Never pass up a chance to sit down or relieve yourself. -old Apache saying

Monday, October 30, 2023

Firearm deaths

Some interesting info from UC-Davis on firearm deaths in the United States. 


The human toll

There were 39,707 deaths from firearms in the U.S. in 2019. Sixty percent of deaths from firearms in the U.S. are suicides. In 2019, 23,941 people in the U.S. died by firearm suicide.1 Firearms are the means in approximately half of suicides nationwide.

In 2019, 14,861 people in the U.S. died from firearm homicide, accounting for 37% of total deaths from firearms. Firearms were the means for about 75% of homicides in 2018.

The other 3% of firearm deaths are unintentional, undetermined, from legal intervention, or from public mass shootings (0.2% of total firearm deaths).

There are approximately 115,000 non-fatal firearm injuries in the U.S. each year.

The economic cost

The estimated annual cost of gun injury in 2012 exceeded $229 billion—about 1.4% of GDP.2

Prevalence of ownership

31% of all households in the U.S. have firearms, and 22% of American adults personally own one or more firearms.3

Compared with other countries

The U.S. has relatively low rates of assaultive violence but high firearm mortality rates in comparison with other industrialized nations.4

Risk and safety

Research has found that individuals with risk factors for firearm injury and death are less likely to safely store their firearms when compared to firearm owners without these risk factors.5,6

Trends in firearm injury and death

Overall since 2006, firearm homicides in the U.S. have decreased, but the number of firearm suicides has increased by a similar amount.4

Even when firearm homicide rates were at their highest in the mid-1990s (just above 7/100,000 population), they were not higher than those for firearm suicide.

Firearm homicide and suicide rates vary demographically and geographically.

Learn more about trends in firearm injury and death in the U.S.

The role of health care providers

There are no state or federal statutes that prohibit health care providers from asking about patients’ access to firearms when the information is relevant to the health of the patient or the health of someone else.7,8

Research has shown that patients are generally receptive to provider questions on firearm access and safety.9,10

  1. Web-based Injury Statistics Query and Reporting System (WISQARS). Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2018.
  2. Follman M, Lurie J, Lee J, West J. The true cost of gun violence in America. 2015. (Accessed 10 December, 2017, at https://www.motherjones.com/politics/2015/04/true-cost-of-gun-violence-in-america/)
  3. Smith TW, Son J. General Social Survey final report: trends in gun ownership in the United States, 1972-2014. 2015.
  4. Wintemute GJ. The epidemiology of firearm violence in the twenty-first century United States. Annu Rev Public Health 2015;36:5-19.
  5. Nelson DE, Grant-Worley JA, Powell K, Mercy J, Holtzman D. Population estimates of household firearm storage practices and firearm carrying in Oregon. JAMA 1996;275:1744-8.
  6. Nordstrom DL, Zwerling C, Stromquist AM, Burmeister LF, Merchant JA. Rural population survey of behavioral and demographic risk factors for loaded firearms. Inj Prev 2001;7:112-6.
  7. Wintemute GJ, Betz ME, Ranney ML. Yes, you can: physicians, patients, and firearms. Ann Intern Med 2016;165:205-13.
  8. Kapp MB. Geriatric patients, firearms, and physicians. Ann Intern Med 2013;159:421-2.
  9. Betz ME, Flaten HK, Miller M. Older adult openness to physician questioning about firearms. J Am Geriatr Soc 2015;63:2214-5.
  10. Walters H, Kulkarni M, Forman J, Roeder K, Travis J, Valenstein M. Feasibility and acceptability of interventions to delay gun access in VA mental health settings. Gen Hosp Psychiatry 2012;34:692-8.



Saturday, October 28, 2023

Good News?

Sometimes it's hard to find good news. Sometimes all you have to do is tune in to Simon Rosenberg and his Hopium Chronicles.



Lots of Good News Of Late - A reminder of what we’ve learned in the last few weeks: 


Winning Virginia - While the early vote in Virginia is getting more Democratic every day, we are still not where we want to be and need to keep pushing. Hope will you donate to or volunteer for one of the six swing, too-close-to-call races we’ve gotten behind here, or keep working with whatever program you are working with already. We need to have a big weekend this weekend to have the election we all want to have in November. I will be canvassing on Saturday - weather is looking good! Thanks to all of you who have donated, volunteered - been so inspiring to see all the ways people are helping out in Virginia! We are now over $100,000 raised for our six candidates! 

