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RandySF

(58,462 posts)
Sat Oct 17, 2015, 03:01 PM Oct 2015

Mental Health, the NRA's new straw man.

Four years ago, when Adam Lanza opened fire at Sandy Hook Elementary School in Newtown, Connecticut, killing 26 people, Sen. Marco Rubio dismissed calls for increased gun control, instead declaring a need for greater focus on the mentally ill.

"We should look for ways to keep firearms out of the hands of criminals and the mentally ill prone to misusing them, but I oppose legislation that will be used as a vehicle to impose new Second Amendment restrictions on responsible, law-abiding gun owners," Rubio said in a statement a few months after the mass shooting. "We should work to reduce tragic acts of violence by addressing violence at its source, including untreated mental illness, the lack of adequate information-sharing on mental health issues, and the breakdown of the family."

But in the years since, Rubio has not authored a single piece of legislation to expand services for mentally ill people while he has consistently voted against proposed gun restrictions.

This lack of follow-through places Rubio in a crowded camp. In recent years, as mass shootings have become a familiar tragedy in American life, the reactions have generally adhered to a consistent script: Republicans coalesce around the position that guns are not to blame while urging that attention be paid to the dangers posed by failing to treat mental illness. Then they go back to what they were doing before, voting down gun control bills while offering little to follow-through on their calls for increased attention to mental health care.

http://www.ibtimes.com/republicans-mass-shooting-response-focuses-not-gun-control-mental-health-reform-2125119

36 replies = new reply since forum marked as read
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Mental Health, the NRA's new straw man. (Original Post) RandySF Oct 2015 OP
Yep... ghostsinthemachine Oct 2015 #1
I agree with Rubio HassleCat Oct 2015 #2
You agree with a guy the NRA rates with a A? Are you on the right site?? Fred Sanders Oct 2015 #3
Sure, why not? HassleCat Oct 2015 #4
Haven't people here been calling for increased support for mental health initiatives? Lancero Oct 2015 #5
A broken clock is right twice a day. GGJohn Oct 2015 #16
This message was self-deleted by its author loyalsister Oct 2015 #21
Would that include people with a history of alcoholism? loyalsister Oct 2015 #22
Responsible gun owners wish to find solutions to gun violence ... spin Oct 2015 #6
The problem with 'a number' of mass murders is that 'a number' get highlighted by the media HereSince1628 Oct 2015 #9
I am primarily interested in improving mental healthcare for all. .. spin Oct 2015 #10
Can the measure of improvement in psychiatric care really be reduction in mass-murders? HereSince1628 Oct 2015 #13
Consider the number of mass murder events (old FBI definition) at about Eleanors38 Oct 2015 #17
If you can imagine shooting someone with a gun... hunter Oct 2015 #7
"If you can imagine shooting someone with a gun you probably shouldn't have one." Well said! eom Comatose Sphagetti Oct 2015 #8
Neither the constitutionality, or at least for most people, the popularity of firearm restrictions branford Oct 2015 #11
The Constitution is not a religious document. hunter Oct 2015 #14
Prohibition = hate and culture war. nt Eleanors38 Oct 2015 #19
Well, there are a lot of things to hate in our culture. hunter Oct 2015 #27
Behind the prohibited thing, status or practice are people which are hated. Eleanors38 Oct 2015 #33
The Constitution is indeed capable of being changed. branford Oct 2015 #36
If you had a gun and someone was trying to kill/gravely hurt you and a loved one, ..... aikoaiko Oct 2015 #15
I don't have to "imagine" situations like that. hunter Oct 2015 #24
You describe a very real and horrible event and yet you say guns folks are imagining bad guys. aikoaiko Oct 2015 #25
You can choose to take the high road or the low. hunter Oct 2015 #29
And you're entitled. aikoaiko Oct 2015 #31
Good for you, GGJohn Oct 2015 #32
Way wrong. Only encourages more stigma. Most people have a plan for SD... Eleanors38 Oct 2015 #18
Not quite on target but... Photographer Oct 2015 #12
That talking point is often parroted right here on DU (nt) Orrex Oct 2015 #20
So you would be against expanded mental health care because the NRA and Marco Rubio GGJohn Oct 2015 #23
QED hunter Oct 2015 #26
IOW, you can't produce that list of talking points either. eom. GGJohn Oct 2015 #28
That's more complicated to answer than you might think HereSince1628 Oct 2015 #34
The rate of mental illness... Bigmack Oct 2015 #30
In the US pretty much -EVERYONE- has more access to guns HereSince1628 Oct 2015 #35

ghostsinthemachine

(3,569 posts)
1. Yep...
Sat Oct 17, 2015, 03:08 PM
Oct 2015

They know that there is no way to actually do that without violating doctor/patient rights, HIPPA and all of that.

