1333 H Street NW, 10th Floor Washington, DC 20005 (202) 481-8219 www.drsforamerica.org

To: President Obama and Members of Congress

We, the undersigned health care professionals urge you to pass gun safety legislation immediately and present the nation with a comprehensive plan to curtail gun-related violence.

America’s health care professionals are on the front lines of gun violence. Together with our allied health professionals, we see the physical, emotional, and psychological toll in our emergency rooms and clinics every day.

The human toll of gun violence in our society is heartbreaking and unacceptable. Physicians and nurses can no longer remain silent on this issue.

Thirty thousand American lives are lost each year because of bullets, stray or intended. This constitutes a public health crisis of the highest order. The complexity of gun violence and politics of gun safety laws can no longer be excuses for our elected leaders to avoid taking action to curb gun violence.

Sincerely,

ALASKA ALABAMA

Sharon Smith, MD, MPH Suhail Shafi, MD Clinician, Community Health Center Ozark Anchorage Neighborhood Health Center Anchorage Maurice Albin, MD Professor Anne McCue University of Alabama School of Medicine Anchorage Birmingham

George Gilson, MD Jasvinder Singh, MD Alaska Native Tribal Health Consortium Birmingham Anchorage Alice Neumann, MD Susannah Olnes, MD Small business owner Anchorage Pinnacle Pathology PC Auburn Terrin Phillips, PA-S Anchorage Kenneth Saag Birmingham

Doctors for America is a national movement of doctors and medical student in all 50 states who are working together to improve the health of the nation and to ensure that everyone has access to affordable, high-quality health care. www.drsforamerica.org Tom Ellison, MD, PhD Nathan Erdmann, MD, PhD Birmingham Birmingham

David R Mauritson, MD, JD Stephanie Gaskin President, Cardiology Associates of West Birmingham Alabama Fairhope T.H Delfos Birmingham James Raper, CRNP, JD Director, 1917 HIV Clinic Marsha Sturdevant, MD University of Alabama at Birmingham Professor Birmingham University of Alabama at Birmingham Birmingham Gina Dobbs, BSN, MSN Nurse Practitioner Kathleen Troup, BSN, MSN University of Alabama at Birmingham Nurse Practitioner Birmingham University of Alabama at Birmingham Birmingham Michael Messer, BSN University of Alabama at Birmingham Blake Thomas, MD Candidate Birmingham University of South Alabama Mobile David Butler Birmingham Robert Lowe, MD, PhD Attending Physician Karen Savage University of Alabama at Birmingham University of Alabama at Birmingham Birmingham

Birmingham J. Lamar Rencher, BS, MD

Fairhope Ashley Brown

Birmingham Susan Balke, DO

Marianna Stephen Hunt, MSN Birmingham Rita Officer, BA, MS, PsyD Fayetteville Elizabeth Lindsey, BSN Research Nurse Hosea McAdoo, BS, MD University of Alabama at Birmingham Sherwood Birmingham Hershey Garner, JD, MD Alicarmen Alvarez, BSN Fayetteville Research Nurse Cordinator University of Alabama Birmingham

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

ARIZONA Crissy Franchetti, MD Glendale Gregory Lisse, MD Phoenix Linda Morenz, MD Tucson Laurie Menk Otto, ND Tucson Janet Shalwitz, MD Clinical Professor Richard Wahl, MD University of California San Francisco Professor Phoenix University of Arizona Tucson Tamsen Bassford, MD University of Arizona Edward H Shortliffe, MD, PhD Tucson Phoenix Monica Bohlman John Mueller Phoenix Tucson Julie Lindholm, MD Sandra Katz, MD, JD Chief of Staff Tucson Banner Page Hospital Page Vicki Kalen, MD Tucson Andrea Darby-Stewart, MD

Scottsdale DebbyJo Blank, MD

Primary Care Provider DeShawn Taylor, MD Old Pueblo Healthcare Waddell Tucson

Maureen Oskandy, MD Tom Brysacz, MD University of Arizona Tucson

Tucson Laurie Menk Otto, ND James Hudson, MD, MPH Tucson Tucson Russell Luebbert, MD Jane Oski, MD Tucson Staff Pediatrician Indian Health Service Eve Shapiro, MD, MPH Flagstaff Tucson

Judy Greene, MD Joel Raynak, MD Phoenix Scottsdale

Lindsey Kriz, RN Dennis Hughes, MD Phoenix Scottsdale

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cary Stegman, MD Flavio Casoy, MD Scottsdale President Committee of Interns and Residents / Ashish Shah, MD, MBA SEIU Phoenix San Francisco

Raymond Graap, MD Jeanne Tyan, MD Tucson Attending Physician San Francisco Mary Jansen, MD Mesa Heather Bennett, MD Candidate Medical Student Claire Morello, MD UCSF Staff physician San Francisco University of Arizona Tucson Bradley Monash, MD UCSF Dale Manzoeillo, MSN, CPNP, CNE San Francisco Gilbert Judith Ashouri, MD Anne Yoshino, MD Stanford University Hospital Tucson Palo Alto

Mark Giesecke, MD Carla Sweet, MD Flagstaff San Diego

Donna Tully, MSW, PA ARKANSAS Clinician Santa Rosa County Health Center Robert Patton, MD, JD Petaluma Fayetteville Carol First, MD Vikki Stefans, MD Sherman Oaks Little Rock Tung Nguyen, MD San Francisco CALIFORNIA Denise Davis, MD Lara Wright, MD UCSF Staff Physician Berkeley Contra Costa Regional Medical Center Martinez Anne Rosenthal, MD San Francisco Mitesh Popat, MD, MPH O'Connor Hospital Anne Rosenthal San Jose San Francisco

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kiran Mitha, MD Alan Sugar, MD UCLA Medical Center Attending Physician Los Angeles Sansum Clinic Santa Barbara Peter Emblad, MD Department Chief James Eichel, MD Kaiser San Francisco Physician San Francisco Bayside Medical Group Berkeley Ami Parekh, MD San Francisco Heather Fullerton, MD, MS UCSF Hermila Brito, BA, AS San Francisco RN Kaiser Permanente Vishnukrupa Reddy, MD San Jose Attending Kaiser Permanente Mehrnaz Hadian, MD, MSc San Francisco Founder and President INSPIRE CCM Adam Ellis, MD West Hollywood Scripps Memorial Hospital Encinitas Encinitas Cynthia Li, MD Berkeley Anita Gaind, MD, MPH East Bay Physicians Medical Group Bridget Harrison, MD, MPH Oakland Family Physician Sunnyvale Jonathan Chou, MD UCSF Courtney Beach, MD San Francisco Contra Costa Regional Medical Center Richmond Joan Hoffman, MD Associate Medical Director Wendelin Slusser, MD, MS La Clinica de la Raza Santa Monica Oakland

Jessica Matchett, MD, MPH Mark Berman, MD Clinician San Francisco San Francisco Stephen Hansen, MD Martina Nicholson, MD Medical Director OB/GYN Southern Virginia Regional Medical Harbor Medical Group Center Santa Cruz San Luis Obispo

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

June Fisher Ann Marie Thurmond San Francisco Nurse Alameda Iris Lowenberg Lin, MSN Nurse Practitioner Edmund Levin, MD El Camino Medical Group Richmond San Francisco Chris Gebert-Parikh, MD Taraneh Razavi, MD Cupertino Stanford Hospital

Menlo Park Patrice Villars, MS Charlotte Thompson, MD Registered Nurse Assistant Clinical Professor of Pediatrics San Rafael UCSD School of Medicine La Jolla Laura Davies, MD St. Lukes Hospital, Sutter, California Paula Hillard, MD Pacific Medical Center Stanford University School of Medicine San Francisco Menlo Park Susan Stone, MD Anthony Russell, MD Venice Sacramento Lesan Banko, MD Jeffrey Pierce, MD Rancho Cucamonga Physician

Sutter Medical Center of Santa Rosa Kay Yatabe, MD Santa Rosa San Francisco Dept. of Public Health Jonas Green, MD, MPH San Francisco UCLA Santa Monica Lynn Flint, Md Assistant Clinical Professor Karen Jackson, MD UCSF The Permanente Medical Group Mill Valley San Carlos Dorthe Welch, BA Laurel McClure, MD Study Coordinator Mountain View San Francisco

Robert Lefkowitz, MD Cheryl Reid, MD Ventura County Medical Center Pasadena Ventura

Robert Collins, BA, MD Vanessa Cid, BSN Attending ER Doctor Registered Nurse Community Hospital of Monterey Cedars-Sinai Medical Center Peninsula Downey Aptos

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Robert Morris, MD Kathleen Andersen, DO Professor Emeritus Laguna Beach UCLA Pasadena Kristen Lum, MD Children's Hospital Oakland Loraine Goodwin, MD Oakland Madera Gina Johnson, MD Lauren Spieler, DO Sherman Oaks Sebastopol

Corinne McLeary, MD Pamela Simms-Mackey, MD Assistant Chief of Emergency Medicine Associate Director, Graduate Medical Kaiser Permanente San Francisco Medical Education Center Children's Hospital & Research Center San Francisco Oakland Oakland William Choctaw, MD Covina William Shore, MD Faculty J Yusuf Erskine, DO UCSF Sebastopol San Francisco

Linda Maki, MD Cindy Purdy, BSN, MPH Menlo Park Children's Hospital & Research Center Oakland Tonya Hoffman, MD Orinda Santa Rosa Serena Way, MD Katrina Saba, MD, MS San Francisco Kaiser Permanente Oakland Dinesh Ghiya, MD LA HABRA HGTS Janet Perlman, MD Berkeley Mike Long, MD Resident Suzanne Rosen, MD Children's Hospital and Research Center Salinas Oakland Oakland Daniel Kang, MD, MPH Los Angeles Alan Baron, MD ER Attending Gena Lewis, MD Sutter Med Center, Santa Rosa Attending Santa Rosa Children's Hospital Oakland Oakland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Barbara Kamholz, MD Maureen Mavrinac, MD Staff Psychiatrist Santa Monica Jewish Home of San Francisco San Rafael Janene Mitchell Los angeles Marie Williams, RN San Jose Celeste Allen, MD Children's Hospital and Research Center Sharad Wadhwani, MD, MPH Oakland Children's Hospital & Research Center Oakland Oakland Oakland Patricia Castaneda-Davis, MD Richmond Elizabeth Conrad, MD Children's Hospital of Oakland Katharine Long, MD Oakland Oakland

Jyothi Marbin, MD Ziad Saba, MD MD Pediatric Cardiologist Children's Hospital & Research Center Children Hospital Oakland Oakland Oakland Oakland Ana` Liang, MD Leif Hass, MD Oakland Berkeley L Cammon, MD Javay Ross, MD San Jose Chief resident Children's Hospital Oakland Mariamawit Tamerat, MD Berkeley Children's Hospital Oakland San Francisco Mina Ma, MD Los Angeles Amy Mandel-Burington, MD Pediatric attending Mindy Goldman, MD Children's Hospital and Research Center UCSF Oakland San Francisco Oakland

Nina Winans, MD Ashley Busuttil, MD Physician UCLA Tahoe Forest Hospital Los Angeles Truckee Rachel Steinhart, MD, MPH Mikhal Gold, MD Staff Physician Berkeley Contra Costa Regional Medical Center El Cerrito

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Matthew Fentress, MD Staff Physician Kendra Hutchinson, MD Contra Costa Regional Medical Center, Davis Martinez, CA Martinez Karen Kim Pasadena Yolanda Lau, MD Pediatric Resident Robert Vinetz, MD Children's Hospital Oakland Staff Pediatrician Emeryville QueensCare Family Clinics Los Angeles Robert Degalust, MD Neurology Leonard Larks, OD VCMC Kaiser Permanente Newbury Park West Covina

Eliza Chin, MD, MPH Eric Leibovitch, MD, FACP Physician Ventura County Medical Center Piedmont Ventura

Cynthia So, BA, MPH Eric Leibovitch, BS, MD UCSF School of Medicine Ventura County Medical Center San Francisco Ventura

Betty Bernard, BA, MD Karen Barnett Keck School of Medicine of USC Tahoe City Pasadena Bonnie Grossman Cathy Yao Berkeley Fremont Seymour Grossman, BA, MD Noemi Spinazzi, MD ClinProfEmeritus Children's Hospital of Oakland UCSF Oakland Berkeley Joanne Supersad, MD Jody Norton, RN, CHPN Concord Director of Patient Care Services Yolo Hospice Taylor LaFlam, MD Candidate Davis San Francisco

Elena Sherman, MD, BA Julianne Burns, MD Candidate California Pacific Medical Center La Jolla San Francisco Erin Gillis, MD Jenna Holmen, BA, MA, MD San Francisco Oakland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rekha Dharmaji, MD Amy Shaw, MD Los Gatos Medical Director, Cancer Survivorship Program Hal Grotke, MD, FAAFP Redwood Regional Medical Group Medical Director Santa Rosa Redwood Family Practice Fairhaven Deborah Schutz, RN, JD Director Health Services Brigid McCaw, MD, MPH, MS Medical Group Physician Carlsbad Orinda

Michael Um, MD Elizabeth Kass, MD Children's Hospital Oakland Lodi Emeryville

Kate Hartzell, MSN Neil Chawla, MD Candidate Soquel University of Southern California School

of Medicine Elizabeth Yen, MD Los Angeles Assistant Professor

UCSF Emily Fletcher, MD Burlingame Berkeley

Carson Welty, MD Fremont Susan Willman, MD Oakland Sungeeta Agrawal, MD Resident physician Ludmilla Nelson, LVN, AA Children's Hospital Oakland Canoga Park Oakland Erica van den Haak, MD Children's Hospital Oakland Andrew Saunders, MD Oakland Fellow UCSF Rashmi Jasrasaria, MD Candidate San Francisco Stanford University School of Medicine Stanford Adam Tenforde, MD Palo Alto Thomas Roberts, MD Candidate Stanford University School of Medicine Jake Rosenberg, MD Candidate Stanford Stanford University School of Medicine Palo Alto Colin O'Brien, MD Candidate Stanford University School of Medicine Dayna Long Stanford Staff Pediatrician Children's Hospital and Research Center Oakland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rab Razzak, MD Stephen Pinney, MD Hospitalist/ Palliative Care Physician San Francisco Cedars-Sinai Medical Center Culver City Lorenzo Deveza, MD Candidate Stanford University Nadir Ijaz, MD Candidate Mountain View Stanford University School of Medicine Stanford Natalia Leva, MD Candidate Palo Alto

Monika Jauregui Deepa Galaiya Hacienda Heights Palo Alto

Niki Tank, MD Barbara Tisdale West Hollywood Evergreen Valley College

Palo Alto Shubha Bhat, MD Candidate

Stanford University School of Medicine Cigal Shaham, MD, MSc, FAAP Stanford Los Angeles

Ameet Shah, MD Meryem Nedjar Physician Los Angeles Kaiser Permanente

Cypress Christine Baca, MD

Los Angeles Ehete Bahiru, MD Candidate

Stanford University Geeta Krishnapriyan, MD Menlo Park Cupertino

Kerry-Ann Stewart, PhD

Menlo Park Heidi Reich, BA, MD

General Surgery Resident, PGY-3 Erik Paschall, MD Cedars-Sinai Medical Center Attending Physician Los Angeles Kaiser

Valencia Johan Guillaume, MD, PhD

Stanford Roberto Neisa, MD Candidate, PhD

Stanford University Jennifer Shum, MD Candidate Menlo Park Stanford University School of Medicine

Stanford Kevin Bergman, MD

ER attending physician Rita Hand, MSN Martinez NP Outpatient Supportive Care Services

Cedars Sinai Medical Group /Center Chloe Chien, MD Candidate Los Angeles Stanford University School of Medicine

Palo Alto

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Alma Cortez, MD Allison Steinmetz, MD Los Angeles Barton Hospital South Lake Tahoe Julia Pederson, MD Candidate Stanford University School of Medicine Katherine Henry, MD Candidate Menlo Park UCLA School of Medicine Palos Verdes Peninsula Michelle Perkins Culver City Heather Freeman, BA, RN, MS Director, Performance Improvement Elvira Felix-Esteban, BSN, RN Lucile Packard Children's Hospital at Good Samaritan Hospital Stanford Sylmar Menlo Park

Ram Dandillaya, MD Jennifer Hernandez, BSN Physician Scripps Hospital Cedars Sinai Medical Center San Diego Los Angeles Johanna Meyer-Mitchell, MD James Chen, MD Candidate Primary Care doctor UCLA School of Medicine John Muir Medical Group Los Angeles Martinez

Neha Agarwal Daisuke Furukawa, MD Candidate Upland Los Angeles

Janani Srikantharajah, MD Candidate Kate Masiuk, MD Candidate UCLA School of Medicine UCLA School of Medicine Los Angeles Santa Monica

Wemo Magbegor, MD Candidate Nayna Lodhia, MD Candidate Los Angeles Stanford University School of Medicine

Palo Alto Viraj Lakdawala, MD

San Francisco General Hospital Kirsten Salmeen, MD San Francisco San Francisco

Tara Vijayan, MD, MPH Rebecca Levin-Epstein, MD Candidate Berkeley UCLA School of Medicine

Oakland Braden Mogler, MD Candidate

Santa Monica Ambie Yesus, MD

Los Angeles Jim Carpenter, MD, MPH, FAAP

Child Abuse Pediatrician Mark Richman, MD, MPH Contra Costa Health Services Pasadena Berkeley

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marisa Woods Walnut Creek Chisom Onwunyi Torrance Jonathan Lynne, MD Rancho Cucamonga Sophia Mai, MD Cedars Sinai Medical Center Arjun Suri, MD Candidate Los Angeles Fresno Cindy Tamae, MSN Toni Riveros, MD Candidate Cedars Sinai Medical Center Los Angeles Montebello

Benson George, BS Yan Lu Student El Monte Stanford University Stanford Gaspar Rivera, BS, MPH, MD Candidate University of California Irvine School of So Young Kim, MD Medicine Intensivist and anesthesiologist Oceanside San Francisco Naomi Tashman Viviana Huang, MD Candidate Cedars Sinai Medical Center Los Angeles Van Nuys

Harry Mai, MD Candidate Carmina Valencia Beach Registered Nurse Cedars Sinai Medical Center Adrian De la Cruz Canyon Country Rancho Mirage Adam Khan, MD Candidate Joanne Zapanta, BSN Los Angeles Assistant Nurse Manager Cedars Sinai Medical Center Christianna Stuber, MD West Covina Kaiser Permanente Fremont Kristen Moser, MD Candidate Loyola University of Chicago Stritch Kelley Meade, MD School of Medicine Childrens' Hospital and Research Center Carmel Valley Oakland Berkeley Esther Serda Los Angeles Cam Tu Tran, MD Mill Valley Armin Baliguat, BSN Cedars Sinai Medical Center Leslie Soto Studio City Glendale

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Alberto Reff, MD Clark D. Hinderleider, MD, PhD Redondo Beach Mill Valley

Anita Verma, MD Candidate Dustin Ballard, MD San Francisco Emergency Medicine University of California, Davis Brent Kohler, BSN, MBA Fairfax Registered Nurse Cedars-Sinai Medical Center Jeff Kohlwes, MD, MPH West Hollywood UCSF, VA Medical Center Mill Valley Fahd Inocencio Sevilla West Covina Jennifer Chen, MD, MPH Los Angeles Megan Olman, MSW Cedars Sinai Health Center Stephen Geller, MD Los Angeles Beverly Hills

Alexandra Saborio, MSN Brooke La Duca, MD Los Angeles Los Alamitos

Crissy Irani, MD Jinmei Woan, MD Corona Tracy

Soyun Kim, MD Laurie Cammon, MD Los Angeles Medical Director, Pediatric Healthy Lifestyle Center Stacey Wuthrich Santa Clara Valley Medical Center Los Angeles San Jose

Brian Snyder, MD Helen Loeser, MD, MSc Clinical Professor of Emergency Medicine UCSF University of California, San Diego San Francisco San Diego Liana Gefter, MD Yukiko Iwadate Stanford University Cedars Sinai Medical Center Mountain View Winnetka Dawnell Moody, DO Steve Goff, MD Livermore Carmel Valley Nancy Palmer, MD Ian Kratter, MD Candidate Contra Costa Health Services UCSF Walnut Creek San Francisco

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Tonya Southard, MD Family Physician K Moeller, MD Santa Rosa Alameda

Michelle Allen, MD Pratheepa Singh, MD University of California, Irvine Fremont Irvine Mythili Sivaswarupan, MD Candidate Harvey Sachs, MD Concord San Jose Sandra Tsai, MD Anna Loeb, MPH, MD Candidate Menlo Park San Mateo Baldeep Singh, MD Michael Stein, MD Clinical Professor Walnut Creek Stanford University School of Medicine Palo Alto Richard Levine, MD Oakland Ana Lopes, MD Encino Ameena Ahmed, Md Oakland Shelly Maramonte, MD Concord Andrew Lai San Francisco Sheila Young, MD Candidate Los Angeles Regina Mangine, MD San Diego Trudy Hartman, MD, MD Menlo Park Maria Mead, MD Santa Cruz Women's Health Center Sandeep Palakodeti, MD Santa Cruz San Francisco

Mika Godzich, MD Candace Howe, MD Martinez Newport Beach

Aaron Feinstein, MD Morris Bol, MD Los Angeles San Francisco

Jennifer Stella, MD Candidate Sara Woolf, MD San Francisco SIlver Avenue Family Health Center, San

Francisco Rosario Cecilio, MD San Francisco Whittier

Jennifer Hastings, MD Maria Greaves, MD Santa Cruz Scotts Valley

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marsha Epstein, MD, MPH Douglas Laity, MD Los Angeles San Diego

Robert Tessler, MD Candidate Dana Kert, ASN San Francisco Valley Presbyterian Hospital Newhall Waheeda Samady, MD San Diego Moses Graubard, MD Attending physician Vicki Mercer, MD Kaiser Oakland Medical Center Pacific Palisades San Francisco

Alan Steinbach, MD, PhD Imran Sayeedi Muir Beach Ross University Oak Park Carla Fox, MD University of California, San Diego James Bennett, MD La Mesa Santa Cruz

Monte Lieberfarb, MD Patrick Romano, MD, MPH Medical, Pharma, Biotech UC Davis School of Medicine Willits Sacramento

Raquel Cancino, MD Hospital Nacional Arzobispo Loayza Melissa Wong, MD Beverly Hills Los Angeles

Sonali Kulkarni, MD, MPH Gabrielle Schaefer, MD Candidate Fellow Fullerton UCLA Medical Center Los Angeles Thomas Blair, MD Los Angeles Gail Bourque, PsyD Richmond Lela Bachrach, MD, MS Attending Physician Shylaja Rachabattula, MD Children's Hospital Oakland Pasadena Berkeley

Nazhiyath Vijayan, MD Jennifer Love Professor Emeritus Staff RN University of California Cedars Sinai Medical Center Folsom Ontario

Emily Wistar, MD Eleanor Chung, MD University of California at San Francisco San Francisco General Hospital San Francisco San Francisco

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sheetal Patil Min Kim Fremont Northridge

Lenore Cohen, BA, MD Jeremy Herman, MD Primary care physician Staff Physician Palo Alto Medical Foundation Cedars Sinai Medical Center Sunnyvale Los Angeles

Joel Fortin, BA, MD Bryan Choi, MD San Francisco AltaMed Medical Group

Garden Grove Hetal Sheht, Pharm D.

