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View Diary: "Trigger Happy" - Priorities for Reducing Gun Violence from United Physicians of Newtown (143 comments)

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  •  A question about gun laws and doctors (10+ / 0-)

    Thank you for this wonderful article and thank you for your efforts on behalf of children's safety.

    Recently, Florida passed a law prohibiting doctors from talking with their patients about guns in the home, and their patients' risk for gun violence.

    Can you tell us about any such laws in the state of Conn.?  In your opinion as a physician is it important for doctors to discuss guns and injury risks with their patients?

    "The fool doth think he is wise: the wise man knows himself to be a fool" - W. Shakespeare

    by Hugh Jim Bissell on Tue Sep 10, 2013 at 01:44:50 PM PDT

    •  Interesting - Dr. Bill Begg was instrumental (6+ / 0-)

      in challenging the Florida gag law.

      We are working on a profile of Dr. Begg and want to interview him about the Florida law.
      Physicians gagged - Dr William Begg Interview in: The Tipping Point

      "They did not succeed in taking away our voice" - Angelique Kidjo - Opening the Lightning In a Bottle concert at Radio City Music Hall in New York City - 2003

      by LilithGardener on Tue Sep 10, 2013 at 02:02:24 PM PDT

      [ Parent ]

    •  as for the question about docs and gun safety (11+ / 0-)

      it gets to the heart of what pediatricians do: anticipatory guidance.

      Anticipatory guidance involves three types of tasks: (1) gathering information, (2) establishing a therapeutic alliance, and (3) providing education and guidance.

      Many discussions of anticipatory guidance focus only on the third task. Without the first two, however, education and guidance are often misguided or ineffective.

      reference:
      AAP Textbook of Pediatric Care Chapter 25: Anticipatory Guidance

      https://www.pediatriccareonline.org/...

      "It is difficult to get a man to understand something, when his salary depends upon his not understanding it!" — Upton Sinclair

      by Greg Dworkin on Tue Sep 10, 2013 at 02:49:19 PM PDT

      [ Parent ]

    •  Can you cite that law? (2+ / 0-)
      Recommended by:
      FrankRose, LilithGardener

      I don't think it says what you claim.

      Your hate-mail will be graded.

      by PavePusher on Thu Sep 12, 2013 at 07:08:36 AM PDT

      [ Parent ]

      •  Covered here, along with similar bills (1+ / 0-)
        Recommended by:
        a2nite

        in other states.

        Doctors Caught in Crossfire…

        In the three months since Newtown, state lawmakers around the country have already introduced nine bills aimed at blocking the sharing of gun information in a medical context, according to the Law Center to Prevent Gun Violence. Unlike the controversial legislation that was introduced in Florida last year, known as "docs vs. Glocks," Putnam's law would not mete out financial and licensing penalties if a doctor asks about guns. But a recent report from the American College of Surgeons argues that this kind of legislation nonetheless amounts to a gag order. "It is important that the relationship between a physician and a patient not be compromised," wrote author Alexis Macias.

        "They did not succeed in taking away our voice" - Angelique Kidjo - Opening the Lightning In a Bottle concert at Radio City Music Hall in New York City - 2003

        by LilithGardener on Thu Sep 12, 2013 at 07:48:41 AM PDT

        [ Parent ]

        •  Ah, I was right: (2+ / 0-)
          Recommended by:
          LilithGardener, CarlosJ

          What HJB claimed:

          Recently, Florida passed a law prohibiting doctors from talking with their patients about guns in the home, and their patients' risk for gun violence.
          What your cite says:
          Introduced in January, Putnam's bill prohibits doctors from asking about a patient's firearm ownership.
          Nothing to keep them from offering advice about gun safety, storage, etc.

          Same as the FL law, IIRC.

          Your hate-mail will be graded.

          by PavePusher on Thu Sep 12, 2013 at 12:02:43 PM PDT

          [ Parent ]

          •  No, you didn't read carefully (1+ / 0-)
            Recommended by:
            a2nite

            And in public health research something that happened in 2011 is considered "recent."

            The FL law was struck down by a court.

            Opinions are welcome, but if you want to make a credible comment on a discrepancy it's best to actually read the article you rely upon as proof.

            "They did not succeed in taking away our voice" - Angelique Kidjo - Opening the Lightning In a Bottle concert at Radio City Music Hall in New York City - 2003

            by LilithGardener on Thu Sep 12, 2013 at 12:36:54 PM PDT

            [ Parent ]

            •  Perhaps you should stay on-topic. (1+ / 0-)
              Recommended by:
              CarlosJ

              I was addressing HJB's claim about what the FL law said.  It does not say what he claimed.

              It appears none of the other similar proposed laws equal "gag orders" either.  They merely prevent doctors from asking about ownership of private property.

              Nothing in them seems to block anyone from offering safety advice and counciling.

              Your hate-mail will be graded.

              by PavePusher on Thu Sep 12, 2013 at 12:52:01 PM PDT

              [ Parent ]

              •  Florida: (3+ / 0-)
                Recommended by:
                LilithGardener, a2nite, Joy of Fishes

                HJB:

                Recently, Florida passed a law prohibiting doctors from talking with their patients about guns in the home, and their patients' risk for gun violence.
                Huffpo, July of this year:
                http://www.huffingtonpost.com/...

                Fair use excerpt: (I've underlined the salient points)

                Passed by the Legislature in 2011, the Firearm Owners Privacy Act prohibited doctors from asking patients about gun ownership or recording such information in medical records unless it was medically necessary – although that term was not defined. U.S. District Judge Marcia Cooke declared the legislation unconstitutional last year as an impermissible restriction on free speech, and the state appealed.

                In his rebuttal, the attorney representing physicians and gun-control advocates, Douglas Hallward-Driemeier, said the law was sufficiently strong to prompt doctors to censor themselves, because none would risk a potential loss of license or fines up to $10,000 for violating it.

                I award 1/2 point each to HJB and PavePusher.
                Florida passed a law, prohibiting enquiry about gun ownership and recording same in medical records - unless medically necessary.  
                I'd list dementia, and certain socio/psychopathic disorders as "medically necessary" if the State were to ask my opinion on the matter.  So far, they appear reluctant to do so.

                Were I a physician, I've have a hacking big "GUN LOCKS SAVE LIVES" poster in my waiting room.  One size fits all.
                Have the message in each of the predominant languages that frequent the practice, and avoid posting one in the exam or consultation rooms.

                The country was in peril; he was jeopardizing his traditional rights of freedom and independence by daring to exercise them.” ~ Joseph Heller, Catch-22

                by 43north on Thu Sep 12, 2013 at 03:38:36 PM PDT

                [ Parent ]

                •  Very practical suggestion! (3+ / 0-)
                  Recommended by:
                  43north, a2nite, Joy of Fishes

                  Incorporates all the nuance and respect for some of the requirements of medical practice laws.

                  And thank you for the detailed answer re the FL law. My understanding is that the Montana law is weaker than the FL law, but I haven't studied it yet. It keeps getting pushed down my to do list.

                  "They did not succeed in taking away our voice" - Angelique Kidjo - Opening the Lightning In a Bottle concert at Radio City Music Hall in New York City - 2003

                  by LilithGardener on Thu Sep 12, 2013 at 04:01:31 PM PDT

                  [ Parent ]

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