While our national leaders agonize about the threats in the Middle East from missiles, bombs, and automatic weapons that might fall into terrorist hands, they have remained eerily silent about the unlimited access to weapons of mass destruction in our own backyard. In a sickening recapitulation of terror wrought in schools, movie theaters, and malls, our nation grieves for the large number of innocents murdered in a few minutes by a single American gunman. Yet the gun lobby has successfully muzzled political debate about guns, shut down federal research on gun-related injuries, and promoted legislation that prevents physicians from asking patients about gun-related risks. In the last few years, Supreme Court cases resulted in judgments that affirmed the right to keep guns in the home for protection. Recently, a federal appeals court ruled that our citizens even have a constitutional right to carry loaded guns outside their homes.1 Although legal scholars have questioned the current relevance of the Second Amendment, now that men no longer have to bring their private weapons to join the local militia,2 the Supreme Court has spoken, and for now we must live with its interpretation.