Clinical Pharmacist John Mead, MD Fremont Santa Cruz

Francine Jolton, MD Peyman Golshani Director newborn nursery UCLA Contra costa regional medical center Calabasas Martinez

Crystal Saucedo Joel Paine, BS, MD University of Pennsylvania Internist Orange Anadel Medical Group

Santa Rosa Milana PeBenito, MD Candidate

University of California San Francisco Anne Benham, MD School of Medicine San Mateo San Francisco

Meera Ragavan, MD Candidate Joy Lin, MD Candidate Stanford School of Medicine University of California San Francisco Menlo Park School of Medicine

San Francisco Emma Cermak, MD

UCSF Maria Quezada, MD Candidate San Francisco San Francisco

Afaaf Shakir, MD Candidate Chloe Atreya, MD, PhD Stanford Medical School UCSF Stanford San Francisco

Erika Jones, MD Adam Nadler, MD Candidate Los Angeles UCSF

San Francisco Nicholas Szumski, MD

Cedars-Sinai Medical Center, Los Angeles, Gerald Hsu, MD CA San Francisco West Hollywood

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Neveen El-Farra, MD Katherine Rich David Geffen School of Medicine at UCLA Nurse Educator Los Angeles Providence Saint Joseph Medical Center Santa Clarita Jon Zweig, MD Palo Alto Amy Tubay, MD Vacaville Jessica Kim, MD Candidate Alamo Vu Tran, MD Candidate UCSF School of Medicine Barry Massie, MD San Francisco UCSF San Francisco Neel Patel, MD Redwood City Marc Schenker, MD Professor Alexander Nguyen, MD, MSEE University of California at Davis Pasadena Davis

Leela Davies, MD Candidate Behrooz Akbarnia, MD La Jolla San Diego

Bonnie MacEvoy, MD, MPH Michael Thackrey, MD Mad River Community Hospital San Francisco Arcata Roberta Ballard, MD Katherine Herz, MD, MHSR Professor of Pediatrics at UCSF San Francisco Bodega Bay

Kathleen Brown, MD Mehrnaz Hadian, MD Professor Cedars Sinai Medical Center UCLA West Hollywood Los Angeles Meg Brizzolara, ASN Rhoda Nutik UCSF San Francisco General Hospital Palo Alto San Quentin

Lyn Berry, MD, MS Philip Ballard, MD Alameda County Medical Center Professor Berkeley UCSF Bodega Bay Julia Chandler, MD Candidate Stanford Medical School Thomas Barber, MD Stanford Orinda

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

William Owen, MD Surinder Dargan, MD Private Practice Orange California Pacific Medical Center San Francisco Khristina Mueller, MD Moorpark Family Care Center Rebekah Wheeler, MSN, MPH Ventura San Francisco Anita Gor, OD Grace Cavallaro, MD Optometrist Danville Scotts Valley

Yuen So, MD Caroline Buckway, MD Palo Alto Associate Professor Stanford Hospital Fatemeh Hosseini, MSN Mountain View Psychiatric Nurse Santa Cruz John Wong, MD Kaiser Permanente Mayuri Ganupuru, MD Woodland Hills Oakland Nazleen Bharmal, MD, MPP Arvind Mehta, MD Clinical Instructor Long Beach UCLA Culver City Akbar Rahman, MD, MPH Santa Ana Daniel Bruch, DO Moreno Valley Matthew Pantell, MD Candidate San Francisco Carl Stein, MHS, PAC Physician Assistant Frances Herb, MD California Pacific Medical Center Staff physician San Francisco Lifelong Medical Care Oakland Nicholas Villalon, MD San Francisco Carla Kakutani, MD Chief, Family Medicine Department Cynthia Kapphahn, MD, MPH Sutter Medical Group Mountain View Winters Diego Caivano, MD Richard Joseph, MD Candidate Los Angeles Stanford Kim Coleman, AASN Wendy Shearn, MD, MPH Cedars-Sinai Medical Group Belvedere Tiburon Altadena

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Clifford Wang, MD Xi Chen, MD Candidate San Jose Weill Cornell Medical College Glendora Alice Nanyonga Los Angeles Peter Gregory, MD Stanford Hospital Joshua Quis, MD Menlo Park Monrovia Jimmy Hara, MD Anandhi Narasimhan, MD Associate Dean and Professor Psychiatrist Charles Drew University of Medicine Aviva Children and Family Services Los Angeles Los Angeles Danielle Ogez, MD Candidate Elizabeth Cowart, MD Santa Monica Private Practice Physician Hermosa Beach Jimmie Lee Zwissler Fairfax Ravinder Singh, MD Orange Diane Hara, BSN Woodland Hills

Laura Saucier, MD Candidate Joe Cartwright, MD Candidate Stanford School of Medicine UCSF School of Medicine Stanford San Francisco

Lucy Crain, MD, MPH Jingkun Yang, MD Candidate Stanford University Hospital San Jose San Francisco

Doris Yu, MD Anne Montgomery, MD Candidate San Francisco UCSF School of Medicine San Francisco Anna Koblik, MD Candidate San Francisco Jessica McFerren, BSN Torrance Memorial Medical Center Resa Caivano, MD Harbor City Physician Los Angeles Joseph Yang, DMD UCSF Colette DeJong, MD Candidate San Francisco UCSF School of Medicine San Francisco Adrian Ostrzega, MD Los Angeles Kelly Oneil-Holding, Physical Therapy Bodies In Balance Physical Therapy Javier Paraluman Los Angeles Granada Hills

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Juliet Vista, MSN,CNS Wendy Zerin, MD RN Physician Lead, Developmental and Cedars Sinai Medical Center Behavioral Pediatrics Artesia Kaiser Permanente Boulder Arlene Taylor Cedars Sinai Medical Center Douglas Newton, MD, MPH Sherman Oaks Chief of Child and Adolescent Psychiatry Kaiser Permanente Colorado Anita Sircar, MD Denver Cedars Sinai Medical Center Palos Verdes Peninsula Alan Lichtenberg, MD Denver Himabindu Reddy, MD Candidate Stanford University Steve Sherick, MD Stanford Innova Emergency Medicial Associates Denver Ashmi Doshi, MD UCSD medical center Peter Kleinman, MD San Diego Boulder

Sue Kim, MD Ann Dickson, MD palo alto Denver

Christopher Graber, MD, MPH Bruce Doenecke, MD Encino Pediatrician Colorado Permanente Medical Group Victoria Johnson, MD Golden Sacramento Nicole Bilbro, MD Candidate, MPH Saumya Gill, MD Morrison Beverly Hills

Victor Pollak, MD Ashley Nickel, BA, BSN Boulder Registered Nurse

Cedars Sinai Medical Center Lila Rosenthal, MD West Hollywood Boulder

Shana Theobald, MD COLORADO Exempla St. Joseph Hospital, Denver, CO

Denver Jerome Schroeder, MD Candidate

Denver James Matkin

Aurora Lisha Barre, MD, MA

Solo practice

Boulder

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marc Ringel, MD Pamela Copp, MD Senior Clinical Instructor Littleton University of Colorado School of Medicine Greeley Diogo Bauleth, MD Hospitalist Howier Wolf, MD Sound Inpatient Physicians Boulder Denver

Angela Pike, BS, MS Barbara Zind, MD Clinic Coordinator/Graduate Student Grand Junction Boulder Community Hospital Louisville Victor Pollak, MD Emeritus Professor of Medicine Steven Ryan, MD University of Cincinnati Colorado Springs Boulder

Richard Budensiek, DO Desmond Runyan, MD, PhD Greeley Professor of Pediatrics University of Colorado Edward Norman, MD Denver Banner Health Loveland Curt Freed, MD Denver Laird Cagan, MD Longmont Vandna Jerath, MD Parker Janet Seeley, MD, PhD Fort Collins Oren Zwang, MD Denver Health and Hospitals Authority Charles Breaux, MD Cherry Hills Village St. Mary's Hospital Grand Junction Frederick Buchwald, MD Evergreen Mark Matthews, MD Littleton Vince Markovchick, MD Golden Christina Lang, MD Fort Collins Mara Terras, MD Denver Dennis Davidson, MD, PhD, MDiv Crestone Noelle Northcutt, MD Aurora Sarah Rowan, MD University of Colorado Allison Nitsch, MD Denver Denver

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Austin Lammers, MD Andrea Asnes, MD, MSW Denver Yale University School of Medicine New Haven Mark Learned, MD Chief Medical Resident Lawrence Weis, MD Aurora Department Chief West Haven Veterans Administration Angela Zang, MD Hospital Attending Physician Children's Hospital, Colorado Carol Eggers, MSN Thornton Nurse Practitioner Yale University School of Medicine Jennifer Johnson, MD Trumbull Physician Milestone Family Medicine Michael Phipps, MD Boulder Hamden

CONNECTICUT Barb DeRienzo, BSN East Haven J.Michael Herr, DO Staff Physician Lisa Suter, MD Med-East Medical Walk-in Center North Branford West Hartford Donna Vogel, MSN Howard Forman, MD Public Relations Director, Case Yale University Management New Haven Veterans Affairs Connecticut Healthcare System James Boyer, MD New Haven Professor of Medicine Yale University School of Mediicne Maureen Roche, BSN Hamden West Haven Veteran's Administration Hospital Eve Colson, MD West Haven Yale University School of Medicine Woodbridge Marilyn Po, RN Nurse Liana Fraenkel, MD East Haven Yale University Newtown Carl Dillon, MSN Nurse Earl Giller, MD, PhD Hamden Associate (Adjunct) Professor of Psychiatry Juliette Spelman, MD Yale School of Medicine Yale University Madison Fairfield

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kathleen Akgun, MD David Oelberg, MD Assistant Professor Chief, Section of Pulmonary Medicine Yale University School of Medicine Western Connecticut Health Network Madison Newtown

Aida Groszmann, MPH Christine Kennedy, RN Woodbridge Registered Nurse

Sonal Bhalla, MD David Fiellin, MD New Haven New Haven

Jennifer Goodhart, MD Candidate Victoria Bontatibus, BSN University of Connecticut School of Registered Nurse Medicine East Haven West Hartford Catherine Hmurcik, BSN Elaine Rinsland Registered Nurse VA West Haven Connecticut VAMC Cheshire Stratford

Catharine Arnold, MD Uma Deshmukh, MD Candidate Madison Yale School of Medicine New Haven Jill Edwards, MSN Nursing Director Cyrus Kapadia, MD Department of Veterans Affairs Professor of Medicine North Branford Yale University School of Medicine Guilford Jay Mathur, MD New Haven Elizabeth Whalen, MD Radiation Oncologist Anne Camp, MD Charlotte Hungerford Hospital Fair Haven Community Health Center Torrington New Haven Kathleen Leiter, RN Rosemarie Palmieri, MSN Bethany Instructor Capitol Community College Maryann Furlong, BS, MA Southington Ansonia

Michael Good, MD Laura Whitman, MD Durham Associate Program Director-Internal Medicine Lisa MacMaster-Jurzyk, BSN, MSN Yale University Orange Southport

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Bill Fischer Asghar Rastegar, MD Yale University School of Medicine Professor Bethany Yale School Medicine New Haven Jadwiga Stepczynski, MD Yale New Haven Hospital- Saint Raphael Theresa Barnett Campus Southington Hamden Phillip Brewer Janet Ho, MD Cheshire New Haven Daniel Tobin, MD Dipankan Bhattacharya, MD Candidate Medical Director, Assistant Professor of Yale University School of Medicine Medicine New Haven Yale University School of Medicine Hamden John Moriarty, MD Guilford Paul Kaloudis, MD Assistant Professor Jamie Wortman University of Connecticut Health Center New Haven Lindsay Coughlin, PA-C Margaret Bia, MD Middletown Director of Clinical Skills Yale University School of Medicine Alberto Perez, MD New Haven Coventry

Dana Dunne, MD Sandeep Johar, MD Clerkship Director, Associate Program Woodbury Director Yale University School of Medicine Erin Bell New Haven Wilton

Rick Haeseler, MD Fred Tilden, MD Clinical Associate Professor West Hartford Yale School of Medicine Guilford Suzanne Lagarde, MD Hamden

John Carbone, MD Mark Siegel, MD Family Physician Professor and Program Director Middlesex Hospital Yale School of Medicine West Hartford Hamden

Marjorie Rosenthal, MD, MPH Jordan Sloshower, MD Candidate Yale Medical School Yale School of Medicine New Haven New Haven

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Howard Forman, MD Brienne Miner, MD Yale School of Medicine Chief Resident New Haven Yale New Haven Hamden Brooks Walsh, MD Attending Erica Herzog, MD, PhD Bridgeport Hospital Attending New Haven Yale School of Medicine New Haven Gregory Ouellet, MD Yale New Haven Hospital Amy Greenfield, MD Hamden Newtown

Emily Stagg Jonathan Greenfield, MD West Hartford Newtown

Deborah Desir, MD Lauren Tobias, MD Medical Director Group Practice Yale-New Haven Hospital Arthritis & Osteoporosis Center, PC New Haven Woodbridge Carla Marienfeld Carrie Redlich, MD, MPH Hamden Professor of Medicine Yale University School of Medicine Julia Rosenberg, MD New Haven Avon

Donald Redmond, MD Yale Medical School Gil Lancaster, MD Bridgeport Hospital- Yale Hamden Bridgeport Ali Khan, MD, MPP Clinical Resident in Medicine Peter Ellis, MD Yale-New Haven Hospital New Haven New Haven Marjorie Rosenthal, MD, MPH Susan Daly, MD New Haven Psychiatrist United Services, Inc Prakash Thomas, MD Chaplin Yale Child Study Center Hamden Aric Schichor Avon Amish Desai, MD Resident Physician Stephen Huot, MD, PhD Yale School of Medicine Hamden New Haven

Rachel Lovins, MD Stephen Smith, MD, MPH New Haven New London

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Michael Kane, DC Gerald Friedland, MD Chiropractic Physician Professor Danbury Yale School of Medicine Guilford Mridu Gulati, MD Yale New Haven Hospital Rebecca Vitale, MD Candidate New Haven Yale School of Medicine New Haven Raimund Herzog, MD New Haven Margot Longenecker, ND Wallingford Jean Smyth Old Lyme Lucy Truman, MD, PhD Scientist, School of Epidemiology and Auguste Fortin, MD, MPH Public Health Associate Professor Yale University Yale university New Haven Joanna Zolkowski-Wynne, MD Easton Katherine Mckenzie, MD Assistant Professor Christopher Canny, MD Yale New Haven Hospital Hamden New Haven Julie Rosenbaum, MD Tara Bishop, MD Assistant Professor Mount Sinai School of Medicine Yale University School of Medicine Woodbridge Fairfield

Thomas Odinak, MD Rocksheng Zhong, MD Candidate Fairfield Yale School of Medicine New Haven Yogesh Khanal, BA, MD Yale New Haven Hospital Tiffany Yuh, MD Candidate New Haven Yale School of Medicine New Haven Neena Qasba, MD Candidate Medical Student Michael Peluso, MD University of Connecticut School of Yale University School of Medicine Medicine New Haven Farmington Uma Deshmukh, MD Candidate Justin List, MD New Haven Yale School of Medicine New Haven William Culligan, MD Candidate New Haven

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Matthew Meizlish New Haven Lorenzo Sewanan, MD Candidate New Haven Samantha Kaplan, MD Candidate New Haven Harry Chang, MD Candidate Yale University School of Medicine Stephanie Meller, MD Candidate New Haven Yale University School of Medicine New Haven Victor Herson, MD Medical Director, NICU Katherine Chau, MD Candidate Connecticut Children's Medical Center Yale School of Medicine Bloomfield New Haven Inginia Genao, MD Susan Maya, MD Candidate Hamden Yale School of Medicine New Haven Robyn Scatena, MD Instructor of Medicine Luke Pike, DPhil, MD Candidate Yale University School of Medicine Yale School of Medicine New Haven New Haven Marni A Yushane Shih, MD Candidate Stamford Yale School of Medicine New Haven Sarah Forman, BSN, MS School Nurse Dame Idossa, MD Candidate New Haven Head Start New Haven New Haven

Tracy Rabin, MD Jay Kaplan, MD Hamden Cheshire

Colleen Casey, DO Jeremy Fried, MD Regional Medical Director West Hartford Generations Family Health Center Niantic Jeffrey Tornheim, MD, MPH New Haven Christina McLean Old Lyme Ilana Waynik, MD Hospitalist Irina Shklyar, MD Candidate Connecticut Children's Medical Center Yale School of Medicine West Hartford New Haven

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

WASHINGTON DC

Alice Chen, MD Assistant Clinical Professor Matthew Mintz, MD UCLA Medical Center The George Washington University School Washington of Medicine Washington Katharine Modisett, MD Candidate, BS Medical Student Tobie Smith, MD,MPH Georgetown University Washington Washington Lindsay Marszal, MD Candidate James Finkelstein, MD Washington Senior Clinician VA Medical Center, Washington DC Margaret Infeld, BA, MS Washington Georgetown University School of Medicine John Lewin MD, MD Washington CEO Lewin and Associates LLC Sathya Ram, MD Candidate Washington Washington

Mandy Cohen, MD, MPH Brian Wong, MD Candidate washington Washington

Ravi Menon, MD Benjamin Abrams, MD Candidate Washington Washington

Elizabeth Oler, MD Candidate Julia Kammel, MD Candidate Medical Student Washington Georgetown University School of Medicine Ariana Fisher, MD Candidate Washington Washington

Kathryn Teixeira, MD Candidate Paula Colon, MD Candidate Washington Washington

Cynthia Gibert, MD, MSc Megan Dunning, MD Candidate Professor of Medicine Georgetown University School of George Washington University School of Medicine Medicine and Health Sciences Washington Washington Stephanie Wheeler, MD Candidate Justine Summers McClain, MD Georgetown University School of Candidate Medicine Washington

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Hung Vo, MD Candidate Nicole Lang, MD Georgetown University School of President, CEO Medicine Washington Pediatric Association Washington Washington

Matthew McCormick, MD Candidate Harvey Sloane, MD Georgetown University School of Eurasian Medical Education Program Medicine Washington Washington Judith Ratner, MD Heather Boynton, MD Candidate Attending Physician Washington Children's National Medical Center Washington Ranit Mishori, MD Washington Iris Leviner, MD Candidate Georgetown University School of Omega Silva, MD Medicine Washington Washington

Amanda Slater, MD Mark Minier, MD Washington Medical Director Washington Ruth Elaine Graves, PhD, MS, MDiv Director Behavioral Medicine Robert Zarr, MD, MPH Howard University Hospital Washington Washington DELAWARE Justin Pepper, MD Children's National Medical Center Krishna White, MD, MPH Washington Director of Adolescent Medicine Wilmington Molly Greenberg, BA, MPH Johns Hopkins University School of Allan De Jong, MD Nursing Wilmington Washington Sangita Modi, MD Barbara Stevens, MD Wilmington

Washington Gretchen Pierce, BSN

RN Maureen Lyon, PhD Children's Hospital of Philadelphia Associate Research Professor in Wilmington Pediatrics

Children's National Medical Center Janet Kramer, MD Washington Retired

Hockessin

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

FLORIDA Merri Morris, MD Saint Petersburg Ivonne Schulman, MD Assistant Professor of Clinical Medicine Linda MacDonald, MD University of Miami Volunteer Staff Miami Beach Indian River County Health Department Vero Beach Alexandra Power-Hays, MD Candidate Medical Student Francisco Medina, MD Harvard Medical School Fort Lauderdale Tallahassee Allison Messina, MD Muddaiah Jayaram, MD Staff Phyician Bradenton All Children's Hospital Saint Petersburg Ken Edelin, MD Sarasota Katheryn Holmes, BSN Pensacola Keith Collins, MD Hollywood Roniel Cabrera

Gainesville Melanie de Souza, MD Safety Harbor Jason Wilson, MD University of South Florida Christopher Wilson, MD Tampa Largo Anna Lizama Clark, MD Dawn Sherling, MD Orlando Palm Beach Gardens Patricia Toon, BSN Alice Weiss, BS, RN Retired Shands Jacksonville Fort Myers Yulee Juan Dumois, MD Philip Levitt, MD Director, Pediatric Infectious Diseases West Palm Beach All Children's Hospital Saint Petersburg Mona Mangat, MD Saint Petersburg Suat Akgun Pompano Beach Jennifer Locke, MD St Joseph Hospital Lawrence Floriani, MD Lutz Tarpon Springs

Roberto Lugo, MD Gagandeep Mangat, MD Stuart Gateway Radiology Saint Petersburg

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rashmi Murthy, MD Wil Blechman, MD Miami Miami

Sujatha Prabhakaran, MD, MPH Judith Ratzan, MD Medical Director Associate Professor Planned Parenthood of Southwest and University of Miami Central Florida Miami Sarasota Gerald Stein, MD Diane Brackett, MD Candidate Clinical Assistant Professor University of Central Florida College of University of Florida College of Medicine Medicine Gainesville Orlando Janvier Gasana, MD, MPH, PhD Owen Linder, MD, FACP Professor of Environmental and SafetyHarbor Occupational Medicine Florida International University Linda Burke-Galloway, MD, MS Hollywood Water Springs Javier Perez, MD Nicole Fanarjian, MD, MSCR University of Florida Tampa Gainesville

Hallegere Murthy, MD Blannie Whelan, MSN, FNP Miami Tampa

James Thompson, MD Cynthia Collawn, MD Palm Harbor Sarasota

Carole Vann Gladys Lopez-Urizar, MD, PA Tavernier Miami

Peter Grace Richard Weaver, MD, MPH Tarpon Springs Pensacola

Samantha Lindsay, MD Elizabeth Marsicano, MD Land O Lakes Boca Raton

Dipti Amin, MD Lorinda Price, MD, MPH All Children's Hospital Tampa Clearwater Janet Dowell, MD Kimberly Swartz, BA, MA Clearwater Fort Lauderdale Rachel Rodriguez Aparna Asher, MD Kissimmee Clearwater

