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Introduction, the burden of firearm violence, understanding and reducing firearm violence is complex and multi-factorial, interventions and recommendations, conclusions, research ethics.

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Firearm Violence in the United States: An Issue of the Highest Moral Order

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Chisom N Iwundu, Mary E Homan, Ami R Moore, Pierce Randall, Sajeevika S Daundasekara, Daphne C Hernandez, Firearm Violence in the United States: An Issue of the Highest Moral Order, Public Health Ethics , Volume 15, Issue 3, November 2022, Pages 301–315, https://doi.org/10.1093/phe/phac017

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Firearm violence in the United States produces over 36,000 deaths and 74,000 sustained firearm-related injuries yearly. The paper describes the burden of firearm violence with emphasis on the disproportionate burden on children, racial/ethnic minorities, women and the healthcare system. Second, this paper identifies factors that could mitigate the burden of firearm violence by applying a blend of key ethical theories to support population level interventions and recommendations that may restrict individual rights. Such recommendations can further support targeted research to inform and implement interventions, policies and laws related to firearm access and use, in order to significantly reduce the burden of firearm violence on individuals, health care systems, vulnerable populations and society-at-large. By incorporating a blended public health ethics to address firearm violence, we propose a balance between societal obligations and individual rights and privileges.

Firearm violence poses a pervasive public health burden in the United States. Firearm violence is the third leading cause of injury related deaths, and accounts for over 36,000 deaths and 74,000 firearm-related injuries each year ( Siegel et al. , 2013 ; Resnick et al. , 2017 ; Hargarten et al. , 2018 ). In the past decade, over 300,000 deaths have occurred from the use of firearms in the United States, surpassing rates reported in other industrialized nations ( Iroku-Malize and Grissom, 2019 ). For example, the United Kingdom with a population of 56 million reports about 50–60 deaths per year attributable to firearm violence, whereas the United States with a much larger population, reports more than 160 times as many firearm-related deaths ( Weller, 2018 ).

Given the pervasiveness of firearm violence, and subsequent long-term effects such as trauma, expensive treatment and other burdens to the community ( Lowe and Galea, 2017 ; Hammaker et al. , 2017 ; Jehan et al. , 2018 ), this paper seeks to examine how various evidence-based recommendations might be applied to curb firearm violence, and substantiate those recommendations using a blend of the three major ethics theories which include—rights based theories, consequentialism and common good. To be clear, ours is not a morally neutral paper wherein we weigh the merits of an ethical argument for or against a recommendation nor is it a meta-analysis of the pros and cons to each public health recommendation. We intend to promote evidence-based interventions that are ethically justifiable in the quest to ameliorate firearm violence.

It is estimated that private gun ownership in the United States is 30% and an additional 11% of Americans lived with someone who owed a gun in 2017 ( Gramlich and Schaeffer, 2019 ). Some of the reported motivations for carrying a firearm include protection against people (anticipating future victimization or past victimization experience) and hunting or sport shooting ( Schleimer et al. , 2019 ). A vast majority of firearm-related injuries and death occur from intentional harm (62% from suicides and 35% from homicides) versus 2% of firearm-related injuries and death occurring from unintentional harm or accidents (e.g. unsafe storage) ( Fowler et al. , 2015 ; Lewiecki and Miller, 2013 ; Monuteaux et al. , 2019 ; Swanson et al. , 2015 ).

Rural and urban differences have been noted regarding firearms and its related injuries and deaths. In one study, similar amount of firearm deaths were reported in urban and rural areas ( Herrin et al. , 2018 ). However, the difference was that firearm deaths from homicides were higher in urban areas, and deaths from suicide and unintentional deaths were higher in rural areas ( Herrin et al. , 2018 ). In another study, suicides accounted for about 70% of firearm deaths in both rural and urban areas ( Dresang, 2001 ). Hence, efforts to implement these recommendations have the potential to prevent most firearm deaths in both rural and urban areas.

The burden of firearm injuries on society consists of not only the human and economic costs, but also productivity loss, pain and suffering. Firearm-related injuries affect the health and welfare of all and lead to substantial burden to the healthcare industry and to individuals and families ( Corso et al. , 2006 ; Tasigiorgos et al. , 2015 ). Additionally, there are disparities in firearm injuries, whereby firearm injuries disproportionately affect young people, males and non-White Americans ( Peek-Asa et al. , 2017 ). The burden of firearm also affects the healthcare system, racial/ethnic minorities, women and children.

Burden on Healthcare System

Firearm-related fatalities and injuries are a serious public health problem. On average more than 38 lives were lost every day to gun related violence in 2018 ( The Education Fund to Stop Gun Violence (EFSGV), 2020 ). A significant proportion of Americans suffer from firearm non-fatal injuries that require hospitalization and lead to physical disabilities, mental health challenges such as post-traumatic stress disorder, in addition to substantial healthcare costs ( Rattan et al. , 2018 ). Firearm violence and related injuries cost the U.S. economy about $70 billion annually, exerting a major effect on the health care system ( Tasigiorgos et al. , 2015 ).

Victims of firearm violence are also likely to need medical attention requiring high cost of care and insurance payouts which in turn raises the cost of care for everyone else, and unavoidably becomes a financial liability and source of stress on the society ( Hammaker et al. , 2017 ). Firearm injuries also exert taxing burden on the emergency departments, especially those in big cities. Patients with firearm injuries who came to the emergency departments tend to be overwhelmingly male and younger (20–24 years old) and were injured in an assault or unintentionally ( Gani et al. , 2017 ). Also, Carter et al. , 2015 found that high-risk youth (14–24 years old) who present in urban emergency departments have higher odds of having firearm-related injuries. In fact, estimates for firearm-related hospital admission costs are exorbitant. In 2012, hospital admissions for firearm injuries varied from a low average cost of $16,975 for an unintentional firearm injury to a high average cost of $32,237 for an injury from an assault weapon ( Peek-Asa et al. , 2017 ) compared with an average cost of $10,400 for a general hospital admission ( Moore et al. , 2014 ).

Burden on Racial/Ethnic Minorities, Women and Children

Though firearm violence affects all individuals, racial disparities exist in death and injury and certain groups bear a disproportionate burden of its effects. While 77% of firearm-related deaths among whites are suicides, 82% of firearm-related deaths among blacks are homicides ( Reeves and Holmes, 2015 ). Among black men aged 15–34, firearm-related death was the leading cause of death in 2012 ( Cerdá, 2016 ). The racial disparity in the leading cause of firearm-related homicide among 20- to 29-year-old adults is observed among blacks, followed by Hispanics, then whites. Also, victims of firearms tend to be from lower socioeconomic status ( Reeves and Holmes, 2015 ). Understanding behaviors that underlie violence among young adults is important. Equally important is the fiduciary duty of public health officials in creating public health interventions and policies that would effectively decrease the burden of gun violence among all Americans regardless of social, economic and racial/ethnic backgrounds.