 

HassleCat

(6,409 posts)
2. I agree with Rubio
Sat Oct 17, 2015, 03:10 PM
Oct 2015

Of course, he's just trying to blow off the issue, but his suggestion makes sense if you consider how we might implement a policy that keeps guns out of the hands of mentally unstable people. (1) No person ever convicted of a violent crime, even a misdemeanor, would be allowed to have a firearm. (2) No person taking any kind of "emotional stabilizer" drug would be allowed to have a firearm. (3) No person who was ever an alcoholic would be allowed to have a firearm. And so on. If they want to get serious about keeping guns away from unstable people, fine. Let's get serious. Only people who have undergone an emotionally stability check, with followups every few years, would be allowed to own firearms. Maybe add in some anger management requirements while we're at it. Since hording is an indicator of mental instability, people who hoard guns and ammo would be declared mentally ineligible to own guns. What do you think, NRA? Good idea, yes?

Lancero

(3,002 posts)
5. Haven't people here been calling for increased support for mental health initiatives?
Sat Oct 17, 2015, 03:35 PM
Oct 2015

Should we abandon support for greater access to mental healthcare, just because the NRA thinks it's a good thing?

GGJohn

(9,951 posts)
16. A broken clock is right twice a day.
Sun Oct 18, 2015, 11:37 AM
Oct 2015

What's wrong with exploring these ideas?
Just because it comes from someone with an A rating from the NRA doesn't mean it should be immediately dismissed, it should be studied and if feasible, then make it happen.

Response to HassleCat (Reply #2)

loyalsister

(13,390 posts)
22. Would that include people with a history of alcoholism?
Sun Oct 18, 2015, 02:48 PM
Oct 2015

A single DUI, or a stint in rehab? Or someone who is arrested for violent misdemeanors but not necessarily convicted? Those are the people who are more likely to kill another person.


But a focus on mass murder, while critical, does not get at the broader issue of gun violence, including the hundreds of single-victim murders, suicides, nonfatal shootings and other gun crimes that occur daily in the United States. And focusing on the mentally ill, most of whom are not violent, overlooks people who are at demonstrably increased risk of committing violent crimes but are not barred by federal law from buying and having guns.

These would include people who have been convicted of violent misdemeanors including assaults, and those who are alcohol abusers. Unless guns are also kept from these high-risk people, preventable gun violence will continue.

http://www.nytimes.com/2013/02/24/opinion/sunday/violent-drunk-and-holding-a-gun.html



spin

(17,493 posts)
6. Responsible gun owners wish to find solutions to gun violence ...
Sat Oct 17, 2015, 04:09 PM
Oct 2015

and mass murders.

It does seem a number of mass murderers had serious mental issues. Our current metal health care system seems to be in need of improvement. Improvements to this system would not only be worthwhile for many Americans who are not a threat to others but could also decrease the number of mass murders.

Admittedly better addressing mental health issues is only part of the solution to our gun violence problem but it may be a very important step.

If you couple that with better enforcement of existing laws along with improvements to our NICS background check system we may see a significant improvement. I feel it could be an excellent start.

HereSince1628

(36,063 posts)
9. The problem with 'a number' of mass murders is that 'a number' get highlighted by the media
Sat Oct 17, 2015, 09:29 PM
Oct 2015

mostly that 'a number' is about mass murders occurring in places that happen outside where we expect them. It's not quite the same thing as cherry-picking to make a particular point, but it is cherry picking to present the type of story that gets viewers.

If you go to the mass shooting tracker

http://shootingtracker.com/wiki/Main_Page

You'll see that about 70 percent of the shooters in 2015 are UNKNOWN. Being unknown you can't really say much about their 'serious mental issues'. The Mother Jones database that compiled mass shootings from 1983 to 2012 found that about 38% of mass shooters had some history of mental health problems. But 20 million Americans have a mental health issue each year, and more than half of Americans will experience a mental health issue during their life many, roughly half of them by about age 30. So it's an open question, really, as to how far that 38% is from what might be expected in the general population.