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Beno Michel, MD Ansh Grover, MD Candidate Case Western Reserve University Jacksonville Palm Beach Gardens Shahnaz Khan, MD Rashmi Murthy, MD Dade City Miami Walter Lambert, MD Agueda Hernandez, MD University of Miami Miller School of Miami Medicine Miami Jan Moreb, MD Gainesville Irma Rey, MD Miami Joel Alpert, MD Professor Emeritus and Assistant Dean Marc Pollack, MD Boston University Dunedin Palm Beach Gardens Balsam Fanous, MD Krista Toomre, MD Retired Sarasota Saint Petersburg

Marcia Linder, MSW TraChella Johnson Foy, MD Safety Harbor Physician Jacksonville Amelia Anderson, MD Sarasota Christine Laramee, MD MD Aleksandra Petrovic, MD Largo Saint Petersburg Asif Azam, MD Meera Oza, MD Cape Coral Orange Park Alexandra Stefanovic, MD Ramki Kanuri, MD Key Biscayne Brooksville Bonnie Sklaren Sharon Dabrow, MD Saint Petersburg Professor of Pediatrics University of South Florida Joanne Byars, MD Tampa Gainesville

Judith Ratzan, MD Jeanne Huck Associate Professor of Medicine Tarpon Springs University of Miami Miami Marie Chapman Palm Harbor

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Deborah Langrock Judy Schaechter, MD, MBA Palm Harbor Miami Beach

Lindsay McCullough, MD Candidate Allison Silver, MD Gainesville Sarasota

Brittany Sorensen, MD Candidate Jordan Messler, MD Mims Largo

Catherine Kerrigan, NSG Laurence Gardner, MD Lutz Executive Dean and Professor of Medicine University of Miami Nayan Shah Miami Miami Cheryl Hicks, MD Peter Sukin, MD Orlando Saint Petersburg Barbara Sullo, BSN Adam Gray, MD Candidate New Port Richey Gainesville Donna Sperber, MD Chris Jefferson Saint Petersburg Nokomis Gretel Terrero, MD Candidate Kenneth Caldwell, MD Candidate Brown University Gainesville Hialeah

Susan Betzer, MD Ross Scalese, MD St Petersburg Associate Professor University of Miami Miller School of Ahsan Taj, MD Medicine Naples Miami Beach

Sharon Byun, MD Olveen Carrasquillo, MD Gainesville Chief, Division of General Internal Medicine Aleksandra Petrovic, MD University of Miami All Children's Hospital Miami Saint Petersburg Michelle Mallitz, MD Beth King, MD Bradenton Tallahassee Alex Mechaber, MD Heather Kessler Reyes, MD University of Miami Miller School of Boca Raton Medicine Miami

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jaime Candelori, BA, MD Amit Shah, MD, MSCR Pediatrician Fellow Longwood Emory University School of Medicine Decatur Bruce Fleegler, MD Sarasota Arthur Stillman, MD Atlanta Giulio Rottaro, MD Candidate Yale School of Medicine Juliet Mavromatis, MD Fort Lauderdale Founding Physician Personalized Primary Care Atlanta Bryan Garruto, MD Decatur Tampa Anjali Nirmalani-Gandhy, MD Gayathri Kumar, MD Tampa Atlanta

Sonjia Kenya, MD Evan Weisman University of Miami Miller School of Atlanta Medicine Miami Mary Lewis, BSN Nurse Chrystelle Jean Blackshear University of Miami Pembroke Pines Sara Atwater, MD Candidate Augusta Stefanie Brown, MD Miami Beach Sol Aldrete, MD Atlanta Jamal Jones Miami Elisheba Butts, BA Atlanta Pia Myers, MD Naples Maura George, MD Emory University Hospital Cara Sullivan, MD Candidate Atlanta Tampa Patrice Drolte, ADN Waycross GEORGIA Courtney Maniatis, MD Folake Taylor, MD Woodstock Outpatient physician Keating Family Medicine Bra Files McConnell, MD Marietta Emory University School of Medicine University Atlanta

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jane Yoon, MD Candidate Harry Heiman, MD Augusta Atlanta

Ellyn Musser, MD Temitope Foster, MD Ellijay Atlanta

Brenda Lankford Saira Alimohamed, MD Aria Consultants Emory University Hospital Atlanta atlanta

Karen Harris-Moore Fayetteville Joseph Cubells, MD, PhD Doug Skelton, MD Emory University Hospital Savannah Atlanta

Ellyn Musser, MD Chukwuma Onyeije, MD Ellijay Emory University Hospital Midtown, Dekalb Medical Center David Mays, MD Alpharetta Resident Physician Emory University School of Medicine Susan Shaffer, AS, BA Decatur Marietta

Cindy Weinbaum, MD, MPH Abhay Deshmukh, MD Atlanta Emory University Hospital Atlanta Jill Nielsen Morganton Victoria Morgan, BSN Marietta Willard Snyder, MD Brunswick George Nixon, MD Liana Gefter, MD Augusta Decatur Arthur Stillman, MD, PhD Mark Vakkur, MD Professor Psychiatrist Emory University Hospital Private practice Atlanta Atlanta Patricia Walker, BSN Jeffrey Holzberg, MD Candidate Atlanta Atlanta Christy Hewling, MD Jonathan Bjork, MD Candidate Medical Director Emory University School of Medicine South Fulton Medical Center Atlanta Smyrna

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Laura Baraona Alicia Turlington Mercer University Pediatrician at Community Health Center Gainesville Kapolei

Edna Susan Jackson, MPH Candidate Barbara Behrmann Cumming Honolulu

Ann McGlaughlin, MD, JD Anne Sturgis, MSW Saint Simons Island Behavioral Health Manager Hilo Bay Clinics Joy Slade, MD Hilo Atlanta Pia Francisco-Natanauan, MD Jean Longley, MD Attending Physician Retired Physician Kapiolani Medical Center for Women and Atlanta Children Honolulu Jaydeep Bhat, MD, MPH Kaiser Permanente-Georgia Jon Cooney, MD Atlanta Aiea

Steven Kraus, MD Marietta IOWA

Timothy Hanes, MD Rebecca Wiese, MD Saint Josephs Hospital of Atlanta Davenport Atlanta Markus Porkert, MD Josh Eken, MD Decatur North Liberty

Teresa Ingram, MD Resmiye Oral, MD Atlanta Professor, Director University of Iowa Iowa City HAWAII Colin Buzza, MD Candidate, MSc Joseph Humphry, MD University of Iowa Chronic Disease Program Director Iowa City Hui Malama Ola Na Oiwi (Native Hawaiian Healthcare System) John Ippolito, MD Honolulu Council Bluffs

John Mickey, MD Rod Zeitler, MD Honolulu Iowa City

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Miles Weinbergre, MD ILLINOIS University of Iowa Iowa City Nithya Sunder, MD Chicago Frank Morriss, MD, MPH Professor Ram Krishnamoorthi, MD University of Iowa Attending Physician Iowa City Loyola SOM and Hines VA hospital Chicago Sadia Ashraf-Benson, DO Des Moines Sachin Shah, MD Assistant Professor Pamela Trapane, MD University of Chicago University of Iowa Chicago Coralville Mara Maas, MD Oak Park IDAHO Matt Abell, MD Candidate Tim Mchugh, MD Southern Illinois University School of Kuna Medicine Carbondale Birgitt Dau, MD Boise David Ginsburg, MD Instructor Julie Welty, MD Northwestern university McCall Chicago

Rachel Clements Saba Ahmad, MD Boise Willowbrook

James Weiss, MD Regina Wan Eagle Nurse practitioner Chicago Andrea Christopher, BS, MD University of Washington Marjorie Schaafsma, JD, PhD Boise Senior policy researcher and analyst Evanston Penny Beach, MD Faculty Deepa Joseph, MD Family Medicine Residency of Idaho University of Chicago Boise Willowbrook

Annika Maly, MD Candidate Anne Rowley, MD Boise Oak Park

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Mary Little, BSN Monica Mahajan, MD Nurse Dunlap Homer Eileen Murphy, MD William Edwards, MD Swedish Covenant Hospital Christus St. Vincent Regional Medical Chicago Center Downers Grove Kohar Jones, MD Chicago Susan Alt, MD Northwestern Medicine Blake Jones, MD Candidate Algonquin Chicago

Lise Weisberger, MD William Brode, MD Candidate Faculty in the Department of Family Oak Park Medicine Advocate Illinois Masonic Medical Center Jennifer Karlin, PhD Chicago Chicago

Umang Sharma, MD Jai Shah, MD Family Physician Chicago PCC Community Wellness Center Chicago Angela Weingarten, MD Chicago Elizabeth Horvath, DO Good Shepherd Hospital -ER Mou Sengupta, MD Barrington Chicago

Nora Rowley, MD, MPH Rita Rossi-Foulkes, MD, MS Independent Consultant Vulnerable Residency program director Population Health and Well Being University of Chicago Kovler Treatment Center for Torture Riverside Survivors Homewood Carmela Socolovsky, MD Candidate University of Chicago Neha Kansal, MD Chicago Chicago Anne Goodenow, MD, MPH Sydney Ross-Davis, MD Chicago Flossmoor Shalini Reddy, MD Susan Kuester Chicago Elgin Sonia Oyola, MD Elora Apantaku, MD Candidate University of Chicago, Pritzker School of Chicago Medical School Medicine North Chicago Chicago

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Shivani Shah, MD Timothy Orlowski, MD Candidate Attending Physician Chicago Adventist Health Partners Willowbrook Joseph Bailey, MD Candidate Forest Park Christina Oyola, BSN Chicago Jordan Selzer, MD Candidate Loyola University of Chicago Stritch Lindsay Petty, MD School of Medicine Chicago Riverside

Robert Steffner, MD Brian Borah, MD Candidate Chicago Forest Park

Michele Lorand, MD Steven Fox, MD Chair, Division of Child Protective Wilmette Services John H. Stroger, Jr. Hospital of Cook Anita Rao, MD Candidate County Downers Grove Chicago Kristin Kalita, MD Paul Ringel, MD Oak Park Senior Attending Physician Advocate Illinois Masonic Medical Center Shruti Shah, MD Chicago St Marys of Nazareth Hospital Chicago Giuseppe Toia, MD Candidate Loyola University Chicago Stritch School Katherine Merry, MD Candidate of Medicine Loyola Stritch School of Medicine Chicago Oak Park

Marilyn Pearson, MD Vineet Arora, MD, MAPP Staff Physician University of Chicago Pritzker School of Progressive Medical Group Medicine Chicago Chicago

Amanda Wessel, MD Candidate Lucas Wendel, MD Metamora Rolling Meadows

Hannah Palm, MD Candidate Melissa Medina, MD Candidate Forest Park Loyola Stritch School of Medicine Chicago Fizza Hussain, MS Skokie LaBianca Wright, MD Candidate

Loyola Stritch School of Medicine Omar Hasan, MD Forest Park Evanston

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lauren Kern, MD Michael Allain, MD Candidate Chicago University of Chicago Pritzker School of Medicine Risha Raven, MD Chicago Dixon Alissa Martin, MD Jennifer Ron, MD Chicago Chicago Christopher Collier, MD Candidate Mark Rosenberg, MD, MA University of Chicago Pritzker School of Deerfield Medicine Chicago Carrie Gosch, MD Lurie Children's Hospital Ben Ferguson, PhD, MD Candidate Chicago University of Chicago Pritzker School of Medicine Jennifer Bello, MD Chicago Chicago Jacob Tower, MD Candidate Brenna Hughes, MD Candidate University of Chicago Pritzker School of Chicago Medicine Chicago Allison Louis, MD Candidate University of Chicago Pritzker School of John Korpics, MD Candidate Medicine Loyola University Chicago Stritch School Chicago of Medicine Orland Park Jack Tempel, MD Candidate Chicago Mike Korpics, MD Orland Park Jennifer Jones, MD Candidate Chicago Robert Stern, MD Candidate University of Chicago Pritzker School of Justin Hellman, MD Candidate Medicine University of Chicago Pritzker School of Chicago Medicine Chicago Andrew Golden, MD Candidate Chicago Elizabeth Rhinesmith, MD Candidate University of Chicago Pritzker School of Carly Berg, MD Candidate Medicine Chicago Chicago Joy Silver, MD Julie Lipkin, MD Private practice Chicago Palatine

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sarah Dabagh, MD Candidate Mark Shields, MD, MBA Chicago Chicago

Amanda Osta, MD Juliet Bradley, MD Chicago Associate Professor of Medicine Stroger Hospital of Cook County Dana March, MSN Chicago Chicago Cristina Thomas, MD Candidate Priya Perumalsamy, MD Chicago St. James Chicago Heights Chicago Stephen Ondra, MD Professor and Interim Chairman Steven Healan, MD Northwestern University University of Chicago Wilmette Chicago

Gregory Van Hyfte Daniel Kozman, MD Candidate Chicago University of Chicago Pritzker School of Medicine Alan Hutchison, MD Candidate Chicago University of Chicago Biological Sciences Division Pritzker School of Medicine Cheryl Zdziarski Chicago Shorewood

Lauren Hobbs, MD Candidate Robin Kalish, MD Chicago Oak Park

InYoung Kim, MD Candidate Ziyad Nazem, MD University of Chicago Pritzker School of Schaumburg Medicine Chicago Matt Pogodzinski, MD Evanston Betty Chung, MD Chicago Ellen Brull, MD Glenview Hiten Patel, MD Candidate, MPH Johns Hopkins University School of Dnice Cook, MD Medicine Harvey Du Quoin Jean Houlihan, MD Eva Davis, BSN Woodridge Evanston Minesh Shah, MD, MPH Isabel Malone, MD Candidate Clinical Instructor Riverside Emory University Hospital Chicago

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Amy Whitaker, MD Robert Sakulanda, MD University of Chicago Chicago Chicago Kitty Thomas, MSN Robert Gerber Registered Nurse Northwestern Lake Forest Hospital Edward Hines VA Grayslake Westchester

Emalee Flaherty, MD Joshua Cahan, MD Section Head Child Abuse Pediatrics North Chicago Ann & Robert H. Lurie Children's Hospital of Chicago Tonda Hughes Evanston Professor and Department Head University of Illinois at Chicago Margaret Wiedemann, MD Chicago Family Medicine Residency Director Advocate Illinois Masonic Med Center Tracy Binius, MD Chicago University of Illinois Chicago Oak Park Rebecca Harris, MD Candidate University of Chicago Pritzker School of Stephanie Dobler, MD Medicine Chicago Chicago Emily Matchett, MD Anne Lauer, MD Candidate Chicago Chicago Alexander Yuen, MD Mari Egan, MD, MHPE Chicago University of Chicago Chicago Sandra Hughes, MSN, PhD Triton College Nathan Kittle, MD Candidate La Grange Maywood Parag Merai, MD Kitty Thomas Chicago Clinical Nurse Manager Westchester Hyun Joo Kim Buffalo Grove Lawrence Mollo, MA, MD Resident Amishi Mehta, BS, MD Loyola University Health Center University of Illinois Chicago Lemont

Nicolo Galindo, MSN Rohangiz Ayrempour, MSN Staff Nurse Northwestern Lake Forest Hospital Berwyn Lake Forest

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Richard Burr Raquel Robles, MD Candidate Downers Grove Loyola University Chicago Stritch School of Medicine Raina Gupta, MD Lombard Attending Neurologist Chicago Jeffrey Quinn, MD Candidate Loyola University Chicago Stritch School Vishal Gunnala of Medicine Oak Park Forest Park

Niva Lubin-Johnson, MD Adam Janes, MD Candidate Chicago Forest Park

William Conte, MD Ashley Wong, MD Candidate Loyola University Chicago Oak Park Forest Park Alexi Bloom, MD Candidate Patrick Marcus, MD Candidate Highland Park Oak Park Thomas Hutch, MD Candidate Rachel Fisher, MD Candidate Loyola University Chicago Loyola University Chicago Stritch School Maywood of Medicine Oak Park Karen Britten, BSN, MBA Northwestern Lake Forest Hospital Norman Decker, MD Candidate Highland Park Forest Park Karen Lopez Aleah Brubaker, BS, PhD Assistant Professor of Nursing Loyola University Chicago Stritch School University of Illinois Chicago of Medicine Hinsdale Chicago Armetria Humphrey, MD Candidate Srilaxmi Tumuluri, MD La Grange Chicago Anne Horst, MD Candidate Kaitlyn Van Arsdell, MD Candidate Oak Park Loyola University Chicago Stritch School of Medicine Jean Berry, PhD Chicago UIC College of Nursing and Community Health Clinic Camaleigh Jaber, BS Chicago Orland Park Evelyn White, MD Internist Barrington

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Carolyn Quigley, MD Candidate Loyola Stritch School of Medicine Saira Malik, MD Forest Park Granger

Erin Feller, MD Candidate Julie Vannerson, MD Forest Park Indianapolis

Victoria Coraglio, MD Candidate Cathy Oplinger, CRNP Loyola Stritch School of Medicine Lapel Chicago

Ateet Shah, MD Jovita Deguzman Private practice Grayslake Fishers Zachary Kozel, MD Candidate Loyola University Chicago Stritch School Mary Lou Hulseman, MD of Medicine Practicing physician Riverside Community Health Network Indianapolis Jennifer Baldwin, MA, MPH University of Illinois- Urbana Champaign Alex Djuricich, MD Champaign Program Director, Med-Peds Residency Indiana University SOM Julie Laske Indianapolis Grayslake Aria Arrizabalaga, MD, SM, SB Rosalind Fyfe Community Health Network Lake Forest Hospital Zionsville Libertyville Amy Lahood, MD

Indianapolis INDIANA

Mohammad Kamal, MD Shirley Fry, MBBS, MPH Marion Indianapolis

Mary Norine Walsh, MD Theresa Rohr-Kirchgraber, MD, MD Cardiologist, Medical Director Executive Director Women's Center for St Vincent Heart Center Excellence Indianapolis Indiana University School of Medicine

Indianapolis Lytitia Shea, MD

St. Vincent Hospital Theresa Rohr-Kirchgraber, MD Indianapolis Executive Director, Indiana University

National Center of Excellence in Women's James Lemons, MD Health Indiana University School of Medicine IUSM Indianapolis Indianapolis

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Aniruddh Patel, MD Candidate Jennifer Ashby, MD Yale University School of Medicine Shawnee Indianapolis Jennifer Tripe, RD KANSAS Public Health Basehor Sheila Timonera, BSN Registered Nurse Carl Vierthaler, MD Shawnee Staff Doctor Dodge City Medical Center Mani Mani, MD Dodge City Emeritus Professor Kansas University Medical Center KENTUCKY Mission Priya Balakrishna, MD Ron Edwards, MD Louisville Topeka Cynthia Villacis, MD Bommakanti Saran, MD Ft Mitchell Shawnee Deborah Stanley, MD Shashi Sharma, MD Lexington Leawood Robert Toon, MD Santosh Sharma, MD VA Leawood Mount Sterling

Rishi Sharma, MD Savannah Walker, MD Candidate Leawood Salyersville

Meenakshi Sharma, MD Lauren Stewart, MD Candidate Leawood Weill Cornell Medical College Lexington Deepti Mathur, MD Candidate Topeka LOUISIANA

Carla Aamodt, MD Zahid Imran Mission Baton Rouge Laurie Hornberger, MD, MPH Associate Professor Peggy Verret University of Missouri - Kansas City Nurse Prairie Village Slidell

Jennifer Ashby, MD Natalie Phillips, MD Shawnee Alexandria

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Elizabeth Majzoub, BA, BSN MASSACHUSETTS

Heidi Sinclair, MD, MPH Rebecca Jones, MD Hospitalist Whately New Orleans Alexi Wright, MD Stephen Deputy, MD Instructor of Medicine Associate Professor of Neurology Harvard Medical School and Dana-Farber Louisiana State University Cancer Institute New Orleans Cambridge

Charmaine Venters, MD Vera Goldberg, MD Candidate Baton Rouge Medical Student Roxbury Crossing Taj Khan, MBBS Pediatric Intensivist Katherine Atkinson, MD Valley Baptist Medical Center, Harlingen, Amherst TX Alexandria Leigh Simmons, MD Massachusetts General Hospital Pritesh Gandhi, MD Boston New Orleans Barry Saver, MD, MPH Benjamin Springgate, MD Associate Professor of Family Medicine & New Orleans Community Health University of Massachusetts Medical Michael Hunter, MD School New Orleans Worcester

Charles Zeanah, MD Ariana Metchik, MD Candidate Tulane University Student New Orleans Harvard Medical School Roxbury Crossing Reinhold Munker, MD Shreveport Rebecca Horne, MD Physician Abdul Jabbar Khan, MD Lexington New Orleans Ashley Lamb, MD Juan Gershanik, MD Somerville

New Orleans Clemens Hong, MD, MPH Charmaine Venters, MD Primary Care Physician and Researcher Baton Rouge Massachusetts General Hospital Brookline

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Clemens Hong, MD, MPH Susan Bennett, MD Harvard Medical School/Massachusetts Massachusetts General Hospital General Hospital Brookline Brookline Vivek Murthy, MD, MBA Linnea Meyer, MD Brigham and Women's Hospital Private practice Brookline Cambridge Judy Fine-Edelstein, MD Joshua Baugh, MD Candidate Neurology Student Lexington Harvard Medical School Cheshire Asaf Bitton, MD Brigham and Women's Hospital Rita Nguyen, MD Brookline Resident Brigham and Women's Hospital Mary Beth Miotto, MD Cambridge Northborough

Scott Stonington, MD, PhD Thea Brennan-Krohn, MD Jamaica Plain Resident Boston Children's Hospital Devraj Sukul, MD Brookline Resident Boston Daniel Palazuelos, MD, MPH

Hospitalist Lynn LI, MD Brigham and Women's Hospital University of Massachusetts Jamaica Plain Worchester

Romi Webster, MD, MPH Daniel Palazuelos, MD, MPH Jamaica Plain Hospitalist Brigham and Women's Hospital Blair Wylie, MD, MPH Jamaica Plain Mass General Hospital Belmont Corey Hardin, MD Staff physcian Aaron Waxman, MD, PhD Massachusetts General Hospital Director, Pulmonary Vascular Disease Cambridge Program Brigham and Women's Hospital, Harvard Jim Sabin, MD Medical School Professor Boston Harvard Medical School Wellesley Jeffrey Schnipper, MD, MPH Director of Clinical Research William Terry, MD Brigham and Women's Hospital Brigham and Women's Hospital Roxbury Crossing Newton

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

David Harris, MD Adrianne Rogers, MD Physician in Genetics and Metabolism Retired pathologist and medical educator The Boston Children's Hospital Boston University Auburndale Winchester

