I've been debating commenting on this, and I think I did briefly before, but I really do not like the idea of doctor's being able to have any say on someone having a gun. Sure, I have seen patients where the thought of them, or any family member, owning a gun is absolutely scary, and some patients that I even believe could possibly be future school shooters. But, the sheer idea of mental health screening is just daunting.
(I am not a psychiatrist.)
- The majority of patients with mental illness are reasonably well controlled on medication. Most would be just fine owning a gun. However, if these patients become non-compliant with their medications, which we have no reasonable way of knowing, then they could become dangerous.
- Each mental illness is a spectrum, so not all patients with depression should be denied guns. Similarly, how would we classify which patients are too mentally ill to have a gun? Based on their DSM diagnosis? Schizophrenics can't, but bipolar patients can? How much anxiety do you need to not be allowed to own a gun?
- Similarly, obviously there's no test or anything we can perform to determine if someone will kill someone. The best we can do is ask them "Do you have a gun? Do you plan to harm anybody with it?" And use our clinical judgement, but even that likely barely useful in these types of cases. People can always lie.
- Next, if a doctor forgets to ask about a gun, and their patient shoots someone, are they liable? That's ridiculous. Or if they asked and the patient lied, and then the doctor is sued because he didn't "pick up on it."
- It's just more useless work on the doctor. Sure, it may add 1-2 minutes to a patient encounter, but do that 10-20 times a day each day and all of a sudden you're wasting days on a likely useless series of questions without reimbursement.
- As a doctor, I'd be worrisome of the repercussions of writing a letter or filling out a form that would revoke a crazy persons gun owning privileges. I don't want to be harassed at home by a nut-job solely because of a decision I made at work. I already have patients that call me at home asking about medication refills, which is entirely inappropriate.
- The entire thing likely wouldn't help. Lanza was denied a gun, but his mother had them. The "solution" to deny crazy people guns is to disarm their entire house. Now we're taking guns away from non-crazy people in order to keep them away from crazy people. I can't even imagine all the problems with that solution.
Etc.