Another population group that bears a significant burden of firearm violence are women. The violence occurs in domestic conflicts ( Sorenson and Vittes, 2003 ; Tjaden et al. , 2000 ). Studies have shown that intimate partner violence is associated with an increased risk of homicide, with firearms as the most commonly used weapon ( Leuenberger et al. , 2021 ; Gollub and Gardner, 2019 ). However, firearm threats among women who experience domestic violence has been understudied ( Sullivan and Weiss, 2017 ; Sorenson, 2017 ). It is estimated that nearly two-thirds of women who experience intimate partner violence and live in households with firearms have been held at gunpoint by intimate partners ( Sorenson and Wiebe, 2004 ). Firearms are used to threaten, coerce and intimidate women. Also, the presence of firearms in a home increases the risk of women being murdered ( Campbell et al. , 2015 ; Bailey et al. , 1997 ). Further, having a firearm in the home is strongly associated with more severe abuse among pregnant women in a study by McFarlane et al. (1998) . About half of female intimate partner homicides are committed with firearms ( Fowler, 2018 ; Díez et al. , 2017 ). Some researchers reported that availability of firearms in areas with fewer firearms restrictions has led to higher intimate partner homicides ( Gollub and Gardner, 2019 ; Díez et al. , 2017 ).

In the United States, children are nine times more likely to die from a firearm than in most other industrialized nations ( Krueger and Mehta, 2015 ). Children here include all individuals under age 18. These statistics highlight the magnitude of firearm injuries as well as firearms as a serious pediatric concern, hence, calls for appropriate interventions to address this issue. Unfortunately, children and adolescents have a substantial level of access to firearms in their homes which contributes to firearm violence and its related injuries ( Johnson et al. , 2004 ; Kim, 2018 ). About half of all U.S. households are believed to have a firearm, making firearms one of the most pervasive products consumed in the United States ( Violano et al. , 2018 ). Consequently, most of the firearms used by children and youth to inflict harm including suicides are obtained in the home ( Johnson et al. , 2008 ). Beyond physical harm, children experience increased stress, fear and anxiety from direct or indirect exposure to firearms and its related injuries. These effects have also been reported as predictors of post-traumatic stress disorders in children and could have long-term consequences that persist from childhood to adulthood ( Holly et al. , 2019 ). Additionally, the American Psychological Association’s study on violence in the media showed that witnessing violence leads to fear and mistrust of others, less sensitivity to pain experienced by others, and increases the tendency of committing violent acts ( Branas et al. , 2009 ; Calvert et al. , 2017 ).

As evidenced from the previous sections, firearm violence is a complex issue. Some argue that poor mental health, violent video games, substance abuse, poverty, a history of violence and access to firearms are some of the reasons for firearm violence ( Iroku-Malize and Grissom, 2019 ). However, the prevalence and incidence of firearm violence supersedes discrete issues and demonstrates a complex interplay among a variety of factors. Therefore, a broader public health analysis to better understand, address and reduce firearm violence is warranted. Some important factors as listed above should be taken into consideration to more fully understand firearm violence which can consequently facilitate processes for mitigation of the frequency and severity of firearm violence.

Lack of Research Prevents Better Understanding of Problem of Firearm Violence

A major stumbling block to understanding the prevalence and incidence of firearm related violence exists from a lack of rigorous scientific study of the problem. Firearm violence research constitutes less than 0.09% of the Centers for Disease Control and Prevention’s annual budget ( Rajan et al. , 2018 ). Further research on firearm violence is greatly limited by the Dickey Amendment, first passed in 1996 and annually thereafter in budget appropriations, which prohibits use of federal funds to advocate or promote firearm control ( Rostron, 2018 ). As such, the Dickey Amendment impedes future federally funded research, even as public health’s interest in firearm violence prevention increased ( Peetz and Haider, 2018 ; Rostron, 2018 ). In the absence of rigorous research, a deeper understanding and development of evidence-based prevention measures continue to be needed.

Lack of a Public Health Ethical Argument Against Firearm Use Impedes Violence Prevention

We make an argument that gun violence is a public health problem. While some might think that public health is primarily about reducing health-related externalities, it is embedded in key values such as harm reduction, social justice, prevention and protection of health and social justice and equity ( Institute of Medicine, 2003 ). Public health practice is also historically intertwined with politics, power and governance, especially with the influence of the states decision-making and policies on its citizens ( Lee and Zarowsky, 2015 ). According to the World Health Organization, health is a complete physical, mental and social well-being that is not just the absence of injury or disease ( Callahan, 1973 ). Health is fundamental for human flourishing and there is a need for public health systems to protect health and prevent injuries for individuals and communities. Public health ethics, then, is the practical decision making that supports public health’s mandate to promote health and prevent disease, disability and injury in the population. It is imperative for the public health community to ask what ought to be done/can be done to curtail firearm violence and its related burdens. Sound public health ethical reasoning must be employed to support recommendations that can be used to justify various public policy interventions.

The argument that firearm violence is a public health problem could suggest that public health methods (e.g. epidemiological methods) can be used to study gun violence. Epidemiological approaches to gun violence could be applied to study its frequency, pattern, distribution, determinants and measure the effects of interventions. Public health is also an interdisciplinary field often drawing on knowledge and input from social sciences, humanities, etc. Gun violence could be viewed as a crime-related problem rather than public health; however, there are, of course, a lot of ways to study crime, and in this case with public health relevance. One dominant paradigm in criminology is the economic model which often uses natural experiments to isolate causal mechanisms. For example, it might matter whether more stringent background checks reduce the availability of guns for crime, or whether, instead, communities that implement more stringent background checks also tend to have lower rates of gun ownership to begin with, and stronger norms against gun availability. Therefore, public health authorities and criminologists may tend to have overlapping areas of expertise aimed to lead to best practices advice for gun control.

Our paper draws on three major theories: (1) rights-based theories, (2) consequentialism and (3) the common good approach. These theories make a convergent case for firearm violence, and despite their significant divergence, strengthen our public health ethics approach to firearm. The key aspects of these three theories are briefly reviewed with respect to how one might use a theory to justify an intervention or recommendation to reduce firearm injuries.

Rights-Based Theories

The basic idea of the rights framework is that people have certain rights, and that therefore it is impermissible to treat people in certain ways even if doing so would promote the overall good. People have rights to safety, security and an environment generally free from risky pitfalls. Conversely, people also have a right to own a gun especially as emphasized in the U.S.’s second amendment. Another theory embedded within our discussion of rights-based theories is deontology. Deontological approaches to ethics hold that we have moral obligations or duties that are not reducible to the need to promote some end (such as happiness or lives saved). These duties are generally thought to specify what we owe to others as persons ( rights bearers ). There are specific considerations that define moral behaviors and specific ways in which people within different disciplines ought to behave to effectively achieve their goals.

Huemer (2003) argued that the right to own a firearm has both a fundamental (independent of other rights) and derivative justification, insofar as the right is derived from another right - the right to self-defense ( Huemer, 2003 ). Huemer gives two arguments for why we have a right to own a gun:

People place lots of importance on owning a gun. Generally, the state should not restrict things that people enjoy unless doing so imposes substantial risk of harm to others.

People have a right to defend themselves from violent attackers. This entails that they have a right to obtain the means necessary to defend themselves. In a modern society, a gun is a necessary means to defend oneself from a violent attacker. Therefore, people have a right to obtain a gun.