Sigrid Tishler Anne Kalt, MSc, MA Plymouth Medical Student Harvard Medical School Sally Thompson, MD Boston Psychiatrist Cambridge Health Alliance Supriya Saha, MD Somerville Brookline

Diane Amsterdam, MD Joshua Klein, MD, PhD Amherst Assistant Professor of Neurology Harvard Medical School Wayne Altman, MD, FAAFP Boston Director of Medical Student Education, Department of Family Medicine Susan Lowery, MD Tufts University School of Medicine Amherst Survival Center Free Clinic Woburn Montague

Keith Rafal, MD, MPH Nahiris Bahamon, MD Candidate Chief of Rehabilitation Boston University Memorial Hospital of RI/Brown Boston University Medway Sushil Singh, MD Jordan Hospital Kristin Stueber, MD Plymouth South Hadley Allison Ryan, MD Sonja Rakowski, MD Florence Resident Physician Brigham and Women's Hospital Frederick Ammerman, DO Boston West Virginia University Northampton Bobby Cherayil, MD Lexington Jean Byrne, BSN Grafton Howard Hiatt, MD Professor of Medicine Deborah Morosini, MD, MSW Harvard Medical School Weston Cambridge

Lester Hartman, MD Oliver Kendall, MD Westwoo Mansfield Pediatrics Cambridge Health Alliance Needham Heights Cambridge

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Vanessa Redditt, MD Candidate Marina Goldman, MSN Harvard Medical School APRN Jamaica Plain Bratttleboro Retreat Montague Marianna Marguglio, MD Amherst Ana-Maria Rizzuto, MD Tufts Medical School Thomas Sterne, MD Cambridge Peabody Nora Schwartz-Martin, MD Marcella Alsan, MD, MPH Amherst Massachusetts General Hospital/Brigham and Women's Hospital Ronald Pye, MD Cambridge Newburyport

John Wong, MD Amy Boutwell, MD, MPP Professor of Medicine Lexington Tufts University School of Medicine Belmont Sheila Leavitt, MD Newtonville Jason Block, MD, MPH Jamaica Plain Gregg Wolff, MD Springfield Janice Gibeau, RN, PhD Chesterfield Leena Gandhi, MD, PhD Assistant Professor of Medicine Daniel Debowy, MD Harvard Medical School Staff Psychiatrist Cambridge MIT Mental Health Brookline Rinaa Punglia, MD, MPH Brookline Jeffrey Katz, MD Chestnut Hill Rachel Pozzar, CRNP Nurse Practitioner Stephen Wright, MD Somerville Faulkner Hospital Jamaica Plain Leslie Vensel, MD Massacusetts General Hospital Minna Kohler, MD Weston Massachusetts General Hospital Boston Eva Balash, MD Jamaica Plain Trisha Smallman RN Sara Tedeschi, MD Amherst Survival Center Brigham & Women's Hospital Amherst Jamaica Plain

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cassie Frank, MD, MPH Joseph Majzoub, MD Cambridge Health Alliance Professor of Pediatrics and Medicine Cambridge Harvard Medical School Boston Sherry Taylor, MD, PhD Chief of Neurosurgery Amy Rothenberg, ND Baystate Medical Center University of Buffalo College of Northampton Naturopathic Medicine

Caitlin Farrell, MD Nicole Chase, MD Brookline Children's Hospital Boston Boston Daniel Solomon, MD, MPH Professor of Medicine Rose Kakoza, MD Harvard Medical School Brookline West Newton Laura Rock, MD Mihir Chaudhary, MD Candidate Harvard Medical School Cambridge Boston

Siqin Ye, MD Jacinthe Giroux, MD Fellow Southampton Medical Center Boston Nancy Keating, MD, MPH Associate Professor of Medicine & Health Ralph Bolman, MD Care Policy Chief of Cardiac Surgery Harvard Medical School Brigham and Women's Hospital Newton Boston

Cecilia Sarkissian, MD Dinah Kudatsky, BA, MSW, LCSW Brigham and Women's Hospital, Harvard Amherst Medical School

Brookline Katherine Majzoub, MPP, MD

Candidate Kristin Schwarz Harvard Medical School Boston University School of Medicine Cambridge Boston

William Martinez, MD, MS Enrico Cagliero, MD Instructor Associate Professor of Medicine Harvard Medical School Harvard Medical School Jamaica Plain Boston

Kathryn Malakorn Lew, MD, MPH Lipika Samal, MD Brigham and Women's Hospital; Harvard Cambridge Medical School

Boston

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Daniel Solomon, MD Jamaica Plain Esther Han, MD Candidate, MPH Boston University School of Medicine Kathryn Rexrode, MD, MPH Boston Associate Professor of Medicine Brigham and Women's Hospital, Harvard Michael Barry, MD Medical School Boston Boston Mitchell Rabkin, MD Jeffrey Linder, MD, MPH, FACP Harvard Medical School Associate Professor of Medicine Boston Harvard Medical School Newton Highlands David Marcovitz, MD

Massachusetts General Hospital Pedro Sanchez, MD Cambridge Brigham and Women's Hospital

Boston Shiv Pillai, MD, PhD

Professor of Medicine Aaron Mann, MD Harvard Medical School Brigham and Women's Hospital Charlestown Milton

Don Dizon, MD Rebecca Mello, BSN Whitman Registered Nurse

Brigham and Women's Hospital Jennifer Hyde, MD Boston Westwood-Mansfield Pediatrics

Dedham Andrew King, MD

Baystate Medical Center Julia Matthews, MD, PHD Northampton Associate Professor of Clinical Psychiatry

University of Massachusetts Medical Christine Dodd, BSN School Framingham Needham

Ann Celi, MD, MPH David Bates, MD, MSc Brigham and Women's Hospital Chief, General Internal Medicine Boston Brigham and Women's Hospital

Watertown Lauren Doctoroff, MD

Cambridge Tisamarie Sherry, MD Candidate

Cambridge Nira Pollock, MD, PhD

Beth Israel Deaconess Medical Center Alan Wartenberg, MD, FACP, FASAM Brookline Medical Director, OTP

Providence DVA Medical Center Shelly Berkowitz, MD Attleboro Northampton

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Frank Speizer, MD Brigid Dolan, MD Professor in Medicine Brigham and Women's Hospital Harvard Medical School Jamaica Plain Rockport Cheri Blauwet, MD Kristin Mattocks, PhD, MPH PM&R Resident Assistant Professor of Quantitative Health Boston Sciences University of Massachusetts Medical Kara Reinhardt Block, MD School Wellesley Hills Shutesbury

Oliver Gregory, MD Candidate Kathleen Sylvester, MS Medical Student Cooley Dickinson Practice Associates University of Massachusetts Medical South Deerfield School Worcester Kenneth Bryant, MD Weston Sandra Sagastume, RN Brigham and Women's Hospital Jeffrey Borkan Boston Chair of Family Medicine Warren Alpert Medical School of Brown Cariappa Annaiah, MD University Charlestown Sharon

Justine Mccarthy, MD Barbara Dworezky, MD Valley Medical Group West Roxbury Florence Yelena Mikich, MD Lydia Siegel, MD, MPH Northampton Jamaica Plain Anne St Goar, MD Sarah Birss, MD Cambridge Concord Naomi Dworkin, MD Beverly Woo, MD Staff Psychiatrist, outpatient Brigham and Women's Hospital South Shore Mental Health Inc. Jamaica Plain Belmont

Erika Pabo, MD, MBA Carole Allen, MD Brigham and Women's Hospital Fellow Jamaica Plain American Academy of Pediatrics Arlington Rebeca Plank, MD Boston Erik Domingues, MD Shrewsbury

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Hannah Larsen, MD Resident Gordon Saperia, MD Emory University Hospital Wellesley Hills Allston Diane Savarese, MD Owen Kendall, MD Candidate Northborough Jamaica Plain Maureen Jonas, MD Margaret Wool staff physician Clinical Social Worker - Medical Educator Boston Children's Hospital Brown University Brookline Seekonk Judith Wagoner Rebecca Cunningham, MD Boston Faculty physician Brigham and Women's Hospital Dascha Weir, MD Boston Boston Children's Hospital Boston Diane Haddad, MD Candidate Boston University School of Medicine Bram Raphael, MD Boston Physician Boston Children's Hospital Carolyn Senger, MD Brookline Framingham Susanna Huh, MD, MPH Karen Wood, MD Boston Children's Hospital Boston Boston

Mark Ringiewicz, MD Pamela Doldt, BSN Rehoboth RN

Beth Israel Deaconness Medical Center Gail Gnatek, CRNP Dedham Amherst

Sharon Parkes, MS Carolyn Lavallee RN Worcester Beth Israel Deaconness Medical Center

Sagamore Beach Robert Lambe, MD

Urgent Care Physician Carol Pilgrim Compass Medical Group Cambridge Rehoboth

Maryjo Cosgrove, BSN Michael Fischer, MD RN Associate Professor of Medicine BIDMC Brigham and Women's Hospital/Harvard Hyannis Medical School

Chestnut Hill

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Ann Marie Van Hof, MSN Julie Crosson, MD Nurse Practitioner Dorchester House Clinic Beth Israel Deaconess Medical Center Waban Cambridge Tania Fatovich, MD Meenakshi Ganesh, MD Brookline Roxbury Crossing Anne Bassler, RN Belmont Mary Yenulevich, MSN Beth Israel Deaconess Medical Center Paula Bachner, RN Hudson Boston

Richard Grand, MD Gila Kriegel, MD Director Emeritus, Center for Assistant professor Inflammatory Bowel Disease Harvard Medical School Boston Children's Hospital Boston Boston Nikhil Pai, MD, BSc Stephanie Wall, MD Postdoctoral Fellow Retired from practice Harvard Medical School Cotuit Boston

Lorraine Bello, MD Mandy Belfort, MD Northampton Attending physician Boston Children's Hospital Elizabeth Hait, MD, MPH Boston Attending physician Boston Children's Hospital Caroline Alper, MD Needham Grafton

Candace Feldman, MD, MPH Nivedita Ghosh, MD Brigham and Women's Hospital Somerville Brookline Daniel Mallon, MD Laurie Fishman, MD Clinical Fellow, Pediatric Director of Medical Education, Attending Gastroenterology in Ped GI Boston Children's Hospital Boston Childrens Hospital Jamaica Plain Boston Carol DeLaney, BSN, MSN Amy Ship, MD Beth Israel Deaconess Medical Center Assistant Professor of Medicine Winchester Harvard Medical School Boston Katherine Sheffield, MD Brattleboro Primary Care Florence

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Amal Aqul, MD Anne Jennings, MD Fellow Boxford Boston Eric Fleegler, MD, MPH Renee McKinney, MD Needham Harvard Vanguard Medical Asssociates Roslindale Marguerite Basilico, MD Candidate Harvard Medical School Brian Bergmark, MD Cambridge Newton Center Anne Nicholson-Weller, MD Carla DuPont, Physician Assistant Harvard Medical School, Beth Israel Physician Assistant Deaconness Medical Center BIDMC Wellesley Arlington Audrey Wagner, MD Haleh Rokni Belmont Somerville Robert Brown, MD Deborah Frank, MD Clinical Chief, Nephrology Division Brookline Beth Israel Deaconess Medical Center Boston Brian Kroener, MD, MPH Tufts University School of Medicine Joseph Frolkis, MD, PhD Cambridge Director of Primary Care Brigham and Women's Hospital Bruce Kriegel, MD Brookline Sharon John Danziger, MD Candidate Aaron Bornstein, MD Harvard Medical School Lakeville Boston

Ciaran DellaFera, MD Candidate Martin Pollak, MD University of Massachusetts School of Chief of Nephrology Medicine Beth Israel Deaconess Medical Center and Cambridge Harvard Medical School Brookline Caitriona McGovern, MD Candidate Harvard Medical School Nicky Leung, MD Brookline Watertown

Katie Harris, MD Johanna Pallotta, MD Internist Associate Professor of Medicine at Dorchester House Neighborhood Health Harvard Medical School Center Beth Israel Deaconess Medical Center Mansfield Boston

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lisa Rosenfeld, BA, MPH Rima Fawaz, MD Harvard Medical School Boston Childrens Hospital Brookline Boston

Jessica Serino, BSN Warner Slack, MD clinical/ research nurse Professor of Medicine Boston Children's Hospital Harvard Medical School and Beth Israel Salem Deaconess Medical Center Auburndale Jennifer Lee, MD Physician, and Instructor of Medicine at Greeshma Shetty, MD Harvard Medical School Needham Heights Harvard Vanguard Medical Associates, Beth Israel Deaconess Medical Center Robert Cohen, MD, MSc Boston Director of Education; Nephrology Division Joyce Hansen Beth Israel Deaconess Medical Northampton Center/Harvard Medical School Boston Simon Helfgott Harvard Medical School Sarah Kimball, MD Boston Junior Resident Brigham and Women's Hospital/Harvard Judy Shih, MD PhD Vanguard Medical Associates Harvard Vanguard Medical Associates Cambridge Jamaica Plain Thomas Neely, MD Stephen Bliss, MD Attending physician Brookline Mass General Hospital Brookline Kevin Tabb, MD President and CEO Lisa Wong, MD Beth Israel Deaconess Medical Center Assistant Clinical Professor in Pediatrics, Waban Harvard Medical School Massachusetts General Hospital Jessica Hurst, MD Newton Boston Linda Vouros George Doherty Shutesbury North Weymouth Andrew Ellner, MD Lindsay Cole, MD, MBA Boston Boston Christine Pace, MD Leonel Rodriguez, MD Cambridge Weston

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Corrine Zarwan, MD John Gubatan, MD Candidate Lahey Clinic Harvard Medial School Burlington Boston

Dan Schwarz, MD, MPH Judith Pinsker, MD, MPH Jamaica Plain Wellesley Hills

Ryan Schwarz, MD, MBA Simone Ellis, MD Candidate Jamaica Plain Roxbury

Michele Barber Ankit Agarwal, BA Beverly Medical Student Boston University School of Medicine Michael Epstein, MD Boston Associate Professor of Pediatrics Harvard Medical School Diana Wasserman, MD Cambridge Lincoln

Joyce Fingeroth, MD Peter Olds, MD Candidate Associate Professor Harvard Medical Cambridge School Beth Israel Deaconness Medical Center Jay Khambhati, MD Candidate Newtonville Boston

K Costenbader, MD Bhavna Lall, MD, MPH Brigham and Women's Hospital, Harvard Hospitalist Medical School Massachusetts General Hospital Boston Brookline

Kathleen Smith, MSN Camille Gannam, MD Candidate Rhode Island College School of Nursing Harvard Medical School Framingham Brookline

Susan Dybowski Chantal Paul, BSN Boston RN clinical nurse Beth Israel Deaconness Medical Center Rebecca Karb, MD Candidate, PhD, Boston MSW Harvard Medical School Kathy Carr Roslindale Swampscott

Alana Nguyen, MD, PhD Ionita Ghiran, MD Medical Student Brighton Boston University Boston James Hudspeth, MD Cambridge

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Elizabeth Allocco, MD Candidate Adolf Karchmer, MD Boston University School of Medicine Professor of Medicine Boston Harvard Medical School Weston Ruby Chang, MD Berkshire Faculty Services/Macony Cara Darvish, BSN Pediatrics Nurse Manager Great Barrington Milton Hospital Rockland Aartik Sarma, MD Candidate Harvard Medical School Dea Angiolillo, MD Brookline hvma Lincoln Ben Grannan Cambridge Susan McDiarmid, PA-C Wilbraham Robert Reece, MD Retired Danielle O'Banion, MD Tufts Medical Center Tufts University at Cambridge Health North Falmouth Alliance Somerville Linda Vancol University of Massachusetts Boston Michael Soule, MD Dorchester Center Massachusetts General Hospital Cambridge Carol Lyon Beth Israel Deaconness Medical Center Kim Pritchard Foxboro Brigham and Women's Hospital North Billerica Morana Lasic, MD Wellesley Susannah Orzell, BS, MPH, MD Candidate David Ziehr, MD Candidate Boston Harvard Medical School Somerville Timothy Churchill, MD Brookline Nancy Torres-Finnerty, MD Attending Physician Batool Fatima Beth Israel Deaconess Medical Center Brighton Natick Sonja Rakowski, MD Reena Pande, MD Resident Brigham and Women's hospital Jamaica Plain Milton Jeffrey Goldbarg, MD Concord

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Melissa Bartick, MD, MSc Amber Lerma, MD Cambridge Somerville

Robert Steinberg, MD, PhD Karen Hacker, MD, MPH Anesthesiologist Sr. Medical Director Public and Mercy Medical Center, Springfield, MA Community Health Northampton Cambridge Health Alliance Newton Roberta Apfel, MD Jamaica Plain Alev Atalay, MD Brookline David Melzack, RN, NP Nurse Practitioner Ephat Russcol, MD Malden Primary Care Physician Jamaica Plain Sean Palfrey, MD Boston University, Harvard University Sandra Lobo, MD Cambridge Belmont

Monica Tague, BSN Ann LaCasce, MD Waltham Assistant Professor Needham Khin-Kyemon Aung, MD Candidate Cambridge Caroline Alper, MD Physician Advisor Lulu Tsao, MD Candidate University of Massachusetts Medical Harvard Medical School School Boston Shrewsbury

Shamini Mylvaganam, BS, MPH Aviva Lee-Parritz, MD Boston Boston University Newton Highlands Kitsa Catherine Kondylis-deBlois, MD Concord Karen Postal, PhD Andover Harry Selker, MD Dean, Tufts Clinical and Translational Kathy Majzoub, BSN, MBA Science Institute Boston Tufts University Wellesley Hills Ann Smith, MD Resident David Rosenthal, MD Brigham and Women's Hospital Resident Lexington Brigham and Women's Hospital Cambridge

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

David Hatem, MD University of Massachusetts Medical Laura Obbard, MD School Cambridge Health Alliance Worcester Cambridge

Ciaran DellaFera, BS, MD Mary Selker Greater Lawrence Family Health Center Wellesley Hills Cambridge Elizabeth Kass, MD Anne Fabiny, MD Fenway Community Health Center Chief of Geriatrics Brookline Cambridge Health Alliance Brookline Jill Goldman, MD Brigham and Women's Hospital Laura Koenigs, MD Chestnut Hill Director, Pediatric Residency Program Baystate Children's Hospital Amy Banks, MD Longmeadow Lexington

Ronald Mccaffrey, MD Harrison Farber, MD Boston Boston

Eric Alper, MD James Kolb, MD Grafton Internist Patricia Come, MD Lahey Clinic Newton Highlands Bedford

Richard Lerner, MD Richard Antonelli, MD, MS Worcester Sterling

Kathleen George Schapira, BSN Kai Qiu, MD Candidate Wellness Coach Harvard Medical School Taylor Associates Boston medfield Amanda Klein, MD Patricia Kavanagh, MD, MS Cambridge Health Alliance Assistant Professor Arlington Boston University School of Medicine/Boston Medical Center Mardge Cohen, MD Boston Rush Medical College Jamaica Plain Huma Farid, MD Boston Charles Homer, MD, MPH National Initiative for Childrens Health Lawrence Hartmann, MD Boston Cambridge

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rachel Ross, MD, PhD Richard Wolfe, MD Massachusetts General Hospital Chairman Boston Beth Israel Deaconess Medical Center Newton Upper Falls John Snyder, MD Baystate Children's Hospital Allison Reaves Springfield Tufts University School of Medicine Cambridge John Ross, MD Brigham and Women's Hospital Anne Rodman, BS, MSN Chestnut Hill Cambridge Health Alliance Lexington Kathleen Meyer, MD Baystate Medical Center Sarah Birss, MD Springfield Cambridge

Nadi Kaonga, MD Candidate Ravi Kavasery, MD Boston Brigham and Women's Hospital Cambridge Nira Pollock, MD, PhD Beth Israel Deaconess Medical Robin Travers, MD Center/Boston Children's Hospital Cambridge Brookline James Ledwith, MD, FAAFP Alex Graham, MD Candidate Residency Director Tufts Medical School University of Massachusetts Cambridge Franklin

Shona Gibson, MA, MSN Abraham Linn, MD Clinical Director Psychiatrist Commonwealth Care Alliance Carson Center for Adults & Families Arlington Amherst

Frederick Ruberg, MD Clifford Saper, MD Brookline Professor Harvard Medical School Ami Bhatt, MD, PhD Boston Brigham and Women's Hospital, Harvard Medical School DeWayne Pursley, MD, MPH Jamaica Plain Chief, Department of Neonatology Beth Israel Deaconess Medical Center Rebecca Lee, MD Candidate Boston Concord Hope Ricciotti, MD Meghan Baker, MD Beth Israel Deaconess Medical Center Chestnut Hill Brookline

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Munish Gupta, MD Dara Brodsky, MD Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center Brookline Boston

Celeste Royce, MD Mary Ann Stevenson, MD, PhD Jamaica Plain Chair Radiation Oncology Beth Israel Deaconess Medical Center Robert Stern, MD Boston Professor Harvard Medical School Isaac Benowitz, MD Brookline Massachusetts General Hospital Cambridge Kathryn McKenna, MD Northampton Patricia Bachiller, MD Harvard Medical School & Massachusetts Clinton Pong, MD General Hospital Cambridge Health Alliance Brookline Cambridge Edward Grom, MD Candidate Caroly Goldstein, MD Harvard Medical School Baystate Medical Center Boston Belchertown Somaletha Bhattacharya, MD,FFARCSI Mark Zeidel, MD Swampscott Chair, Department of Medicine Beth Israel Deaconess/Harvard Medical Audrey Provenzano, MD School Resident Physician Cambridge Brigham and Women's Hospital Jamaica Plain Christina Scirica, MD, MPH Massachusetts General Hospital Patricia Stoeck, MD Boston Dorchester

Seeta Badrinath, MD, MPH John Kulig, MD, MPH Boston Director, Adolescent Medicine Tufts Medical Center Michael Brown, MD, MS, MHCM Boston Harvard University Health Services Arlington Winthrop Churchill, MD Brigham and Women's Hospital George Maxted, MD Boston

Associate Program Director Kelly Wu, MD Tufts Family Medicine Residency Pediatric Chief Resident Malden Baystate Medical Center

Chicopee

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Remy Ngwanyam, MD Candidate Matthew Bartek, MD Candidate Roxbury University of Massachusetts Worcester Kathryn Wynne, BA, MD Massachusetts General Hospital Nicole Prudent, MD, MPH Cambridge Milton

