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NRA, doctors spar over gun issue (FL-republics/NRA to fine doctors who *ask* patients about guns)

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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:12 AM
Original message
NRA, doctors spar over gun issue (FL-republics/NRA to fine doctors who *ask* patients about guns)
http://staugustine.com/news/local-news/2011-02-22/nra-doctors-spar-over-gun-issue

Emergency room doctors, psychiatrists and pediatricians should not be able to ask a patient whether he or she owns a gun, a panel of Florida lawmakers said Tuesday, giving the OK to a proposal that pits two of the state's most politically powerful lobbying interests -- the National Rifle Association and the Florida Medical Association -- against each other.

The Senate Criminal Justice Association approved on a 4-1 vote a bill to bar doctors from asking patients whether they own guns, unless the doctor believes a patient may immediately harm him or herself with a gun. If doctors were to question a patient about gun ownership, they would face substantial fines under the bill.

"It gives patients the right to refuse to answer questions that are inappropriate," said Florida NRA lobbyist and former National NRA President Marion Hammer.

The bill, which originally would have fined doctors $5 million for asking patients about gun ownership, was stripped of its original language and amended to create a tiered fine system for violators. An offending doctor would be charged $10,000 for the first offense, at least $25,000 for the second offense, and a minimum of $100,000 for the third offense.

<nore>

how authoritarian

yup
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rrneck Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:16 AM
Response to Original message
1. spam. nt
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:17 AM
Response to Reply #1
3. Information
yup
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rrneck Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:23 AM
Response to Reply #3
6. more spam. nt
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shadowrider Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:36 PM
Response to Reply #1
22. Fried in butter on fresh bread with mayo, some sliced onions and sliced tomato
it's pretty good.
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hlthe2b Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:17 AM
Response to Original message
2. We wouldn't want a pediatrician to be able to intervene to protect
a child, now would we? How horrible to have them remind a parent of the need to lock up their gun safely from the child. Can you imagine? How readily offended are gun owners that they need the NRA to protect their "wittle hurt feelings?" :eyes:
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Name removed Donating Member (0 posts) Send PM | Profile | Ignore Wed Feb-23-11 11:23 AM
Response to Reply #2
5. Deleted message
Sub-thread removed by moderator. Click here to review the message board rules.
 
Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:21 AM
Response to Original message
4. Hang on, Doc, I want a second opinion from the gun lobby.
I'll say the same thing I say when "right to lifers" bitch about abortion procedures or stem cell research: leave the business of medicine to medical practitioners.
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ProgressiveProfessor Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:26 AM
Response to Original message
7. The real question is what the Docs do with the information
There have been some claims of what some have termed "inappropriate use". I have not verified that personally.
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:28 AM
Response to Reply #7
8. Save lives
yup
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ProgressiveProfessor Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:29 AM
Response to Reply #8
9. Anything to back that up?
Not everything docs do save lives. Some have absurd agendas like anti rights fanaticism. That I have seen personally.

yup yup
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:03 PM
Response to Reply #9
17. They're doctors. It's in the job description. nt
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OneTenthofOnePercent Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:28 PM
Response to Reply #17
21. There are more medical malpractice (accidental) deaths than accidental gun deaths annually...
Edited on Wed Feb-23-11 12:29 PM by OneTenthofOnePercent
According to statistics provided by the U.S. Dept. of Health and Human Services, there is an interesting correlation between accidental deaths caused by guns and by doctors.

Doctors: There are 700,000 physicians in the U.S.
Accidental deaths caused by physicians total 120,000 per year.
Accidental death percentage per physician is 0.171429

Guns (accidental): There are 80 million gun owners in the U.S.
There are 1,500 accidental gun deaths per year, all age groups.
The percentage of accidental deaths per gun owner is 0.000019

Guns (all): There are 80 million gun owners in the U.S.
There are ~31,000 total gun deaths per year, all age groups.
The percentage of accidental deaths per gun owner is 0.000386.

You are more than 444 times more likely to die by the hands of a physician than a someone holding a gun. Period.

