on crime in the 1990s, likely 0 to 10 percent” from increased hiring of police officers.
  • Income growth – Some researchers theorize that greater opportunity for legal income reduces the need for illegal sources of it. The Brennan Center’s analysis attributed about 5 to 10 percent of the 1990s decline to it, a relatively modest amount. However, following the Great Recession of 2008 when unemployment soared and income declined, violent crime did not go up; it continued its downward trajectory.
  • A drop in alcohol consumption – How closely related are alcohol and crime? The National Bureau of Economic Research found correlations between its consumption and aggravated assault, rape, and some types of theft, but not murder and burglary. Since assault is the most common violent crime, it’s logical that increased alcohol use leads to higher crime rates. Americans only drank slightly less beer, the most common form of alcohol consumption at that time, between 1990 and 2000. But it was enough for the Brennan Center to attribute to it a 7.5 percent drop in crime during the 1990s.
  • Roe v. Wade – In a 2019 paper, the economist Steven Levitt and fellow economist John Donohue argued that the 1973 ruling reduced the number of children born in unwanted circumstances, thereby reducing the number of children predisposed to violent crime later in life. Overall, they estimated this 20-year-lag effect might account for as much as half of the crime decline in the ’90s. However, The Guttmacher Institute estimates between 700,000 and 800,000 women terminated a pregnancy each year in the decades preceding Roe. If large numbers of women prevented unwanted births prior to the ruling, the sudden availability of legal abortion might not have radically changed the overall number.

For years, scholars have been trying to understand why our violent crime rate has dropped since the 1990s as steeply as it rose in the prior three decades. Personally, I see a constellation of efforts from many disparate sources that, taken together, have somehow brought about this desirable result. Yet, although we’re heading in the right direction, we’re still an outlier, and a distant one at that, when compared to our OECD peers. Clearly, we need to do more.

Addendum

Jonah Goldberg is a conservative columnist whose writing I admire but whose political policies I tend to differ with. He’s the co-founder of The Dispatch, a daily publication liberals would find thought-provoking and interesting. He’s what I call a “thoughtful conservative” who recoils at the very name of the creature who used to occupy 1600 Pennsylvania Avenue until being disgorged, unwillingly, in early 2021.

In addition to his other duties at The Dispatch, Goldberg writes a rather long form weekly piece on whatever is taking up space in his capacious brain at the time. Yesterday’s was entitled The Race to Racism.

I’m not going to comment here on his thoughts about racism, but I am going to comment on his thoughts on violent crime, specifically intentional homicide. In his post, Jonah Goldberg wrote:

Whenever you hear people talk about America as uniquely or exceptionally flawed—or superior!—the first question you should ask is, “compared to whom?”

For instance, we hear a lot about how America has a murder problem. And it does!  But you know where America ranks internationally on homicides?

64.

Now, in one sense America could be No. 1 or No. 195 on the international intentional homicide rate charts and it really wouldn’t matter much. Because by definition, one murder is too many. But it’s worth knowing if we’re doing much worse—or better—than other countries for all sorts of practical reasons. Maybe some country had success or failure trying X or Y? That’s worth finding out for policy reasons.

Mr. Goldberg snuck that number 64 into his argument as if to say, “Hey, we’re pretty good. There are 63 countries more ‘flawed’ than we are. We should feel a bit better.”

Trouble is, of the 172 countries in the UN Office on Drugs and Crime’s International Homicide Statistics database quoted by Jonah, the only OECD country with a worse intentional homicide rate than the US is Mexico, and in certain parts of Mexico, murder is king.

At number 64 in the rankings, the rate of intentional homicide in the US is 4.96 per 100,000 people. Putting Mexico aside, the next OECD country in the rankings is Chile with a rate of 4.4, followed by Turkey, at 2.59. Countries that are more our peers, the UK, France, Canada and Germany, all have rates of intentional homicide well below 2.0.

Jonah Goldberg wasn’t saying, “Think how lucky we are.” But he was saying, “Hey, things could be a lot worse.”

Which is a scary thought.

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*Before complimenting ourselves too strenuously, we should remember our homicide rate is still three times that of the OECD average.

 

Gun Violence: A Uniquely American Disease Devouring Our Soul

Thursday, January 26th, 2023

America suffered through 647 mass shootings in 2022, which is just a little better than the worst year on record, 2021, a year in which we saw 692 of them. In the last nine days, three mass shootings happened in California, killing 18 people. Thus far, in the first 26 days of 2023 there have been 40, which is more than any other January on record.

The 40 mass shootings in the the first 26 days of January resulted in 86 deaths. Although any death from gun violence is tragic, deaths from mass shootings make up a small percentage of all gun violence deaths. In 2022, there were more than 44,000 of them, 20,138 if you exclude suicides.  Through the first 26 days of January, there have already been 3,030 gun violence deaths nationally.   Here’s a map from the Gun Violence Archive* showing where all those deaths happened. Remember: It’s only 26 days.

If you extrapolate this for the full year, you’ll project more than 45,000 deaths. Now, mass shootings are not proxies for overall gun violence, but it could be instructive (and scary) to realize January is an historically low mass shooting month (relatively speaking).

How does America react to this continuing carnage? It yawns.