Huemer’s first argument could be explained that it would be permissible to violate someone’s right to own or use a firearm in order to promote some impersonal good (e.g. number of lives saved). Huemer’s second argument also justifies a fundamental right to gun ownership. According to Huemer, gun restrictions violate the right of individual gun owners to defend themselves. Gun control laws will result in coercively stopping people to defend themselves when attacked. To him, the right to self-defense does seem like it would be fundamental. It seems intuitive to argue that, at some level, if someone else attacks a person out of the blue, the person is morally required to defend themselves if they cannot escape. However, having a right to self-defense does not entail that your right to obtain the means necessary to that thing cannot be burdened at all.

While we have a right to own a gun, that right is weaker than other kinds of rights. For example, gun ownership seems in no way tied to citizenship in a democracy or being a member of the community. Also, since other nations/democracies get along fine without a gun illustrates that gun ownership is not important enough to be a fundamental right. Interestingly, the UK enshrines a basic right to self-defense, but explicitly denies any right to possess any particular means of self-defense. This leads to some interesting legal peculiarities where it can be illegal to possess a handgun, but not illegal to use a handgun against an assailant in self-defense.

In the United States, implementing gun control policies to minimize gun related violence triggers the argument that such policies are infringements on the Second Amendment, which states that the rights to bear arms shall not be infringed. The constitution might include a right to gun ownership for a variety of reasons. However, it is not clear from the text itself that the right to bear arms is supposed to be as fundamental as the right to freedom of expression. Further, one could argue, then, that any form of gun regulation is borne from the rationale to retain our autonomy. Protections from gun violence are required to treat others as autonomous agents or as bearers of dignity. We owe others certain protections and affordances at least in part because these are necessary to respect their autonomy (or dignity, etc.). We discuss potential recommendations to minimize gun violence while protecting the rights of individuals to purchase a firearm if they meet the necessary and reasonable regulatory requirements. Most of the gun control regulations discussed in this article could provide an opportunity to ensure the safety of communities without unduly infringing on the right to keep a firearm.

Consequentialism

Consequentialism is the view that we should promote the common good even if doing so infringes upon some people’s (apparent) rights. The case for gun regulation under this theory is made by showing how many lives it would save. Utilitarianism, a part of consequentialist approach proposes actions which maximize happiness and the well-being for the majority while minimizing harm. Utilitarianism is based on the idea that a consequence should be of maximum benefit ( Holland, 2014 ) and that actions are right in proportion as they tend to promote happiness as the ultimate moral norm. If one believes that the moral purpose of public health is to make decisions that will produce maximal benefits for most affected, remove or prevent harm and ensure equitable distribution of burdens and benefits ( Bernheim and Childress, 2013 ), they are engaging in a utilitarian theory. Rights, including the rights to bear arms, are protected so long as they preserve the greater good. However, such rights can be overridden or ignored when they conflict with the principle of utility; that is to say, if greater harm comes from personal possession of a firearm, utilitarianism is often the ethical theory of choice to restrict access to firearms, including interventions that slow down access to firearms such as requiring a gun locker at home. However, it is important to note that utilitarians might also argue that one has to weigh how frustrating a gun locker would be to people who like to go recreationally hunting. Or how much it would diminish the feeling of security for someone who knows that if a burglar breaks in, it might take several minutes to fumble while inputting the combination on their locker to access their gun.

Using a utilitarian approach, current social statistics show that firearm violence affects a great number of people, and firearm-related fatalities and injuries threaten the utility, or functioning of another. Therefore, certain restrictions or prohibitions on firearms can be ethically justifiable to prevent harm to others using a utilitarian approach. Similarly, the infringement of individual freedom could be warranted as it protects others from serious harm. However, one might argue that a major flaw in the utilitarian argument is that it fails to see the benefit of self-defense as a reasonable benefit. Utilitarianism as a moral theory would weigh the benefits of proposed restrictions against its costs, including its possible costs to a felt sense of security on the part of gun owners. A utilitarian argument that neglects some of the costs of regulations wouldn’t be a very good argument.

One might legitimately argue that if an individual is buying a firearm, whether for protection or recreation, they are morally responsible to abide by the laws and regulations regarding purchasing that firearm and ensuring the safety of others in the society. Additionally, vendors and licensing/enforcement authorities would have the responsibility to ensure the safety of the rest of the society by ensuring that the firearm purchase does not compromise the safety of the community. Most people who own firearms would not argue against this position. However, arguments in support of measures that will reduce the availability of firearms center around freedom and liberty and are not as well tolerated by those who argue from a libertarian starting point. Further, this would stipulate that measures against firearm purchase or use impinge upon the rights of individuals who have the freedom to pursue what they perceive as good ( Holland, 2014 ). However, it seems as though the state has a fundamental duty to help ensure an adequate degree of safety for its citizens, and it seems that the best way to do that is to limit gun ownership.

Promoting the Common Good

A well-organized society that promotes the common good of all is to everyone’s advantage ( Ruger, 2015 ). In addition, enabling people to flourish in a society includes their ability to be healthy. The view of common good consists of ensuring the welfare of individuals considered as a group or the public. This group of people are presumed to have a common interest in protection and preservation from harms to the group ( Beauchamp, 1985 ). Health and security are shared by members of a community, and guns are an attempt to privatize public security and safety, and so is antithetical to the common good. Can one really be healthy or safe in a society where one’s neighbors are subject to gun violence? Maybe not, and so then this violence is a threat to one’s life too. If guns really are an effective means of self-defense, they help one defend only oneself while accepting that others in one’s community might be at risk. One might also argue that the more guns there are, the more that society accepts the legitimacy of gun ownership and the more that guns have a significant place in culture etc., and consequently, the more that there is likely to be a problem.

Trivigno (2018) suggests that the willingness to carry a firearm indicates an intention to use it if the need arises and Branas et al (2009) argue that perpetually carrying a firearm might affect how individuals behave ( Trivigno, 2018 ; Branas et al. , 2009 ). When all things are equal, will prudence and a commitment to the flourishing of others prevail? Trivigno (2013) wonders if such behaviors as carrying or having continual access to a firearm generates mistrust or triggers fear of an unknown armed assailant, allowing for aggression or anger to build; the exact opposite of flourishing ( Trivigno, 2013 ). One could suggest, then, that the recreational use of firearms is also commonly vicious. Many people use firearms to engage in blood sport, killing animals for their own amusement. For example, someone who kicks puppies or uses a magnifying glass to fry ants with the sun seems paradigmatically vicious; why not think the same of someone who shoots deer or rabbits for their amusement?. Firearm proponents might suggest that the fidelity (living out one’s commitments) or justice, which Aristotle holds in high regard, could justify carrying a firearm to protect one’s life, livelihood, or loved ones insofar as it would be just of a person to defend and protect the life of another or even one’s own life when under threat by one who means to do harm. Despite an argument justifying the use of a firearm against another for self-defense after the fact, the action might not have been right when evaluated through the previous rationale, or applying the doctrine of double effect as described by Aquinas’ passage in the Summa II-II, which mentions that self-defense is quite different than taking it upon one’s self to mete out justice ( Schlabach, n.d. ). The magistrate is charged with seeing that justice is done for the common good. At best, if guns really are an effective means of self-defense, they help one defend only oneself while accepting that others in one’s community might be at risk. They take a common good, the health and safety of the community, and make it a private one. For Aquinas and many other modern era ethicists, intention plays a critical part in judgment of an action. Accordingly, many who oppose any ownership of firearms do so in both a paternalistic fashion (one cannot intend harm if they don’t have access to firearms) and virtuous fashion (enabling human flourishing).

