Analysis: I Was a Teenage Rifle Owner, Then an ER Doctor. Assault Weapons Shouldn’t Count as ‘Guns.’
Elisabeth Rosenthal • May 11, 2021
Many who know me might be shocked by this: I shot my first pistol when I was 8 or 9, taught by my father, a physician, aiming at targets in our basement. At summer camp, I loved riflery the way some kids loved art. Staring through the sight, down the barrel, I proved an excellent shot, gathering ever more advanced medals from the National Rifle Association. As a reward, for my 13th birthday, my uncle gave me a .22 Remington rifle.
I did not grow up on a farm or in a dangerous place where we needed protection. I grew up in the well-off, leafy suburb of Scarsdale, N.Y.
When I entered high school in the 1970s, I joined the riflery team and often slung my cased gun over my shoulder on my mile-long walk to school for practice. It didn’t seem dissonant that, on other mornings, I went to the train station to join protests against the Vietnam War.
Since then, the United States has undergone a cultural, definitional, practical shift on guns and what they are for.
Once mostly associated in the public mind with sport, guns in the United States are now widely regarded more as weapons to maim or kill — or to protect from the same. Guns used to be on a continuum with bows and arrows; now they seem better lumped in with grenades, mortars, and bombs.
In the 1990s, by which time I was an emergency room doctor at a Level 1 trauma center in New York City, I became acquainted with the damage that small-caliber handguns could cause. When I started treating gunshot victims, I marveled at how subtle and clean the wounds often were, externally at least. Much cleaner than stabbings or car wreck injuries.
We searched for a tiny entrance wound and the larger exit wound; they were often subtle and hard to locate. If you couldn’t find the latter, you would often see the tiny metal bullet, or fragments, lodged somewhere internally on an X-ray — often not worth retrieving because it was doing no damage.
These were people shot in muggings or in drug deals gone wrong. Most of these patients had exploratory surgery, but so long as the bullet had not hit a vital organ or major vessel, people survived.
No one was blown apart.
An assault-style weapon was allegedly used in March to kill 10 people in a Boulder, Colo., supermarket, just as one has been used in more than a dozen mass-casualty shootings, leaving four or more people dead, since 2017.
Guns and the devastating injuries they cause have evolved into things I don’t recognize anymore. My Remington .22 has about as much in common with an assault-style weapon as an amoeba has with a human life. The injuries they produce don’t belong under one umbrella of “gun violence.” Though both crimes are heinous, the guy who shoots someone with an old pistol in a mugging is a different kind of perpetrator from the person who, dressed in body armor, carries a semiautomatic weapon into a theater, house of worship, or school and commences a slaughter.
Certainly many American gun owners — maybe a majority of them — are still interested in skill and the ability to hit the bull’s-eye of a target (or a duck or deer, if you’re of the hunting persuasion). But the adrenaline in today’s gun culture clearly lies in paramilitary posturing, signaling to the world the ability to bring mayhem and destruction. Add a twisted mind with the urge to actually bring mayhem and destruction, and tragedy awaits.
Before Congress passed an assault weapons ban in 1994, Americans owned about 400,000 AR-15s, the most popular of these military-style weapons. Today, 17 years after Congress failed to reauthorize the ban, Americans own about 20 million AR-15-style rifles or similar weapons.
Why this change in the nature of gun ownership? Was it because 9/11 made the world a much scarier place? Was it NRA scaremongering about the Second Amendment? The advent of violent video games?
Now, not just emergency rooms but also schools and offices stage active-shooter drills. When I was an ER doctor, we, too, practiced disaster drills. A bunch of surrogate patients would be wheeled in, daubed with fake blood. Those drills seem naive in 2021 — we never envisioned the kinds of mass-shooting disasters that have now become commonplace.
And, frankly, no disaster drill really prepares an emergency room for a situation in which multiple people are shot with today’s semiautomatic weapons. You might save a few people with careful triage and preparation. Most just die.
I gave up riflery as a teenager when other options — boys, movies, travel — came along. Maybe I’ll take it up again someday, if assault-style weaponry is banned and the word “gun” again brings to mind sport and not a spinoff of war.
Elisabeth Rosenthal
is Editor-in-Chief of Kaiser Health News. She is a former New York Times reporter who focused on health and environment matters. She practiced medicine in a New York City emergency room before converting to journalism.
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.