Oh, we hear from the politicians with their “thoughts and prayers” routine and go through the required few hours of television coverage (TV’s Mantra: “If it bleeds, it leads”), but after that we slip back into our desensitized cocoons. Most of the mass shootings go unnoticed. At 1.77 per day, who can keep up?

Beginning in 1959, and as it has every year since, the Gallup organization polled Americans with this question: “Do you think there should or should not be a law that would ban the possession of handguns, except by the police and other authorized persons?”  When Gallup asked that question in 1959, 60% of Americans said “Yes, there should be such a law.” Thirty-two years later, in 1991, the “Yes” group had decreased to 43%, and thirty years after that, in 2021, only 19% of Americans were still saying “Yes.” A whopping 80% now said “No.” Credit the NRA. It has done a magnificent marketing job.

Since 1959, when Gallup also reported 78% of Americans believed laws covering the sale of firearms should be made more strict, the decline in support for banning guns has been inversely proportional to the 63-year steady, linear rise in gun ownership and violence. The result is what we have today. Forty-five percent of all households now own at least one handgun. US gun owners possess 393.3 million weapons, according to a 2018 report by the Small Arms Survey, a Geneva-based organization. That is at least 60 million more guns than there are people. It is no surprise gun deaths routinely exceed the number of deaths due to auto accidents.

And it only got worse after Americans went on a gun buying spree beginning in 2020. The National Instant Criminal Background Check System, which the FBI collects, is a significant indicator of firearms purchases. It is noteworthy that background checks jumped 40% in 2020 from the previous year to 39.7 million checks. The frenzy only cooled slightly to 38.9 million checks in 2021.

Where do all those guns come from? Why, from the 71,600 federally licensed gun dealers operating nationwide, of course. That’s more than 1,400 per state.

It may interest you to know that the proposition reflected in Gallup’s question precisely mirrors the law in the UK. No one is allowed to own a gun except “police and other authorized persons.” Exceptions are made for hunting and target shooting, but these are highly regulated and controlled by government. There is very little handgun violence in the UK. To this, you may say, “Without guns, people will just find another way to kill.” To which I reply, “I’d rather try to outrun a knife than a bullet.”

I, like many others smarter than I, have written about this often. It almost seems as if it’s an annual requirement in which we fulfill Albert Einstein’s (possibly misattributed) definition of insanity: “Doing the same thing over and over again expecting different results.”

A University of Washington 2015 study found three million Americans carried a loaded handgun daily; nine million did so at least once a month. Since then, 19 states have passed permitless carry laws, which allow residents to carry concealed handguns in public without a license. There are now 25 states that allow this. If all this weren’t bad enough, only 18 states require “live-fire training” for people carrying concealed firearms.

Is gun violence evenly distributed around the country? Actually, no. It is far more prevalent in red states. These are the states with “stand your ground” statutes and permitless concealed carry laws. Once again, Mississippi leads the way with 28.6 gun violence deaths per 100,000 persons.

Firearm Mortality by State

Compared to the rest of the developed world, every one of our firearm statistics are staggeringly out of whack. As I reported in May of 2022, the US dwarfs the 28 most economically developed countries in the 38-member OECD** in deaths by firearms. Not only is our firearm death rate nearly 25 times higher than our OECD companions, our total homicide rate is eight times higher. Can’t get away from it. We are a violent society.

It’s not much, but there is one ever so tiny glimmer of light invading the darkness of firearm carnage in America. That would be the Bipartisan Safer Communities Act, signed into law by President Biden in June, 2022. This is the first major gun reform law in three decades. It includes $750 million in funding for states to improve or enact red flag laws and other crisis intervention programs, $250 million for community-based violence intervention initiatives, and $200 million for improving the national background check system. Millions more will go to school safety, police, and mental health programs.

Gun violence is a cancer eating away the heart and soul of America. It is amazing to realize that, despite the never-ending bloodbath, the country has managed to survive, prosper, thrive, and lead the world in so many areas.

Amazing, indeed.

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*The Gun Violence Archive is a nonprofit research group that tracks shootings and their characteristics in the United States. It defines a mass shooting as an incident in which four or more people, excluding the perpetrator(s), are shot in one location at roughly the same time.

**The Organization for Economic Co-operation and Development, founded by the US and it allies shortly after the close of the Second World War. Its members are the most economically developed countries.

Gun Violence In America Is An Example Of The Worst Form Of Insanity

Tuesday, May 31st, 2022

Beginning in 1959, and as it has every year since, the Gallup organization polled Americans with this question: “Do you think there should or should not be a law that would ban the possession of handguns, except by the police and other authorized persons?”  When Gallup asked that question in 1959, 60% of Americans said “Yes.” Thirty-two years later, in 1991, the “Yes” group had decreased to 43%, and thirty years after that, in 2021, only 19% of Americans were still saying “Yes.” A whopping 80% now said “No.”

Since 1959, when Gallup also reported 78% of American saying laws covering the sale of firearms should be made more strict, the decline in support for banning guns has been inversely proportional to the 63-year steady, linear rise in gun violence. The result is what we have today. Gun violence has become a cancer eating away the heart and soul of our society.