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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:39 PM
Response to Reply #21
23. Stupid republics want tort reform to lower doctor's malpractice insurance premium
Then fine them when they do their jobs

fucking idiots

yup
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lawodevolution Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:43 PM
Response to Reply #23
26. it's not a doctor's job to judge a patient or the patient's care based on their status of gun
ownership.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:59 PM
Response to Reply #26
35. True enough. Is that what you think they're doing? nt
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OneTenthofOnePercent Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:54 PM
Response to Reply #23
32. Saving lives = accidentally killing patients?
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rl6214 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 03:55 PM
Response to Reply #23
58. "Stupid republics "
Why should we care what other republics want? This is the United States and we aren't bound by laws of other republics.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:47 PM
Response to Reply #21
29. It is still a question that may be relevant to diagnosis or treatment.
Edited on Wed Feb-23-11 12:55 PM by Deep13
If someone comes in with a small hole in his foot, burn marks and a lot of impact damage, "Do you have a gun?" or "Did you shoot yourself?" is the obvious question. If the answer is "no" and further questions reveal no one else around him has one either, then it becomes a very different puzzle.

If someone presents with facial lacerations and contusions, broken ribs and a bruise on the left shoulder, the doc needs to ask "were you driving an old car when this happened?"

The question is also relevant for psychiatric diagnosis. If the patient comes in talking about suicidal ideation, then the possible means may have to be known to prevent an attempt.

____________________________________________________________________

For the record, I'm not disputing that very few people are either shot to death or shoot themselves in this country when compared to the size of the population. It only seems like it because heart attacks and cancer deaths don't make the news.

When people are killed by their doctors it is usually because there is already something very wrong with the patient in the first place. Medical and surgical intervention is risky and imperfect and the worse the patient is the greater the risks that are justified. Unfortunately, just being in a hospital exposes a person to increased risks of infection. But, the patient would not be there in the first place if there wasn't something wrong with her that was bad enough to be admitted. A patient can be killed in a vehicle accident in the back of an ambulance. That is a justified risk, however, when the alternative is to let him die of a heart attack on his kitchen floor.
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OneTenthofOnePercent Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:03 PM
Response to Reply #29
39. A gunshot wound is a gunshot wound...
Edited on Wed Feb-23-11 01:04 PM by OneTenthofOnePercent
of course it came from a gun. Bullet holes are uniquely distinct... not much puzzle involved. If a doctor needs to ask how a bullet hole manifested itself perhaps the patient should seek a real doctor with a brain.

From the standpoint of a physician, the owner of the gun is irrelevent. It doesn't matter if your pittbull shot you with your cat's gun or your neighbor shot you with his wife's gun or you shot yourself licking the fouling off the front of the muzzle... the treatment is the same.

The physician's job is repair the patient medically and perhaps contact authorities to investigate the why & who involved in the shooting.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:15 PM
Response to Reply #39
50. Depending on the case, you may be right...
...but I'm going to rely on the person with the M.D. to decide what is relevant and what isn't.
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OneTenthofOnePercent Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:33 PM
Response to Reply #50
55. And medically relevant inquiries about guns WILL be allowed.
However *arbitrary* questions about gun ownership is not relevent in the slightest. Especially if a political motive drives a physician to give preferrential treatment or deny treatment based on answers to arbitrary questions. That is what this bill is aimed at preventing and I'm fine with that.

If a doctor needs to know what kind of bullet caused a wound (for treatment) or how close the shot was taken from... that's perfectly acceptable and medically related.
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AtheistCrusader Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:14 PM
Response to Reply #29
45. Problem is, they were asking children if there were guns in the home, to then harrass parents to div
est themselves of all firearms.

Firearms storage is nobody's damn business, but the family involved.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:19 PM
Response to Reply #45
51. If it's a doc's job to protect the health of his patients...
...then possibly unsecured firearms would be a health risk. And the doctor isn't seizing the parents' guns, only making a recommendation. The parents are free to decline.

Maybe that doc overstepped the bounds of propriety. Maybe not. If so, taking away the 1st Amendment rights of all docs is hardly the answer.
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AtheistCrusader Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:22 PM
Response to Reply #51
52. I agree the law is a 'bad' overreaction.
I think it will be destroyed in the courts as well.
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Bold Lib Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:44 PM
Response to Reply #17
27. Right, and since it is a health issue doctors should also ask if you have in your home
any pornographic material or sex aids. And must absolutely know if the sex aids are not being used in any not intended.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:58 PM
Response to Reply #27
34. If the presentation is a genital inflammation or injury, then yeah.
BTW, just because a doc asks you something, doesn't mean you are required to answer. You can always ask the doc how the question is relevant.
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Bold Lib Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:04 PM
Response to Reply #34
40. Then you agree with this law as it has the same such qualifiers as you
posted if asking about pornography or sex aids.

