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The photos from doctors came quickly and in succession: blood-stained operating rooms, blood-covered scrubs and shoes, bullets piercing body parts and organs.The pictures on Twitter were an emotional response to a smackdown by the powerful gun industry lobby, which took issue with the American College of Physicians' call late last month for tighter gun control laws. The recommendations included bans on "assault weapons," large capacity magazines and 3D-printed firearms."Someone should tell self-important anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves," the National Rifle Association tweeted.Physicians across the United States seized on the phrasing, taking to Twitter with 22,000 comments and the hashtags #thisismylane and #thisisourlane, posting photos of their encounters with gun violence and offering their own personal stories of treating such wounds.The debate gained new urgency this week with the shooting death of an emergency room doctor outside the hospital where she worked, as physicians argue shootings are a public health crisis that they must play a key role in trying to stem. Dr. Tamara O'Neal was killed Monday outside a hospital in Chicago in what police say was a dispute with her ex-fiance. The shooter and two other people — a responding police officer and a resident in the hospital's pharmacy — also died."It just shows that not only is this is in our lane, but this happens to us," said Dr. Joseph Sakran, a trauma surgeon at Johns Hopkins Medicine in Baltimore who as a 17-year-old was shot in the throat by a stray bullet fired during a dispute at a high school football game.Sakran created a Twitter account @ThisIsOurLane which in just two weeks has attracted nearly 15,000 followers. They include Dr. Peter Masiakos, a pediatric trauma surgeon in Boston, who wrote "The Quiet Room" just hours after the mass shooting at a church in Sutherland Springs, Texas, about breaking the news that a loved one has died."We need to start talking about this as a public health issue. Politics aside, we have a problem that no other country has, and we shouldn't," Masiakos said.About 35,000 people each year are killed by guns in the United States, and about two-thirds are suicides. That's about 670 people per week and among the largest number of civilian gun deaths in the world.The world's highest rate of gun deaths is in El Salvador with a rate of 72.5 per 100,00; the rate in the U.S. is 3.1 per 100,000. Among all European countries, the rate never breaks 1 gun death per 100,000, according to Small Arms Survey, a Switzerland-based research organization that examines firearms and violence."These are not just statistics. These are people, mothers, fathers, brothers, sisters that are being killed," Sakran said. "The worst part of my job is having to go out and talk to these families and to tell them that their loved one is never coming home."It's not the first time that medical professionals have taken on powerful industries: auto companies over seat belts, Big Tobacco over cigarettes and toys that posed choking hazards. It's also not the first time that the gun lobby has pushed back against the medical community or researchers it considers to be biased. In the 1990s, Congress barred the Centers for Disease Control from conducting research that advocated or pushed for gun control; while it didn't ban research from being conducted, it did have a chilling effect.More recently, the NRA backed legislation in Florida — eventually overturned in court — that would have barred doctors from asking patients about guns in the home.Dr. Stephanie Bonne, a trauma surgeon in New Jersey, was in the hospital when she saw the dispute playing out on Twitter."I was reading this, and I was like 'Stay in my lane', are you kidding me? Gun violence is something I deal with every day. We're mopping it up in the hospital every day," she said. "My second sort of reaction is maybe people ought to see what this lane is really all about."Bonne works at a Level I trauma center — the top-level hospital for treating the most serious cases. Her hospital sees about 600 gunshot wounds each year, and she described the toll that unfolds: medically, psychologically and financially."It's always tragic and it's always preventable," Bonne said.Dr. Judy Melinek, a forensic pathologist in the San Francisco Bay area, examines the dead. She took to Twitter to push back at the gun lobby, posting: "Do you have any idea how many bullets I pull out of corpses weekly? This isn't just my lane. It's my (expletive) highway.""The chutzpah, the gall is what really got to me," Melinek told The Associated Press. "The NRA seems to think they've cornered the market on expertise when it comes to guns. And that's not correct."She's conducted about 300 autopsies involving gunshot wounds, about half of those suicides. She's seen the damage from bullets and believes more and better research would help prevent