Jane Stewart, MD Katharine Peterson, MPH, MD Academic faculty - clinician Candidate Beth Israel Deaconess medical Center and Mount Sinai School of Medicine Boston Children's Hospital Carlisle Lincoln Cassie Frank, MD, MPH Mary Montgomery, MD Staff Physician Senior Resident Cambridge Health Alliance Brigham and Women's Hospital, Harvard Cambridge Medical School Jamaica Plain Lisa Rivers, BSN, MSN Neonatal Nurse Practitioner Robert Rothstein, MD Beth Israel Deaconess Medical Center Attending Neonatologist Medfield Baystate Medical Center Springfield Nicholas DeStefino, MD Candidate Harvard Medical School Lindsey Grossman, MD Boston Chair, Department of Pediatrics Baystate Children's Hospital (Western Kateri McGuinness Campus of Tufts University School of Charlestown Medicine) Springfield Peter Rozman, MD Candidate Boston John Jainchilli, MD Dimock Center Andrea Fribush, MD Brookline Emerson Hospital, Concord, MA Lexington Jasmine Rana, MD Candidate Boston Grace Malvar, MD Candidate Brookline Charles Liu, MD Candidate Harvard Medical School Alexa Fleckenstein, MD Boston Brookline

Estherann Grace, MD Ezra Cohen, MD Boston Childrens Hospital Resident Needham Massachusetts General Hospital Brookline

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marcia Zuckerman, MD Leo Wang, MD Attending Psychiatrist Attending Physician Charlestown Dana-Farber/Children's Hospital Cancer Center, Boston, MA Megan Schultz, MD Brookline Massachusetts General Hospital Cambridge Ruth Brower Massachusetts Bay Community College Andrea Haffty Cambridge Boston Daniel Lindberg Danielle Carroll, MD Candidate West Roxbury Boston University School of Medicine Dorchester Monica Mendiola, MD Somerville Fiona Danaher, MD, MPH Cambridge Marianna Parker, MD Massachusetts General Hospital Talia Zenlea, MD Lexington Brookline Solmaz Manuel, MD Ian Zenlea, MD Cambridge Brookline Mithila Vullaganti, MD Molly Siegel, MD Candidate Assistant Professor Harvard Medical School Tufts University Medical Center Brookline Cambridge

Adam Berg, MD Neil Grossman, MD Jamaica Plain Professor University of Massachusetts School of Heather Burris, MD, MPH Medicine Beth Israel Deaconess Medical Center, Worcester Harvard Medical School Boston Peter Masiakos, MD Assistant Professor Jennifer Eaton Massachusetts General Hospital, Harvard Registered Nurse Medical School Brigham & Women's Hospital Sudbury Marblehead Mark Bauer, MD George Molina, MD Primary Care Doctor Brookline Harvard Medical School Waban

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Peter Newburger, MD Lucy Marcil, MD Candidate Professor Johns Hopkins University University of Massachusetts Medical Batimore School Worcester David Plotsky, MD Bethesda

MARYLAND Eunice Yu, MD

Ani Ramesh, MD Candidate Johns Hopkins Hospital Johns Hopkins University School of Baltimore Medicine Erin Reeve, MD Baltimore Baltimore Lia Losonczy, MD Johns Hopkins University Alicia Armstrong, MD Baltimore Chief, Clinical Services Program in Reproductive and Adult Endocrinology Lauren Graham National Institute of Child Health and Baltimore Human Development kensington Tiffany Powell, MD Silver Spring Rekha Rapaka, MD, PhD Dundalk Rebecca Greene, MD Candidate Johns Hopkins University Natalie Spicyn, MD, MHS Baltimore Johns Hopkins Hospital Baltimore James Steward, MD Mount Rainier Meghana Desale, MD Candidate Johns Hopkins University Christopher Cashman, MD Candidate Baltimore Johns Hopkins University School of Medicine Mia Yang, MD Baltimore Baltimore

Harvey Alter, MD Rachael Oxman, MD Chevy Chase Baltimore

Agnes Mwakingwe, MD Lindsay Fitch, MD Nottingham pediatrician primary care trenches Patrick Hemming Catonsville Johns Hopkins Bayview Baltimore Papia Sen, MD Baltimore

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jonathon Thorp, MD, MBA Allison Berry, MPH, MD Candidate Johns Hopkins Bayview Medical Center Baltimore Odenton Phillip Mote, MD Candidate Allison Brandt Baltimore Baltimore Juliana Macri, MD Candidate Elisabet Pujadas Baltimore Baltimore Andrew White, MD Candidate Peter Cohen, MD Johns Hopkins School of Medicine Medical Director Baltimore State Administration Rockville Kerry Shannon, MD/PhD Candidate Johns Hopkins School of Medicine Yishan Cheng, MD Candidate Baltimore Student Johns Hopkins School of Medicine Paul Esteso, MD Candidate Baltimore Johns Hopkins School of Medicine Baltimore Nikhilesh Ray-Mazumder, MD Candidate Michael Bushey, MD Candidate Medical Student Gwynn Oak Johns Hopkins School of Medicine Baltimore Daniel Giovinazzo, MD Candidate, MS Johns Hopkins School of Medicine Mark Sabbagh, MD Candidate Baltimore Johns Hopkins School of Medicine Baltimore Ambereen Mehta, MD, MPH Johns Hopkins Bayview Medical Center John Marshall, MD Candidate Columbia Baltimore Angela Zeng, MD Candidate Jonathan Mosser, MD Candidate Johns Hopkins School of Medicine Baltimore Baltimore

Brian Waldersen, MD Candidate Lisa Chen, MD Candidate Johns Hopkins School of Medicine Johns Hopkins School of Medicine Baltimore Baltimore

Dane Moran, MD Candidate Kelly Dauer, MD, BS Baltimore The Johns Hopkins Hospital College Park Nicky Mehtani, MD Candidate Baltimore

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jacob Sama, MD Candidate Marci Gleicher, MSN Johns Hopkins University School of Psychiatric Nurse Practitioner Medicine Veterans Affairs Baltimore Ellicott City

Anthony Orden, MD Matthew Molloy, MD Candidate Silver Spring Johns Hopkins University School of Medicine David Li, MD Candidate Baltimore Medical Student Johns Hopkins University School of Max Romano, MD Candidate Medicine Johns Hopkins University School of Baltimore Medicine Baltimore Janice Lazear, DNP University of Maryland Virginia Elesho, MD Reisterstown Upper Marlboro

Anthony Accurso, MD Mary Donnelly-Strozzo, DNP, MPH Baltimore Instructor Johns Hopkins University Toni Dorvitt Baltimore Greenbelt Lorrie Leigh, AA candidate Naomi Rios, MD Candidate Columbia Johns Hopkins School of Medicine Baltimore Andrew Halls, MD Candidate Johns Hopkins University School of Binh Nguyen, MD Medicine Franklin Square Hospital Center Baltimore Baltimore Julia Frank, MD Benjamin Kelemen, MD Candidate George Washington University Medical Student Silver Spring Johns Hopkins University School of Medicine Joshua Posen, MD Candidate Baltimore Johns Hopkins University School of Medicine Kathryn Miele, MD Candidate Baltimore Johns Hopkins University School of Medicine Samuel Enumah, MD Candidate Baltimore Johns Hopkins School of Medicine Baltimore Zaneb Beams, MD Ellicott City Ambika Lall, MD Silver Spring

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Michael Newman, MD Wuroh Timbo, MD Candidate George Washington University School of Johns Hopkins University School of Medicine Medicine Bethesda Baltimore

Amber Johnson, MD, MBA Nathan Cutler, MD Candidate Johns Hopkins Hospital Johns Hopkins University School of Baltimore Medicine Baltimore Nnaemeka Madubata, MD Howard University Hospital Anne-Marie Rick, MPH Riverdale Medical Student Johns Hopkins University School of Benjamin Northcutt, MD Medicine Baltimore Baltimore

Kevin Contrera, MD Candidate Ashok Ramachandra, MD Medical Student Baltimore Johns Hopkins University School of

Medicine Anand Narayan, MD Baltimore Johns Hopkins Hospital

Baltimore Erin Parry, MD, PhD Candidate

Johns Hopkins University School of Jan Skrok, MD Medicine Baltimore Elkridge

Christina Cinelli, MD Adrienne Shapiro, MPH, PhD, MD Baltimore Candidate

Johns Hopkins University School of Stephanie Van Dyke, MD Medicine MPH student Baltimore Johns Hopkins Bloomberg School of

Public Health Rachel Blair, MD Candidate

Johns Hopkins University School of Samuel Holzman, MD Medicine Johns Hopkins Bayview Baltimore Baltimore

Ashley Smith, MD Candidate Luke Higgins, MD PhD Johns Hopkins University School of Ellicott City Medicine

Baltimore Jesse Yang, MD Candidate

Baltimore Riaz Gillani, MD Candidate

Johns Hopkins University School of

Medicine

Baltimore

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Becky McKibben, MD Candidate Robert Hagan, MD, PhD Johns Hopkins University School of Postdoctoral Fellow Medicine Johns Hopkins Hospital Baltimore Baltimore

Laura Ellington, MD Candidate Kim Kelly, MD Johns Hopkins University School of Temple Hills Medicine Baltimore Tyler Mains, MD Candidate Johns Hopkins University School of Komal Patil-Sisodia, MD Medicine Assistant Professor of Clinical Medicine Baltimore University of Maryland Medical Center Ellicott City Stephanie McLaughlin, MD Candidate

Johns Hopkins University School of Mark Wilcox, MD Candidate Medicine Johns Hopkins University School of Baltimore Medicine

Baltimore Shiv Gaglani, MD Candidate Majid Cina, MD Baltimore Anne Arundel Medical Center Ellicott City Ian Hsu, MD Candidate Johns Hopkins University School of Daniel Felten, MD Medicine Chevy Chase Baltimore

Melissa Dattalo, MD, MPH Adi Rattner, MD Candidate Baltimore Johns Hopkins University School of Medicine John Stiller, MD Pikesville Director of Neurology Service St. Elizabeths Hospital Yasmin Zerhouni, MD Candidate Odenton Johns Hopkins University School of Medicine Nancy Briggs, MD, MS, MPH Baltimore California Antony Kironji, MD Candidate Che Harris, MD Baltimore Baltimore Vivian Wang, MD Candidate Janet Choi, MD Johns Hopkins University School of Baltimore Medicine

Baltimore Angela Ries, MD Director Palliative Care Services Upper Chesapeake Health Havre de Grace

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Martha Brucato, MD Candidate Janaki Paskaradevan, MD Candidate Johns Hopkins University School of Johns Hopkins University School of Medicine Medicine Baltimore Baltimore

James Aluri, MD Candidate Lakshmi Krishnan, MD Candidate Johns Hopkins University School of Johns Hopkins University School of Medicine Medicine Baltimore Baltimore

Jeffrey Ehmsen, MD Candidate, MSc Andrea Carnie, MD Candidate Baltimore University of Maryland Medical School Baltimore Jonathan Mosser, MD Candidate, MPH Johns Hopkins University School of Michael Landau, MD Candidate Medicine Baltimore Baltimore Alexander Skog, MD Candidate Nicole Jiam, MD Candidate University of Maryland School of Johns Hopkins University School of Medicine Medicine Baltimore Baltimore Andrea Thompson Pooja Singal, MD Candidate Baltimore Severna Park Anja Jones, MD Candidate Mary Roberts, BSN, MPH University Of Maryland School of Clinical nurse Medicine Johns Hopkins Bayview Medical Center Gwynn Oak Baltimore Amir Mohareb, MD Candidate John Marshall, MD Candidate Baltimore Baltimore Nicholas Risko, MD Candidate R Penn, MD University of Maryland School of Ellicott City Medicine Baltimore Orion Courtin, MHS University of Maryland School of Tanner Slayden, MD Candidate Medicine Baltimore Baltimore Debebe Theodros, MD Candidate Julia Thorn, MD Candidate Johns Hopkins University School of Baltimore Medicine Baltimore

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Erin Hayward, MD Candidate Johns Hopkins University School of Susan Logsdon Medicine Olney Baltimore Lee Gilman, BA, EMT-B Alan Shorofsky, MD Johns Hopkins University School of Towson Nursing Baltimore Ruel Michelin, MD Rockville Hind Al Saif, MD Silver Spring Ramona Seidel, MD Bay Crossing Family Medicine Shira Ziegler, MD Candidate Arnold Baltimore

Mel Stern, MD Ana Burgos, MD Highland Laurel

Brittany Kerkar, MD Melissa Clark, MD Attending Silver Spring Unity Health Care Bethesda Kevin Shannon, MD Food and Drug Administration Robert Lawrence, MD Hyattsville Professor Johns Hopkins Bloomberg School of Renaisa Anthony, MD, MPH Public Health George Washington University Baltimore Rockville

Kisha Davis, MD, MPH Nnaemeka Madubata, BS, MD Gaithersburg Riverdale

Stephen Hersh, MD Robert Sprinkle, MD, PhD Director Associate Professor The MICC University of Maryland School of Public Chevy Chase Policy College Park Stephen Hersh, MD Clinical Professor of Psychiatry Ross McMillan, MD Candidate Behavioral Sciences, and Pediatrics Baltimore George Washington University School of Medicine Ashan Veerakumar, MD Candidate Baltimore Jamie Harms, MD Maryland Primary Care Physicians Tzvi Robbins, MD Annapolis Ellicott City

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Allison Jackson, MD, MPH William Clark, MD Columbia Harvard Medical School Woolwich Susan Peterson, MD Baltimore Mary Lou Condon Registered Nurse Ann Parker, MD Portland Baltimore

Persis Hope Christian Anderson, BSN, MSN Litchfield Children's National Medical Center

Upper Marlboro Drew Travers Rana Malek, MD Wiscasset Assistant Professor University of Maryland Jeff Lovitz, MD Baltimore Fairfield

Kashif Munir, MD Lisa Letourneau, MD, MPH Ellicott City Executive Director Quality Counts Chris Perlmutter, MD Scarborough Baltimore Margaret Shepp, MD Aleksandra Smith, MD Candidate, MS Portland University of Maryland Silver Spring Paul Mazur, MD, MPH Staff physician Kailin Hsu, MD Candidate Waldo County Healthcare, Inc Bethesda Belfast

Aida Baens, MD

Fort Washington

MICHIGAN

Gilbert Omenn, MD, PhD MAINE Professor & Center Director

University of Michigan Richard Evans, MD Ann Arbor Bowdoinham

Jean Junior, MD Candidate Paul Mazur, MD Troy Belfast

Daniel Powers, MD Elizabeth Gibb, BSN, CEN West Olive RN Boston Medical Center Cape Neddick

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cary Bjork, MD Douglas Arenberg, MD Internist Associate Professor Marquette Internal Medicine and University of Michigan Pediatrics Associates, Marquette General Ann Arbor Hospital Marquette Veronica Downer, BSN University of Michigan Hospital Erawati Bawle, MD Ann Arbor Wayne State University Troy Lindsay Dykema, MD Ann Arbor Christine Veenstra, MD Lecturer Viktoriya Kagan, BSN University of Michigan RN Ann Arbor University of Michigan Ann Arbor Kalyani Raghavan, MD Bloomfield Hills Maria Samerson, MD Corinne Cohen, MD William Beaumont Hospital Marquette Detroit

Sarah Lacy, MD Shafiq Alam, MD Ann Arbor Bloomfield Hills

Kimberlydawn Wisdom, MD, MS Aaron DeWitt, MD SVP Community Health & Equity and University of Michigan, CS Mott Children's Chief Wellness Officer Hospital, Congenital Heart Center Henry Ford Health System Ann Arbor Detroit Rick Watnick, MD Mahendra Shah, MD Birmingham Troy Raphael Pristoop, MD Vamsi Kuchipudi, MD Ann Arbor Oak Park Vamsi Kuchipudi, MD Oak Park Jay Bhatt, MD Ann Arbor Mitchell Elkiss, DO West Bloomfield Janice Werbinski, MD Medical Director, Borgess Women's Emily Antoon, MD Candidate, MA Health Michigan State University College of Borgess Womens Health Human Medicine Portage Flint

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Larry Feldman, MD Nathan Bahr, MD Lakeside Chief Resident University of Minnesota Shashi Madan, MD Saint Paul Troy Jordan Marmet, BS, MD Shameem Menon, MD University of Minnesota Bloomfield Hills Hopkins

Allie Henderson, MD Sirri Nomo-ongolo, MD, PhD Ypsilanti St Anthony

Jacob Izenberg, MD Candidate Alan Peterson, MD Ann Arbor Essentia Health, Duluth, MN Duluth

MINNESOTA Amy Eastenson, MD Eden Prairie Jolanta Durski, MD Rochester Anita Wokhlu, MD Saint Paul Sanjeev Swami, MD Rochester John Lake, MD Professor Iris Borowsky, MD, PhD University of Minnesota University of Minnesota Minneapolis Hopkins Marjorie Hogan, BA, MD Heidi Coplin, MD Associate Professor of Pediatrics Minneapolis Saint Paul

Scott Oakman, MD Mark Hudson, MD Saint Paul Saint Paul

Andrew Thompson, MD Katie Willihnganz, MD Duluth Minneapolis Lisa Schimmenti, MD University of Minnesota Diana Cutts, MD Minneapolis Assistant Chief, Pediatrics Hennepin County Medical Center Barbara Reynolds Excelsior Saint Paul Drew Rosielle, MD Robert Carman, MD Minneapolis Minneapolis

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sam Miotke, MD, MS Akin Cil, MD University of Minnesota Associate Professor Minneapolis University of Kentucky Medical Center Lees Summit Deborah Thorp, MD Park Nicollet Clinic Deborah Hamilton Minneapolis Columbia

Michele Allen, MD Shamita Misra Minneapolis University of Missouri Columbia

Carin Reust, MD, MSPH University of Missouri at Columbia MISSOURI Columbia

Robert Blake, MD Robert Buffaloe, MD Columbia Assistant Professor University of Missouri Syed Ali, MD Candidate Harrisburg Student Medical University of the Americas April Tyus, MD Clinton Florissant

Emmanuel Venkatesan, MBBS Debabrata Ray, MD, MPH Assistant Professor of Clinical Medicine Gateway Regional Medical Center Washington University School of Chesterfield Medicine Ballwin Joseph R Simpson, MD, PhD Saint Louis Joseph Flaherty, MD Professor Jeffery Belden, MD Saint Louis University Associate Professor of Clinical Family Saint Louis Medicine University of Missouri Abbe Sudvarg, MD Columbia Associate Medical Director Family Care Health Centers Steven Zweig, MD Saint Louis Columbia Behfar Dianati, MD David Mehr, MD, MS Memorial Hospital Professor of Family and Community Saint Louis Medicine University of Missouri David Fleisher, MD Columbia Associate Columbia

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Aimee Moore, MD NORTH CAROLINA Saint Louis Viviana Martinez-Bianchi, MD Nancy Alyson Porter, MD Associate Program Director Saipan Duke Durham Stuart Higano, MD Missouri Baptist Medical Center Gary Greenberg, MD, MPH Chesterfield Free Clinic Medical Director Urban Ministries of Wake County Linda Shaw, MD, MSSW Durham Child Protection Team Saint Louis Stuart Levin, MD Raleigh Jeremy Garrett, MD Saint Louis University Eleanor Greene, MD, MPH Saint Louis Physician Director Triad Women's Center Jeremy Garrett, MD High Pont Associate Professor of Pediatrics Saint Louis University School of Medicine Gregory Narron, MD Saint Louis Fairview

Nirav Patel, MD Dawd siraj, MD, MPH Saint Louis East Carolina University Winterville

Jennifer Mullendore, MD, MSPH MISSISSIPPI Medical Director Buncombe County Department of Health Monica L. Northington, MD, MPH Asheville Ridgeland Leonard Cruz, MD Satish Pareek, MD Asheville Hernando Charles van der Horst, MD Persharon Dixon, MD, MBA Professor of Medicine Biloxi University of North Carolina at Chapel Hill Chapel Hill

MONTANA Melanie Maclennan, MD, MFA, MPH Asheville Jan Newman, MD, MA Medicine For Modern Man William Herring, MD Clinton Vilas

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

John Haresch, MD Susan DeLaney, ND Kitty Hawk The Wellness Alliance Chapel Hill John Johnston, MD, MPH Charlotte Marcelo Cerullo, MD Candidate Johns Hopkins School of Medicine Mollie Weaver, MD Cary Waynesville Asha Davis, MD Bill Wood, MD, MPH Adult and Child Psychiatrist Chapel Hill Winston Salem

Karl Fields, MD Lauren Carlisle, MD University of North Carolina Asheville greensboro

Roberta Kenney, RN Arnethia Patterson Okeechobee Correctional Facility Woodleaf Clarkton Cindy Brown, MD Sherry Dickstein, MD Asheville Retired Greensboro Yvonne Dixon Salisbury Gary H.S. Strauss, PhD Hillsborough Lorraine O'Conor, MD Department of Corrections Kelly Wood, MD Pittsboro General Pediatrician Private Practice Arlondra Weaver, PA Chapel Hill Physician Assistant Grace Medical Clinic Margaret Campbell, MD Charlotte Medical Director, Hospitalist Program Incompass Hospitalists, Anmed Hospital, David Tayloe, MD Anderson, SC Goldsboro Pediatrics Charlotte Goldsboro

Sandra Schorr, MD Jessica Saxe, MD Director PR Newborn Nursery Carolinas HealthCare System Park Ridge Hospital, Fletcher, NC Charlotte Hendersonville Susan Eder, MD Frederic Jones, MD Raleigh Metabolic Clinic-Diabetes Care Free Clinic of Transylvania County Paul Cook, MD Sapphire Professor of Medicine Greenville

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Alison Stuebe, MD Assistant Professor Ellen Blair, MD University of North Carolina School of Apex Medicine Chapel Hill Jamie Carter, MD Candidate UNC School of Medicine/ School of Public Cynthia Jamison, MD Health Charlotte Durham

Brian Eichner, MD Sara Sinal, MD Duke University Medical Center Winston Salem Durham Erika Lobe Kristin Rogentine Lee, PhD Mebane Charlotte Dawn Scaff Neeta Vora, MD Coinjock Chapel Hill Leslie Kammire, MD Nancy Weigle, MD Assistant Professor Duke University Hospital Wake Forest School of Medicine Durham Winston Salem

Ginny Dudek, RN, MPH Deborah Leiner, MD Veterans Administration Cone Health Durham, NC Greensboro

Douglas Lam, MD John Watts Haresch, MD, MA Pinehurst Kitty Hawk

Christopher Lin, MD Susan Spratt, MD Raleigh Duke Medical Center

Durham Marilyn Telen, MD Professor of Medicine Joyce Copeland, MD Duke University Assistant Professor Durham Duke Efland Melissa Thingvoll, MD Mission Childrens Hospital Ernest Andree, MD Candler Greensboro