The law stops the "gun" question from being a routine question as it is currently being asked. The "gun" issue can be addressed if their is some reason for it.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:23 PM
Response to Reply #40
53. As long as the "is there some reason" doesn't turn into ...
...a probable cause hearing. A doc has to be free to ask about anything she thinks might be relevant. Frankly, I'm willing to risk offending the parents or even the patient to give the doctor all the information he might need. If he were asking about vegetable peelers, no one would care. It's just that firearms have become such a politically-charged issue that we are even talking about this.
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Bold Lib Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:50 PM
Response to Reply #53
56. So then you do agree with the law?
A little background may also help on this. The AAP started all this by "encouraging" all pediatricians to ask children if there is a gun in the home as a STANDARD question. This law is a reaction to an organization that has a known agenda in the "gun" issue. So you are right in that firearms have become a politically charged issue. But it was an anti - gun driven AAP using pediatricians as pawns that started this particular fight.
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AtheistCrusader Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:15 PM
Response to Reply #34
46. This is not the context in which it was being used.
They were asking all kids this question.

On the other side, I do agree, that this law is bad, but it is a reaction to bad behavior.
Personally, I would have just taught my child not to answer that question. (and I safely store my weapons.)
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Hangingon Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 05:15 PM
Response to Reply #17
60. Please provide the text of this part of the doctor PD,
Thanks.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-24-11 09:09 AM
Response to Reply #60
63. You know what, you're right....
A doctor's REAL job is pizza delivery.
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mediator Donating Member (228 posts) Send PM | Profile | Ignore Wed Feb-23-11 05:15 PM
Response to Reply #17
61. Dr. Kevorkian got a LOT of support from Democrats and liberals when he was
helping people. "Do no harm" means different things to different people.
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Deep13 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-24-11 09:10 AM
Response to Reply #61
64. Exactly. nt
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Tuesday Afternoon Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:45 AM
Response to Reply #8
11. is that why their malpractice insurance is so high
yup
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:49 AM
Response to Reply #11
12. Because they save lives?
Republic/NRA dictators suck

yup
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Tuesday Afternoon Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:54 AM
Response to Reply #12
14. first thing you have said that makes a modicum of sense
yup
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:43 AM
Response to Original message
10. more discussion here
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rrneck Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:54 AM
Response to Reply #10
13. LOL! Using DU to spam DU! nt
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 11:56 AM
Response to Reply #13
15. NRA dictators have over-reached - NRA out of doctor's offices
yup
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rrneck Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:08 PM
Response to Reply #15
18. Unsupported spam. nt
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Hangingon Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 05:19 PM
Response to Reply #15
62. I read American Rifleman in my doctors waiting room
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Katya Mullethov Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-24-11 10:33 AM
Response to Reply #62
66. My orthopedic surgeon has SAR in his lobby
A great big 3x3 foot sign entailing your rights to carry a weapon and defend yourself and how he has shit to do with any of that and it is none of his or anyone else's business , and ..........that kilt wearing ,scotch swilling ,cad , got his hands on a fucking Shrike .
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east texas lib Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-24-11 08:31 PM
Response to Reply #66
68. What he really needs is a CIWS for reception. To weed out those chronically late patients...
R2D2 will see you now.
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east texas lib Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-24-11 08:34 PM
Response to Reply #62
69. As do I...
God Bless Texas.
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spin Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:01 PM
Response to Original message
16. I usually discuss shooting and firearms with my doctors in Florida ...
who also own firearms.

I use the discussion as a tactic to avoid that embarrassing prostate exam.
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rl6214 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 04:01 PM
Response to Reply #16
59. As do I
I've gone out shooting and talk hunting with a number of my doctors.
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Glassunion Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:19 PM
Response to Original message
19. not authoritarian at all... look up the definition.
I win... yup!
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:20 PM
Response to Reply #19
20. First Amendment - look it up. The NRA/GOP wipes their ass with it
I win

yup
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Glassunion Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:40 PM
Response to Reply #20
24. I'm well aware of the First Amendment, however this is not a 1st A issue.
And again, it is not authoritarian at all.

But here then would be my question to you. What business is it of my health care providor if I own a firearm? What is their justification for asking me, if I own a firearm?