It may interest you to know that the proposition reflected in Gallup’s question precisely mirrors the law in the UK. No one is allowed to own a gun except “police and other authorized persons.” Exceptions are made for hunting and target shooting, but these are highly regulated and controlled by government. There is very little handgun violence in the UK. To this, you may say, “Without guns, people will just find another way to kill.” To which I reply, “I’d rather try to outrun a knife than a bullet.”

Last week, immediately following the massacre of 19 little children and two teachers at Robb Elementary School in Uvalde, Texas, a British reporter asked Texas Republican Senator Ted Cruz why the US suffers a seemingly intractable and growing slaughter of innocents through mass shootings. The reporter pointed out America is the only highly developed country in the world where this occurs. So, why America? Rather than attempting to address, much less answer, the question, Cruz launched into platitudes about what a great country America is. When the reporter continually pressed him for an answer (US reporters should take this as a learning experience), the Senator, after trying the platitude thing again, simply avoided the reporter and hurriedly left the area.

I viewed this exchange as an important one. It highlighted the societal dichotomy we face. The US dwarfs the 28 most economically developed countries in the 38-member OECD* in deaths by firearms. In our country, 98 people die by firearms every single day. In those other 28 OECD countries, with a combined population more than twice that of America (712 million vs. 331 million), that number is 19.

Thinking about the British reporter’s question to Senator Cruz, I decided to dive into the actual statistics to compare our gun violence experience with that of the 28 OECD countries cited above as a whole. The year I’m using as a benchmark is 2015, because a number of peer reviewed and credible studies were done that year. I assure you, as I will note below, the situation has only gotten worse in the succeeding six+ years.

2015 (Rates per 100,000 persons)

All Homicides
US – 5.6
Other 28 countries – 0.7

Homicides by firearm
US – 4.1
Other 28 countries – 0.2

Non-firearm homicide
US – 1.5
Other 28 countries – 0.6

Accidental firearm death
US – 0.2
Other 28 countries – 0.0

Firearm death rate
US – 11.2
Other 28 countries – 1.0

Total deaths by firearm
US – 35,769
Other 28 countries – 6,965

Population
US – 331 Million
Other 28 countries – 712.3 Million

Not only is our firearm death rate nearly 25 times higher than our OECD companions, our total homicide rate is eight times higher. We are a violent country.

And what about the mass shootings that, like a knife to the heart, horrify us every time one happens?

The FBI found an increase in active shooter incidents between 2000 and 2020. There were three such incidents in 2000; by 2020, that figure had increased to 40. There have been 27 thus far in 2022.

In 2020, the FBI reports, 513 people died in mass shooting incidents. In that year, according to the CDC, 45,222 of our neighbors died by firearms. Note how that is nearly 6,000 more than we reported above for 2015.

The number of deaths from mass shootings is paltry compared to the number of total deaths by firearms nationally (0.011%).

So, now, in the face of all this mayhem, we hear that our elected legislators may be willing to take some action at an unknown time in the future regarding gun control. We know Americans support this.

Politico/Morning Consult poll published last Wednesday showed “huge support” for gun regulations in that 88% of voters strongly or somewhat strongly support background checks on all gun sales, while only 8% strongly or somewhat strongly oppose such checks. That’s a net approval of +80.

Preventing gun sales to people who have been reported to police as dangerous by a mental health provider is supported by 84% of voters while only 9% oppose it, a net approval of +75. I’m forced to wonder about those 9%ers.

A national database for gun sales gets 75% approval and 18% disapproval, a net approval rate of +57.

Banning assault style weapons like the AR-15 has an approval rate of 67% while only 25% disapprove. That’s a net approval of +42.

And fifty-four percent of voters approve of arming teachers with concealed weapons, while only 34% oppose it, a net approval of +20. Wait—armed teachers. Think about that for a moment. I can just see Sister Mary Stellan, my 2nd grade teacher, packing heat.

These numbers may lead to some kind of legislation. However, as long as we have more guns (393.1 million) in this country than there are people (331 million), do you really believe things will improve significantly?

Among US states, the rate of firearm deaths varies widely. In 2020, Mississippi had the highest firearm death rate in the nation, 28.6 per 100,000 Mississippians, according to the Centers for Disease Control and Prevention, as opposed to 0.2 in our OECD comparison (I continue to ask, “What goes on in Mississippi?”). New England states fared better, and Massachusetts, where I live, had the second-lowest rate of gun deaths in 2020 at 3.7 per 100,000, trailing only Hawaii at 3.4. However, the Massachusetts rate was still 5.3 times higher than the combined rate of gun deaths in the other 28 countries.

To put a period on this: At less than half the population, the US has 83.7% of all the deaths by firearms in the 29 most highly developed OECD member countries. If our firearm death rate mirrored that of just an average OECD country, deaths by firearm in America would drop 96%. At 45,222 deaths in 2020, that would be 43,413 folks who would still be with us.

I can only conclude that what the NRA paid-in-full Congress is thinking about doing maybe at some point in the possible near term is nothing more than nibbling at the edges of a monstrous problem, and they’re nibbling in ever so tiny bites.

This is insane.

 

*The Organization for Economic Co-operation and Development, founded by the US and it allies shortly after the close of the Second World War. Its members are the most economically developed countries.