If you want to do a live check-in on Virginia today, Tom Bonier and I will be joining our friends at Network NOVA for their weekly Power Lunch at Noon EST.  RSVP here!

John Kirby On Israel-Gaza - For all of us trying to make sense of this terrible moment in the Middle East, I pass along an instructive video and partial transcript of White House National Security Spokesperson John Kirby’s answer to a question yesterday from a Brazilian reporter from the briefing room: 

TV Globo’s @RKrahenbuhl: “So, besides saying that he doesn't have confidence in these numbers, the President went further to say that innocents will die and that this is the price of the war. You also said that.” Kirby: “I have indeed.” Krähenbühl: “Don't you think this is insensitive? There’s being very harsh criticism in about it. For example, the Council of American-Islamic Relations said it was deeply disturbed and call on the President to apologize. Would the President apologize?” 

Kirby: “No.”

Krähenbühl: “And does he regret saying something like that?” 

Kirby: “What’s harsh — what’s harsh is the way Hamas is using people as human shields. What’s harsh is taking a couple of hundred hostages and leaving families and anxious, waiting and worrying to figure out where their loved ones are. What's harsh, is dropping in on a music festival and slaughtering a bunch of young people just trying to enjoy an afternoon. I could go on and on. That's what's harsh. That is what's harsh and being honest about the fact that there have been civilian casualties and that there likely will be more is being honest, because that's what war is. It's brutal. It's ugly. It's messy. I've said that before. President also said that yesterday. Doesn't mean we have to like it. And it doesn't mean that we're dismissing anyone of those casualties each and every one is a tragedy in its own right...It would be helpful if Hamas would let [Gazans] leave....We know that there are thousands waiting to leave Gaza writ large and Hamas is preventing them from doing it. That is what is harsh.”


The New Speaker - So yesterday I shared an op-ed our new Speaker published some years back decrying the Supreme Court’s decision to outlaw anti-sodomy laws in the United States. So it was a bit surprising to hear the new Speaker claim in an interview he recorded yesterday (clip below, with Hannity of course) that as a “rule of law” conservative he abides by the Court’s decisions once they are made. Not what he did in that op-ed yesterday, of course, and not what he did in his decades long challenge of Roe. It’s perhaps a small lie but to me a significant one for he is so clearly and shockingly full of shit here that we should anticipate many more lies, about things that really matter, in the days ahead. Watch the video for it also contains this all time classic: 

“Someone asked me today in the media, ‘People are curious, what does Mike Johnson think about any issue?’ I said, ‘Well, go pick up a Bible off your shelf and read it. That’s my worldview.”

Unprecedented GOP Betrayal Continues - So in a time of dramatic and escalating tension around the world, the Republicans continue to:

Keep working hard all. We have a lot of work to do - Simon

Original


Saturday, October 14, 2023

WaPo Ed Board

To paraphrase the last couple of sentences, we are very lucky to NOT have Trump in the White House any longer, and SO lucky to have Joe Biden in there. Trump should ideally be locked up somewhere and unable to utter his lies, absurdities and threats. The U.S., and the world, would be a lot better off.


Biden rises to the occasion on Israel and Hamas. Trump sinks to a new low.

Washington Post Editorial Board
October 12, 2023

At a time when the United States, and the world, desperately need decency and moral clarity, President Biden has provided both. His words regarding the wanton atrocities Hamas has committed against hundreds of Israeli civilians, as well as many Americans and citizens of other countries, in the past week have been unequivocal. In remarks to a gathering of American Jewish leaders Wednesday, he described the mass murder as “sheer evil” and likened it to “the worst atrocities of ISIS.”


In condemning the terrorism, and offering support to Israel’s military response, the president also reminded the new emergency war government under Prime Minister Benjamin Netanyahu of its responsibilities under “the law of war.” These measured statements put the United States in just the right place: supportive of Israel but positioned, if need be, to influence and temper its response.


