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MarkHoofnagle's profile
Mark Hoofnagle
Mark Hoofnagle
Mark Hoofnagle
@MarkHoofnagle

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Mark Hoofnagle

@MarkHoofnagle

Trauma/Critical Care/Acute Care Surgeon. MD/PhD. FACS. UVa/UMD/UPenn. Asst Professor of Surgery at Wash U. Blocking is curating.

St Louis, MO
surgery.wustl.edu/people/mark-ho…
Joined March 2012

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    Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

    While I've been heartened by the unity of the #ThisISMyLane message, I noticed some suggesting we work with the NRA to solve the gun violence. That's like consulting Big Tobacco on cancer prevention - here's a tweetorial on NRA history, astroturf and modern gun violence research.

    10:49 AM - 13 Nov 2018
    • 289 Retweets
    • 832 Likes
    • Katy Gross Laura Logans El Cabbage #BlackLivesMatter #SaveSheikhJarrah 🌊 gloria bruce Kendra Tuck Xerophile amfh Breagle Jackie
    21 replies 289 retweets 832 likes
      1. New conversation
      2. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Doctors are honest people and honest people tend to assume honesty in others. The assumption here is that the NRA, while ideologically deranged, still wants whats best for its members, and the country as a whole - this is a mistake. Welcome to the concept of "astroturf".

        3 replies 15 retweets 87 likes
        Show this thread
      3. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Astroturf refers to organizations that appear to be "grassroots" but in reality, serve a industry interest, often to the detriment of actual living breathing humans in the service of profit. The NRA has become such an institution - but it wasn't always this way.

        5 replies 15 retweets 83 likes
        Show this thread
      4. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Instead it's an organization that from it's founding in 1871 through the 60s was a relatively apolitical, focused on teaching marksmanship and representing sportsmen and hunters. In the 1960s in the face of civil strife and growing black gun ownership, it supported gun control.

        4 replies 11 retweets 65 likes
        Show this thread
      5. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        10 years later in 1977 it was hijacked by group of true believers upset about the encroachment of gun control laws. They then used the NRA arsenal of media to promote gun ownership as an "individual" right - and were natural allies of a voracious industry.https://www.washingtonpost.com/politics/how-nras-true-believers-converted-a-marksmanship-group-into-a-mighty-gun-lobby/2013/01/12/51c62288-59b9-11e2-88d0-c4cf65c3ad15_story.html?noredirect=on&utm_term=.34a54c60bc47 …

        3 replies 15 retweets 64 likes
        Show this thread
      6. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Throughout the 80s the US saw increased violence, commercial sale of semiautomatics, and right wing terrorism - Tim McVeigh's bombing of OKC revealed the modern militia movement - Americans were growing more concerned the easy availability of guns was arming all the wrong people.

        4 replies 13 retweets 61 likes
        Show this thread
      7. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        The influence of the organization waned such that in 1994 we passed the Assault Weapons Ban - a relatively useless piece of legislation restricting weapons based on superficial characteristics, and with a built-in expiration date. But gun rights, and profits, were under assault.

        3 replies 10 retweets 54 likes
        Show this thread
      8. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Also at the same time, and not to be underestimated as a threat to gun industry profits, research by Kellerman into gun ownership was discovering one of the main commercial strategies of gun sales of handguns and semiautomatic rifles was completely bogus.https://www.nejm.org/doi/full/10.1056/NEJM199310073291506 …

        4 replies 11 retweets 55 likes
        Show this thread
      9. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        A gun in the home *increases* your risk of homicide. This is the "cigarettes cause cancer" finding that the gun industry could not abide because it undermines their "home defense" commercial strategy - and like the tobacco industry their solution was to attack the science itself.

        2 replies 32 retweets 130 likes
        Show this thread
      10. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        The industry could never support handgun production levels without home defense - a justification for a gun in every home - because handguns are pretty useless. They're fun, but they're expensive, suck for hunting, and if they don't even make you safer? What's the point?