Common Sense for the Eastern Shore
Heavily dependent on international students working under the J-1 visa program, Ocean City’s seasonal restaurants face a new difficulty after federal policy changes under the Trump administration. Each summer, roughly 3,300 J-1 visa holders arrive in Ocean City to help fill more than 12,000 seasonal jobs, according to the Maryland Restaurant Association. Many of these restaurant workers handle everything from cooking to serving customers. The U.S. State Department identifies Ocean City as the nation’s top destination for summer work travel exchange visitors. This year, the program was paused and later reinstated with new restrictions and federal investigations, which disrupted hiring and complicated staffing for the 2025 season. Nearly 60% of Worcester County voters supported Donald Trump in the 2024 presidential election. Now, however, restaurant owners who backed Trump are confronted with the consequences of his administration’s visa policies, which threaten the flow of international workers upon which they rely. The disruption has led to worker shortages, operational difficulties, and uncertainty about future seasons. Restaurants that depend on J-1 students to meet demand during peak tourist months are preparing for further complications as federal reviews of visa programs continue. Local economic leaders warn that without these workers, Ocean City’s seasonal businesses could struggle to stay afloat. For restaurant owners and community members who overwhelmingly supported Trump, the new reality has raised questions about the resort town’s current workforce model under tighter immigration policies.
Poverty in Maryland’s First Congressional District will increase because of the GOP’s budget reconciliation bill— the “One Big Beautiful Bill Act” — that was narrowly passed in July. Rep. Andrew P. Harris (R-MD01) voted to pass that wildly unpopular bill and to kick our neighbors off SNAP and Medicaid to give tax cuts to billionaires. That was a cruel choice. More of his constituents will be living in poverty because of the OBBBA’s cuts to programs that support people’s basic needs. Poverty Rates in Maryland’s First Congressional District The official poverty rate for MD-01 has hovered between 8.5% and 9.8% for the last seven years. (Poverty rates for congressional districts were not calculated for 2020 due to the pandemic.) In 2024, 72,800 of our neighbors were living in poverty.
President Trump has recently realized — apparently — that his One Big Beautiful Bill Act is not universally beloved by the American people. Aside from GOP lawmakers, billionaires, and MAGA faithful, the measure has never enjoyed the support of anyone. Polling conducted up to the bill’s passage, and analyzed by G. Elliott Morris , showed that On average across pollsters and methods, 31% of Americans support the One Big Beautiful Bill, while 54% oppose it. That net rating of -23 is, to put it mildly, abysmal… [H]aving a majority against you with just a third in support is terrible! And the bill has not become any more popular since its passage. But instead of fixing the parts of the bill that average people detest — the cuts to social programs for families, the extended tax cuts for billionaires — Trump has decided to just rebrand the bill as something he thinks they’ll love. And having decided that a public relations fix is all that’s needed, the White House has told GOP legislators that the bill shall now be known as the Working Families Tax Cut Bill. What tax cuts for working Americans are in the bill? Tax credits. The bill includes modest increases in the Child Tax Credit and Child and Dependent Care Credit. The standard tax deduction. The bill increases the standard tax deduction for individuals by $750 and for couples by $1,500. The no-tax-on-tips provision. Trump touts this as a true working-class tax cut. But it does not benefit many because only 3% of workers earn tips, and one-third of those earn too little to pay federal taxes. The no-tax-on-overtime-pay provision. This sounds good, but the no-tax applies only to the “half” portion of time-and-a-half pay. If a worker earns $20/hour regular pay and $30/hour overtime pay, the first $20/hour of overtime pay is taxed; only the $10/hour of premium pay is not taxed. It is estimated that for the bottom 40% of workers by income, this will equate to a tax savings of $10/year. Those meager offerings cannot obscure the fact that the bill gives 45% of the tax cuts to the wealthy ; only 1% of the tax cuts go to the lowest fifth of wage earners. To pay for those tax cuts for the wealthy, the bill contains $1.4 trillion in benefits cuts that will affect lower income Americans: many millions will lose health insurance coverage, food assistance, and federal student financial aid. Any small tax benefit that accrues to lower income Americans from the OBBBA is more than offset by benefit losses and Trump’s new tariffs (a defacto sales tax). The Yale Budget Lab found that when one combines the effects of Trump’s tariffs and the One Big Beautiful Bill Act, 90% of American families will end up worse off. Seventy per cent of households will face losses ranging from $780 to $2,570 each year. So, don’t be conned. Recognize Trump’s gaslighting for what it is, a desperate attempt to mislead and deceive the American people. Jan Plotczyk spent 25 years as a survey and education statistician with the federal government, at the Census Bureau and the National Center for Education Statistics. She retired to Rock Hall.