Classical formulations of the double doctrine effect include necessity and proportionality conditions. So, it’s wrong to kill in self-defense if you could simply run away (without giving up something morally important in doing so), or to use deadly force in self-defense when someone is trying to slap you. One thing the state can do, in its role of promoting the common good, is to reduce when it is necessary to use self-defense. If there were no police at all, then anyone who robs you without consequence will probably be back, so there’s a stronger reason to use deadly force against them to feel secure. That’s bad, because it seems to allow violence that truly isn’t necessary because no one is providing the good of public security. So, one role of the state is to reduce the number of cases in which the use of deadly force is necessary for our safety. Since most homicides in the United State involve a firearm, one way to reduce the frequency of cases in which deadly force is necessary for self-defense is to reduce the instances of gun crime.

We have attempted to lay the empirical and ethical groundwork necessary to support various interventions, and the recommendations aimed at curbing firearm violence that will be discussed in this next section. Specifically, by discussing the burden of the problem in its various forms (healthcare costs, disproportionate violence towards racial/ethnic minority groups, women, children, vulnerable populations and the lack of research) and the ethics theories public health finds most accessible, we can now turn our attention to well-known, evidence-based recommendations that could be supported by the blended ethics approach: rights-based theories, consequentialism and the common-good approach discussed.

Comprehensive, Universal Background Checks for Firearm Sales

Of the 17 million persons who submitted to a background check to purchase or transfer possession of a firearm in 2010, less than 0.5% were denied approval of purchase ( Federal Bureau of Investigation, 2014 ). At present, a background check is required only when a transfer is made by a licensed retailer, and nearly 40% of firearm transfers in recent years were private party transfers ( Miller et al. , 2017 ). As such, close to one-fourth of individuals who acquired a firearm within the last two years obtained their firearm without a background check ( Miller et al. , 2017 ). Anestis et al. , (2017) and Siegel et al. , (2019) evaluated the relationship between the types of background information required by states prior to firearm purchases and firearm homicide and suicide deaths ( Anestis et al. , 2017 ; Siegel et al. , 2019 ). Firearm homicide deaths appear lower in states checking for restraining orders and fugitive status as opposed to only conducting criminal background checks ( Sen and Panjamapirom, 2012 ). Similarly, suicide involving firearm were lower in states checking for a history of mental illness, fugitive status and misdemeanors ( Sen and Panjamapirom, 2012 ).

Research supports the evidence that comprehensive universal background checks could limit crimes associated with firearms, and enforcement of such laws and policies could prevent firearm violence ( Wintemute, 2019 ; Lee et al. , 2017 ). Comprehensive, universal background check policies that are applicable to all firearm transactions, including private party transfers, sales by firearm dealers and sales at firearm shows are justifiable using a blend of the ethics theories we have previously discussed. With the rights-based approach, one could still honor the right to own a firearm by a competent person while also enforcing the obligation of the firearm vendor to ensure only a qualified individual purchased the firearm. To further reduce gun crime, rather than ensure only the right people own guns, we can just reduce the number of guns owned overall. Consequentialism could be employed to ensure the protection of the most vulnerable such as victims of domestic violence and allowing a firearm vendor to stop a sale to an unqualified individual if they had a history of suspected or proven domestic violence. Also, having universal background checks that go beyond the bare minimum of assessing if a person has a permit, the legally required training, etc., but delving more deeply into a person’s past, such as the inclusion of a red flag ( Honberg, 2020 ), would be promoting the common good approach by creating the conditions for persons to be good and do good while propelling community safety.

Renewable License Before Buying and After Purchase of Firearm and Training Firearm Owners

At present, federal law does not require licensing for firearm owners or purchasers. However, state licensing laws fall into four categories: (1) permits to purchase firearms, (2) licenses to own firearms, (3) firearm safety certificates and (4) registration laws that impose licensing requirements ( Anestis et al. , 2015 ; Giffords Licensing, n.d. ). A study conducted in urban U.S. counties with populations greater than 200,000 indicated that permit-to-purchase laws were associated with 14% reduction in firearm homicides ( Crifasi et al. , 2018 ). In Connecticut, enforcing a mandatory permit-to-purchase law making it illegal to sell a hand firearm to anyone who did not have an eligible certificate to purchase firearms was associated with a reduction in firearm associated homicides ( Rudolph et al. , 2015 ). This also resulted in a significant reduction in the rates of firearm suicide rates in Connecticut ( Crifasi et al. , 2015 ). Conversely, the permit-to-purchase law was repealed in Missouri in 2007, which resulted in an increase of homicides with firearms and firearm suicides ( Crifasi et al. , 2015 ; Webster et al. , 2014 ). Similarly, two large Florida counties indicated that 72% of firearm suicides involved people who were legally permitted to have a firearm ( Swanson et al. , 2016 ). According to the study findings, a majority of those who were eligible to have firearms died from firearm-related suicide, and also had records of previous short-term involuntary holds that were not reportable legal events.

In addition to comprehensive, universal background checks for firearm purchases, licensing with periodic review requires the purchaser to complete an in-person application at a law enforcement agency, which could (1) minimize fraud or inaccuracies and (2) prevent persons at risk of harming themselves or others to purchase firearms ( Crifasi et al. , 2019 ). Subsequent periodic renewal could further reduce crimes and violence associated with firearms by helping law enforcement to confirm that a firearm owner remains eligible to possess firearms. More frequent licensure checks through periodic renewals could also facilitate the removal of firearms from individuals who do not meet renewal rules.

Further, including training on gun safety and shooting with every firearm license request could also be beneficial in reducing gun violence. In Japan, if you are interested in acquiring a gun license, you need to attend a one-day gun training session in addition to mental health evaluation and background check ( Alleman, 2000 ). This training teaches future firearm owners the steps they would need to follow and the responsibilities of owning a gun. The training completes with passing a written test and achieving at least a 95% accuracy during a shooting-range test. Firearm owners need to retake the class and initial exam every three years to continue to have their guns. This training and testing have contributed to the reduction in gun related deaths in Japan. Implementing such requirements could reduce gun misuses. Even though, this is a lengthy process, it could manage and reduce the risks associated with firearm purchases and will support a well-regulated firearm market. While some may argue that other forms of weapons could be used to inflict harm, reduced access to firearms would lead to a significant decrease in the number of firearm-related injuries in the United States.