gun violence.Would GPS tracking on firearms or high-tech trigger locks make firearms safer, for example?Dr. Arthur Przebinda, director of the gun rights advocacy group Doctors for Responsible Gun Ownership, said the pushback from physicians is largely driven by more liberal forces within medical academia and based on ignorance about firearms.He described it as old, tired debate that shows a knee-jerk bias against firearms. Rather than stripping away constitutional rights, physicians should focus on finding ways to study the underlying causes of violence, he noted."These virtue-signaling physicians would be in their lane if they pursued better surgical techniques, better postoperative treatments. They are in the wrong profession if they want to cure society's ills," Przebinda said. "If that was their life's calling, they should have pursued a career path in psychology, criminology or the clergy."___This story has been amended to correct the first name of Dr. Judy Melinek. 6087

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The man accused of killing 17 people when he opened fire inside a Florida high school has withdrawn his not guilty plea.Nikolas Cruz, 19, was formally indicted by a Florida grand jury on Wednesday. He was charged with 17 counts of premeditated murder in the first degree and 17 counts of attempted murder in the first degree. Complete Coverage: Parkland School ShootingParkland school shooter's life behind barsTwo Florida SWAT officers suspended for responding to Florida school shooting 516

The mother of a Maryland teen accused of murdering a Baltimore County Police Officer blamed the justice system in court, saying if her son had been detained the incident would not have happened.“Numerous times I asked them to detain him so nothing like this would happen,” Tanika Wilson, the mother of 16-year-old Dawanta Harris said, fighting through tears. “…my condolences to the family of the officer. My condolences from the bottom of my heart. If they would have kept him we wouldn’t be here.”Harris has been charged of first-degree murder in the death of Officer Amy Caprio. He allegedly ran her over with a stolen car after Capiro confronted him in a  Perry Hall, Maryland, cul de sac.“He knows right from wrong,” Wilson said through tears. “Everything changed, his life, my life, the officer’s life, in a split second.”Wilson, explained the court proceedings her son had been involved in criminal activity since he was first arrested in December 2017. Wilson said she struggled to keep Harris on the straight and narrow as she recently had a baby and Harris transitioned from middle school to high school. She said Harris began hanging out with people that were bad influences.She also said she would travel the neighborhood looking for her son, occasionally getting into confrontations with other families in the process.At the time of Caprio’s death, Harris had violated a home detention order following a hearing?from early May. At that court proceeding on May 10, Wilson says she and the assistant state’s attorney wanted Harris detained. His public defender requested his release on good behavior and a judge concurred, issuing an non-GPS ankle monitor to be placed on Harris for home detention. By Monday, May 14, Harris was declared AWOL and the Department of Juvenile Services made several attempts over the next two days to find him. Harris could not be found or contacted, and by another court appearance on Friday, May 18, Wilson hoped a writ would be issued to find and detain her son.According to court records, because Harris was not at the delinquency hearing, it was tabled until Tuesday, May 22. Caprio was killed on Monday, May 21.“This was a woman who was crying out for help. She turned to every resource available including the court system, because with a mother’s wit and intuition, she had that feeling that sinks in your gut,” J. Wyndal Gordon, one of Harris' attorneys, said. “ … she did everything that she could to avoid what brings us here today ... this is not an excuse for the conduct of her son, but it’s an explanation of how everyone has been affected by what has taken place in this case, and again, not to forget about the victim, because the victim had family to.” Harris' lawyers also called on the state to release body cam footage from the incident.“With regard to suspending judgment, waiting for the evidence, we’re calling for the State’s Attorney, the Police Department, to release the body cam footage” said Warren Brown, one of the lawyer’s representing the driver, Harris. “It should speak for itself, and we see no good reason that the public, especially considering the emotional aspect of this case, should be kept in the dark.”At a press conference earlier this week, Baltimore County State’s Attorney Scott Shellenberger said he would not release any body camera footage in an effort to avoid tainting future jury pools.