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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:48 PM
Response to Reply #24
30. $25,000 fines for asking about a gun at home = authoritarian
yup
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rrneck Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:55 PM
Response to Reply #30
33. Prove it. nt
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:00 PM
Response to Reply #33
36. Maybe the NRA/GOP will fine police for asking if someone has a gun
dipshits

yup
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rrneck Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:05 PM
Response to Reply #36
41. Snark isn't proof. nt
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lawodevolution Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:05 PM
Response to Reply #36
42. exactly, when I call the police to come to my house to help me, i do not want them to ask me
if I own a gun. I don't want to be treated differently based on gun ownership status. I don't want a doctor kicking me out of an office for not answering his gun question and I don't want cops taking their time coming to my house because i own a gun.
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jpak Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:11 PM
Response to Reply #42
43. Fine those jackbooted thugs for asking about guns - they need to know who is armed
to do their job

yup
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lawodevolution Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 02:32 PM
Response to Reply #43
54. no they don't, they do not need to know what is in my gun safe.
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Glassunion Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:01 PM
Response to Reply #30
37. Were my questions too difficult to answer?
What business is it of my health care providor if I own a firearm?
What is their justification for asking me, if I own a firearm?

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lawodevolution Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:02 PM
Response to Reply #30
38. HIPPA, does that violate the first amendment?
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lawodevolution Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:45 PM
Response to Reply #20
28. A pediatrician can still tell a patient
to make sure that any weapons, guns, knives, chemicals or other things that should be kept out of the hands of children are secured.
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lawodevolution Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:41 PM
Response to Original message
25. someone who is 400-500 times more likely to kill someone by
gross negligence than a gun owner should NOT lecture gun owners on gun safety.

Gun owners should lecture doctors on patient safety.
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friendly_iconoclast Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:42 PM
Response to Reply #25
47. +1 That bears repeating: "Gun owners should lecture doctors on patient safety."
There are <500,000 doctors in the US vs. 80 million or so gun owners.

And the group that is at best 1/160th the size of the other manages to kill at least 10X as many people.

Yet parts of that group still have the crust to lecture members of the other group about safety...
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X_Digger Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 12:53 PM
Response to Original message
31. Likely a response to this..
http://www.ocala.com/article/20100723/NEWS/100729867/1402/NEWS

It was a question Amber Ullman least expected Wednesday from her children's pediatrician.

Do you keep a gun in the house?

When the 26-year-old Summerfield woman refused the answer, the Ocala doctor finished her child's examination and told her she had 30 days to find a new pediatrician and that she wasn't welcome at Children's Health of Ocala anymore.
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AtheistCrusader Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:12 PM
Response to Original message
44. If the AMA hadn't been encouraging doctors to question children, for the purposes of
harrassing parents, this would never have happened.

I would say the law is an over-reaction, but it was provoked.
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Bold Lib Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:58 PM
Response to Reply #44
49. What was that dog's name?
BINGO
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PavePusher Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 01:53 PM
Response to Original message
48. If a doctor wants to give me factual, relevent, non-political information...
about gun safety, I'm certainly willing to listen.

But it is none of their business whether I actually own a gun or not.
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rl6214 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-23-11 03:52 PM
Response to Original message
57. "how authoritarian "
Took the words right out of my mouth. When my 15yo son was in the hospital last year one of the questions they asked in admitting was were there any firearms in the house. My response was "how does that have anything to do with the care he will be getting in this hospital". No response, just moved on to the next question. Probably called security and had me tailed the minute I stepped into the hospital for the entire week he was there.
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DonP Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-24-11 09:54 AM
Response to Original message
65. "NRA to fine doctors" Really?
How do they handle that. Does Wayne LaPierre and Tom Selleck go from clinic to clinic with a ticket book? Or do they do like the cops do with traffic cameras now, and just send a letter with a picture of them asking someone about their guns with a $100 ticket attached?

I was not aware that either private 501C-3 organizations can fine citizens, or that your grammar comprehension and foaming at the mouth gun control genes are really out of control.
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Jmaxfie1 Donating Member (707 posts) Send PM | Profile | Ignore Thu Feb-24-11 10:39 AM
Response to Original message
67. Just seems like a poorly written law.
It only says a doctor can ask you if the person owns a gun if they think they can harm him or herself. I think its to narrowly defined. A doctor should not be able to just out of the blue ask about gun ownership, but if they believe the person might harm some or as the one doctor mentioned may be in danger, then I think it is appropriate.
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