But if you’ll permit me to beat this dead horse on behalf of some dead children, I’ll put this all in some stark terms. According to “The Accessibility of Firearms and Risk for Suicide and Homicide Victimization Among Household Members,” a study published in 2014 in Annals of Internal Medicine, “Access to firearms is associated with risk for completed suicide and being the victim of homicide,” and gun ownership is “more prevalent in the United States than in any other country.” As a result, the “annual rate of suicide by firearms is higher in the United States than in any other country with reported data,” and the “annual rate of firearm-related homicide in the United States is the highest among high-income countries.”
As The New York Times reported two years later, the U.S. resides on an entirely different planet when it comes to gun deaths—an extreme outlier when measured against other advanced countries. Per the Times, “about two people out of every million are killed in a gun homicide in Germany,” which is “roughly the death rate for hypothermia or plane crashes” here at home. In the U.S., meanwhile, “the death rate from gun homicides is about 31 per million people—the equivalent of 27 people shot dead every day of the year.” How’s this for American exceptionalism? In 2020, according to an analysis in April of the most recent CDC data available, guns overtook car accidents as the leading cause of death among children and teenagers.
Can gun laws reduce gun violence? Here again are the facts: According to a 2016 study in Epidemiologic Reviews, wherever a state has imposed “new restrictions on gun purchasing and ownership,” these steps were “followed by a decline in gun deaths.” As Vox’s Zach Beauchamp reported, the study concluded that “gun violence declined” any time “countries pass a raft of gun laws at the same time.” Moreover, the gun safety packages these countries opted to fashion “all tended to share similar features”: bans on “powerful weapons,” such as “automatic rifles,” the implementation of background checks, and mandatory permits and licenses. As the study’s lead author told Vox, “Across countries, instead of seeing an increase in the homicide rate, we saw a reduction,” wherever gun restrictions of this variety were passed.
There is very little chance that we will pass such laws anytime soon, which means that other fact patterns that currently hold sway will continue in perpetuity—such as the abundant evidence we’ve collected about what a bullet does to a human body, and what a hundred bullets can do to scores of human bodies. In 2017, Jason Fagone reported extensively in HuffPost Highline on the facts related to bullets and bodies. The most interesting thing I learned from his story is that while people die from gunshot wounds, it can be just as harrowing to not die from gunshot wounds. In fact, according to the Radiological Society of North America, “the bulk of the cost of treating victims of gun violence is spent on ongoing care,” as opposed to the emergency care administered in the immediate aftermath of a mass shooting.
To wit: Some of the kids who are merely wounded in school shootings go on to have lifelong health concerns: They have neurological injuries as a result of blood loss; they are forced to use colostomy bags for an extended period of time; in general, bullets that tear through bone and muscle and organs leave lasting damage behind. Heather Sher described this latter concern, a process called “cavitation,” for The Atlantic in 2008: “The high-velocity bullet causes a swath of tissue damage that extends several inches from its path. It does not have to actually hit an artery to damage it and cause catastrophic bleeding.”
“Exit wounds,” she adds, “can be the size of an orange.”
—Jason Linkins, deputy editor