The appalling carnage in Uvalde, Texas, Buffalo, New York, Tulsa, Oklahoma, and other communities across the country is a deeply painful source of grief, outrage, and national shame. Since 2009 more than 2500 people have been killed or wounded in 277 mass shootings in The United States— more than the number of U.S. military personnel killed in hostile action in Afghanistan over the same period.

But as horrible as they are, mass shootings represent a small percentage of overall firearms-related deaths. In 2020 — the latest year for which numbers are available — more than 45 thousand Americans were killed in shootings, including accidents and suicides. That’s more than the number of deaths on roads and highways.

In this episode we look at some ways to reduce the huge toll. Our guest is Dr. Patrick Carter, a professor of emergency medicine and health behavior at the University of Michigan, and a leading expert on firearm injury prevention. He argues that instead of endless debate, we need to think of gun deaths "as a public health issue and a science issue." Then we can make real progress, he argues.