From an ethics perspective, again, all three theories could be applied to the recommendation for renewable licenses and gun training. From a rights-based perspective, renewable licensure and gun training would still allow for the right to bear arms but would ensure that the right belongs with qualified persons and again would allow the proper state agency to exercise its responsibility to its citizens. Additionally, a temporary removal of firearms or prohibiting firearm purchases by people involuntarily detained in short-term holds might be an opportunity to ensure people’s safety and does so without unduly infringing on the Second Amendment rights. Renewable licenses and gun training create opportunities for law enforcement to step in periodically to ascertain if a licensee remains competent, free from criminal behavior or mental illness, which reduces the harm to the individual and to the community—a tidy application of consequentialism. Again, by creating the conditions for people to be good, we see an exercise of the common good.

Licensing Firearm Dealers and Tracking Firearm Sales

In any firearm transfer or purchase, there are two parties involved: the firearm vendor and the individual purchaser. Federal law states that “it shall be unlawful for any person, except for a licensed importer, licensed manufacturer, or licensed dealer, to engage in the business of importing, manufacturing, or dealing in firearms, or in the course of such business to ship, transport, or receive any firearm in interstate or foreign commerce” (18 U.S.C. 1 922(a)(1)(A)(2007). All firearm sellers must obtain a federal firearm license issued by the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF). However, ATF does not have the complete authority to inspect firearm dealers for license, revoke firearm license, or take legal actions against sellers providing firearms to criminals ( Vernick and Webster, 2007 ). Depending on individual state laws, typically the firearm purchaser maintains responsibility in obtaining the proper license for each firearm purchase whereas the justice system has the responsibility to enforce laws regulating firearm sales. Firearm manufacturers typically sell their products through licensed distributors and dealers, or a primary market (such as a retail store). Generally, firearms used to conduct a crime (including homicide) or to commit suicide are the product of secondary markets ( Institute of Medicine, 2003 ) such as retail secondhand sales or private citizen transfers/sales. Such secondary firearm transfers are largely unregulated and allow for illegal firearm purchases by persons traditionally prohibited from purchasing in the primary market ( Vernick and Webster, 2007 ; Chesnut et al. , 2017 ).

According to evidence from Irvin et al. (2014) in states that require licensing for firearm dealers and/or allow inspections, the reported rates of homicides were lower ( Irvin et al. , 2014 ). Specifically, after controlling for race, urbanicity, poverty level, sex, age, education level, drug arrest rate, burglary rates and firearm ownership proxy, the states that require licensing for firearm dealers reported ~25% less risk of homicides, and the states that allow inspection reported ~35% less risk of homicides ( Irvin et al. , 2014 ). This protective effect against homicides was stronger in states that require both licensing and inspections compared to states that require either alone. The record keeping of all firearm sales is important as it facilitates police or other authorized inspectors to compare a dealer’s inventory with their records to identify any secondary market transactions or other discrepancies ( Vernick et al. , 2006 ). According to Webster et al. (2006) , a change in firearm sales policy in the firearm store that sold more than half of the firearms recovered from criminals in Milwaukee, resulted in a 96% reduction in the use of recently sold firearms in crime and 44% decrease in the flow of new trafficked firearms in Milwaukee ( Webster et al. , 2006 ).

The licensing of firearm vendors and tracking of firearm sales sits squarely as a typical public health consequentialist argument; in order to protect the community, an individual’s right is only minimally infringed upon. An additional layer, justifiable by consequentialism, includes a national repository of all firearm sales which can be employed to minimize the sale of firearms on the secondary market and dealers could be held accountable for such ‘off-label’ use ( FindLaw Attorney Writers, 2016 ). Enforcing laws, mandating record keeping, retaining the records for a reasonable time and mandating the inspection of dealers could help to control secondary market firearm transfers and minimize firearm-related crimes and injuries.

One could argue from a rights perspective that routine inspections and record keeping are the responsibility of both firearms vendors and law enforcement, and in doing so, still ensure that competent firearm owners can maintain their rights to bear arms. In Hume’s discussion of property rights, he situates his argument in justice; and that actions must be virtuous and the motive virtuous ( Hume, 1978 ). Hume proposes that feelings of benevolence don’t form our motivation to be just. We tend (perhaps rightly) to feel stronger feelings of benevolence to those who deserve praise than to those who have wronged us or who deserve the enmity of humanity. However, justice requires treating the property rights or contracts of one’s enemies, or of a truly loathsome person, as equally binding as the property rights of honest, decent people. Gun violence disproportionately impacts underserved communities, which are same communities impacted by social and economic injustice.

Standardized Policies on Safer Storage for Firearms and Mandatory Education

Results from a cross-sectional study by Johnson and colleagues showed that about 14-30% of parents who have firearms in the home keep them loaded, while about 43% reported an unlocked firearm in the home ( Johnson et al. , 2006 ; Johnson et al. , 2008 ). The risk for unintentional fatalities from firearms can be prevented when all household firearms are locked ( Monuteaux et al. , 2019 ). Negligent storage of a firearm carries various penalties based on the individual state ( RAND, 2018 ). For example, negligent storage in Massachusetts is a felony. Mississippi and Tennessee prohibit reckless or knowingly providing firearms to minors through a misdemeanor charge, whereas Missouri and Kentucky enforce a felony charge. Also, Tennessee makes it a felony for parents to recklessly or knowingly provide firearms to their children ( RAND, 2018 ).

While a competent adult may have a right to bear arms, this right does not extend to minors, even in recreational use. Many states allow for children to participate in hunting. Wisconsin allows for children as young as 12 to purchase a hunting license, and in 2017 then Governor Scott Walker signed into law a no age minimum for a child to participate in a mentored hunt and to carry a firearm in a hunt when accompanied by an adult ( Wisconsin Department of Natural Resources, 2020 ). The minor’s ‘right’ to use a firearm is due in part to the adult taking responsibility for the minor’s safety. As such, some have argued that children need to know how to be safe around firearms as they continue to be one of the most pervasive consumer products in the United States ( Violano et al. , 2018 ).

In addition to locking firearms, parents are also encouraged to store firearms unloaded in a safe locked box or cabinet to prevent children’s access to firearms ( Johnson et al. , 2008 ). It follows then that reducing children and youth’s access to firearm injuries involves complying with safe firearm storage practices ( McGee et al. , 2003 ). In addition to eliminating sources of threat to the child, it is also important for children to be trained on how to safely respond in case they encounter a firearm in an unsupervised environment. Education is one of the best strategies for firearm control, storage and reduction of firearm-related injuries via development of firearm safety trainings and programs ( Jones, 1993 ; Holly et al. , 2019 ). Adults also need firearm safety education and trainings; as such, inclusion of firearm safety skills and trainings in the university-based curriculum and other avenues were adults who use guns are likely to be, could also mitigate firearm safety issues ( Puttagunta et al. , 2016 ; Damari et al. , 2018 ). Peer tutoring could also be utilized to provide training in non-academic and social settings.

Parents have a duty to protect their children and therefore mandating safe firearm storage, education and training for recreational use and periodic review of those who are within the purview of the law. Given that someone in the U. S. gets shot by a toddler a little more frequently than once a week ( Ingraham, 2017 ), others might use a utilitarian argument that limiting a child’s access to firearms minimizes the possibility of accidental discharge or intentional harm to a child or another. Again, the common good approach could be employed to justify mandatory safe storage and education to create the conditions for the flourishing of all.

