Our national health doesn’t match that of other advanced countries. On almost every measure, we lag. Young, middle aged, old, rich, poor — our life expectancy is less than those of similar citizens of other advanced countries. Perhaps most surprising, according to a National Institutes of Health report, Shorter Lives, Poorer Health, “Younger Americans die earlier and live in poorer health than their counterparts in other developed countries, with far higher rates of death from guns, car accidents and drug addiction.”

We have made progress through study on prevention of car accidents and have begun to move toward drug treatment rather than incarceration. But on gun violence we continue to see high levels of violent death, regardless of how strict local gun control laws are. Yet the picture is not uniform. We just don’t know enough to explain why there are such substantial variations in local rates of gun violence.

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