In short, Mr. Biden has so far met the elementary test of political leadership amid crisis, as those who placed their trust in him at the ballot box three years ago hoped he could. By no means do we intend to endorse all the steps and missteps he and his administration might have taken in the Middle East up to this point. The important thing is how the United States, in concert with allies, deals with the reality that began Saturday.


Nor do we propose to adjudicate all the inevitable controversies that have arisen over who in Hollywood or on college campuses or on the streets of Manhattan said what about Hamas’s massacre. Inevitably — and regrettably — amid many sober and sincere expressions, there were too many instances of justification or outright celebration.


What matters most is what those who exercise, or would exercise, political power say and do. It matters that they show the ability to differentiate — to treat the slaughter of these particular innocents on its own terms, without relativization, even as everyone knows and understands that it occurred within a broader context that includes Palestinian suffering, historical and contemporary. Unreserved condemnation of Hamas’s terrorism is the price of admission to this debate — or, rather, to the morally serious part of it. In that respect, Mr. Biden’s firm words also stand in welcome contrast to the equivocations by a small number of the left-wing members of Congress in his own party, which White House press secretary Karine Jean-Pierre specifically repudiated.


In a reckless category of their own, however, were the comments of GOP presidential front-runner Donald Trump. To be sure, he labeled the Hamas attack a “disgrace” shortly after it occurred — then pivoted to blaming it on Mr. Biden’s policies. That was about par for the partisan course, alas. Yet the former president went in a bizarre new direction Wednesday by heaping scorn on Israel itself for failing to anticipate the attack and lecturing the Jewish state to “step up their game.”


He labeled the Iran-backed Hezbollah militant group “very smart,” comparing it to an authoritarian he rates highly for ruling “1.4 billion people ... with an iron fist”: Chinese President Xi Jinping. And he referred to Israel’s defense minister as a “jerk” for purportedly revealing weaknesses in the country’s northern defenses. To top it off, the former president said Mr. Netanyahu had “let us down” by refusing to aid the deadly strike Mr. Trump ordered against the commander of Iran’s elite Quds Force on Jan. 3, 2020.


An Israeli spokesman denied the account and dismissed Mr. Trump’s comments as “shameful.” There’s a lesson here for Mr. Netanyahu, who forged a close relationship with Mr. Trump during his presidency, based on the latter’s generally uncritical support for Mr. Netanyahu. There’s a lesson, too, for the Israeli public, among whom Mr. Trump was popular while in office.


Mostly, though, it is Americans who need to take notice of these comments — especially Republicans, both voters and politicians. To their credit, some of Mr. Trump’s rivals for the GOP nomination denounced his remarks. Even by his standards, they showed an extraordinary penchant for rubbing salt in the wounds of an ostensible friend and for converting an international crisis into a drama about himself. Mr. Trump’s latest outburst showed how fortunate this country is that he is not in the White House now and how unfortunate it would be if he ever returned to it.


The difficult days ahead will require rhetorical precision, empathy for victims and strategic thinking about U.S. interests. Real leaders rise to the occasion.


Original.


Saturday, October 7, 2023

GOP pro-Putin?!

What in the world is the GOP doing? Spurred on by the soon-to-be-convicted Donald Trump, all their anti-Ukraine talk is helping Putin and Russia. WTF?! Which side are they on? Do they hate Biden (and America) so much that they are willing to support Putin over Biden? Are they on Putin's payroll? It defies logic and reality. Some of them, many of them, should lose their jobs come November 2024, if not sooner.


The GOP's Appeasement of Putin is Helping Destabilize the World, and Weaken America
by Simon Rosenberg
October 7, 2023

The Republican Party’s Ongoing Appeasement of Putin Is Helping Destabilizing The World, And It Needs To End - This post is a big hurried and rushed so please forgive errors or mistakes. 