That isn't to say that there is no connection at all between mental illness and gun violence. There probably is, but on available evidence it seems that 'a number' is not very well known. And that's a problem for a number of reasons. That, specifically makes it very hard to find an illness that can be identified as 'predictive of mass-shooting'. Another problem is that where all violence is examined across 'serious mental illnesses' it turns out that the rate violence in the serious mentally ill isn't much different from the rate of violence among the general population. The author's name you want to search for a number of such studies is Swanson. His most recent work suggests that rates of violence for the mentally ill and the general population are similar and are about 4% per year. He's found that drug and alcohol abuse is a 3x more powerful predictor of violence, and that the best predictor of violence in the mentally ill is the same predictor found in the general population...a previous history of violence.

The problem is pretty apparent when you look at gun suicides. Suicide -does have an association with mental disorders- and those disorders are depression and disorders where depression is an important component of a group of symptoms. Somewhere around 20k people commit gun suicides every year. If we assume 100% of them were depressed they would be 20,000 among a population of about 17 million people who suffer depression every year...or about .12% Stopping those suicides would require accurately identifying 1/10 of 1 percent? That's tough. It's likely that it'll never be easier than that to identify the fraction of patients in therapy who are going to commit mass murder at some time later in life.

These things put the psychiatric industry in a bad spot. Not because they are a useless profession, but because the available information doesn't provide them with the means to make meaningful and accurate predictions about the likelihood of either a mentally well or a mentally disordered person committing mass murder. All mental disorders are not the same. The Newton killer had autism, the Naval yard shooter had PTSD and depression, John Holmes had schizophrenia. The vast majority of people with these same illnesses don't commit mass-murder (as Swanson found out). There just is no very clear predictor of mass-shootings, and that isn't because the mental health industry doesn't help millions of people live better lives. The data just isn't there to make strong enough associations (tv shows like Criminal Minds, notwithstanding).

If that's not a big enough hurdle, there's another, bigger one: a majority of Americans with mental disorders never seek clinical help. Even if the mental health industry had some tools that might help screen clients in-therapy, those tools won't help the 80% that won't seek clinical help. And men, who have the highest association with mass-shootings, are the gender least likely to seek help.


spin

(17,493 posts)
10. I am primarily interested in improving mental healthcare for all. ..
Sun Oct 18, 2015, 04:13 AM
Oct 2015

Often such care is too expensive for many to afford or is hard to obtain especially in rural areas.

A side effect of improvement to our mental healthcare system could be a reduction in the frequency of mass murders. The primary result would be better mental healthcare for many people and consequently a better society to live and work in.



In the past decade, four federal reports have offered insight into the nation’s mental health care system and recommended a fundamental transformation of the system. According to these reports, transformation of the mental health care system would require timely incorporation of evidence-based practices in routine practice, resolution of workforce shortage issues, removal of financial barriers, coordination of mental health care with general health and social services, and systematic measurement and improvement of the quality of care delivered. While each of these recommendations may result in some benefits, the findings suggest that a comprehensive transformation of the mental health system could be necessary to ensure the availability and accessibility of quality mental health care to all individuals who need it.


In 2007 about 11% of adults (23.7 million) in the United States experienced serious psychological distress, such as anxiety and mood disorders, that resulted in functional impairment that impeded one or more major life activities. Different types of providers deliver care in a range of settings and are financed by various combinations of public and private payers. Congress has been increasingly interested in transforming the mental health system in the aftermath of tragedies involving mentally ill individuals—such as the shootings at Columbine and Virginia Tech, which led to heightened public interest in the adequacy of the mental health care system. Two federally funded efforts, one through the Agency for Healthcare Research and Quality (AHRQ) and the other through the Substance Abuse and Mental Health Services Administration (SAMHSA), attempt to measure the quality of mental health care on an annual basis. At this time, neither effort is adequately developed to guide the transformation of the system.