Faith Crosby, MD Jonathan Flescher, MD Winston Salem Wake Internal Medicine Consultants Raleigh Daniel Neuspiel, MD Charlotte

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

NEBRASKA

Melanie MacLennan, MD, AAFP Khalid Bashir, MD Hudson Valley Health Group Creighton University Asheville Omaha

Roberta Blumberg Ted Mikuls, MD Raleigh Professor University of Nebraska Joy Dean, BSN Omaha Dade Community College Cornelius Jaydi Nora Cruz-Fernandez, MD Prague Victoria Lackey, MD Staff Physician Anna Maio, MD Carolinas Health Care Omaha Charlotte Matthew Bosley, MD Cedric Bright, MD University of Nebraska UNC School of Medicine Lincoln Durham Scott Vampola, ADN Phillip A. Clement III, MD Omaha Tarboro Chanda Bewtra, MD Awanya Caesar, BSN Creighton University School of Medicine Durham Omaha

Fiona Cook, MD Againdra Bewtra, MBBS, MD Greenville Professor Creighton University School of Medicine Bruce Brodie, MD Omaha Greensboro Michael Eppel, MD, FACG Lincoln Miriam Labbok, MD, MPH Professor Cathleen Steinegger, MD, MSc University of North Carolina Staff Physician, Assistant Professor Chapel Hill Lincoln

Tammie McMillan NEW HAMPSHIRE Raleigh Natasha Andelkovic-Rainovic, MD Nashua

Emily Zajano, MD Chester

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kristin Vaughan, DO Khatoon Ginwala, MD Physician Attending physician CORE Physicians, Exeter Hospital Virtua Memorial Hospital. Exeter Moorestown

Kabir Mody, MS, MD Barbara Snyder, MD Dartmouth-Hitchcock Medical Center Faculty West Lebanon UMDNJ Belle Mead Dan Croft, MD MPH Lebanon Frank C Snope, BS, MD Medford Jason Rafferty, MD Greenland Saba Aftab, MD Cherry Hill Clyde Newton, MA, MD Spofford VikramSikand Sikand, MD Emergency Medicine Richard Baughman, MD Hoboken Medical Center Professor of Surgery Weehawken Geisel School of Medicine at Dartmouth Etna Jennifer Fasciano, MD, MPH Lebanon Susan Porter, MD Core Physicians Jill Mortensen, DO Exeter Millville

Elizabeth Twombly, BA,BSN Alexandra Forman-Chou, MD Exeter Private Practice Maplewood Richard Nelson, MD Concord Suzanne Newman, MD Summit NEW JERSEY

Beth Mil, BSN, MSN Peter Gliatto, MD Director Jersey City Capital Health Manpreet Sidhu, MD Pennington Jersey City Jesse Cohen, MD Candidate Mary Previty, DO Cherry Hill Retired Physician Micki Timmins, RN, BSN Haddonfield Trenton

Leah Alexander, MD Timothy O'Donnell, DO Fairview Lincoln Park

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Linda Wood, RN Margaret Chybinski, BSN Director Renal Dialysis Services Registered Nurse Capital Health Regional Medical Center Capital Health Regional Medical Center Trenton Trenton

Diane Spath, MSN Cynthia DeLago, MD, MPH Horizon Blue Cross Blue Shield Associate Professor of Pediatrics Edison Albert Einstein Medical Center Moorestown David Adinaro, MD Physician Nishanth Sidduri, MD Candidate Florham Park UMDNJ Jersey City Barnet Eskin, MD Attending Physician Merrian Bianculli Morristown Medical Center Ramsey West Orange Rachel Popick, RN, ACNP, MPH Uzoma Owunna, MD Nurse Practitoner Partner Englishtown OB/GYN Group of East Brunswick Monroe Township Patricia Applestein, AAS Staff Nurse Anoop Wattamwar, MD, BA Capital Health Attending Physician Trenton Cliffside Park Urvish Patel, MD Candidate David Brown, MD Berlin South Orange Om Lala, MD, MBA, MPH Dawn Topper Franklin Lakes Sicklerville Glenn Mannheim Sumra Ahmed, MD Candidate Princeton Junction Robert Wood Johnson Medical School Pennington Noaa Shimoni, MD Ridgewood

Martin Finkel, MD Laura Schafer, MD Professor Princeton UMDNJ School of Medicine Cherry Hill Kamalakar Peri, MD Children's Hospital of New Jersey Akhtar Ehtisham, MD Edison South Plainfield Rubeen Israni, MD, MSCE Mickleton

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Padma Kurra, MD Fair Lawn Nathalie Jean-Noel, MD Candidate Asbury Park David Brown, MS, MD Newark Beth Israel Medical Center Donald Skog, MD South Orange Cresskill

Meg Kawan, MD, MPH Beryl Skog Linwood Cresskill

Helen Aguila, MD James Pruden, MD Director Pediatric Pulmonology and Teaneck Asthma Center UMDNJ Amanda Norwich, MD Candidate Newark Morris Plains

Matthew Ortman, MD Beatriz Arpayouglou, MD Moorestown UMDNJ-UH Cliffside Park Stefanie Davidson, MD Children's hospital of Philadelphia Ling Yu Shih Haddonfield Summit

Betty Chung, MD Candidate Richard Pierson, MD Cherry Hill Director, Nutrition Research Center St. Luke's Hospital, NYC Joshua Brown, MD Candidate Englewood Teaneck Ashraf Khan, MD, MPH, MBA Ami Kavi, MD Candidate Lourdes Health System, New Jersey North Brunswick Monmouth Junction

Benjamin Dorfman, MD Candidate Manuel Moquete, MD Lebanon Waldwick Catherine Stanford, MD Michael Williams, MD Highland Park Assistant Professor Thomas Jefferson University Lauraine Donohue Moorestown Teaneck

Sonal Patel, MD Linda Gochfeld, MD Moorestown Princeton

Marcel Castor, MD Candidate Silvia Blaustein, MD UMDNJ St Joseph's Children's Hospital South Orange Paterson

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kathy Sharp, MSN Obinna Anosike Children's Hospital of Philadelphia Piscataway Mays Landing Andrew Butler Lauren Ordile, BSN Cherry Hill Childrens Hopsital of Philadelphia Blackwood Veronica Demtchouk, MD Candidate Yale University School of Medicine Katherine Baranowski, MD Somerset

Assistant Professor Alejandro Arpayoglou, MD UMDNJ Retired Physician Roseland Cliffside Park

Jim Oleske, MD Jerry Guzik, MD Department of Pediatrics Mahwah UMDNJ Newark Geraldine Gomez, MD West Orange Jennifer Greene, MD Wayne Colleen Turek, MD Candidate Milltown Carol Singer-Granick, MD Livingston NEW MEXICO Pauline Thomas, MD Newark Emily Rothman, MD Albuquerque Nick Costa Madison Sandra Penn, MD Albuquerque Barry Dashefsky, MD Professor of Pediatrics Laura Morales, PA-C, MPH University of Medicine and Dentistry of Peace Corps Medical Officer New Jersey-New Jersey Medical School Peace Corps Albuquerque, NM Newark

Susan Kamerling, BSN, MSN Mark Unverzagt, MD Family Care Specialist, Perioperative Albuquerque Services The Children's Hospital of Philadelphia Colin McCreight, MD Haddonfield Staff Physician Indian Health Service Raj Verma Shiprock Children's Hospital of Philadelphia Voorhees Peter Barnett, MD, MPH Univ of New Mexico Corrales

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Robert Khanlian, MD NEVADA Corrales Mike Irwin, MD William Seiffert, MD, MD Reno Physician Mountain View Regional Medical Center Inna Zdorovyak, MD Las Cruces Attending Physician Southwest Medical Associates Nirali Bora, MD Las Vegas Shiprock James Lenhart, MD Diane Bogan, ADN Family Physician Rio Rancho Las Vegas

K Burke, MD Stephen Norris, MD Las Cruces Henderson

Ellen Raimer, MD Albuquerque NEW YORK

Donna Kwilosz, MD Matt Alexander, MD Corrales Columbia University New York Betsy Brown, MD, MA Physician, Investigator Frederick Lambert, MD, MPH, FAAFP Southwest CARE Center Wyckoff Heights Medical Center Santa Fe Brooklyn

Elizabeth Burpee, MD Nina Agrawal, MD Hospitalist New York Albuquerque Mushtaq Sheikh, MD Guy Dicharry, BSN, JD Attending Physician, St Joseph's Hospital, Staff Nurse Elmira, NY Presbyterian Hospital - Albuquerque NM Elmira Los Lunas Denice Park, Psy D. Elisabeth Dicharry, BSN, MSN New York Los Lunas Cathleen London, MD Jennifer Anderson, MD Assistant Professor Albuquerque Weill Cornell Medical Center New York

Yu Chen, MD, PhD Memorial Sloan Kettering Cancer Center New York

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jerome Lowenstein, MD Karen Rosewater, MD, MPH NYU Medical Center Physician New York Mount Sinai Medical Center New York Robert Pincus, MD New York Melanie Jay, MD Brooklyn Jean Naples, MD, PhD West Haverstraw Melissa Dhundale, MD Ithaca Dana Sarvey, MD Lenox Hill Hospital Marco Perez, MD Candidate New York Latin American School of Medicine

Forest Hills Clarisa Atencio, MD

New York Sumintra Wood, MD Candidate George Ruta, MD New York Eagle Bridge Robert Lerner, MD Pat Lento, MD Professor of Medicine Physician New York Medical College Hartsdale Valhalla

Nitin Roper Benjamin Geisler, MD, MPH UConn Medical School Resident New York NYU Langone Medical Center New York Judith Simmons, MD Navigant Consulting, Inc Ketan Patel, MD Hastings on Hudson Attending Physician Long Island College Hospital Judith Simmons New York Principal Lion Head Advisors Emily Shuman, MD Hastings on Hudson Instructor in Medicine Weill Cornell Medical College Joseph Prezio, MD New York Medical Consultant Industrial Medicine Associates Shuchin Shukla, MD, MPH Troy Bronx

Richard White, MD, PhD Mary OBrien, MD Assistant Professor Memorial Sloan Kettering Cancer Center & Weill Cornell Medical College Kathi Garner, MD New York Brooklyn

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lesley Stephens Hanes, MD, MSc Nicole Elitch Jacobi Medical Center New York New York Ronald Scheff, MD Sharon Quayle, MD Assistant Professor of Clinical Medicine Nyack Hospital Weill Medical College of Cornell Nyack University/NY Presbyterian Hospital New York Tatyana Zigaldo, MD Warwick Faye Reiff-Pasarew, MD New York Laura McGarry, MD Bronx Temitope Awosogba, MD Candidate, MPH Jessica Brown, MD Mount Sinai School of Medicine New York Brooklyn Kathleen Grimm, MD, MHSc Paula Young, MD Buffalo Private Practice East Meadow Harriet Harris, MD NYU Medical Center Julia Smith, MD, PhD New York New York Joshua Oppenheimer, MD Candidate Muhammad Toor, MD Mount Sinai School of Medicine Physician New York VA Hospital New York Maxwell Mathias, MD Candidate New York Barbara Sax, MD Brooklyn David Chou, MD Candidate Columbia University College of Physicians Adele Allen, MD and Surgeons Brooklyn New York

Anne Ehrlich, MD Alexander Lloyd, MD Candidate Childrens Hospital of Buffalo New York North Collins Chloe Ciccariello, MD Candidate Stuart Selkin, MD, JD New York Melville Hannah Oakland, MD Candidate Liz Jenny, MD Mount Sinai School of Medicine Attending New York New York

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Earl Smith, MD, PhD Daniel O'Connell, MD, MPH Attending Physician Faculty Mount Sinai School of Medicine Montefiore Medical Center Long Island City Yonkers

Rebekah Diamond, MD Candidate Jean Emond, MD New York Professor Columbia university Susan Lee, MD New York Stony Brook Hospital Huntington Station Uma Tadepalli, MD Candidate New York Zachary Ginsberg, MD, MPP Manhasset Steven Scofield, MD Rochester Jacob Flaitz, BSN, BA RN Yonhee Cha, MD Rochester Attending William F Ryan Community Health Center Shabbir Hossain New York Assistant Professor of Clinical Medicine Stony Brook School of Medicine Chanele Burgun, MD East Setauket Liverpool

Robert Brown, MD, MPH Vincent Leonti, MD Professor of Medicine Apalachin Columbia University New York Anubhav Kaul, MD New York Sheryl Brustein, MD Rockville Centre Challon Perry, MD New York Manisha Sharma, MD Bronx Brett Robbins, MD Rochester Diana Ramirez, MD Bronx Jack Levine Great Neck Paul Gross, MD Assistant Professor Kelly Smith Albert Einstein College of Medicine New York New Rochelle Shalabh Bobra, MD Marcus Pereira, MD Armonk Brooklyn Jenny Blumberg, MD Port Jefferson Station

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Andrea Littleton, MD Ferdous Zannat, MD Associate Professor Clinical Medicine Albert Einstein College of Medicine Montefiore Medical Center/Albert Bronx Einstein College of Medicine Mount Vernon Frank Diaz, MD Candidate, PhD Albert Einstein College of Medicine Mary Monopoli, BA, ADN Bronx Vestal Nicholas Iverson, MD Candidate Samantha Schneider, MD Candidate Albert Einstein College of Medicine Albert Einstein College of Medicine Bronx Bronx Ethan Balgley Jacquelyn Gold, MD Candidate Health Outreach Worker Albert Einstein College of Medicine Project Renewal, Inc. Bronx New York

Debbie Rybak, MD Candidate Emily Harrison, MD Candidate Albert Einstein College of Medicine Bronx Bronx Sarah Milburn, MD Candidate Kristopher Huston, MD Candidate Albert Einstein College of Medicine Albert Einstein College of Medicine Brooklyn Bronx Aaron Ciner, MD Candidate Vjiay Kotecha, MD Candidate Bronx Albert Einstein College of Medicine Bronx Shermin Ashraf, MD Glen Oaks Leah Taffel, MD Candidate Albert Einstein College of Medicine Angelica Angiulli, MD Candidate New York New York

Tiffany Yeh, MD Candidate David Furfaro, MD Candidate Bronx Harvard Medical Student Chappaqua Kari Plewniak Bronx Matthew Kline, MD Candidate Bronx Victoria Shakhin Albert Einstein College of Medicine Lisa Baron, MD Bronx Montefiore Medical Center Bronx Enrico Caiola, MD Associate Professor Cassandra Jonaitis University of Rochester Rocky Point Webster

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Wendy Chavkin, MD, MPH Marilyn Miller, MSN, BS Columbia University Family Nurse Practitioner New York Hudson Medical Care, Hudson, NY Ghent Marc Manseau, MD, MPH NYU School of Medicine Brittany Tyrrell Brooklyn Hartwick College Gloversville John Bent, MD Montefiore Medical Center Robert Abramson, DDS, MD Bronx East Hampton Abraham Young, MD Julia Smith, MD, PhD SUNY Downstate NYU Medical Center Brooklyn New York Pamela Saenger, MD Candidate Sameer Patel, MD New York Columbia University New York Deborah Hamm, MD John Doan, MD Clinical Assistant Professor Brooklyn Columbia University Medical Center New York Clenton Coleman, MD Lenox Hill Hospital Robert Saxe, MD New York Brooklyn

Elena Ivanina, DO Maria Capparielli, MD Maimonides Medical Center New Rochelle Brooklyn Karen Warman Eric Waffner, MD Ny Buffalo Medical Group Buffalo George Ruta, MD Troy Bonnie Kaufman, MD Associate Clinical Professor of Psychiatry Seth Goldbarg, MD Columbia University College of Physicians Assistant Professor and Surgeons Weill Cornell Medical College New York New York

John David, MD Craig Blinderman, MD, MA Professor Emeritus Director, Adult Palliative Medicine Harvard School of Public Health Columbia University Medical Center New York New York

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Adrian K, MD Susan Stewart, MD Brooklyn Brooklyn

John Mitchell, MD Ann Packard, MD Candidate New York New York

Monwara Hassan, MD Jude Fleming, MD Candidate Briarcliff Manor Warren Alpert Medical School of Brown University Michael Cooper, MD Candidate New Windsor Albert Einstein College of Medicine New York Eli Miller, MD Candidate Albert Einstein College of Medicine Peter Bhandari Bronx Woodbury Victoria Chen, MD Maki Sato, MD Brooklyn Montefiore Medical Center Bronx John Rhee, MD Candidate New York Angela Arbach, MD Candidate New York Nadia Goodwin-Browne, MD Bronx Harold Appel, MD Doctors Council SEIU Peter Klatsky, MD, MPH New York New York

Roona Ray, MD, MPH Celine Goetz, MD Bronx New York-Presbyterian Weill Cornell Medical Center Susan Vierczhalek, MD New York Croton on Hudson Hannah Rosenblum, MD Candidate Zaida De Jesus Bronx Medical Administrative Assistant Lawrence Ron-Li Liaw, MD New York Susan Bonadonna, MD Attending Physician Jenny Walker, MD, MPH Montefiore Medical Center New York Larchmont Lois Isaksen, MD Sara Beth Karp, MD NYU Langone Medicial Center Beth Israel Family Medicine Residency Brooklyn New York Sayone Thihalolipavan, MD, MPH New York

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marc H Lavietes, MD Ashfaque Hossain, MD New Jersey Medical School Jamaica New York Philip Heinegg, MD Jaishree Capoor, MD Larchmont

New York Adena Leder, DO

Margo Benjamin, MD Port Washington

Hartsdale Melissa Stein, MD

Bronx Lawson Moyer New york Presbyterian Melissa Stein, MD New York Medical Director, Port Morris Wellness Center Elizabeth Reed, MD, MPH Albert Einstein College of Medicine Bronx New York

Martha Anne Moore Kathryn Scharbach, MD Merrick New York

Hetu Parekh, MD Karen Becker, MD, MPH Attending attending physician Lutheran healthcare Montefiore Medical Center Brooklyn New York

Mary Daye, MD Joan Harvey, PhD Liverpool private practice New Rochelle Lila Kalinich, MD Columbia University Naomi Dreisinger, MD New York New Rochelle

Emma Ruderman, MD Candidate Ellen Landsberger, MD Bronx Albert Einstein College of Medicine Bronx

Kathleen Leonardo, MSN Ellen Landsberger, MD Nurse Practitioner Montefiore Medical Center Bassett Healthcare New York Cooperstown Alon Leibovitz, MD Bharath Reddy, BS, MD New Hyde Park Methodist Hospital, Brooklyn Brooklyn Gabrielle Silver, MD New York Jonathan Marsh, MD New Hyde Park Christina Vallejo, MD New York

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Elizabeth Alderman, MD Gale Burstein, MD, MPH Professor of Clinical Pediatrics University at Buffalo Pediatrics Associates Albert Einstein College of Medicine Buffalo Bronx Shari Midoneck, MD Deborah Saunders, MD New York Rockville Centre Mary Vernov, MD Nina Baumstein New York Stony Brook David Herszenson, MD Kathy Economos, MD New York Director, Division New York Methodist Hospital Gregory Salzler, MD Brooklyn Resident New York Rachelle Brilliant, DO Waterford Saima Rashid, BA, MD New York Sydney Rose, MD Candidate New York Timothy Judson, MD, MPH New York Elisabeth Kramer, MD Mount Sinai Medical Center Tanya Fatimi, MD New York New York

Michael Griesinger, MD Candidate Diane Meir, MD Weill Cornell Medical College New York New York Julian Mitton, MD Candidate Taylor White, MD, MFA Stony Brook University School of The Mount Sinai Medical Center Medicine New York New York

Angela Li, MD Candidate Mara Saideman, MD Weill Cornell Medical School New York New York Zane Zane, MD Larry Wineland, MD Candidate Beth Israel Medical Center Brooklyn New York

Yoanna Pumpalova, MD Candidate Kathryn Markakis, MD Weill Cornell Medical College Associate Professor New York University of Rochester School of Medicine and Dentistry Catherine Birndorf, MD Rochester New York

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Joshua Motelow, MPhil, MD/PhD Charles Shapiro, MD Candidate Stater University Medical Center James Yale School of Medicine Cancer Hospital New York Columbus

Donna LaMonica, MD Arthur Lavin New York Shaker Hts

Smeeta Verma, MD Richard Ransohoff, MD Albertson Cleveland

Cheryl Weinstein, MD Maxime Kinet, MD Candidate Assistant Clinical Professor of Medicine Weill Cornell Medical College Case Western Reserve University- New York MetroHealth Medical Center

Beachwood Nikki Timko, MD

Attending Physician Constance Magoulias, MD New York MetroHealth

Cleveland Betsy Pfeffer, MD Columbia University Medical Center Emily Antoon, MD New York Dayton

Julie Jaffray, MD Uma Ananth, MD Fellow President, Managing Partner Memorial Sloan Kettering Cancer Center Comprehensive Women's Care New York Columbus

Kar-mun Woo, MD Robert Mulcahy, MD Beth Israel Medical Center Physician New York Painesville

Patricia Kellner, MD OHIO Site Medical Director University Hospitals Medical Practices Michael Cullen, MD University Heights Troy Roxanne Sukol, MD, MS Eleanor Gottesman, MD, MPA Medical Director Cleveland Cleveland Clinic Cleveland B Mark Hess, MD Medical Director Shaili Desai, MD Health Partners Free Clinic West Chester

Troy Craig Brenner, MD

Akron

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Helen Pelecanos, MD, MPH VA Medical Center Gary Youra, BA, MD Cleveland Dayton

Anne Wise, MD, MPH Wendy Jorgensen, PhD Federally-Qualified Health Center Maxim Home Health Care physician Columbus Neighborhood Family Practice Cleveland Shelley Thiebeau Tipp City Karen Parker, MD, PhD Cleveland Carl Doershuk, MD Willoughby Karl Hess, MD Shaker Heights Clara Bloomfield, MD Linda Yazvac, MD Distinguished University Professor Worthington The Ohio State University Delaware Carl Hyde, BS, MD Family Physician, Yellow Springs Nicholas Yeager, MD Yellow Springs Assistant Professor of Pediatrics Nationwide Children's Hospital Will Sawyer, MD Newark Cincinnati Shahriar Irani James MacDonald, MD Ohio State College of Medicine Assistant Professor of Medicine Columbus Ohio State University/Nationwide Children's Hospital Reena Mehra, MD, MS Columbus Associate Professor of Medicine Case Western Reserve University Chris Repetsky, MD Candidate Cleveland Northfield Arvind Suguness, MD Candidate Bindu Sehgal, MD Wright State University Boonshoft School Westlake of Medicine Yellow Springs Robert Ruberg, MD Emeritus Professor Calen Frolkis, MD Candidate Ohio State University College of Medicine Research Fellow Columbus University Hospitals, Case Medical Center Cleveland Heights Steve Cochran, MD Community physician Soumya Janardan, MD University Hospitals of Cleveland Cincinnati Akron