Over the past few weeks I’ve been writing about how Republican leaders seemed to be doing Putin’s bidding on Ukraine and denigrating Zelenskyy; in undermining the American military; in blaming Biden for inflation and high gas prices Putin’s attack on Ukraine and his oil policies have caused; in launching yet another inquiry into Hunter Biden and the Biden family; in making the US look dysfunctional and broken as the world arrived here for the UN General Assembly. I’ve come to believe that there is a part of the Republican Party that is now operating like a Russian fifth column here in the United States, seeking to undermine America from within in coordination with Russia. This partnership with Russia remains to me the most extraordinary and dangerous part of this terrible age of MAGA, as Russia has as its primary foreign policy goal the weakening of the American-led global liberal order and America itself. This ongoing partnership, and this overt support for Russia is akin to treason, and we need to do everything we can to end it. 


Russia is a financial and political backer of Hamas, and it’s ally, Iran. Hamas’ leadership visited Moscow as recently as March of this year. This morning Russia called for a cease fire in Israel, essentially calling on Israel to stand down and not defend itself, a clear sign of support for Hamas. While Russia has called for Israel to stand down, while under attack, here is what Ukrainian President Zelenskyy tweeted this morning


Horrible news from Israel. My condolences go out to everyone who lost relatives or close ones in the terrorist attack. We have faith that order will be restored and terrorists will be defeated. 

 

Terror should have no place in the world, because it is always a crime, not just against a specific country or this terror’s victims, but against humanity in general and our entire world. 

 

Anyone who resorts to terror commits a crime against the world. Whoever finances terror is committing a crime against the world. The world must stand united and in solidarity so that terror does not attempt to break or subjugate life anywhere and at any moment. 

 

Israel's right to self-defense is unquestionable. 

 

All details surrounding this terrorist assault must be revealed so that the world knows and holds accountable everyone who supported and helped carry out the attack. 

 

All Ukrainian citizens who remain in the risk zone must carefully obey all orders issued by local security services and remain vigilant. Please be cautious. The Ukrainian Ministry of Foreign Affairs and our embassy in Israel are ready to assist in any situation. 

 

To support Ukrainians in Israel, we established an operational headquarters. If you require assistance, please contact any of our diplomatic or consular offices in any convenient and accessible manner. 

 

Every life is valuable! We condemn all forms of terrorism.

 

Russian-backed Hamas attacked Israel today. But of course if it becomes known here in the US that Russia helped support an attack on Israel support for funding the Ukraine war will rise, and those same Russian-loving Rs will be forced to back the Administration’s request for Ukraine funding. So predictably, and pathetically, using talking points which could have been written in Moscow, these Russian-loving Republicans are deflecting blame from Russia and somehow blaming Joe Biden and the United States for Hamas’ actions today. 


But Russian backed Hamas’ attack on Israel needs to become a rallying point for pro-democracy forces here to build greater domestic support for our military aid of Ukraine. Russia is an extraordinary threat to the modern world, and defeating it in Ukraine is among our most urgent tasks now.



In the coming days we also need to understand the role Moscow may be playing in the current spike in Venezuelan refugees arriving at our border, a spike which has overloaded our immigration system across the US. Russia is the main sponsor of the disastrous Maduro regime in Caracas, something Donald Trump helped cement as President. Here’s the Washington Post from 2019, Trump echos Putin on Venezuela


“There has been a long-emerging pattern in Donald Trump’s presidency: He talks to an authoritarian leader, and then he says or does something they like. Sometimes, this has had far-reaching consequences for U.S. foreign policy, as it did when Trump announced a (later-aborted) quick withdrawal from Syria. Defense Secretary Jim Mattis resigned over that one.


On Friday, Trump did it again, this time with Russian President Vladimir Putin.


After he spoke to Putin on the phone for an hour, Trump held a news conference with the prime minister of the Slovak Republic. The first thing he emphasized was that Putin wasn’t going to get involved in the deteriorating situation in Venezuela.


“I had a very good talk with President Putin — probably over an hour,” Trump began. “And we talked about many things. Venezuela was one of the topics. And he is not looking at all to get involved in Venezuela, other than he’d like to see something positive happen for Venezuela. And I feel the same way. We want to get some humanitarian aid."


Someone should tell Trump’s own secretary of state that.


In an interview Thursday, Mike Pompeo said that not only had Russia gotten involved in Venezuela, but that it had actually “invaded” it. Here’s his exchange with Ben Shapiro (key parts bolded):


SHAPIRO: Can you explain to folks how deep the intervention of the Russians and Cubans is in Venezuela right now?