SAMHSA estimates that less than half of individuals with serious psychological distress receive mental health care due to various social, financial, and systemic barriers. While there have been advances in treatment options, the delivery system and financing mechanisms have been slow to transform and apply these findings in routine practice. For this reason, despite substantial investments that have increased the knowledge base about mental illness and have led to the development of many effective treatments, experts agree that many Americans are not benefiting from these investments. Mental health care is often not coordinated with other care that an individual may be receiving or may need. Access to competent mental health providers is scarce in rural areas and even some urban areas. Coverage for mental illness provided by private health insurance, Medicare and Medicaid, is sometimes less comprehensive than that for physical illnesses, negatively affecting access. In addition, some issues, such as social stigma around mental illness, and inadequate public awareness that mental health problems are treatable create disincentives for individuals to seek care. These issues affect both the access to, and the quality of, care delivered and, by consequence, the mental health outcomes achieved.

In the past decade, Congress passed two far-reaching laws on mental health care. The first law, the Children’s Health Act, reauthorized the Substance Abuse and Mental Health Services Administration (SAMHSA) in 2000 and called for greater focus on measurement of mental health care outcomes. The second law, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, expands federal requirements for mental health coverage. Congress could consider transformation of the mental health system as part of larger health care reform efforts.
https://www.fas.org/sgp/crs/misc/R40536.pdf


Of course as you suggest, available and affordable mental healthcare doesn't mean that all people with issues will seek treatment. There is a social stigma associated with mental illness that has to be overcome.

While I would like to see an overhaul of our mental healthcare system I am realistic enough to realize that it would be extremely expensive and hard to pass through Congress. Still in the long run it might prove to be a worthwhile investment.

I have known a number of people who would have benefited by visiting a mental healthcare professional and simply could not afford to. One tragically commited suicide with a gun. Mental illness and severe depression ran in her family and she was sexually abused as a young child. Her insurance would not cover the cost adequately so she didn't seek the treatment that might have saved her life.

HereSince1628

(36,063 posts)
13. Can the measure of improvement in psychiatric care really be reduction in mass-murders?
Sun Oct 18, 2015, 10:27 AM
Oct 2015

I'd also like to see improvement in mental health care, both in accessibility and effectiveness. I'd also like to see reduction in discrimination against persons with mental disorders.

But, it seems to me that if the focus on mental health is to provide that part of the solution to mass-murders, mental health care isn't going to be improved for all. It's going to be changed in manners that will assist law enforcement. It seems on it's face that such attention will serve to endorse further criminalizing mental illness and supporting cultural biases that already lead to handicapping discrimination.

You and I are concerned about stigma, but rather than reducing stigma, endorsing a consensus based on prejudice seems more likely to increase prejudice than reduce it.

Although you and I may desire to fight the stigma of mental illness, it's not an erudite sounding term that's the immediate problem for the mentally ill. It's the open and high levels of discrimination placed on people with mental disorders as revealed in headlines such as 'Bleak picture' for mentally ill: 80% are jobless - USA Today www.usatoday.com/...unemployment-mentally-ill/12186049/USA Today Jul 10, 2014 - That people with mental disorders get tagged with that sort of discrimination isn't a secret in our society and it's a huge disincentive for persons with mental disorders to seek clinical help and it exacerbates their dysfunction. I don't see how misguided stereotypic targeting of the mentally ill as criminals-in-the-making much helps reduce discrimination or ends mass-murder.

I do understand how in America perception of social problems aims spending, and the more scary a problem is, the more likely it will get funding soon. But I find it difficult to see how guiding such spending via programs based on existing cultural biases helps.

Our biases guide how we attribute cause and blame and how as a society we spend money.

Before we go off on a war against the violence of the mentally ill to stop mass shootings we ought to spend money and time on developing an empirically-based understanding of both our biases and our confidence in the evidence we consider in framing the problem. In that way, when we may develop suitable means to carry out that effort and mitigate the collateral damage it will likely create.






 

Eleanors38

(18,318 posts)
17. Consider the number of mass murder events (old FBI definition) at about
Sun Oct 18, 2015, 02:04 PM
Oct 2015

2.5/yr., and it seems unlikely that a mental health initiative/program can be tailored to stop a very few incidents. The best way any program can work is to ameliorate the violence overall since it would be difficult to show some kind of causal relationship between Program A and Crime B. De-stigmatizing mental health status would require a societal change in attitude and day-to-day practices. It can be done, given the many ways of communicating certain values and resource availability.