 

It’s Time For Some Morality In Leadership

Wednesday, May 25th, 2022

Nineteen young children and three adults including the 18-year-old shooter. Slaughter on a grand scale, American style.

What can one say that hasn’t been said before and is being said again right now? Nothing. We have run out of new words.

Gun law advocates will say are saying, have said — we need tighter gun control laws. Second Amendment obsessives will say are saying, have said— No, we don’t; it’s not the guns. It’s the demented people using them.

These positions are not mutually exclusive, but that is how we treat them. Result? Nothing ever gets done, and the killing goes on.

I wrote about this back in 2019, and, because not a thing has changed since then, I thought I couldn’t do better than to share a portion of that column.

September, 1970

Let me tell you a story.

We call it “going back to the world.” Home in the USA. And I’ve arrived in one piece. For the last couple of years I’ve been running around the jungles of Vietnam. My new orders direct me to report to the Army’s Officer Candidate School at Fort Benning, Georgia. I know the place well. It’s where I was trained and Commissioned a 2nd Lieutenant. Then on to Airborne and Ranger schools. Now a Captain, the job is to train the next bunch of happy warriors. My wife and I settle into the house at 3660 Plantation Road in the fine city of Columbus. It’s a nice neighborhood.

A few months after moving in a new civilian worker shows up at my office in the Infantry School. His name’s Bob. He’s a GS12 research analyst and I have no idea why he’s here, but he has a disability that makes it hard for him to walk or move even moderately weighted stuff. He’s rented a house in Columbus and is trying to figure out how to move his junk in. My wife and I offer to help.

So, on a sunny Saturday morning in the deep south we get into Marilyn’s red Corvair Corsa with its turbocharged engine and dual carburetors, show up at Bob’s new place, and find a UHaul truck in his driveway packed with everything he owns. We get to work toting box after box into the house and putting it all where Bob wants it to go. It’s taken us all morning, but around noon we’re done and we sit down on Bob’s new furniture to celebrate the end of Bob’s beginning. Marilyn’s never met Bob, whom I’ve charitably described as being “a little strange.”  So, being a curious person she nicely asks about his life. This goes on for a while until the big moment.

The big moment is when Bob says to Marilyn, “Wanna see my hair-trigger Colt 45s?”

It’s like an E. F. Hutton commercial. Everything stops. I freeze for a second and then say, “Bob, do you really have hair-trigger Colt 45s?” He says, “Sure do. Two of ’em. They’re pearl-handled, too. Want to see?”

He’s asking a guy who’s just finished two years dodging bullets and other bad things in a spot where serious people really wanted to kill him and his men. To say I have developed a healthy respect for any kind of gun is not giving that phrase the value it needs. Having seen up close what they can do, the accidents that can happen, actually did happen, makes me scared to death of them. I’m not scared when they’re in my hands, but in somebody else’s who probably doesn’t know what he’s doing? I’m not scared yet, though, because Bob has yet to produce the firepower, but my tension level rises like a Goddard Rocket.

I look Bob dead in the eye and say, “Bob, please don’t get the 45s. Leave em’ right where they are. Marilyn and I have to be going. Hope you like your new place.” And with that, we leave.

We get back into the red Corvair Corsa with the turbocharged engine and dual carburetors and drive home. When we get to the house on Plantation Road I pay the babysitter and look at the two-year-old daughter I’m just getting to know. And I think about the pearl-handled, hair-trigger Colt 45s in Bob’s house.

May, 2022

A University of Washington 2017 study found that three million Americans carry a loaded handgun daily; nine million do so at least once a month. According to the recently completed U.S. Census, there are somewhere around 390 million guns in the hands of civilians in America. According to the CDC, nearly eight-in-ten (79%) U.S. murders in 2020 19,384 out of 24,576 involved a firearm. That marked the highest percentage since at least 1968, the earliest year for which the CDC has online records.

Unfortunately, all the CDC can do is report the numbers. Why? Because a 1996 appropriations act contained something that has come to be known as the Dickey Amendment. That amendment is interpreted to prohibit the CDC from doing any research into gun violence. The amendment says federal funding could not be used to “advocate or promote gun control.”  Since more than 38,000 people die by gun violence per year (murder and suicide), is it too much to ask that the Centers for Disease Control and Prevention spend a few million of its $5 billion budget to research and analyze gun violence. Seems a modest proposal to me.

The Houston Chronicle reports the shooter in yesterday’s massacre bought his AR-15 rifle the day after he turned 18. That would be par for the course, because in mass public shootings, the weapon of choice is the assault rifle. The National Shooting Sports Foundation has estimated that approximately 5 million to 10 million AR-15 style rifles exist in the U.S. Regarding assault rifles, I know a thing or two. And I can say with complete certainty and a good deal of experiential credibility that there is not a single reason on God’s lovely earth why anyone other than police and my military brothers and sisters should have one, especially one with automatic fire capability. Anybody who tells you differently is chock full up to their eyeballs with what makes the grass grow green and tall.

We all know that this country is not going to take firearms from its citizenry. However, there are sensible things we can do now —  sensible things that most Americans support. For instance, weapons need to be better controlled through age restrictions, permit-to-purchase licensinguniversal background checkssafe storage campaigns and red-flag laws — measures that help control firearm access for vulnerable individuals or people in crisis.

