Despite best efforts, numerous mass casualty attacks, such as those at Virginia Tech, the Boston Marathon, Century Theater, and the Pulse nightclub have occurred where the attackers were known in advance to the police and mental health professionals. The grim new reality of American life is that many mass shootings and terrorist attacks cannot be prevented in advance. Some attacks – whether driven by mental illness, terrorism, or religious or racial extremism – will always penetrate the law enforcement safety net and arrive at someone’s door. Therefore, the debate rages on about what can be done to reduce the egregious loss of life from these mass shootings.
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