“We think the body cam footage is the sine qua non of this case. There’s been a lot of strong feelings about this case, but strong feelings do not equal strong facts. We want to ask the tough questions about this case, because it generates a lot of questions that we don’t have answers to,” Gordon said. The two attorneys depicted a scenario in which Caprio blocked Harris in, deployed her weapon, and put him in fear for his life, so that he felt the need to escape, driving blindly forward through his only potential route of escape - where Caprio was standing. “What evidence is it that he intended to hit and kill this police officer? The state has even conceded that when the gun was drawn at some point, either before or after the first shot is fired, he’s ducking down, he’s looking at the seat of the vehicle. He’s instinctively trying to get away,” Brown said. “ … He was in survival mode.”“People are going to hear what they want to hear, but it should be said and heard that his head was buried as he drove off,” Brown said. “There wasn’t any intention on his part to strike this officer. His intention was to get away.” 4596

The latest stimulus package passed by Congress is one of the longest bills to be pushed so quickly through the Senate and the House. The final bill was handed to lawmakers just hours before they voted on it.“This bill is too long, too complicated,” said Thea Lee, president of the Economic Policy Institute (EPI).EPI expects the 0-billion package will provide an instant jolt to our economy by extending unemployment benefits and enhancing them by 0 a week. It also includes a 0 stimulus check for millions of Americans and billion for housing and eviction protection.There are hundreds of billions of dollars for Paycheck Protection Program loans, intended for small businesses. However, those touted benefits only take up a couple of pages in the nearly 5,600-page bill."There are things in there that don’t belong in there,” said Lee.In fact, as more experts and government watchdog organizations start to sift through the stimulus bill, which was also tied to an ominous spending bill, the list of non-pandemic related funding and measures grows.“Some of it is things like horse-racing commissions [funding] and so on, but some of it shouldn’t be in there because it is helping either people or businesses that don’t need the help,” Lee explained.For example, there’s a tax break on alcohol, and Lee pointed out the alcohol industry is one that has actually thrived during the pandemic. Legislators also included a tax break for what has been dubbed the Three Martini Lunch.“It’s a deduction for business people who are having expensive lunches out. That has been extended in this bill,” said Lee. "That is not the best way, the most targeted way to help the restaurant industry.”For all of the non-pandemic-related measures squeezed into this latest deal, there is a surprise in what did not make it in.“The most important thing that is not in the stimulus bill is aid to state and local governments,” said Lee. "If they don’t get enough aid from the federal government, they will have to start laying off workers.”Another thing not in the stimulus bill was an extension on the student loan payment pause. Many student loan borrowers will have to start repaying loans in January and interest will begin accruing again.There is also, notably, no transparency requirement tied to small business PPP loans. Watchdog organizations, like U.S. Public Interest Research Group, have been calling for it for months, given all the issues seen with the first round of PPP loan funding."The Department of Justice has actually indicted 57 people so far from stealing over 5 million from the PPP loan program,” said RJ Cross with U.S. PIRG.Also, lawsuits filed by several news organizations forced the Small Business Administration to reveal more names of companies that have received the forgivable loans. The result has shown that most of the PPP loans issued in the first round, more than 0 billion, went to larger than intended business. The smallest businesses, in which the loans were intended for, actually struggled to get the funding they needed.U.S. PIRG has fought for months to get transparency requirements tied to PPP loan money to prevent further fraud and corruption in the program, and the group was surprised that was not included in this latest stimulus package.“If folks are very clear on the fact that information about their loans, their application, and their businesses will be made public, it helps to deter a lot of fraudsters in the beginning,” Cross added. “Congress largely squandered that opportunity to strengthen those measures that would increase public trust in the PPP program.”Congress is expected to immediately begin working on yet another stimulus bill in January and could address some of the concerns with this latest bill."I hope that Congress can come back in 2021 and take up the elements that are missing from this bill,” said Lee. 3894

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