No one in their right mind commits a mass shooting, but people not in their right minds seem to manage it, and carnage results. And we do nothing. It is a terrible thing to say, but I can only conclude that a majority of our legislative leaders have been bought and paid for by gun lobbyists. No other explanation for inaction seems plausible after the year after year after year slaughter of innocents.

It is high time to force our leaders to ditch the “thoughts and prayers” and find the spot somewhere in their hypocritical, opportunistic, power-hungry being where they have hidden their sense of decency, their morality, presuming they ever had any.

How Far We Must Go

Wednesday, April 21st, 2021

In 1675, the first and one of the deadliest wars ever fought on what is now American soil began. Fifty-six years after the sailing of the Mayflower, the tenuous Native American-Puritan bonds, built with careful distrust, burst asunder with disastrous results for everyone.

In 1616, European traders had brought yellow fever to Wampanoag territory, which covered present day Provincetown, Massachusetts, to Narragansett Bay, Rhode Island. The epidemic wiped out two-thirds of the entire Wampanoag Nation (estimated at 45,000 at the time). So, when the first batch of Puritans landed in 1619, Massasoit, Sachem of the Wampanoags, was on high alert. He waited until 1621 to meet the new immigrants, and then forged a guarded relationship between his people and theirs. In late-March, 1621, he and Governor John Carver signed the Wampanoag-Pilgrim Treaty. In the Treaty the two peoples agreed to do no harm to each other, to come to each other’s aid if attacked by third parties and to have equal jurisdiction over offenders: if a Wampanoag broke the peace, he would be sent to Plymouth for punishment; if a colonist broke the law, he would be sent to the Wampanoags. In addition, the Wampanoag leaders agreed to tell neighboring indigenous nations about the treaty.

For fifty years, the entente, occasionally fraying, held. But as more and more English immigrants arrived with weapons native Americans had never seen, and as the new immigrants began asserting themselves more and more over the indigenous nations, it became a when, not an if, a war would break out.

When Massasoit died in 1665, his son Philip became Sachem. Philip had few of his father’s diplomatic skills, and his people were becoming more and more angry at the dictatorial actions taken by the white people. After three of his trusted lieutenants were executed by the pilgrims in a woeful miscarriage of justice, Philip had no choice but to go to war if he wished to remain in power. In 1675, he did just that.

King Philip’s war brought tragic consequences for all. As so often happens, the white settlers of Plymouth Colony grossly underestimated the tactical skill of the warring indigenous nations, but in the end European firepower won out. Before the war, historians estimate about 80,000 people lived in New England. Nine-thousand died during the fourteen months of King Philip’s War, more than 10% of the total population. Proportionately, that’s more than in both the Civil War and the Revolution. One-third of the towns in New England lay in ashes, farms were abandoned and the fields lay fallow. Philip was hunted down in Rhode Island’s Misery Swamp and killed. His body was quartered and pieces hung from trees. The man who killed him, John Alderman, sold his severed head to Plymouth Colony authorities for 30 shillings.

And so we come to war’s end in 1676, and Josiah Winslow, the governor of Plymouth Colony, had a problem. Namely, what to do with hundreds of native Americans—surviving leaders of King Philip’s War and their families.

Winslow decided to get rid of them by loading them all, including Philip’s wife and nine-year-old son, onto several ships bound for the Caribbean, one of which, ironically, named Seaflower.

As Nathaniel Philbrick writes in his masterful Mayflower (Viking Penguin, 2007):

In a certificate bearing his official seal, Winslow explained that these Native men, women and children had joined in an uprising against the colony and were guilty of “many notorious and execrable murders, killings and outrages.” As a consequence, these “heathen malefactors” had been condemned to “perpetual slavery.”

Thus, joining Rome and other ancient societies, our white ancestor enslaved a conquered people.

Yesterday, 345 years after the Seaflower sailed from Plymouth harbor, a jury of his peers, a diverse jury, convicted Derek Chauvin on all three counts of murder in the death of George Floyd. What struck me most, the image that cannot be unseen, is the smirk on Chauvin’s face as he kneeled the life out of a man who did not look like him. I imagine it to be the same look Governor Winslow had on his face as he signed the certificate condemning hundreds of indigenous people, who did not look like him, into perpetual slavery.

How far we’ve come. How much, much farther we must go.

 

This Is What Happens

Thursday, January 14th, 2021

This is what happens when leaders sell their souls for power.

In the last week, our country and the very concept of democracy have come perilously close to being crushed by the triumph of insurrection. Every day, every hour, we learn more about the plot to bring down the government and establish Donald Trump as de facto dictator. That this was predictable, yet still happened, will be analyzed for years. That it failed (so far), should give no comfort to anyone.

Sabateurs, terrorists in the literal sense of the word, hiding in the belly of the mob, were on a mission to kill Nancy Pelosi, Mike Pence and probably others if they could find them. The FBI is discovering a carefully planned attack, and we are fortunate, indeed, that the traitors’ targets survived. It could easily have gone the other way.

This is what happens when monumental hubris and blind ambition turn the leader of a political party, the party of Abraham Lincoln, into Christopher Marlowe’s Doctor Faustus. Four years ago, a Kentuckian named McConnell agreed to a deal with the Mephistopheles who rode the golden escalator in June of 2015 as The Music of the Night, from Andrew Lloyd Webber’s Phantom of the Opera, blasted through the basement of Trump Tower. How fitting.