Firearm and Ammunition Buy-Back Programs

Firearm and ammunition buy-back programs have been implemented in several cities in the United States to reduce the number of firearms in circulation with the ultimate goal of reducing gun violence. The first launch in Baltimore, Maryland was in 1974. The Los Angeles Police Department (LAPD) has conducted a gun buy-back program for nearly eight years to remove more guns off the streets and improve security in communities. Currently there is a plan for a federal gun buy-back program in the United States. The objective of such programs is to reduce gun violence through motivating marginal criminals to sell their firearms to local governments, encourage law-abiding individuals to sell their firearms available for theft by would-be criminals, and to reduce firearm related suicide resulting from easy access to a gun at a time of high emotion ( Barber and Miller, 2014 ).

According to Kuhn et al. (2002) and Callahan et al. (1994) , gun buy-back programs are ineffective in reducing gun violence due to two main facts: 1- the frequently surrendered types of firearms are typically not involved in gun-related violence and 2- the majority of participants in gun buyback programs are typically women and older adults who are not often involved in interpersonal violence ( Kuhn et al. , 2002 ; Callahan et al. , 1994 ). However, as a result of implementation of the ‘‘good for guns’’ program in Worcester, Massachusetts, there has been a decline in firearm related injuries and mortality in Worcester county compared to other counties in Massachusetts ( Tasigiorgos et al. , 2015 ). Even though, there is limited research indicating a direct link between gun buy-back programs and reduction in gun violence in the United States, a gun buy-back program implemented in Australia in combination with other legislations to reduce household ownership of firearms, firearm licenses and licensed shooters was associated with a rapid decline in firearm related deaths in Australia ( Bartos et al. , 2020 ; Ozanne-Smith et al. , 2004 ).

The frequency of disparities in firearm-related violence, injuries and death makes it a central concern for public health. Even though much has been said about firearms and its related injuries, there continues to be an interest towards its use. Some people continue to desire guns due to fear, feeling of protection and safety, recreation and social pressure.

Further progress on reforms can be made through understanding the diversity of firearm owners, and further research is needed on ways to minimize risks while maximizing safety for all. Although studies have provided data on correlation between firearm possession and violence ( Stroebe, 2013 ), further research is needed to evaluate the interventions and policies that could effectively decrease the public health burden of firearm violence. Evidence-based solutions to mitigating firearm violence can be justified using three major public health ethics theories: rights-based theories, consequentialism and common good. The ethical theories discussed in this paper can direct implementation of research, policies, laws and interventions on firearm violence to significantly reduce the burden of firearm violence on individuals, health care systems, vulnerable populations and the society-at-large. We support five major steps to achieve those goals: 1. Universal, comprehensive background checks; 2. Renewable license before and after purchase of firearm; 3. Licensing firearm dealers and tracking firearm sales; 4. Standardized policies on safer storage for firearms and mandatory education; and 5. Firearm buy-back programs. For some of the goals we propose, there might be a substantial risk of non-compliance. However, we hope that through education and sensibilization programs, overtime, these goals are not met with resistance. By acknowledging the proverbial struggle of individual rights and privileges paired against population health, we hope our ethical reasoning can assist policymakers, firearm advocates and public health professionals in coming to shared solutions to eliminate unnecessary, and preventable, injuries and deaths due to firearms.

The conducted research is not related to either human or animal use.

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  • Published: 02 April 2019

What guns mean: the symbolic lives of firearms

  • Jonathan M. Metzl 1  

Palgrave Communications volume  5 , Article number:  35 ( 2019 ) Cite this article

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This article presents an overview of the symbolic tensions underlying representations of firearms and gun-related violence. The essay frames central questions that deserve further interrogation: what larger social and political contexts surround guns? How do narrations of gun rights or gun trauma map onto larger scripts about matters such as identity, bias, racism, or nationalism? What meanings do guns accrue for people and communities when these guns are not shooting bullets or causing mortal wounds? The paper lays out disciplinary terrain required to address these questions, calling on expertize from the social sciences, humanities, and arts.

Introduction

Academic research on guns often focuses on gun-related injuries and deaths, and for good reason—getting shot leads to profound real-world consequences. “Getting shot hurts,” President Ronald Reagan once put it after surviving and assassination attempt. “No matter how hard I tried to breath it seemed I was getting less and less air. I focused on that tiled ceiling and prayed” (Reagan, 2016 , p. 157).

Evidence suggests that shootings rise in correlation with increasing numbers of civilian owned firearms. Scholars use words such as “crisis” or “epidemic” to describe spiraling mortal costs of gun-related morbidity and mortality. A 2018 position paper by the American College of Physicians (Butkus et al., 2018 ) warned that “firearm violence continues to be a public health crisis in the United States that requires the nation’s immediate attention” while detailing the daily toll of firearm violence “in neighborhoods, homes, workplaces, and public and private places across the country.”

Gun-related injury and death is an urgent problem that plays out increasingly across the world, and often in particular ways in the United States—a country that has less than five percent of the world’s population, but over forty percent of its civilian-owned guns (Small Arms Survey, 2018 ).

Yet solutions remain elusive. Gun supporters reject research suggesting policy solutions to gun-related morbidity and mortality because of what they call a “tainted public health model” biased against their interests (Faria, 2001 ). Pro-gun communities thus encounter public health research in the context of backlash against findings that highlight the risks of having too many guns, or that posit the failures of pro-gun policies (Gun Owners of America ( 2009 ); Lott, 2014 ; Hsieh, 2016 )—without addressing the larger contexts of gun ownership. Meanwhile, leading public health organizations and medical groups decry the lack of funding for gun research, and the silencer it places on knowledge (Metzl, 2018 ).

The result is an often-predictable tug of war between the research community on one hand, and critics who assail anti-gun bias in academia on the other. Policy level approaches that aim to stem tides of rising rates of gun injury and death then struggle to develop strategies for bridging polarizing political divides about gun ownership and gun-related trauma. Gun researchers also often fail to communicate with people in communities where there are a lot of guns (Metzl, 2019 ).

Improving such communication requires understanding the complex valences that guns accrue for people and communities when these guns are not shooting bullets or causing mortal wounds; in other words, focusing not just on death data, but on life data as well. For instance, how do people in gun-dense regions narrate the roles that firearms play in their daily lives? Is there a pleasure in gun ownership? What stories do people tell about their weapons? Why do some people feel they need guns in their homes or neighborhoods, while others reject guns out of hand?

Guns also invoke larger questions about politics. What larger social and political contexts surround guns? How do narrations of gun rights or gun trauma map onto larger scripts about matters such as identity, bias, racism, or nationalism?

These types of questions get at the divergent ways that people talk and feel about guns, in addition to living with and dying from them. They aim to uncover what guns mean, in addition to what they do.

Addressing guns symbolically means recognizing ways that firearms emerge as powerful symbols shaped by history, politics, geography, economy, media, and culture, as well as by actors such as gun manufacturers or lobbying groups. Such an approach understands guns as both denotative entities made of real mass and that draw real blood, and as connotative cyphers whose associations trigger themes such as protection, danger, safety, identity, race, gender, class, erotics, oppression, or revulsion.

