Modern Healthcare

Northwell Health’s Dowling calls on other CEOs to advocate for gun control

- By Steven Ross Johnson

NORTHWELL HEALTH’S LEADERSHIP is trying to spur the hospital industry to take action on gun violence.

Michael Dowling, CEO of New Yorkbased Northwell Health, said the need for the healthcare industry to break its collective silence was the impetus behind a new advertisin­g campaign the health system launched last week to call on providers to become more vocal in advocating for gun legislatio­n.

“If we’re in the business of health and in the business of protecting our communitie­s, then I do think there is a responsibi­lity and an obligation for healthcare organizati­ons to actually raise their voices about this, and hopefully do it in a collective way,” he said.

This month, Dowling sent a letter to the CEOs of the 30 top health systems in the country asking for their support to leverage their collective influence and resources to lobby lawmakers to take action on gun control and to work to spark a rational public conversati­on about what to do about the problem.

The campaign calls for healthcare providers to put pressure on lawmakers who fail to support “sensible” gun control legislatio­n, which he said includes background checks. Recent reports say President Donald Trump has reversed his previous support for tighter background checks following the deaths of 31 people from mass shootings in El Paso, Texas, and Dayton, Ohio, this month. Trump has tried to move the debate away from gun control to mental illness, saying repeatedly that “mental illness and hatred pull the trigger, not the gun.”

While Dowling wants to see an increased investment in mental healthcare services, he stressed that more funding should not be seen as a solution to mass shootings since mental illness is rarely the cause for such incidents.

Others in healthcare agree. “We need our public officials, including the president, to stop scapegoati­ng people with mental health conditions,” said Paul Gionfriddo, CEO of Mental Health America, in statement responding to assertions of a link between gun violence and mental illness. “That’s a 19th century solution to a 21st century challenge.”

A number of the country’s leading medical organizati­ons, including the American Medical Associatio­n and the American College of Emergency Physicians have been at the forefront of advocating for government action to address gun violence.

Dowling said he has received positive feedback from those who received his letter, with several stating they support the effort.

Kenneth Raske, CEO of the Greater New York Hospital Associatio­n, said the organizati­on recently re-issued a statement first adopted in the aftermath of last year’s shooting in Parkland, Fla., that called for lawmakers to outlaw assault rifles, enhance background checks, and invest in mental healthcare services.

“He’s right on point,” Raske said regarding Dowling’s campaign. “This is a public health crisis, and we in the healthcare community have to take the lead on pointing that out.”

It is unclear how long Northwell will run its advertisin­g campaign.

But even as the calls grow louder for policy action on gun violence, a lingering question remains as to the best policies lawmakers can implement to reduce the thousands of deaths and injuries that occur each year due to firearms.

A de facto federal funding ban on public health research on gun violence that has been in effect for more than two decades has limited the number of answers experts currently have regarding some of the most important questions about the nature of gun violence.

“I think what is missing and something that the medical community can contribute is objective, fact-based research,” said Douglas Younger, executive director for the American Foundation for Firearm Injury Reduction in Medicine, a not-for-profit organizati­on led by medical researcher­s working on finding solutions to gun violence.

“We need guidance as to what’s really happening and what are the programs that after implementa­tion are improving firearm response and even preventing gun violence with the general public,” Younger added.

“If we’re in the business of health and in the business of protecting our communitie­s, then I do think there is a responsibi­lity and an obligation for healthcare organizati­ons to actually raise their voices about this, and hopefully do it in a collective way.”

Michael Dowling CEO Northwell Health

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