In this Faustian bargain, the Kentuckian’s deepest desires were granted: remaking the nation’s judiciary; changing tax laws to benefit corporations and the wealthy; dismantling environmental regulations; eviscerating the country’s immigration system; abandoning global partnerships; solidifying a populist base. In exchange for this unholy alliance, Marlowe’s devil-in-chief ran amuck around America preaching authoritarianism, white supremacy and “American carnage,” which he “alone could fix,” to a congregation of millions of vulnerable citizens long fearful of the way life was changing and leaving them behind. They swallowed it whole.

This is what happens when, in April, 2021, armed white supremacists, Neo-Nazis calling themselves Proud Boys, but acting more like “Brownshirts,” stage a rehearsal for last week’s coup attempt in Lansing, Michigan, invading and taking over the state’s capital with plans for capturing and killing the governor, after which they face zero criticism from our modern-day Mephistopheles. What a boost to their movement.

This is what happens when a country, bombarded with more than 34,000 presidential tweets and 323 fan-the-flames presidential rallies over four years, becomes so desensitized to the stoking of racism and intense polemical bullying that politicians, elected to serve their constituents and the Constitution, become too fearful to denounce such behavior, let alone suggest it should never be condoned in America.

This is what happens when, taking a page from the propaganda manual of Joseph Goebbels, lies are told loud enough and often enough that gullible people believe with biblical certainty that the most secure election in our history was rigged and riddled with fraud. Polls continue to show more than 60% of Republicans believe this.

This is what happens when no one but toadying sycophants, whose moral corruption knows no bounds and whose sole job requirement is total devotion to the whims of their Mephistophelean leader, are placed in senior positions of authority. Now, as their deal with the devil unwinds, they are deserting the ship of state with nary a lifeboat in sight.

This is what happens when hate replaces kindness and a willingness to work collaboratively toward the common good to the extent that winning requires annihilation of one’s opponent. The result is a deep crack to the nation’s foundation.

This is what happens when the worst pandemic in a century is allowed to kill more than 400,000 of our fellow citizens by the time Joe Biden utters the solemn words of his oath of office. A pandemic during which never once has Donald Mephistopheles addressed the nation with words of comfort, empathy or even hope. A time in which the Oval Office has become an oval room of mirrors, where everywhere he looks he sees only himself. There’s no one there, Donald.

This is what happens when leaders sell their souls for power.

 

 

Today’s Class: Impeccable Timing 101

Monday, June 15th, 2020

No one will ever accuse the Republican Party of being overburdened with sensitivity. In two stick-in-the-eye moves just oozing with impeccable timing, the Grand Old Party is telling the world just what it can do with its Black Lives Matter folderol.

First, the GOP’s unquestioned leader, President Donald Trump, like a too long cooped up horse, has decided to resume his rallies, which for him seem to be better than crack cocaine. This week in Tulsa Oklahoma he and as many of his followers as campaign officials can cram into the 19,000-seat BOK Center will gather for a couple of hours of The Best Of Trump as if the COVID-19 pandemic had never happened, neither masks nor social distancing required. Reminds me of Ebenezer Scrooge discussing innovative methods to “decrease the surplus population.”

In the first of his two impeccable timing decisions, Mr. Trump announced he would hold his Tulsa rally on 19 June, known as Juneteenth, the date on which in 1865, the last of the South’s slaves were notified of their freedom under the Emancipation Proclamation. It would take until the following December and the 13th Amendment to officially abolish slavery in America.

Juneteenth is recognized as a state holiday or ceremonial holiday in 47 states and the District of Columbia (what are you waiting for Hawaii, North Dakota, and South Dakota?) and is the oldest celebration marking the end of slavery, dating from 1866.

According to the Associated Press, Trump was unaware of Juneteenth, let alone the significance of it to the Black community, when he announced his rally’s date. Consequently, he did not anticipate the blowback he would get. But get it he did. Even from his own supporters.  In a rare instance of backing down, he moved the rally to the next day, the 20th, still in Tulsa at the BOK Center.

But in America’s Black consciousness, Tulsa is known for a lot more than Juneteenth, as significant as that is. On another day in June, the 1st June day of 1921, Tulsa was the site of the worst race massacre in American history.

The day before, police had arrested a young black man by the name of Dick Rowland for allegedly attacking a white woman in a Tulsa elevator. Soon after Rowland’s arrest, rumors began to spread about a group of whites planning a lynching party. To protect Rowland, African American World War 1 veterans surrounded the jail holding him. There was a standoff with a mob of whites. Somebody fired a shot, and a firefight ensued. The much larger white mob pushed the black vets all the way to Greenwood, Tulsa’s black section.

Greenwood was the wealthiest black neighborhood in the country. Oil had made it rich. Racism was about to destroy it. Over the course of the day, 6,000 homes and businesses and 36 square city blocks were turned to ash. Pilots of two airplanes dropped turpentine bombs on buildings, instantly igniting them. Three hundred African Americans were slaughtered, most thrown into mass graves. Not a soul was ever prosecuted for anything. Then Tulsa, population 100,000, swept it all under the rug. Two generations later nobody knew a thing about it. It was never taught in schools, no books were written, no oral history passed down. It was as if it never happened.

