-Caveat Lector-

http://www.worldnetdaily.com/news/article.asp?ARTICLE_ID=22632

Tuesday, May 1, 2001

Forcing doctors to ask kids about guns
Pending bill requires pediatricians to query patients on state program

By Julie Foster

© 2001 WorldNetDaily.com

The high cost of a controversial bill in the California State Senate that would 
require pediatricians, in thousands of
health screenings per year, to question kids on family gun ownership landed the 
measure yesterday in what is
euphemistically called the "bone yard" of the state legislature, giving it one more 
hurdle to clear before heading to the
full Senate.

Californians balked last year when Assemblyman Darrell Steinberg, D-Sacramento, 
proposed a substantially similar
bill to Senate Bill 765 by Sen. Wesley Chesbro, D-Santa Rosa. Sent to the "suspense 
file" in the Senate Appropriations
Committee yesterday, SB 765 resurrects a concept eventually removed from the vetoed 
Steinberg bill -- codification of
the American Academy of Pediatrics publication "Recommendations for preventive 
pediatric health care." That report
specifically includes recommendations made in the AAP's 1999 publication, "The Role of 
the Pediatrician in Youth
Violence Prevention in Clinical Practice," which outlines measures to be taken by 
pediatricians in violence prevention,
including advocacy of gun-control proposals.

Since the bill incurs an estimated annual cost of $8.6 million, it was automatically 
sent to the suspense file, as are all
bills proposing costs of $150,000 or more.

According to the AAP, the violence-prevention publication "establishes an agenda for 
making this a routine part of
pediatric practice in four major areas: clinical services, community advocacy, 
research and education. This broad
agenda builds on a still-evolving body of knowledge, but the urgency of youth violence 
prevention requires further
and immediate action by pediatricians."

"Because many pediatricians encounter children and youth who are experiencing or are 
at risk for violence,
pediatricians are well situated to intervene," states the document. "Prevention of 
youth violence requires that
pediatricians recognize violence-related risk factors and diagnose and treat 
violence-related problems at all stages of
child development."

Among the screening criteria listed in the report to identify "risk factors for 
violence among their patients" are:

     "family stresses that could lead to violence (e.g., unemployment, divorce or 
death);
     appropriate supervision and care and support systems (e.g., child care 
arrangements, the family and
     social network);
     disciplinary attitudes and practices of the parents or caregivers (particularly 
about corporal punishment
     and physical/emotional abuse);
     exposure to violence in the home (domestic violence or child abuse), school or 
community;
     degree of exposure to media violence;
     access to firearms (especially handguns) in their or a neighbor's home, or the 
community."

The Chesbro bill is intended to allay the concerns of the federal Health Care 
Financing Administration, according to the
assemblyman's staff. Currently, some participants in the state's health-care program, 
Medi-Cal, are treated according
to the AAP guidelines, but others are not. The agency sent a letter saying treatment 
for Medi-Cal beneficiaries should
be the same across the board. Such a change would result in 248,000 more health 
screens for children ages 0-12, and
17,000 more for children ages 13-20, who use the state's low-income health-care 
program, staff said.

While acknowledging the importance of health care and safety for children, a 
public-policy group believes the bill sets
a "dangerous precedent." SB 765 requires the AAP recommendations to be used when 
setting state health-care
standards and that those standards "shall be updated as necessary to be consistent 
with any changes made by the
American Academy of Pediatrics."

"It asks state legislators to abdicate their right to set state policy," said Karen 
Holgate of Capitol Resource Institute.
According to the bill, the AAP recommendations would be included only after review by 
the state board that
approves the health standards.

"While the [violence-prevention recommendations] may be legitimate areas of concern, 
one wonders about the
appropriateness of requiring all pediatricians to grill their patients about their 
homes and families without due cause,"
Holgate continued.

The AAP report begins by stating, "Each child and family is unique; therefore, these 
Recommendations for Preventive
Pediatric Health Care are designed for the care of children who are receiving 
competent parenting, have no
manifestations of any important health problems, and are growing and developing in 
satisfactory fashion. Additional
visits may become necessary if circumstances suggest variations from normal."

Consistent with its health-screening requirements referred to by the Chesbro bill, the 
AAP also includes a sweeping
gun-control proposal in its list of model legislation. Titled the "Protection of 
Children from Handguns Act," one
measure states that, "except in the hands of law enforcement officers or others 
specifically authorized by law,
handguns serve no legitimate or lawful purpose, and constitute a hazard to the public 
health and welfare of the
people, and especially of the children, of this State. [O]nly the prohibition of the 
manufacture, sale, and possession of
handguns will remove handguns from the homes and streets of this State, thereby 
reducing the risks of injury and
death to children from handguns."

The proposal would impose felony criminal penalties amounting up to $10,000 and/or two 
years in prison for
manufacturing handguns and up to $2,500 and/or two years in prison for people who 
"enter into commerce, ship,
transport, transfer, sell, sell at a gunshow, lease, or distribute" handguns. 
Possession of a handgun would qualify as a
misdemeanor and result in up to a $1,000 fine and/or one year in prison for each 
offense.

Like its predecessor, SB 765 is expected to be approved by the Senate and will likely 
move from the Appropriations
Committee to the full Senate in late May.

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