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Joy Marshall, MD St Vincent Charity Medical Center Brian Kirkland, MD Cleveland Gates Mills

Kenneth Adler, MD John Carl, MD Sylvania Cleveland

Natasha Mehta, MD Candidate Roxanne B Sukol, MD, MS Dayton Cleveland Clinic Pepper Pike Melissa Perrino, MD Candidate Dayton James Misak, MD Cleveland Eric Schreiber, MD Staff Radiologist Jason Chao, MD Cleveland Clinic Professor Cleveland Case Western Reserve University / University Hospitals Case Medical Center Barbara Gripshover, MD Cleveland Associate Professor of Medicine Case Western Reserve University Mark Rood, MD Cleveland Chagrin Falls

William Carey, MD Teresa Kammerman, MD Staff Physician Beachwood Cleveland Clinic Cleveland Gary Davis, DO Willoughby Jennifer Furin, MD Cleveland Chantal Dothey, MD Neonatologist Michael Lederman, MD MetroHealth Medical Center Professor Cleveland Cleveland Mark Feingold, MD Tom Abelson, MD Associate Professor Physician Case Western Reserve University Beachwood Cleveland

Cheryl Weinstein, MD Antonnette Graham, BSN, MSW, PhD Attending Physicians Beachwood MetroHealth Medical Center Beachwood Patricia Sommer Novelty Patricia Blochowiak, MD East Cleveland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Robert Needlman, MD Patrick Enders, MD Professor of Pediatrics Private Practice Case Western Reserve University School Cleveland of Medicine Cleveland Donald Nguyen, MD Medical Director Brooke Wolf Dayton Medical Director North Coast Mental Health Associates Belinda Brown, DNP Beachwood Nurse Practitioner Care Alliance Health Center Alison Norris, MD Cleveland Assistant professor Ohio State University Sasigarn Bowden, MD Columbus Associate Professor Nationwide Children's Hospital Louise Acheson, MD, MS Pickerington Professor Case Western Reserve University Brian Bowden, MD Cleveland Nationwide Children's Hospital Pickerington Adrian Schnall, MD Cleveland Juan Sotos, MD Professor Vanshipal Puri, MD The Ohio State University Cincinnati Columbus

Ann Reichsman, MD Sally Boales Medical Director Manager Neighborhood Family Practice West Jefferson Cleveland Chris Gillespie, MD Lisa Navracruz, MD, FAAFP MetroHealth Cleveland Bay Village

Bruce Kinley Pedro Ballester, MD Cleveland Warren

Peter Taylor, BA, MBA, MN Richard Smith, MD Case Western Reserve University Dayton Cleveland Christina Stehouwer, PA-C, MPH Alan Cadesky, MD Physician Assistant Chagrin Falls Care Alliance Health Center, Cleveland Ohio Yuri Shindo, MD Candidate Cleveland Cleveland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cecilia Rivera-Amisola, MD Andrea Pollock, BSN Attending Physician/Assistant Professor Diabetes Educator Dayton Children's Medical Center Nationwide Children's Hospital Dayton Columbus

Kim Osborne, MSN Susan Kuschnir, MD, BA Nationwide Children's Hospital Child, Adolescent, and Adult Psychiatrist New Albany Children's Diagnostic Center, Hamilton Cincinnati Sybil Marsh, MA, MD Associate Professor of Family Medicine William Katzin, MD, PhD Cleveland Laboratory Medical Director AmeriPath-Cleveland June Peng, MD Cleveland Heights Cleveland Colleen McCormick, MD Howard Levine, MD Dayton Cleveland Charles Biscotti, MD Allison Macerollo, MD brecksville The Ohio State Medical Center Columbus Shiro Tanaka, MD Cincinnati Sree Satyapriya, MD Cleveland Hermelino Tolentino, MD Cleveland Marvin Rubin, DPM Public Policy Chair Gideon Adegbile, MD Ohio Public Health Association Springboro Toledo Jill Schellhase, MD Jason Chao, MD Lancaster University Hospitals Case Medical Center Cleveland Ayo Ogunduyile Drew Health Center Kandamurugu Manickam, MD Dayton Assistant Professor Nationwide Children's Hospital Marcia Silver, MD Columbus Associate Professor of Medicine Case Western Reserve University Danielle Johnson, MD Beachwood Cincinnati Jacqueline Miller, MD Judith Feinberg, MD Cleveland Cincinnati

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Daniel W van Heeckeren, MD Case Medical Center Barbara J Fleming, MD, MD Gates Mills Retired Associate Professor of Medicine Case Western Reserve School of Medicine Chad Deal, MD Beachwood Beachwood Mark Binstock, MD Javier Galvez, MD Chagrin Falls Cleveland Nicolas Peters, MD Arthur Rosenbaum, MD Cleveland Interim clinical director Cleveland Carla Oday, MD Rocky River James Arnold, MD University Hospitals of Cleveland Harry Pollock, MTS, MD Cleveland MetroHealth Cleveland Gilbert Lowenthal, MD, MBA Staff physician Thomas Hirt, MD Cleveland Clinic Beavercreek Cleveland Abbigail Chandler, MD Norman Clemens, MD Oregon Health & Science University Emeritus Professor Hudson Case Western Reserve University School of Medicine Judith Haas, MD Cleveland Beachwood

Sagarika Nayak, MD C Keck, MD, MPH University Hospitals of Cleveland Northeast Ohio Medical University Westlake Akron

Eric Yasinow, MD Richard MD, MD, PhD Medical Director, Risk Management Cleveland Clinic UHMP Cleveland University Hospitals of Cleveland Beachwood Emily Albert, MD Columbus Tom Lassar, MD Beachwood Linda Smith, MPH Private Practice Peter DeGolia, MD Dayton Family Physician - Geriatrician, Palliative Care Physician Amy McKenney, MD Case Medical Center Beachwood Cleveland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Linda Antoon, BSN Charles Goodwin, BS, MD Dayton Staff Surgeon Dayton Children's Medical Center Denton Wyse, MD Dayton Cleveland Elizabeth Wilson, MEd Marla Milsted, BSN, RN Retired Teacher Ohio State University Medical Center springfield Westerville Nathan Beachy, MD Valerie Little Beachwood Dayton Jeffrey Christian, MD Carmel Flores, MD Dayton Children's Medical Center Dayton Dayton

Jeanette Robinson, MPH, PhD Sangeeta Agrawal, MD Dayton Dayton

Ira Levinsky, DDS Michael Raddock, MD Beachwood Cleveland

David Hutt, BA, MD

Jill Huppert, MD Associate Professor Gynecology and Pediatrics Cincinnnati Children's Hospital Medical OKLAHOMA Center Cincinnati Jane Anderson Oklahoma City Matthew Chandler, MD Hudson Michael Gebetsberger, BA, MD Private practice Robert Simmons, DO Southcrest Medical Group Retired Emergency Physician Tulsa Wayne Memorial Hospital Katherine Scheirman, MD Meredith Weinstein, MD Edmond Case Western reserve University Beachwood Desiree Rahman, MD oklahoma city Marvin Miller, MD Professor of Pediatrics Boyd Shook, MD Wright State University Bethany Dayton

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

John Schumann, MD Cassondra Richard, BSN Program Director & Associate Professor Ohio State University of Medicine Mulino University of Oklahoma School of Community Medicine, Tulsa Joe Hardman Tulsa Portland

Cynthia McCoy, MD Judith Wible, MD Urgent Care Doctor Eugene MedNow Urgent Care Jennifer Larson, MD Tulsa Hood River

Marianne Bacharach, MD Antonio Germann, MD MPH Oklahoma City Silverton

Debbie Rice, BSN Daniel Paulson, MD Mustang Physician Springfield Family Physicians Springfield

OREGON Kae Bates Newport Katherine Zieman, ND Physician Elizabeth Super Private Practice Portland Corbett Evan Saulino, MD Honora Englander, MD Portland Assistant Professor of Medicine Oregon Health & Science University Danean Peters, BSN Portland Community Health Nurse County Lalena Yarris, MD, MCR Beaverton Residency Director Oregon Health & Science University Bonnie Reagan, MD, MAT, ADN Portland Portland

Jonathan Yarris, MD Colin Newbill, MD Emergency Department Director Resident Willamette Falls Hospital Oregon Health and Science University Portland Portland

Craig Stephens, MD Michelle Taube, MD Portland Oregon Medical Group Eugene

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Margaret McComb Thu Pham, MD Candidate Adjunct Clinical Faculty Oregon Health & Science University University of Portland, School of Nursing Portland Portland Suzanne Doleac, MD Candidate Jan Corwin, BA, DC Oregon Health & Science University Corbett Portland

Michele Barney Brandon Young, MD Candidate Portland Oregon Health & Science University Portland Frances Hicks, MD Kaiser Permanente Ashley Schmieding, MD Candidate Portland Oregon Health & Science University Canby Silas Ulrich, BSN Registered Nurse DeEtte Waleed Oregon Health & Science University Portland Portland Justin Stimac, MD Candidate Jordan Anderson Oregon Health & Science University Portland Portland

Richard Bruno, MD Candidate Andrea Smeraglio, MD Candidate Oregon Health & Science University Oregon Health & Science University Portland Portland

Kate Watson, MD Candidate Rakendu Shukla, MD Candidate Oregon Health & Science University Oregon Health & Science University Portland Gaston

Moon Yoon, MD Candidate Deborah Satterfield, MD Oregon Health & Science University Portland Portland Douglas Bovee, MD Hans Han, MD Candidate Eugene Oregon Health & Science University Portland Alena Guggenheim, ND National College of Natural Medicine Shanley Deal, MD Candidate Portland Oregon Health & Science University Portland Katherine Barton, MD Candidate Portland Pennny Li, MD Candidate Oregon Health & Science University Portland

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jonathan Pak, MD Jade Koide, MD Candidate Critical Care Fellow Portland Oregon Health and Science University Portland Andrew Phillips, BSN Portland Isabelle Trepiccione, MD Candidate Portland Loton Shippey, MD Candidate Oregon Health & Science University Mary Ellen Morrison Portland Physician Assistant/ Provider James Fitzgibbons, MD Virginia Garcia Clinics Eugene Portland Benjamin Steinberg, MD Robert Fain, MD Candidate Attending Portland Portland

Marielle Lopes, MD Candidate Teresa Worstell, MD Candidate Oregon Health & Science University Portland Nadine Grzeskowiak Corvallis Gaia Mather, ND Associate Professor National College of Natural Medicine PENNSYLVANIA Portland Joshua Kiss, BA Richard Barnhart, MD Medical Student Peace Health River Bend Hospital University of Pennsylvania Eugene Philadelphia

Caroline Lin, MD Derek Zachman, MD Candidate Pittsburgh Oregon Health & Science University

Portland Aishat Mohammed, MD Candidate University of Pennsylvania School of Brenda Brischetto, MD Medicine Portland Philadelphia

Lindsey Shultz, MD, MPH Yang Ding, MD Connellsville Philadelphia

Sylvia Seroussi Chantroux, MD Frances Irvin, MD Ashland Family Physician Pittsburgh Ken Carlson, MD Salem Howard Swidler, MD Bethlehem

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jan Widerman Jason Rosenstock, MD Philadelphia Pittsburgh

Emily Tsai, MD Volker Musahl, MD Philadelphia Pittsburgh

Sahil Banka, MD Joon Lee, MD Pennsylvania Hospital Pittsburgh Merion Station Kimberly French, MD Margi Shah, MD Wayne Psychiatrist Main Line Health Evan Pollack, MD Ardmore Bryn Mawr Elizabeth Alpern, MD Elana Kripke, MD Philadelphia Wayne Anne Capdeville, MD Ernest Vina, MD Pittsburgh Pittsburgh Jonathan Katz, MD Mary Ganguli, MD Assistant Professor of Medicine Professor University of Pennsylvania University of Pittsburgh Philadelphia Pittsburgh Eric Rodriguez, MD Debbie Cohen, MD Faculty physician Hospital of the University of Pennsylvania University of Pittsburgh Woodlyn Pittsburgh

Howard Aizenstein, MD, PhD Mary Morrison, MD Associate Professor Temple University School of Medicine University of Pittsburgh Medical Center Wynnewood Pittsburgh Marisa Rogers, MD, MPH Mark Alter, MD Chief Medical Officer Ardmore Spectrum Health Services, Inc Cheltenham Daniel Weintraub, MD Associate Professor Meenakshi Bewtra, MD, MPH University of Pennsylvania Assistant Professor Ardmore University of Pennsylvania Penn Valley Steven Weinberger, MD American College of Physicians Erum Hartung, MD Philadelphia Children's Hospital of Philadelphia Swarthmore

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jody Glance, MD Leslee Hughes, BSN University of Pittsburgh Medical Center Geisinger-Community Medical Center Pittsburgh Scranton

Maya Nimgaonkar, MD Dennis Novack, MD University of Pittsburgh Associate Dean of Medical Education Pittsburgh Drexel University College of Medicine Narberth Lauren Nicholls, MD Candidate Jefferson Medical College Margaret Hauler, BSN Philadelphia Capital Health Morrisville Christopher Parker, DO Candidate Philadelphia Lori Panossian, MD, MS Philadelphia Carla Campbell, MD, MS Associate Teaching Professor Mary Carol Kennedy, MSN, RN, CS Drexel School of Public Health Turtle Creek Valley MH/MR, Inc. Philadelphia Turtle Creek

Marianne Herr-Paul, DO Heather Gillespie, BS Private Physician Fairless Hills Greencastle Loren Sobel, MD Pamela Duke, MD Pittsburgh Bala Cynwyd Robert Marin, MD Kurt Weiss, MD University of Pittsburgh School of Allison Park Medicine Pittsburgh Jane Cauley Professor Eden Kahle, MD University of Pittsburgh Philadelphia Pittsburgh Katherine Bates, MD Paul "Logan" Weygandt, MD Candidate, The Children's Hospital of Philadelphia MPH Philadelphia Johns Hopkins School of Medicine Johnstown Frank Lee, MD, PhD Associate Professor Cynthia Matzko, RN, MSN University of Pennsylvania Clinical Nurse Specialist Broomall Bloomsburg Faraz Ahmad, MD Ann McGaffey, MD Philadelphia Pittsburgh

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Veronica Swanson, MD, MBA Sylvia Choi, MD Philadelphia Pediatrician University of Pittsburgh School of Kathryn McCans, MD Medicine Cooper University Hospital Wexford Havertown Katherine Neely, MD Shilpa Rao, MD Residency Program Director Merion Station Monroeville

Cheryl DeMichele Harvey Friedman, MD Erie Merion Station

Rupal Shah, MD William Young, MD Philadelphia Professor of Neurology Thomas Jefferson University Marissa Kummerling, BS, MPH, MD Glenside Albert Einstein College of Medicine Abington Mary Carrasco, MD Pittsburgh

M Ciner, MD Candidate Marcus Eubanks, MD Bala Cynwyd Emergency Physician

Heritage Valley Health System Janet Squires, MD Pittsburgh Children's Hospital of Pittsburgh

Pittsburgh Anje Van Berckelaer, MD, MS

Philadelphia Steve Pawar, MD Gibsonia Lisa Friedman, MSN Family Nurse Practitioner Christopher Sha Philadelphia Philadelphia Martha Sack, MD Chuka Didigu Abington Memorial Hospital Philadelphia Abington

Christine Rauscher, MD Candidate Lisa Heller, MD University of Pittsburgh School of Philadelphia Medicine Pittsburgh Bettina Herbert, MD Attending Physician Juanita Lynn Taylor, MD Thomas Jefferson University Hospital Sheppard Pratt Health System Wyncote Hummelstown

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Brian McMichael, MD Graham Quinn, MD, MSCE Fellow Professor of Ophthalmology University of Pittsburgh Medical Center University of Pennsylvania Pittsburgh Philadelphia

Anna Meadows, MD Brian Forbes, MD, PhD Philadelphia Associate professor University of Pennsylvania Tina Stein, MD Wallingford Staff Physician Riddle Hospital Joshua Benham, MD Candidate Villanova University of Pennsylvania Philadelphia Mark Rader, MD Upper Darby Ivy Kuhn, BA, BSN, MSN Pediatric Nurse Practitioner Meenakshi Bewtra, MD, MPH The Children's Hospital of Philadelphia University of Pennsylvania Philadelphia Philadelphia Marissa Wilck, MD, MS Geoffrey Ruben, MD, MMM Hospital of the University of Pennsylvania Washington Philadelphia

Michael Carpathios, MD Adrienne Young, MD Pittsburgh Sewickley

Rob MacGregor, MD Felix Brizuela, DO Hospital of the University of Pennsylvania Harrison City Philadelphia Helen Koenig, MD, MPH Joyce Leifer, MD Hospital of the University of Pennsylvania Childrens Hospital of PIttsburgh Philadelphia Scottdale Nancy Ferguson, MD Mary Morrison, MD Washington Crossing Temple University Wynnewood Annie Perng Philadelphia James Katowitz, MD Professor Madelyne Greene, MD Candidate U. of pennsylvania and the Children's Philadelphia Hospital of Philadelphia Philadelphia Fredric Price, MD UPMC Shadyside, Western Pennsylvania Lesley Carson, MD Hospital Hospital of the University of Pennsylvania Pittsburgh Philadelphia

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Dum Piawa, DO Philadelphia College of Medicine Saurin Mehta, MD Philadelphia Reading

Ralph Fishkin, DO Lynda Flom, MD Bala Cynwyd Childrens Hospital of Pittsburgh Pittsburgh Rachael Bonawitz, MD Candidate University of Pennsylvania School of Justin Schreiber, DO, MPH Medicine Pittsburgh Philadelphia Lauri Mulvey, MD Julia Cohen Children's Hospital of Philadelphia University of Pennsylvania School of Philadelphia Medicine Philadelphia Suzanne Wright Warner, BSN Children's Hospital of Philadelphia Priscilla Sepe, MD Candidate, MPH Philadelphia Jefferson Medical College Philadelphia Madeline Simasek, MD, MS Residency Faculty Jordan Karp, MD University of Pittsburgh Medical Center Pittsburgh Pittsburgh

Ann Showan-Slade, MD Marie Melhuish Doylestown Clinical Coordinator Children's Hospital of Philadelphia Lesley Carson, MD Flourtown Faculty University of Pennsylvania Joan Adler, MD Philadelphia Philadelphia

Pamela Murray, MD, MHP Christine Layton Professor Children's Hospital of Philadelphia West Virginia University Wallingford Pittsburgh Marcey Peyser Friedman, MSN Children's Hospital of Philadelphia Michael Turk, MD Glenside Philadelphia Kathleen Dougherty, MD Sahil Banka, MD Philadelphia Drexel University College of Medicine Philadelphia Joanne Aretz

Rodney Finalle, MD Staff Nurse Childrens Hospital of Philadelphia Elkins Park Philadelphia

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Ed Lewis, MD Chantell Hemsley, MD Candidate Gladwyne University of Vermont College of Medicine Jersey Shore Cheryl Clarkin, MD Tricia Einsla Media Registered Nurse Chalfont Valerie Mewha RN Duncan White, MD Children's Hospital of Philadelphia University of Pennsylvania Springfield Philadelphia

Ranee Mehra, MD Helge Hartung, MD Attending Physician Faculty Fox Chase Cancer Center Children's Hospital of Philadelphia Jenkintown Swarthmore

David O'Gurek, MD Suzanne Hanlon, BSN Lancaster Registered Nurse Children's Hospital of Philadelphia Karen Hughes, MS Oreland Canonsburg

Marybeth DeAnnuntis Children's Hospital of Philadelphia PUERTO RICO Media Brenda Mirabal, MD, MPH Kristen Kreamer Professor Fox Chase Cancer Center UPR School of Medicine Philadelphia San Juan

Theresa Williamson, MD RHODE ISLAND philadelphia Nila Chauhan, MD Anthony Fichera Providence Philadelphia David Keller, MD Alix Seif, MD, MPH Pediatrician Assistant Professor of Pediatrics Pawtucket The Children's Hospital of Philadelphia Philadelphia Esther Choo Providence Kara Huston, MD Candidate Philadelphia Elizabeth Bird, MD Attending Physician, Pediatric Emergency Linda Peck-DeAngelis, BSN Department Children's Hospital of Philadelphia Hasbro Children's Hospital Philadelphia Providence

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Daisy Bassen, MD Dariusz Kostrzewa, MD Pawtucket Physician Narragansett Lonice Thomas, MD Providence Community Health Centers Jordan White, MD, MPH Rumford Faculty Warren Alpert Medical School of Brown Samuel Poon, MD University Clinical Assistant Professor Providence Brown University Pawtucket Gowri Anandarajah, MD Warren Alpert Medical School of Brown Joseph Frank, MD University Brigham and Women's Hospital Barrington Providence Rebecca Bak, MD Mark Greve, MD Brown Family Medicine Residency Brown University Providence Providence Deborah Kutenplon, MS, CNM Megan Ranney, MD, MPH Assistant Professor Attending Physician Rhode Island College Alpert Medical School, Brown University Barrington East Greenwich David Anthony Christopher Merritt, MD Providence Providence Fadya El Rayess, MD April Cambre, MD Assistant Residency Director East Greenwich Brown Family Medicine Residency Barrington Tracy Jackson, MPH Providence Ellen Hight, MD, MPH Private practice Aris Garro, MD, MPH University Family Medicine Attending Riverside Brown University and Rhode Island Hospital Michael Johnson, MD Providence Barrington

Julie Meyers, MD Janet Wilterdink, MD Pawtucket Associate Professor Brown Medical School/Rhode Island Amity Rubeor Hospital Cranston Providence

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Margaret Kozel, MD Peggy Matteson, BSN Aquidneck Neurology Associate Professor Jamestown Rhode Island College Providence Roberts Goldman, PhD Professor Susan Seidler Brown university Jamestown Barrington Yvette Yatchmink, MD, PhD Hasbro Children's Hospital Joanne Costello, PhD Providence Associate Professor Rhode Island College Jessica Manyan, DO East Greenwich Program Director, Residency Kent Hospital Gina La prova, MD Pawtucket Assitant Professor Brown Medical School Christine Garro, MS, PA-C Providence Physician Assistant Rhode Island Hospital Mary Byrd Providence Professor Rhode Island College Kris Gupta, MD, PhD Narragansett East Greenwich