Tulsa’s current mayor, G. T. Bynum, wants to take the rug up to see what’s hiding under it. He’s committed to investigating what happened and determining accountability. He thinks he’s found a couple of the mass graves and is having them excavated. The goal is to at least identify as many victims as possible through DNA analysis.

For the people of Tulsa, especially the black people of Tulsa, this is a deep, open, festering wound, and next Saturday Donald Trump will come riding into town on his big, very white horse to preach the gospel of Trump to 19,000 of his followers. It’ll be an interesting day.

There is one more incident of impeccable timing.

The Republican National Covention had been scheduled for North Carolina, but because North Carolina’s Democratic Governor Roy Cooper, concerned about the spread of COVID-19, would not guarantee a full house for the late August event, the Republican party has moved most of the convention to Jacksonville, Florida. The Coronation of Mr. Trump is set for the night of 27 August.

And, you guessed it, there is a black history story about 27 August and Jacksonville. It is known as Ax Handle Saturday.

The year is 1960 and the Jacksonville Youth Council of the National Association for the Advancement of Colored People (NAACP) is holding peaceful lunch counter sit-ins. Peaceful demonstrations. A group of outraged whites taking exception to this level of daring, begin spitting on the demonstrators and calling them names no one should ever be called. Then ax handles, mercifully without ax heads, suddenly appear along with baseball bats, and the demonstrators begin to get hit. Things go downhill from there. When it is all over dozens of young African Americans would be wounded in various ways. On a brighter note, nobody died, but that was probably blind luck.

To give you an idea of racial relations in Jacksonville at the time, a year earlier, in 1959, the year before Ax Handle Saturday, Nathan Bedford Forrest High School opened in Jacksonville, celebrating the memory of a Confederate General and the first Grand Dragon of the Ku Klux Klan.

The 60th anniversary of Ax Handle Saturday will be celebrated on 27 August in a park about a mile away from the convention at about the same time the balloons come down. Impeccable timing.

 

 

Violence In The ER: A Big Problem Getting Worse

Monday, November 26th, 2018

Men and women who yearn to follow in the footsteps of Hippocrates, Galen and Banting are taught many things in Med School, but there is no course called Violence In The ER, And What To Do When It Happens To You. 

Until recent times that hasn’t been much of an issue for the doctors and nurses who take care of us when we need critical care in a hurry. But in the 21st century, violence in the ER has become less the exception and more the rule.

In a 2018 American College of Emergency Physicians (ACEP) survey of 3,539 ER doctors, 47% reported being assaulted at work, 60% of those within the last year.

Why is this happening? According to ACEP, there are at least three problems with no easy solutions causing the sharp uptick in ER violence.

First, America has a tremendous shortage of psychiatric beds for people in profound mental stress. That means people in serious need of behavioral and mental health care can languish on a gurney in the ER for days, even weeks until a bed becomes available somewhere. Second, patients who’ve become addicted to opioids often show up in the ER demanding medication, and when they don’t get it things can get dicey in a hurry. Third, hospitals haven’t done enough to protect physicians and nurses from attacks by highly-stressed knife and (sometimes) gun wielding patients. Some hospitals have installed metal detectors at entrances, but the detectors and the labor required to screen incoming people can be pretty expensive, especially to a cash-strapped community hospital. Even with the metal detectors, many doctors in the ACEP study reported being kicked, punched, bitten and spit upon by deranged patients. This is a difficult issue for hospital risk managers to confront successfully.

We’ve known for many years that nurses and nursing aides are much more likely than other professionals to be victims of violence in the workplace. According to the US Bureau of Labor Statistics, “intentional injury’’ by another person rose nearly 50%, from 6.4 per 10,000 hospital workers in 2011 to 9.0 per 10,000 hospital workers in 2016, the most recent year of data. The rate across private industry is 1.7. OSHA has analyzed this and published Guidelines for dealing with it. But the ACEP survey is one of the first to shine a light on the stark potential for violent harm confronting Emergency Physicians.

One wonders if the threat of violence in the ER will dissuade med school graduates from specializing in Emergency Medicine. This would certainly be unfortunate, because a shortage already exists for rural ER physicians as documented in a June 2018 study published in the Annals of Emergency Medicine. At the time of the study, more than 27 percent of US rural  counties did not have emergency medicine clinicians and 41.4 percent of counties did not have any emergency physicians reimbursed by Medicare fee-for-service Part B, according to the study.

We’ll continue to follow this phenomenon and occasionally report on progress or lack of it in protecting these highly trained and dedicated life savers. For, now, consider this graphic from the aforementioned ACEP study.

One of America’s Most Dangerous Jobs

Wednesday, September 13th, 2017

Kicked, pummeled, taken hostage, stabbed and sexually assaulted … would you want a job that included these risks? In One of America’s Most Dangerous Jobs, the Washington Post shines a spotlight on the dangers in the nursing profession, specifically around the violence that they encounter on the job. Citing a recent GAO report on violence in healthcare profession, the article notes that, “the rates of workplace violence in health care and social assistance settings are five to 12 times higher than the estimated rates for workers overall.”

