-Caveat Lector-

http://www.chicagobusiness.com/cgi-bin/mag/article.pl?article_id=16311&arc=n

AMA push will target gun
                 lobby
                 Medical group's research agenda will anger
                 some members, NRA

                 April 30, 2001
                 By Sarah A. Klein

                 The American Medical Assn. is taking aim at
                 the National Rifle Assn. in a campaign that will
                 also pit factions within the influential
                 physicians group against one another.

                 At its annual meeting on June 20, the
                 Chicago-based American Medical Assn. (AMA)
                 will call for massive increases in funding for
                 research on firearms injuries.

                 The Fairfax, Va.-based National Rifle Assn.
                 (NRA) has long opposed such initiatives,
                 saying the science is thinly veiled anti-gun
                 propaganda. The NRA's last attempt to block
                 such research � urging Congress to cut
                 funding to the Centers for Disease Control
                 and Prevention (CDC) � sparked a
                 nationwide debate, and ultimately weakened
                 the federal agency's research.

                 The AMA's plan, which is the brainchild of
                 President-elect Richard F. Corlin, revives the
                 fight � and promises to be as controversial
                 within the organization as it is outside.
                 Among the medical group's 290,357 members
                 are representatives of Doctors for Sensible
                 Gun Laws, an Internet-based group that
                 worked alongside the NRA to defeat the
                 CDC's effort to document the scope and
                 extent of gun violence.

                 Dr. Corlin, who will be sworn in as president
                 at the June meeting, says he is not
                 expanding AMA policy or advocating gun
                 control.

                 "We are doing what we have always done,
                 and that is advocate on a variety of issues
                 (that are part of ) our mission statement,
                 which is the advancement of science and
                 med-icine and the betterment of public
                 health. We did it with polio. We did it with
                 tobacco. We did it with AIDS awareness and
                 health insurance, and any other issue that
                 we think is a public health epidemic," Dr.
                 Corlin says.

                 He would not comment on the specifics of his
                 campaign, but sources say the AMA will
                 encourage the collection of data on the
                 number and type of gun-related injuries
                 nationwide to give policymakers a basis for
                 decision-making. The group has not decided
                 whether to pursue funding from the
                 government or foundations, or who will
                 conduct the work.

                 'Social planners'

                 The CDC, since a 1995 congressional battle
                 over funding, has limited its collection of data
                 to the total number of deaths by firearms and
                 to demographic information such as the age,
                 race and sex of victims.

                 Public health advocates and gun control
                 lobbyists want more information, including the
                 type of gun used, the circumstances that led
                 to the injuries and nature of the wounds �
                 details similar to those collected by the
                 government on automobile accidents.

                 "We don't have that kind of information about
                 gun injuries. It makes it difficult to develop
                 policies," says Robert Seltzer, executive
                 director of New York-based Doctors Against
                 Handgun Injury, a consortium of medical
                 groups. "If we knew more about the
                 relationship between the victim and the
                 suspect (for instance), we could develop
                 policing strategies."

                 Physicians groups that support the right to
                 bear arms aren't likely to stand for such
                 research. Doctors for Sensible Gun Laws and
                 the Claremont, Calif.-based Doctors for
                 Responsible Gun Ownership, are already
                 angry at an AMA recommendation that
                 physicians ask patients about gun ownership
                 during office visits.

                 "They are not scientists; these are social
                 planners," says John A. Bennett, an AMA
                 member and a member of Doctors for
                 Sensible Gun Laws, referring to the doctors
                 who undertake research on firearms issues.
                 Dr. Bennett, a Sequim, Wash.-based
                 family-practice physician who occasionally
                 attends medical society meetings at the local
                 shooting range, says that while he is
                 skeptical of Dr. Corlin's objectivity, he'll
                 reserve judgment. "I am free to quit," he
                 says.

                 Michael Brown, a Vancouver, Wash.,
                 optometrist who also is a member of Doctors
                 for Sensible Gun Laws, is warier.

                 "There is so much potential for misusing the
                 data for political purposes. We have very little
                 faith they would deal with it honestly," says
                 Mr. Brown, who sees the issue as a city vs.
                 country fight. "The doctors that go into
                 medical politics like this are almost always the
                 urban liberal-type folks."

                 The dissension reportedly extends into the
                 AMA's boardroom, where, one source says,
                 "there wasn't unanimity."

                 Explains Susan Adelman, a Southfield,
                 Mich.-based pediatric surgeon and AMA
                 trustee: "There was worry that the position
                 would be misinterpreted. Dr. Corlin is trying to
                 walk a very careful line. He is trying to take a
                 mature position within AMA policy, to gather
                 information that allows players to formulate
                 proposals."

                 Better for business

                 News of the AMA's upcoming involvement in
                 the gun violence issue has been well received
                 by gun control advocates in Chicago, where
                 628 people died from firearms injuries in
                 1998, the last year for which statistics were
                 available from the federal government.

                 The AMA initiative is "really great. Physicians
                 have a certain credibility," says Gary Slutkin, a
                 physician and executive director of the
                 Chicago Project for Violence Prevention, which
                 is teaming up with some of the Chicago
                 area's largest businesses, including Northern
                 Trust Corp., Dominick's Finer Foods and
                 Deloitte Consulting LLC, to halt gun violence.

                 The business community realizes that "the
                 better our statistics are, the more likely we
                 are to attract, but also to retain, businesses,"
                 says Peggy Luce, vice-president of education
                 and workforce issues at the Chicagoland
                 Chamber of Commerce.

                 Few seem to doubt that the efforts of Dr.
                 Corlin, a 60-year-old Santa Monica, Calif.,
                 gastroenterologist, will make a difference in
                 the debate.

                 Says Ronald Bangasser, a Redlands, Calif.
                 physician who has known Dr. Corlin for more
                 than 20 years: "When he steps up to the
                 plate and takes a swing, he intends to hit a
                 home run."

                 �2001 by Crain Communications Inc.

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