Before a crowd at Burnish Brewing Company, Wicomico County Councilman Josh Hastings, a Democrat, launched his campaign for the Maryland House of Delegates in District 38B, setting up what is expected to be one of the most competitive races in the state in 2026. The seat is held by GOP Del. Barry Glassman, who was appointed after former Del. Carl Anderton accepted a position in the Wes Moore administration. Although Glassman begins the campaign with more than $30,000 in campaign funds and will run as the incumbent, the district — with a +7 advantage for Democrats — is considered a top pickup opportunity for House Democrats in Annapolis. Having grown up on Maryland’s first certified organic poultry farm in Mardela Springs, Hastings has built a career at the intersection of agriculture, environmental sustainability, and land use. Before gaining elected office, he spent 15 years in state and local policy and nonprofit leadership positions, including as executive director of Forever Maryland, a statewide nonprofit focused on conserving farms, forests, parks, and critical habitats. Since joining the County Council, Hastings has established himself as a productive legislator, and is credited with: Converting Pirate’s Wharf into a public park. Securing $200 million in county budget commitments for Salisbury firefighters. Advancing a countywide water and sewer master plan. Ensuring consistent above-maintenance-of-effort funding for Wicomico public schools. Championing major upgrades to parks and recreation facilities. He has also worked to: Expand pickleball opportunities at Harmon Field Park. Secure a new middle and high school in Mardela Springs. Address invasive species management. Public safety and quality of life have been recurring themes in his tenure, with Hastings backing investments in first responders and cleaner, healthier communities. Colleagues often note his ability to foster civil, thoughtful debate on complex issues. Hastings is no stranger to Annapolis. Earlier in his career, he served as an aide to Senate Education, Health, and Environmental Affairs Committee Chair Joan Carter Conway, where he wrote and helped to pass legislation reduce concussions in youth sports. On the campaign trail, Hastings emphasizes a platform focused on opportunity, affordability, and quality of life on the Shore. His priorities include: Creating more well-paying jobs that build on the region’s strengths while opening doors in growing industries Strengthening public schools with smaller class sizes and stronger pathways from arts to trades to higher education Tackling the housing shortage with more options for residents of all ages and abilities He also pledges to lower the cost of living by advocating for fair wages and more affordable essentials, such as food, energy, and housing. Hastings emphasizes community health and safety as central to his vision, with a focus on increasing access to health care, broadband, transportation, and recreational spaces. His platform stresses the need to protect the Shore’s clean water and healthy land while supporting farmers and a resource-based economy. At the heart of his message is a call for fairness and opportunity, and a government that works for everyday people rather than the few. His announcement also came with personal news: Hastings and his wife Alyssa are expecting their first child in April. With deep local roots, a track record of legislative success, and a competitive district in play, Hastings’ campaign launch signals that Democrats view District 38B as a pivotal race in the 2026 election cycle.
Maryland Gov. Wes Moore and Housing and Community Development Sec. Jacob Day were on Smith Island Sept. 24 to mark completion of an infrastructure milestone, the island’s first connection to high-speed internet. Funded by state grants, the $2 million broadband project was completed two months ahead of schedule, and will provide reliable internet access to residents, businesses, and schools on the island, where less than full connectivity has been a long-standing problem. Moore is the first governor to visit Smith Island since 1999, underscoring the administration’s focus on reaching often-overlooked communities. Residents welcomed the infrastructure improvement, noting that high-speed internet can enhance education, healthcare access, small business growth, and overall quality of life. Moore, a Democrat, has made broadband access a central part of his infrastructure agenda, with similar projects underway in other rural parts of the state. For Smith Island, this connection represents a long-awaited lifeline to the wider world, and a signal that Maryland’s leaders are paying attention.
Wicomico County Councilman James Winn (R-At Large) drew criticism at the Sept. 16 council meeting because of his extended religious rant that included pulling out a Bible and declaring he would “pray for non-Christians” in the wake of right-wing activist Charlie Kirk’s shooting death. During the meeting’s public remarks portion, Winn shifted from county business to a sermon-like address. He held up a Bible, quoted passages, and suggested that residents who do not identify as Christians need his prayers and guidance. Winn tied his comments to the recent death of Kirk, co-founder of Turning Point USA, framing it as a moment for Wicomico residents to recommit to Christian values. Several attendees called the outburst inappropriate for a public governmental meeting, noting that Winn blurred the line between his own religious faith and his role as an elected official. Critics argued the comments excluded non-Christian residents and showed a lack of respect for the county’s religious diversity. The council meeting continued after Winn’s remarks. Still, the episode has drawn sharp reactions on social media, with some residents calling the behavior “embarrassing” and “unbecoming of an elected leader.” Others are defending Winn, saying he was exercising his free speech and sharing a message of faith in a difficult moment. Council leadership did not formally intercede during the meeting. However, community members are suggesting that the county ought to adopt clear standards to prevent religious proselytizing during official sessions. The controversy arises as Wicomico County confronts pressing local issues, including land use debates and the fallout from its immigration enforcement partnership with ICE. For some residents, Winn’s comments were perceived as a distraction from the county's real work of governance.