Here’s one excerpt from the article:

“In Massachusetts, Elise’s Law, which is named for the nurse who was attacked in June, is already on the fast track to set state standards for workplace protection. Legislators were working on this months before Wilson was stabbed.

Nurses in Massachusetts were attacked more frequently than police or prison guards. When association members testified about the violence epidemic this spring, they said nurses had been threatened with scissors, pencils or pens, knives, guns, medical equipment and furniture in the past two years alone, according to the Massachusetts Nurses Association.”

OSHA reports that in surveys conducted by various nursing and healthcare groups:

  • 21% of nurses and nursing students reported being physically assaulted and over 50% verbally abused in a 12-month period
  • 12% of emergency department nurses experienced physical violence and 59% experienced verbal abuse during a seven-day period
  • 13% of employees in Veterans Health Administration hospitals reported being assaulted in a year

 

While 26 states have workplace safety standards for health-care facilities, there are no federal standards. Nursing groups say that state efforts have helped increase awareness.

NIOSH worked with various partners – including nursing and labor organizations, academic groups, other government agencies, and Vida Health Communications, Inc. – to develop a free on-line course aimed at training nurses in recognizing and preventing workplace violence. The course has 13 units that take approximately 15 minutes each to complete and includes “resume-where-you-left-off” technology. Learn more about the courses at Free On-line Violence Prevention Training for Nurses and the actual course can be accessed here: Workplace Violence Prevention for Nurses CDC Course No. WB1865

Related

 

 

 

Healthcare providers struggle with violence-related risk management

Wednesday, March 23rd, 2016

There’s no question but that healthcare workers face a growing threat of violence from patients while going about their day-to-day jobs. In a 2015 survey, the International Healthcare Security and Safety Foundation reported a 40% increase in violent crime from 2012 to 2014, with more than 10,000 violent incidents mostly directed at employees. High stress, armed patients and visitors, drug and alcohol intoxication, mental health issues and more all contribute to an increasingly dangerous environment. OSHA reports that:

From 2002 to 2013, the rate of serious workplace violence incidents (those requiring days off for an injured worker to recuperate) was more than four times greater in healthcare than in private industry on average. In fact, healthcare accounts for nearly as many serious violent injuries as all other industries combined.

Recently, Susannah Levine reported on the challenge that healthcare facilities face in her Risk & Insurance article, Hospitals Struggle with Security Risks. The article discusses the pros and cons of an armed approach to healthcare security, as well as the insurance implications of various risk management and security measures. Liability insurance may be a determining factor as to whether healthcare facilities opt for armed security or rely on less lethal tools like Tasers and sprays.

“Barry Kramer, senior vice president, Chivaroli & Associates, a health care insurance broker, said that armed security in health care settings is more of a risk management concern than a coverage issue.

“It would be highly unusual for our clients’ liability policies to exclude claims involving security guards, whether or not they’re armed with guns,” he said.

He said many health care risk managers are not equipped to manage exposures associated with licensing and certifying guards or registering the facility’s own firearms.

For facilities that lack the bandwidth to manage, train and track certifications for in-house security staff, Kramer said,third-party vendors, such as local law enforcement or private security companies, can be contracted, since they have firearms experience as well as liability insurance coverage.”

In February, the New York Times discussed various approaches and philosophies that healthcare facilities employ to mitigate risk. The article by Elisabeth Rosenthal – When the Hospital Fires the Bullet – centers on the case of a 26-year-old mental health patient who was shot by police in a Houston hospital. In the course of the article, Roenthal presents various approaches to security:

To protect their corridors, 52 percent of medical centers reported that their security personnel carried handguns and 47 percent said they used Tasers, according to a 2014 national survey. That was more than double estimates from studies just three years before. Institutions that prohibit them argue that such weapons — and security guards not adequately trained to work in medical settings — add a dangerous element in an already tense environment. They say many other steps can be taken to address problems, particularly with people who have a mental illness.

Rosenthal contrasts the approach of Boston’s Massachusetts General Hospital, where the strongest weapons its security officers carry is pepper spray to that of the Cleveland Clinic, which has its own fully armed police force and also employs off-duty officers.

Guns in hospitals

Meanwhile, as risk managers struggle with the dilemma of whether to arm or not to arm, patients and visitors are often armed, enabled by state and local gun laws – just one more factor that healthcare facilities are coping with. At of the beginning of the year, Texas law allows for guns in state mental health hospitals. Campus Safety Magazine reports on how Kansas College Hospitals are preparing to allow guns on campus to comply with a new law. Gun laws in health systems vary by state – while a federal law bars guns from schools, there is no such law about firearms in hospitals.

Healthcare Violence Prevention Resources

OSHA: Worker Safety in Hospitals – Caring for our Caregivers

OSHA: Preventing Workplace Violence: A Road Map for Healthcare Facilities

OSHA: Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers

Mitigating Workplace Violence at Ambulatory Care Sites

Emergency Department Violence Fact Sheet

Healthcare Crime Survey 2015

Prior related posts

More perils for healthcare workers

Violence in healthcare: 61% of all workplace assaults are committed by healthcare patients

Report on violence & aggression to Maine’s caregivers; Injuries include bites, kicks, being hit