 

POMPEO: Ben, I kind of laugh sometimes. You’ll hear people saying we need to make sure there’s not an invasion in Venezuela, and yet there’s been one. I mean, it took place. The Cubans invaded some time ago; the Russians have now followed suit. The numbers of Cubans in the security apparatus alone are in the thousands. The Russians have people working over there in the hundreds, if not more. These are the folks who are actually controlling the direction of travel for Venezuela. We’ve seen that failure even today. It’s largely Cuban security forces that are protecting Maduro in his hiding place. He talked yesterday about having nerves of steel. That’s easier to do when you’re surrounded by Cuban military people and you’re hiding in a bunker.

 

They are deep. They’ve controlled the economy; they have looted the nation. They’ve demanded that Venezuela provide to Cuba essentially discount oil for years and years, harming the Venezuelan people. The Cubans have been there and are deeply embedded, have been for years, and the Russians have been there as well, largely protecting their economic interests.

 

Here was Pompeo arguing that Russia’s involvement in Venezuela amounted to an invasion, something that had altered the course of the country. Yet Trump talked to Putin and promptly declared — not even citing Putin, but saying in his own words — that Russia was staying out except to help on a humanitarian basis.”

………..

You see Putin has weaponized migrant crises before to advance his political interests. He did so in Europe a decade ago, a crisis which helped fueled the rise of Russian-aligned right wing parties across Europe and helped bring about Brexit. Here is an excerpt from a CNBC article from 2016, Putin ‘weaponizing’ migrant crisis to hurt Europe


Russian President Vladimir Putin and his ally, Syrian President Bashar Assad, are “weaponizing” the region’s refugee crisis and are using it to undermine Europe’s security and unity, according to a top U.S. and NATO commander in Europe.

   

U.S. Air Force General Philip Breedlove, the supreme allied commander in Europe for the 28-member military alliance NATO, told a hearing of the U.S. Senate Armed Services Committee Tuesday that Russia and Syria were working together trying to undermine European security.

 

“Together, Russia and the Assad regime are deliberately weaponizing migration in an attempt to overwhelm European structures and break European resolve,” he told the committee.

 

Syria’s alleged use of barrel bombs against its own civilians, as well as Russia’s “indiscriminate” air strikes in Syria ostensibly -- used to help the West combat Islamic State but seemingly targeting rebel groups who oppose the Assad government -- had been aimed at displacing civilians and creating a refugee crisis, Breedlove added.

 

“Barrel bombs are designed to terrorize, get people out of their homes, get them on the road and make them someone else’s problem. These indiscriminate weapons used by both Assad and the non-precision use of weapons by Russia, I can’t find any other reason for them other than to cause refugees to be on the move and make them someone else’s problem.”

 

If Russia is indeed using the migrant crisis as a way of destabilizing its neighbor Europe, then it appears to be working. The European Union (EU) is struggling with the numbers of migrants and refugees arriving on the continent, most of whom coming from the Middle East and Syria.

 

With over a million migrants arriving in 2015 alone, according to the UN, the new arrivals have put strains on the region’s resources and political unity with southern European countries such as recession-hit Greece hit hardest by the amount of people arriving by sea.

 

The migrant crisis has also caused widespread tension and division among European countries who disagree over how to manage and relocate and the migrants. A number of countries have closed their borders, effectively leaving migrants stranded in countries –such as Greece - and making the problem worse.

 

So is it possible right now that Russia is leading a land war in Europe, green-lighting terror attacks in Israel (with goal of ending the Saudi/Israeli detente, raising oil prices, distracting the West from its focus on Ukraine?) and destabilizing migrant flows in the Americas? Sure. Of course. And despite all this Donald Trump and his Republican allies have spent the day once again doing Putin’s bidding here in the US, deflecting attention away from Russia’s extraordinary global malevolence and predictably blaming the US. 


All of this is why we are here at Hopium, and we need to keep doing our work. This Trump-era Republican Party is an historic threat to the US and the rules-based global order we lead, and we need to keep beating them in election after election until this threat abates. 


Keep working hard all, and all my love and support to the people of Israel and this terrible day - Simon (and sorry if this feels hastily written - it was)


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Original.