Scholars from beyond traditional biomedical fields have begun to address these complex issues. Sociologists and anthropologists speak to persons living in “gun country” to better understand the significances of firearms within families or social networks, or track expanding community undulations of gun-related trauma. Historians trace relationships between gun rights and political movements, and trace ways that gun economies map onto larger colonizing projects. Literary scholars use their expertise to detail how representations of guns are driven by larger cultural anxieties about race and gender. Artists use representations of guns and gun violence to catalyze discussions of issues such as protest, protection, or survivorship. Meanwhile, public health researchers utilize research about the social meanings of guns to better understand the role of culture in shaping debates on firearm regulations.

Emerging work thereby contextualizes the public health implications of civilian-owned firearms within larger attitudes, assumptions, or beliefs. By so doing, such work also illuminates ways that people talk, and often talk past one another, about the broader tensions and divisions signified by firearms. Such research also demarcates new opportunities for common ground in the midst of atomized and polarizing debates about the best ways to achieve safety for people, families, and communities.

The symbolic lives of firearms

What themes emerge from studying the symbolic lives of firearms?

Gun advocates describe ways that firearms represent forms of selfhood forged through the protection of home and family. Conservative U.S. author David French ( 2018 ) tells of obtaining guns to protect his wife and children after feeling threatened by strangers in the neighborhood where he and his family lived. French purchased guns to keep in his home, and soon began carrying a weapon in public as well. “You feel a sense of burning conviction,” he writes, “that you, your family, and your community are safer and freer because you own and carry a gun.” Books such as Chris Bird’s Thank God I Had a Gun ( 2008 ) similarly narrate support for gun rights through anecdotal renderings of armed citizens who stand their ground to protect themselves, their loved ones, or their property against intruders. Bird describes “heroes” such as, “Barbara,” who in her moment of need “was wearing a small Smith and Wesson five-shot revolver in an inside the waistband holster” and carrying her Winchester Defender shotgun when “she took a few steps outside…she could see two figures silhouetted.”

These types of representations speak of tensions that public health advocates have at times been slow to recognize—namely, that policies that regulate or restrict firearm ownership often neglect to address beliefs about guns among people who own them. In pro-gun communities, guns convey familiarity and custom, and suggest connection to neighbors or notions of cultural heritage. Such associations in turn give particular charge to alarmist rhetoric warning that liberals, researchers, or particular politicians aim to “take away your guns”—the implication being that these persons would uproot your families and traditions as well. For sociologist Harel Shapira ( 2017 ), such associations also highlight how, in certain parts of the U.S., carrying a gun represents a central part of people’s lives and the Second Amendment a key part of their identity. Sociologist Jennifer Carlson ( 2015 ) similarly describes a new category of “citizen-protectors” and a related honor code that emerged following the U.S. Supreme Court’s Heller decision, which allowed increasing numbers of people to carry guns for the defense of self, family, and property.

Gun identity is often contextual as well, influenced by factors such as regulation, legal status, medical condition, or job title. Anthropologist Ken MacLeish opens his book, Making War at Fort Hood ( 2013 , p. 3), with the story of a soldier on a “no weapon profile” and barred from all gun-related duties at on the military base because of a traumatic brain injury. Once he stepped off the Texas Army post, however, the soldier was free to purchase a Soviet-style semiautomatic “rifle with a blond wood butt stock and a slim bayonet folded under the barrel” at the gun store down the road, which he kept at the ready by the door of his off-base apartment to ward off intruders. No longer an armed soldier, he remained sentry of his civilian domain.

Guns also symbolize assumptions and anxieties about gender and socioeconomic class. Consider, for instance, that notions of patriarchal armed safety, self-reliance, and freedom also appear frequently in gun advertisements. “The Armed Citizen, Protected by Smith and Wesson” read one campaign in the NRA magazine American Rifleman (Smith and Wesson, 2018 ), while ads for the Tavor semiautomatic rifle claimed that the gun would restore the “balance of power” for men who owned it (Tavor SAR, 2013 ). Glock advertisements told men that owning their guns restored “the confidence to live your life” (Smith, 2014 a, 2014 b).

Communication studies professor Leonard Steinhorn ( 2014 ) reads these types of advertisements as signaling ways that gun manufacturers position their products as totems of manhood and symbols of white male identity in response to social and economic change. According to Steinhorn, working-class white men long benefited from racial and gender systems that gave them a monopoly over manufacturing and construction jobs. Starting in the 1960s, the civil rights and women’s movements brought increased competition into these marketplaces, while at the same time wages and the availability of manufacturing jobs declined precipitously. These changes in the economic and social order left working-class white men feeling bypassed and “victimized” by “usurpers” such as women and people of color. “How do these white men restore the strength and prestige of their idealized past?”, Steinhorn asks. “Through guns, which instill fear particularly among the urban and educated elites who hold the levers of power and status in society today.”

Social scientists have been at the fore of furthering understandings of guns and gun violence in relation to the role of gender and masculinity (Bridges, 2017 ). Eric Madfis reads the male gender-mass shooter connection to “cultural standards” dictating how men are expected to react to stress (Kiesel, 2018 ), while Carlson’s important research ( 2015 ) illustrates the complex ways that particular men use guns to navigate contexts of “social insecurity” about social and economic decline.

Guns also connote complex tensions, stereotypes, and anxieties about race. NRA rhetoric posits guns as protections against, in the words of CEO Wayne LaPierre, “bad guys,” thugs, “terrorists and home invaders and drug cartels, and car-jackers” (Cox, 2014 ; Beauchamp, 2017 ). Similar language courses through John Lott’s tome, More Guns, Less Crime ( 2010 , p. 3)—a statistically inspired book narrated through stories about people like a woman who “shot and killed an armed man she says was trying to carjack her van with her and her 1-year-old daughter inside.” The threat of gangs plays a major role in Bird’s Thank God I Had a Gun , where Barbara, a suburban white woman, shoots at five “black” teenagers, killing a “15-year-old black male,” in part because, as she explains it, “as far as I’m concerned, if you have five kids out at midnight, they are a gang” ( 2008 , p. 184).

According to sociologist Angela Stroud ( 2015 , pp. 33, pp. 88–89, p. 96, pp. 100–102), such rhetoric plays to histories in which guns function as symbols of white authority. When Stroud asked white permit holders why they felt they needed guns, they frequently replied with answers that highlighted a “criminal class” of people of color to justify gun ownership. “You hear about carjackings,” one gun toting man told her. “Let’s just say you pull up to a convenience store and there’s some certain people outside that make you feel a little nervous, then you’ve got your gun there…to make yourself feel more comfortable.” For Stroud, examples of white “good guys” who carried guns to protect against racial others were particularly important because most of the racialized altercations never actually happened. Rather, white gun owners imagined these encounters based on anxieties about persons of color. In such stories, gun ownership became a defense of internalized notions of racial order, as well as an external personal safety.