        2 replies 10 retweets 67 likes
        Show this thread
      11. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        With lawsuits against the tobacco industry showing the writing on the wall, they knew they had to act. Enter the Dickey amendment. No federal funds for research that could be seen as "promoting gun control." This cast a pall over gun violence research. https://jamanetwork.com/journals/jama/fullarticle/1487470 …

        2 replies 15 retweets 68 likes
        Show this thread
      12. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Even Dickey himself later came to regret pushing the legislation. As gun violence continued to rise the amendment affected all gun violence research - because guess what, a lot of it doesn't have anything to do with banning guns.https://www.washingtonpost.com/opinions/time-for-collaboration-on-gun-research/2015/12/25/f989cd1a-a819-11e5-bff5-905b92f5f94b_story.html?utm_term=.f8f47662f23a …

        2 replies 15 retweets 56 likes
        Show this thread
      13. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        This antiscientific tactic exposes the profit motive behind the NRA, its Victory Fund, and lobbying through it's legislative arm - the Institute for Legislative Action - such that critics have described the NRA as "a virtual subsidiary of the gun industry" https://www.businessinsider.com/gun-industry-funds-nra-2013-1 …

        2 replies 16 retweets 59 likes
        Show this thread
      14. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Advocates for gun owners wouldn't oppose science that shows risks to gun owners! If you really cared about such a constituency, rather than profits, you would ask for more research - why are they less safe? Do we need safer storage? Better safeties? Is it certain people or ages?

        2 replies 15 retweets 73 likes
        Show this thread
      15. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        We can't answer any of these questions because the answers may hurt sales for home defense. We also lost the ability to seek answers to questions like how do guns end up in criminal hands? How does trafficking occur? Can we ID groups more likely to victimize or be victims?

        2 replies 9 retweets 63 likes
        Show this thread
      16. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Researchers persisted, even spending their own money to finance their research, and so, heroically, folks like Kellerman and Wintemute went on to confirm this research, over and over, and answer more questions. So what do we know now, despite the attempts to silence research?

        2 replies 9 retweets 52 likes
        Show this thread
      17. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        For one thing we know we haven't made progress on the problem. One common retort from gun nuts is, "cars kill more people, you don't ban cars." Well, no one is talking about bans, and car regulations resulted in cars now killing *fewer* people than guns.https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1661391 …

        7 replies 22 retweets 80 likes
        Show this thread
      18. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        But we might have made progress on safety if we didn't spend less on this problem compared to any other cause of death or injury relative to it's impact on our lives. https://jamanetwork.com/journals/jama/fullarticle/2595514 …

        3 replies 12 retweets 56 likes
        Show this thread
      19. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        The gun industry is not representing gun owners. In poll after poll, the majority of gun owners, and even NRA members, approve of anti-trafficking measures such as universal background checks.https://www.monmouth.edu/polling-institute/reports/MonmouthPoll_US_030818/ …

        4 replies 10 retweets 58 likes
        Show this thread
      20. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Why oppose this? Because guns a durable product, and trafficking represents a continual way to offload older arms (at shows or private sales) so gun owners can help finance new products. Or a common scam is to report stolen, then claim insurance and privately sell.

        3 replies 7 retweets 46 likes
        Show this thread
      21. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Illegal guns are not durable, they are used, ditched, and often confiscated and destroyed. Without a market that disposes of guns, the gunmakers will saturate the legal market. If checks are universal, you might lose the illegal market. Why else object? It takes 5 minutes.

        3 replies 8 retweets 59 likes
        Show this thread
      22. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        We've also learned that much of gun violence is structural. It's the vestiges of racist policy that concentrates poverty and disempowered minorities from enjoying economic progress like homeownership and social mobility - like redlining. https://www.sciencedirect.com/science/article/pii/S0277953617303398?via%3Dihub …

        4 replies 10 retweets 60 likes
        Show this thread
      23. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Hey, if that's true, maybe if you improved neighborhoods and spent money on blight you can reduce gun violence without bans? Yeah, that's right. https://www.sciencedirect.com/science/article/pii/S0143622816305707?via%3Dihub …https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0129582 …

        2 replies 10 retweets 62 likes
        Show this thread
      24. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        Also turns out, gun violence spreads like a communicable disease. Although is it "hot people" or "hot places" is a source of debate. This is research that has nothing to do with bans. The NRA uses the ban narrative because they don't want solutions, they profit from gun violence.

        8 replies 17 retweets 61 likes
        Show this thread
      25. Mark Hoofnagle‏ @MarkHoofnagle 13 Nov 2018

        So, like the Tobacco Companies, they will never be a public health ally. And while Big Tobacco said, "doubt is our product" that strategy is less effective in lead-delivery devices - we know where the bullets come from. Look out for my next thread - Discord is their Product.

        8 replies 11 retweets 88 likes
        Show this thread
      26. Mark Hoofnagle‏ @MarkHoofnagle 14 Nov 2018

        Twitter avatar some variant of the Punisher skull? Instablock activate! Person self-identifies as singularly obsessed with 2A? Instablock activate!

        1 reply 6 retweets 28 likes
        Show this thread
      27. End of conversation

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