I remember over 60 yrs ago our elementary school teacher giving the class a kindly lecture about why we should Not laugh at, react dramatically or pick on a fellow student who had a behavioral problem (this was done when the student in question was absent). From then on, there was no adverse treatment of the kid. Everybody was on board.

hunter

(38,301 posts)
7. If you can imagine shooting someone with a gun...
Sat Oct 17, 2015, 05:41 PM
Oct 2015

... you probably shouldn't have one. Even if you are a cop. Maybe especially if you are a cop.

The mass shooters are very much a part of the same culture that glorifies guns for "self defense" against imaginary enemies.

I'm fine with hunting. So long as meat is considered an acceptable part of the human diet, then responsible hunting is probably more ethical than buying factory farm meat in the grocery store. The hunter knows where meat comes from.

If you can imagine yourself shooting "bad guys" of any sort, then that's disturbingly close to those who shoot their family members, boyfriends, girlfriends as "bad guys," those who shoot themselves as "bad guys," or the disturbed young men who lash out at the "bad guys" of their own tortured imaginations; students, children, black church members, movie goers, women... etc..

Everyone is someone else's "bad guy" at one point or another.

Civilized people don't solve their problems by shooting others.

Mental illness is another thing entirely. Mentally ill people are more often victims of violence than perpetrators of violence.

Gun fetishes and gun culture are the problem, not mental illness.





 

branford

(4,462 posts)
11. Neither the constitutionality, or at least for most people, the popularity of firearm restrictions
Sun Oct 18, 2015, 04:40 AM
Oct 2015

has anything to do with the ethics of eating meat.

More importantly, would kindly provide your peer reviewed research indicating a direct correlation, no less causation, between people who've ever ideated shooting a "bad guy" and actual criminal violence that's demonstrably different than anyone else in the population?

Your disqualification criteria would eliminate virtually all males over 12. While you obviously may find this a desirable outcome, it's patently absurd, constitutionally impermissible, will not even be considered by most elected officials, no less the population, and simply confirms the suspicions of gun rights advocates that effective firearm bans are the ultimate goal of many in the "gun safety" community, thereby making any sensible legislative and policy compromises, including on matters of mental health, all but impossible. This is in addition to the fact that even the discussion of such ridiculous gun control measures hurts Democratic candidates in important purple swing states.

While you play armchair psychologist ruminating on "gun fetishism," support for firearm rights and against restrictions steadily increases and gun laws across the nation in most areas are liberalizing, all while violent crime rates, firearm and otherwise, have been nearly halved in the last couple of decades.

hunter

(38,301 posts)
14. The Constitution is not a religious document.
Sun Oct 18, 2015, 10:50 AM
Oct 2015

It doesn't tell me I can't speak out against gun culture, gun fetishes, and moron gun heroics.

That is, in fact, speaking out against gun culture is one of my constitutional rights.

I think the U.S.A. gun culture is disgusting and indefensible.

Gun fetishists are like the guys who masturbate at the playground. Most of them are harmless, but some of them are very dangerous and eventually go on to kill and abuse children.

If my opinion offends gun fetishists and moron gun heroes-in-their-own-minds, then good.

I don't respect gun culture.

 

branford

(4,462 posts)
36. The Constitution is indeed capable of being changed.
Sun Oct 18, 2015, 06:16 PM
Oct 2015

In fact, we've done so 27 times, and the procedure is specifically detailed in the document.

You can call a constitutional convention to revise the entire Constitution or seek a super-majority of both Congress and the states to repeal the Second Amendment. Good luck with that...

Your barely amateur psychology notwithstanding, I also note that you conspicuously didn't provide any data to substantiate your earlier post about denying the right to own firearms to anyone who ever possibly imagined a situation where they could shoot someone, and really didn't respond to points in my post at all.

If your strategy to implement gun regulations consists of bigoted and generalized stereotypical comments about gun owners and gun rights supporters, and a demonstrable and admitted lack of respect for tens of millions of law-abiding Americans, a great many of them Democrats, it's no wonder why support for gun rights and against restrictions is at a generational high and still increasing, with gun laws continuing to liberalize across much of the country.

aikoaiko

(34,162 posts)
15. If you had a gun and someone was trying to kill/gravely hurt you and a loved one, .....
Sun Oct 18, 2015, 11:32 AM
Oct 2015

...you can't imagine shooting that person to stop them?