Society often responds differently when the “good guys” are not white. For instance, the U.S. political establishment mobilized to disarm African American gun owners for much of the nineteenth and twentieth centuries, and black leaders who advocated taking up arms in self-defense against white supremacist intimidation met with violent resistance. Robert F. Williams, president of the Monroe, North Carolina, chapter of the NAACP in the 1950s and early 1960s, was forced to flee to Cuba after being pursued by the FBI on fabricated kidnaping charges, and after advocating for “the right of Negroes to meet the violence of the Ku Klux Klan by armed self-defense” (Williams, 1962 ). Near-universal mainstream condemnation followed Malcolm X’s claim ( 1964 ) that “article number two of the Constitutional amendments provides you and me the right to own a rifle or a shotgun.” Republican politicians, including then-California Governor Reagan, swiftly moved to enact expansive new gun-control measures when Huey Newton and the Black Panther Party for Self-Defense advocated carrying guns in public—as permitted by California law at the time (Huey et al., 2002 ).

Black gun ownership represented a right of American citizenship and an essential component of self-protection for Robert Williams, Malcom X, and others. Williams saw armed “Negro self-defense” as central to strategies required “when an oppressed people show a willingness to defend themselves” against “the violence with which Negroes in the South are treated daily—nay, hourly” (Williams, 1962 , pp. 4–5). Similar arguments resonate with present-day groups such as Black Guns Matter, an African American gun rights organization highlighted in articles by political journalist Jane Coaston—whose work also highlights the racialized underpinnings of the U.S. gun-control movement (Coaston, 2018 ). My own current research (Metzl, 2019 ) shows how American racial history lay the groundwork for differing responses to white versus African American open carry proponents in the present day: mainstream society reflexively codes white men carrying weapons in public as patriots, while marking armed black men as threats or criminals.

Guns also connote contested narrations of history, and become symbols of peculiar conceptions of nationhood as a result. U.S. gun manufacturers long promoted guns through myths of settlers and cowboys who tamed the Wild West, guns in hand. In 2017, journalist Francis Clines ( 2014 ) visited the NRA Firearms Museum in Virginia and found that “a poster figure of John Wayne… offers a greeting here at the gun museum’s gallery door as he holds his Winchester carbine at the ready.” In his book Gun Crusaders , sociologist Scott Melzer ( 2009 , pp. 30–33) exposes the role of Wayne-style gunslingers as a mythology not of the 1800s, but of mid-20th-century gun advertisers and popular culture. Guns were “unquestionably part of white westward expansion,” Melzer writes, “but the role of firearms in expansion has been greatly exaggerated,” and in reality many settlers who traveled west found little use for firearms in their daily lives.”

Meanwhile, historian Priya Satia’s expansive book, Empire of Guns ( 2018 , p. 11) upends traditional tellings of the industrial revolution by showing the importance of Britain’s prosperous gun trade to its imperial expansions. The book’s sweeping narrative spans centuries and continents to uncover how gun capitalism brought about a world in which “lethal mechanical violence came to pervade modern existence.”

Guns can function as symbols of resistance or markers of collective trauma. Artists Jonathan Ferrara and Brian Borrello launched a Guns in the Hands of Artists project ( 2016 ) in response to soaring gun homicide rates in New Orleans, Louisiana. In the project, painters, glass artists, sculptors, photographers, and poets used decommissioned guns from a gun buyback program to “stimulate thinking about guns and gun violence in America.” Guns grew into a traveling, community-based social activist art project that merged guns with art “as a vehicle for dialogue, as a call to action, and―ultimately―as an agent of change.” Similarly, Mexican sculptor and artist Pedro Reyes joined with British composer John Coxon to produce an “orchestra” of instruments cast from rifles and handguns decommissioned in the town of Ciudad Juarez (Phaidon, 2013 ).

Guns, bullets, and bullet holes also feature prominently in the work of Mexican artist Teresa Margolles—who meticulously chronicles the effects of the drug war on Mexican bodies (Grigorian, 2017 ; Phaidon, 2013 ). Nodding to Andy Warhol, American painter Nicole Eisenman’s colorful images place the viewer in the eye of a gun’s authoritarian gaze (Smith, 2016 ). South African artist Ralph Ziman photographs men holding brightly colored, beaded AK-47s to highlight the seductive lethality of the weapons and the “destructive cycle of the international arms trade” (O’Neal, 2014 ).

Los Angeles-based painter Henry Taylor’s work chronicles the traumatizing effects of guns, bullets, and police violence on black bodies—his remarkable 2017 painting, The Times They Ain’t A Changing, Fast Enough , captures the dying moments of Philando Castile, a black man shot by police while his girlfriend and daughter were in the car alongside him (Sargent, 2018 ).

American poet Danez Smith ( 2014 a, 2014 b) similarly eulogizes the traumatizing effects of racial and police violence on black men. His extraordinary poem, juxtaposing the black boy and the bullet , draws jarring synergy between the short lives of these two actors, and the interlinked politics that surround them. “Both spark quite the debate,” read the poem’s arresting final lines. “Some folks want to protect them/some think we should just get rid/of the damn things all together.”

The guns themselves

Why do well-intentioned people find it difficult to agree on ways to address firearm related injury and death? The sources cited above cumulatively suggest that it is not just the politics surrounding guns that divide people—so do the guns themselves, and their connections to deeply charged existential issues.

Guns reflect and encapsulate histories and politics about race, gender, socioeconomics, and any number of charged themes that are better addressed head on—by fighting against racism or racially inflected gun messaging for instance, or against economic policies that undermine working class jobs—rather than by armed proxy.

Addressing guns symbolically allows guns researchers to address questions that are counterintuitive in addition to ones that are self-evident. In what ways to guns shape identities? , might be one such question. Or, in what ways are guns sublime? Such an approach also provides means of better understanding, and then pushing back on stigmatizing stereotypes that surround gun violence—such as the stereotypes of race promoted by the NRA, or assumptions that “mental illness” alone causes mass shootings (Metzl and MacLeish, 2015 ).

Uncovering the symbolic valences of guns also provides means for talking across political and social divides in moments of relative peacetime, rather than in phases of distress. Debates about the roles of guns in society often emerge after mass violence, such as after mass shootings. In the U.S., public opinion polls suggest that people become ever more entrenched in polarizing stances following these horrific events. One side pushes for reformed gun laws, while the other digs in, or, as data suggests, buys more guns and ammunition because of concerns about future regulations. Compromise remains elusive.

Frequently lost among the push and pull strategies, not just for implementing effective policies, but for talking to people whose cooperation is vital for effective gun policy to be put into practice. Strategies here might promote open dialogue about perceptions and misperceptions of risk, gun related and otherwise.

Guns injure and kill tens of thousands of people each year, and many of these injuries and fatalities are preventable. However, approaching guns as symbols illustrates the potential limitations of framing gun related morbidity solely as an epidemic or a public-health crisis for which policy solutions are the primary answer. While doing so rightly calls attention to a dire need for intervention, it also limits recognition of the deeper biases, currents, and fissures that shape what guns mean, and what they come to represent.

Guns undoubtedly signify a public health crisis. Too many people die and too many communities suffer lasting trauma, and often in patterened ways that public health expertize is designed to address. But scratch the surface, and it becomes increasingly clear that guns signal a social crisis as well.

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Metzl, J.M. What guns mean: the symbolic lives of firearms. Palgrave Commun 5 , 35 (2019). https://doi.org/10.1057/s41599-019-0240-y

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