Before sandy hook, many in medicine had started to work to try to remind folks in medicine as well as outside of it, that fire arm injury is a health and public health problem. We gradually increased awarness and coalitions around the importance of both talking about fire arms as a health problem and doing the research on how to prevent it. That work picked up steam after sandy hook. Thousands of physicians, nurses, social workers shared stories about how firearm injury is much in our lane.