Can you imagine using any force to stop them?

hunter

(38,301 posts)
24. I don't have to "imagine" situations like that.
Sun Oct 18, 2015, 03:27 PM
Oct 2015

And I sure as hell don't need any more recurrent nightmares about situations like that.

Gun fetishists don't know shit. They allow imaginary bad guys to live in their heads.

I don't want to live in a world where I might need a gun, so I don't, even though I've lived in some very rough places, and experienced some very rough situations.

Even now I live in a city where one in five thousand people are murdered by guns every year. Mostly it's gang-on-gang action, but the rate of cops shooting random mentally ill and other unlikable people is higher than the California averages too. The overall violent crime rate is twice the national median. In this city there is a one in one hundred fifty chance of being the victim of a violent crime.

Most every gun story I've experienced personally features "moron heroes." Even the gangsters think they are heroes defending their honor and other useless crap. Hell they probably still think they are some kind of heroes when the are whining and crying in the hospital "It hurts! It hurts!" when they get shot.

Duh. You got shot. You're not dead, so of course it hurts. The hard ass nurses, some ex-military, will not be sympathetic. That's what happens when boys play with guns.

One of the sweetest men I've ever met was drafted and sent to Vietnam. He was a technical person, so not supposed to be on the front lines with the canon-fodder. But he was armed. One day he was doing his job and two kids appeared out of nowhere and shot him. He shot back and killed one of them. The other ran away.

My friend never got over that. He thinks the kid he killed was maybe fourteen.




aikoaiko

(34,162 posts)
25. You describe a very real and horrible event and yet you say guns folks are imagining bad guys.
Sun Oct 18, 2015, 03:37 PM
Oct 2015


Which is it?

You can choose to own a gun or not, but that doesn't change the fact that the world is one where people victimize others with brutality with and without guns.

hunter

(38,301 posts)
29. You can choose to take the high road or the low.
Sun Oct 18, 2015, 03:42 PM
Oct 2015

On the high road I don't need guns to feel secure.

 

Eleanors38

(18,318 posts)
18. Way wrong. Only encourages more stigma. Most people have a plan for SD...
Sun Oct 18, 2015, 02:09 PM
Oct 2015

whether it's running for the back door, climbing out a window, swinging a baseball bat, using a knife. I have one which incorporates these possible scenarios, and one which contemplates using a gun. I don't dwell on this, preferring to go through mental exercises for shooting gamebirds and deer.

GGJohn

(9,951 posts)
23. So you would be against expanded mental health care because the NRA and Marco Rubio
Sun Oct 18, 2015, 02:58 PM
Oct 2015

has advocated for it?
And why is it a talking point?
I've read several times on DU about NRA talking points, yet I can't seem to find the list, could you please post that list so I'll know what I can or can't say without being accused of posting NRA talking points?

HereSince1628

(36,063 posts)
34. That's more complicated to answer than you might think
Sun Oct 18, 2015, 04:45 PM
Oct 2015

People with mental disorders face difficulties from their mental illnesses, difficulties with access to quality care, and significant discrimination against persons with mental disorders.

To consider how something called expanding healthcare helps overall, a pretty detailed proposal really has to be provided so that all the pieces of that puzzle are known and people can contemplate their consequences.

It's fairly clear that any legislation working through this republican controlled Congress would mostly be interested in going after Wayne LaPierre's monsters among us and less interested in funding socialized mental health programs (with their very limited promise of reducing mass-shootings).

So consider, if what comes along with a republican approved 'expansion' includes turning providers into mandated police surveillance, creating further rationale for criminalizing mental illness in the minds of Americans, the end result could be very little reduction in gun violence and rather more prejudice and discrimination against persons with mental illness.

All things considered the devil in the details might not be acceptable compared to yet un-assessible value in what 'expanding' mental health care means

 

Bigmack

(8,020 posts)
30. The rate of mental illness...
Sun Oct 18, 2015, 03:45 PM
Oct 2015

... including addictive disorders... is roughly the same in the US as it is in other countries like us. Europe...Canada...Australia.

Only difference is that in this country the mentally ill can get guns.

Lots of guns.

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