Sylvia Ross, MSN David Cheng, MD Assistant Nursing Professor East Greenwich Rhode Island College Little Compton Carolina Cerezo, MD Pediatric Gastroenterologist/Assistant Marjorie Nasin, MD Professor of Pediatrics Memorial Hospital of Rhode Island Rhode Island Hospital/Brown Medical Saunderstown School Barrington Juan Sanchez-Esteban, MD Providence Natalia Lukankina, MD Fellow Pamela High, MD Rhode Island Hospital Professor Providence Warren Alpert School of Medicine at Brown University Richard Long, MD Providence Clinical Associate professor of Family Medicine Lau Chalk, CRNP Boston University School of Medicine Providence Smithfield

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rahul Banerjee, MD Candidate John Williams, MD Candidate Providence Warren Alpert Medical School of Brown University Solmaz Behtash, MD Providence Providence Dannie Ritchie, MD, MPH Christopher Newton, BS, MD Clinical Assistant Professor Family Providence Medicine Brown University Kahleb Graham, MD Providence West Warwick Peter Simon, MD, MPH Jason Wade, MD Candidate Medical Director Warren Alpert Medical School of Brown RI Department of Health University Providence Providence Kimberly Zeller, MD David Kim, MD Candidate Assistant Professor of Family Medicine Warren Alpert Medical School of Brown Warren Alpert Medical School of Brown University University Providence Riverside

Crystal Cuellar, MD Candidate Carol Baumgupta, MD Warren Alpert Medical School of Brown East Greenwich University Providence

Linda Chao, MD Candidate SOUTH CAROLINA Warren Alpert Medical School of Brown University Seanta Clark, PhD, MPH Providence Tega Cay

Emily Viggiano, MD Candidate Viraj Patel, MD Warren Alpert Medical School of Brown Columbia University Providence Frances Doucette Bluffton Outpatient Surgery/Hilton Head Rian Yalamanchili, MD Candidate Hospital Providence Okatie

Heather Jones, MD Candidate Shannelle Campbell, MD, MPH Warren Alpert Medical School of Brown Boiling Springs University Providence Jugal Shah, MD Rock Hill

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kathleen Harris, MD Hilton Head Island Deidra Parrish, MD, MPH Fellow Charles Harmon, MD Vanderbilt University School of Medicine Lexington Nashville

Rick Foster, MD Susan Taylor, MD South Carolina Hospital Association Physician Columbia Summit Medical Group of Oak Ridge Oak Ridge Willis Sutliff, MD Retired Pediatrician Raj Jayanthan, MD Candidate Rapid City Meharry Medical College Nashville Brion Winston, MD, MPH Rapid City Michael Lacy, MD Memphis Benjamin Meyer, MD Candidate University of South Dakota-Sanford Deidra Parrish, MD School of Medicine Vanderbilt University School of Medicine Sioux Falls Nashville

Bijal Desai, MD LayKoon Huang, MD, MPH Simpsonville Knoxville

Christine Bonner Frank Carter, MD Greenville Murfreesboro Anne Kilpatrick, DPA Medical University of South Carolina Ravi Parikh, MD Candidate Sullivans Island Vanderbilt University School of Medicine Nashville

Daniel Corlew, MD,MPH TENNESSEE Chief Medical Officer ReSurge International Carol Duh, MD Candidate Murfreesboro Nashville Donald Lighter, MD Heather Andrews, MD Knoxville Internal medicine hospitalist Baptist Hospital Scott Corlew, MD, MPH Nashville Chief Medical Officer ReSurge International Nkiruka Emeagwali, BS, MS Murfreesboro Meharry Medical College Nashville Gina Hoods, MD Smyrna

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rebecca Chandler Una Makris, MD Arlington Assistant Professor UT Southwestern Medical Center, VA Nicholas Harris, MD Candidate Medical Center - Dallas Vanderbilt University Dallas Nashville Benjamin Withers, MD, MPH Medical Director TEXAS Lyondell Basell Houston Pedro Zevallos Mesquite Jay Wedgeworth, BS, MD/MPH candidate Walter Baile University of Texas Houston San Antonio

Lauren Mcdonald, MD Nadia Shah, MD Dallas Fort Worth

Fay Safavi, MBBS Nirupama Madduri, MD Dallas Baylor College of Medicine Houston Andrea Kim, MD Assistant Professor Tiffany Alagarsamy, RN UT-Southwestern Medical Center Houston Dallas Robert Luedecke, MD Anna Tran physician Richardson private practice San Antonio Saeed Ahmed, MD Assistant Professor of Pediatrics Carl Dukes, MD Baylor College of Medicine Private Practice Houston San Antonio

Steven Ovu, MD Candidate Sydney R. Jones, MD College Station Dallas

Chunhuai Chao, MD Lisa King, MD Arlington Dallas

Kathryn Sumpter, MD PG Parameswaran, MD Childrens Medical Center Missouri City Dallas

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Denise Johnson, MD Candidate Lisa Taylor-Kennedy, MD, BS, BA Columbia University College of Physicians Anesthesiologist and Surgeons Baylor University medical Center, Houston Presbyterian Hospital Sunnyvale Joseph John, MD, PhD Associate Professor of Medicine Lorraine Stehn, DO University of Texas Health Science Center Aransas Pass of Tyler Tyler Andrew Diehl, MD, MSc University of Texas HSC San Antonio Chethan Bachireddy, MD Candidate San Antonio Lufkin Suzanne Kreisberg, MD Feyisara Akanki, MD Coppell Grapevine RekhaS Shenoy, DVD Rosalyn Chan, MD Community Dental Care San Antonio Plano

Peter Kim, MD Candidate Ben Clark, DPM Houston Methodist Medical Dallas Rochelle McKown, MD Desoto Robert Myers, MD Baylor University Medical Center Adaeze Okeke, MD Dallas Houston

Sharon Bakos, MD Rachel Niehuus, MD, PhD Baylor University Medical Center Bellville

Irving Joleen Chambers Chunhuai Chao, MD Dallas Arlington Kenneth Sapire, MD Lewis Hellerstein, MD Anesthesiologist Houston Houston

Manish Assar, MD Gloria Algeo, BSN Dallas Schreiner University Kerrville Venugopal Menon, MD Pearland David Podeszwa, MD Dallas David Jadwin, DO Columbia Healthcare Analytics, Inc Jeannie Banh, MD Candidate San Antonio Sugar Land

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Maria Luisa Urdaneta, CRNA, PhD R.Scott Poppen, MD, MPA UT San Antonio Draper Austin Dana Wilson, MD Leslee Ball-Scovel, MD Retired WellMed Group- San Antonio TX University of Utah San Antonio Salt Lake City

Sharon Tucker, MD Julie Day, MD Rockwall Medical Director Quality University of Utah Susan Comer, MD Salt Lake City Corpus Christi Gitte Larsen, MD, MPH Marc Horowitz, MD Medical Director of Clinical Quality Baylor College of Medicine Improvement Houston Primary Children's Medical Center, University of Utah Marc Horowitz, MD Salt Lake City Professor Houston Louis Borgenicht, MD Pediatrician Luptia de la Cueva Salt Lake City Dallas Claudia Fruin, MD Julie Nangia, BA, MD Bountiful Baylor College of Medicine Houston Joanne Spruance, BA Registered Nurse Wanda Holtzclaw Memorial Sloan Kettering Amarillo Salt Lake City

Matthew Hearn, ADN Traci David, MD Fort Worth University of Utah Salt Lake City Namrata Goel, MD Sugar Land Mark Supiano, MD Salt Lake City

UTAH Mara Rabin, MD Salt Lake City Carol Osborn, MD Salt Lake City Richard Kanner, MD Professor of Medicine David Kuo, MD University of Utah Health Sciences Center Salt Lake City Salt Lake City

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Michelle Vo, MD Mary Brieske, MD Salt Lake City Intermountain Medical Center Salt Lake City Stephanie Gelman, MD Salt Lake City Renee Olesen, MD Salt Lake City Benjamin Kalm, MD Salt Lake City Charlotte Gant, MD West Bountiful Anna Beck, MD Associate professor Steve Fehlauer, MD University of Utah Sandy Salt Lake City James Southwick, MD Steven Joyce, MD Heber City Salt Lake City Christopher Jones, MD, PhD Christopher Hall, MD Salt Lake City Pathologist McKay-Dee Hospital Kirsten Stoesser, MD Ogden Salt Lake City

Michael Rubin, MD, PhD William Cosgrove, MD Salt Lake City Cottonwood Pediatrics Salt Lake City Martin Gregory, PhD University of Utah John Masaryk, MD Salt Lake City Salt Lake City

Louis Bogrenicht, MD Emily Poff, MD University of Utah University of Utah School of Medicine Salt Lake City Woods Cross

Michael Kalm, MD Mark Harris, MD Salt Lake City Salt Lake City

Kyle Jones, MD Christopher Hall, MD Holladay Ogden

Ellie Brownstein, MD Robert Corson, MD Midvale Salt Lake City

David Kaplan, MD Emily Deer, MD Salt Lake City Salt Lake City

Ellen Brady, MD, MPH Carol Osborn, MD Salt Lake City Salt Lake City

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Perry Fine, MD Dorothy Tompkins, MD Salt Lake City University of Virginia North Garden Charles Saltzman, MD Salt Lake City Christopher Lillis, MD Private Practice Robert Powel, MD Fredericksburg Park City Basim Khan, MD Lee Moss, MSN Arlington University of Utah Salt Lake City Kevin Cooper, MD Midlothian Amalia Cochran, MD University of Utah Seema Chaudhary, MD Salt Lake City Kaiser Permanente Oakton Berni Poppen Draper Saleena Dakin, MD Falls Church Rina Hooper, MD Salt Lake City Thomas Connally, MD Volunteer Physician Curt Canning, MD Arlington Free Clinic Logan Arlington, VA

Anthony Diaz, MD, PharmD Henry Wicker, MD Salt Lake City Chairman, Dept of Surgery Pratt Medical Center Travis Snyder, MD Fredericksburg Salt Lake City Michael Edmond, MD, MPH, MPA Chair, Division of Infectious Diseases VIRGINIA Virginia Commonwealth University Richmond Sarah Kureshi, MD, MPH Fellow Glenn Sehan, MD Georgetown, Dept of Family Medicine Professor Arlington William & Mary Williamsburg Scott Heysell, MD, MPH Assistant Professor Robert Smith, MD University of Virginia Wytheville Charlottesville Matthew Mathew, MD David Sprague, MD Roanoke Blacksburg

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Ryan Buchholz, MD Pavitra Kotini, MD Assistant Medical Director Norfolk Unity Health Care at Upper Cardozo Health Center Jean Suh, MD Candidate Falls Church Johns Hopkins School of Medicine Alexandria Padma Natarajan, MPH, MS Arlington Alakananda Bagchi, MD, MPH Great Falls Lance Goetz, MD UT Southwestern-Dallas Danielle Brunet, MD Candidate Midlothian Ashburn Dorothy Tompkins, MD Bruce Roemmelt Keswick Prince William County (VA) Fire and Rescue Maliha Nowrouz Haymarket Norfolk

Jennifer Garces, BSN, MSNA Brian Wispelwey, MS, MD Alexandria University of Virginia Charlottesville Peter Chordas Foreign Service Antal Solyom, MD Dulles Lynchburg

GP Tamesis, MD, MPH Donald Reed, MD Norfolk Falmouth

John Costenbader, MD Irvine Mathieu, MD Candidate Virginia Beach medical student Winchester Siddhartha Dante, MD Mark Ryan, MD Midlothian Richmond

Sarah Berkson, MD Candidate Norrell Atkinson, BA, MS, MD Albert Einstein College of Medicine Children's Hospital of The King's Reston Daughters Norfolk Shaun Dakin Falls Church Duncan Wallace, MD Virginia Beach Marshall Weissberger, MD, PhD Norfolk Linda Bennington, BSN, MSN Virginia Beach

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Anshu Guleria, MD Michael Rein, MD Manassas Charlottesville

Rachel Harris, MD Candidate Sheila Mehra, MD Georgetown University School of Haymarket Medicine Arlington Christopher King, MD Alexandria Kimberly Brennan, MD Candidate Georgetown University School of Paula Darradji Medicine University of Virginia Arlington Charlottesville

Daniel Saada, MD Candidate Lynne Clemo, MD Georgetown University School of Fredericksburg Medicine Arlington Cynthia Gibert, MD, MSc Professor of Medicine Susan Miller, MD George Washington University School of Professor Medicine an Health Sciences Virginia Commonwealth University Mc Lean Richmond Lisa Park, MD, MPH Duncan Wallace, MD Physician Virginia Beach George Mason University Burke Angelika Rampal, MD Mc Lean Thamiris Palacios, MD Palmyra Renee Carter, MD, MPH Falls Church Amy Meadors, RN, BSN, MSN Richmond Sandra Balmoria, MD Virginia Commonwealth University William Fox, MD Reston Physician Private Practice Fox and Brantley Internal Medicine Janette D. Sherman, MD Charlottesville Alexandria Anke Hacker, MD Michelle Whitehurst Cook, MD Norfolk Virginia Commonwealth University Henrico Charles Schleupner, MD, MSc Professor of Medicine Laurie Pane, MD Virginia Tech Carilion School of Medicine Arlington Boones Mill

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

VERMONT Stephanie Cooper, MD Charlottesville Richard Colletti, MD Pediatric Gastroenterologist Alan Dow, MD, MSHA University of Vermont Associate Professor Burlington Virginia Commonwealth University Henrico Kathryn Porterfield, BA, MSN Brattleboro Retreat Nicole Carter Brattleboro Midlothian John Trumper, MD Laurie Lyckholm, MD Brattleboro Professor Virginia Commonwealth University Julia Doucet, BS, RN Richmond Open Door Clinic Bristol Brenda Queen, MD VCU Medical Center Heather Fergerson, RN Midlothian Huntington

Jared Silver, MD, PhD Jody Brakeley, RN University of Virginia Salisbury Charlottesville Linda Marie Siberini, BSN Nathalie Bastien-Montpeirous, MD, Bristol MSPH Charlottesville Alicia Jacobs, MD Medical director Huzaefah Syed, MD Fletcher Allen Health Care Richmond Colchester

Jeffrey Harris, MD Elke Pinn, MD Millwood Porter Hospital Moira Rafferty, MD Underhill Center Lynchburg Randall Anselmo, MD Director of Health Services Jeffrey Austin, EMT Bennington College North Bennington Lisa Price Stevens, MD Medical Director C Dyeanne Racette, MD Richmond Morrisville

Jonathan Weker, MD Montpelier

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Virginia Hood, MD David Rand, DO, MPH Burlington Internal Medicine Resident University of Vermont Hannah Rabin, MD South Burlington Thomas Chittenden Health Center Williston Erin O’Brien Burlington Lewis Holmes, MD, MPH Primary Care office Porter Hospital WASHINGTON Middlebury Jake Berman, MD, MPH David Fagelson, MD Third-year IM Resident Putney University of Washington Seattle Peter Abell, DMD, MsD Brattleboro Sari Davison, MD Solo Practice Deborah Richter, MD Middle Way Internal Medicine Montpelier Seattle

Douglas Kramer, MD, MS Reena Koshy, MD Emeritus Professor Seattle University of Wisconsin Craftsbury Common Lisa Plymate, MD Clinician Anne Cloutier Providence ElderPlace Brattleboro Seattle

Burton Tepfer, MD Eva Kojnok, MD Putney Internist Minor and James Medical Clinic Eliot Nelson, MD Seattle Williston Deborah Klein, MD Jane Katz Field, MD Swedish Physicians Brattleboro Memorial Hospital Seattle Putney Marivic Borromeo, MD Valerie Graham, MD Group Health Permanente Charlotte Seattle

Michael Scollins, MD Cindy Phillips, Doctor of Naturopathic South Burlington Physician Physician Luke Vierthaler, MD Candidate Institute of Complementary Medicine Burlington Seattle

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cindy Phillips, MD Sharon Paige, PhD, MD Candidate Primary Care Physician University of Washington Seattle Seattle

Laura Hart, MD Barbie Jimenez, RN Seattle Bellingham

Charles Mayer, MD, MPH Heather Elizondo Vega, MD Family Physician Physician Group Health Madigan Army Medical Center Seattle Lakewood

Jennifer Leahy, MD Robert Crittenden, MD, MPH Seattle Professor University of Washington Marie Johantgen, MD Seattle Group Health Olympia Enrique Leon, MD Multicare Kathryn Koelemay, MD, MPH Tacoma Medina Julie Taraday, MD George Mecouch, DO Seattle Medical Director Community Mental Heath Clinic Mary Campbell, MD Vancouver University of Washington Seattle Joseph Saitta, MD Seattle Fiona Gallahue Seattle Kyle Smith, MD Candidate, BA University of Washington SOM Katherine Gullett Seattle Tacoma

Alfred Gellhorn, MD Jessica Eckstrom, MD Candidate Assistant Professor Spokane University of Washington Seattle Ashok Shroff, MBBS,DA,FFARCSI Whidbey general Hospital Mayan Bomsztyk, MD North Bend Chief Resident University of Washington Carolyn Frank Seattle Olympia

Eve Paretsky, MD Julie Silverman, MD Seattle Seattle

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Anna Maria Pletz, MD, MPH Candidate Lisa Grove, MD Candidate University of Washington School of University of Washington Medicine Vancouver Seattle

Jocelyn James, MD Robert Golden, MD Seattle Liberty Lake

Charles Larsson, MD Michael Metcalf, MD Winthrop Spokane

Patricia Kritek, MD David Gavareski, MD Seattle Bellingham

Jason DeVille, MD Bill Brennan, MD Liberty Lake Olympia

Patricia Dawson, MD, PhD Judith Pauwels, MD Bainbridge Island Seattle

Jayalakshmi Ravindran, MD Justin Iwasaki, MD Seattle Seattle

Catherine Otten, MD May Reed, MD Seattle University of Washington Mercer Island Peter McGough, MD Mercer Island Thomas Friedland, MD Ellensburg Jessica Woan, MD Resident Audrey Talley Rostov, MD University of Washington Seattle Seattle Rocky Mazzeo, MD William Phillips, MD, MPH Mountlake Terrace TJ Phillips Endowed Professor in Family Medicine Doug Dicharry, MD University of Washington Medina Seattle Daniel Sabath, MD, PhD Ben Bneson Associate Professor, Head Hematology Vancouver Division Department of Laboratory Medicine, Eric Allenspach, MD University of Washington Seattle Seattle

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Murali Sivarajan, MBBS Katherine Clawson, MD Professor Seattle University of Washington Seattle Leah Marcotte, MD Resident Jodie Wohl, MD University of Washington Attending Physician Seattle Neighborcare Health Seattle Anna Maria Pletz, MD Seattle Larry Donohue, MD Seattle Anne Cooper, MD Tacoma Family Medicine Sunil Aggarwal, PhD Tacoma Seattle Erin Johnson, MD Lisa Williams, MD, MS Resident University of Washington Seattle Children's Hospital Seattle Seattle

Elizabeth Hansen, MD, PhD Sally Gasparich University of Washington Bellevue Seattle

Joanne Tilton Seattle WISCONSIN

Kitty Grupp, PhD Jane Mahoney, MD Seattle Care Wisconsin Oregon Michael Golden, MD Kirkland Bonnie Berger-Durnbaugh, MD Madison David McWherter, MSN, MEd Practicing Presciber with Mental Health Ian Gilson, MD Agency Medical College of Wisconsin Columbia River Mental Health Services Milwaukee Vancouver David Smith, MD Froedtert Health Cora Breuner, MD, MPH Slinger Professor University of Washington John Frey, MD Seattle Professor of Family Medicine University of Wisconsin School of Nelson Chiu, MD Medicine and Public Health Seattle Madison

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cynthia Haq, MD John Frey, MD Professor Madison University of Wisconsin Madison Jennifer Weiser, MD Pediatrician Jenny Hackforth-Jones, MD, MS Ministry Medical Group Madison Stevens Point

Manmeet Bains, MD Latha Kampalath, MD Racine Brookfield

Kirsten Rindfleisch, MD Mark Petrovani, MD University of Wisconsin Department of University of Wisconsin School of Family Medicine Medicine and Public Health Verona Madison

Patrick Meyer, MD Ralph Hudson, MD Janesville Eau Claire

Rupert Nitschke, BA, MD Elizabeth Neary, MD, MS Professor Emeritus Madison University of Oklahoma Middleton Pat Kramer, BSN Prenatal Education Coordinator Angel Shah, MD Froedtert/Medical College of Wisconsin University of Illinois in Chicago Oak Creek Milwaukee Dipesh Navsaria, MD, MPH, MSLIS Maggie Reeve, BSN Madison University of Washington Hospital Milwaukee Sarang Baman, MD Franklin Meaghan Combs, MD, MPH University of Wisconsin Laura Houser, MD Madison Madison

John Stewart, MD, PhD Mary Copley, MD Professor Emeritus Prichard Northland College Washburn Dan Foster, MD Physician Advisor Peter Sigmann, MD Charleston Area Medical Center Sturgeon Bay Charleston

Keri Foster, ASN Deepak Sharma, MD Lander Regional Hospital Milwaukee Lander

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Ann Behrmann, MD Madison

Peter Dalum, MD Marshfield Clinic Marshfield

Aaron Dunn, MD Dodgeville

Rachel Lampert, MD

Christopher Choi, MD

Marc Pollack, MD

Michael Miller, MD, BS

Gabrielle Musci, MD Candidate

Elizabeth Myhre, BSN, MS, MS

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

COMMENTS MADE BY PETITION SIGNERS

Aaron Feinstein, MD Los Angeles, CA We cannot wait any longer - it is time to get guns off our streets!

Aaron Bornstein, MD Lakeville, MA The public needs to understand the way to protect you and your family is to deny access to lethal means and give people the resources and means to access mental health services well. Suicide is 60% of firearm deaths and is made more possible by easy access to guns. People are more likely to be injured or killed by the fun in their home than someone else's.

Aaron Ciner, MD Candidate Bronx, NY Americans are dying because of senseless gun violence. Why is it easy to obtain a weapon that can kill tens of people at one time. Our country needs stricter gun laws. The NRA's solution to arm schools is nonsense. The solution is not more guns, but less.

Adolf Karchmer, MD Weston, MA We have seen and more than endured enough.

Adrienne Young, MD Sewickley, PA It is insane that we allow assault rifles and high capacity magazines to be sold to civilians. Congress should have never removed the Assault Weapons Ban in the first place.

Againdra Bewtra, MBBS, MD Omaha, NE No one needs these guns for hunting. They are responsible for more deaths and carnage in young people than all the diseases put together.

Agueda Hernandez, MD Miami, FL Because our children deserve our protection, and common sense must prevail.

Akhtar Ehtisham, MD South Plainfield, NJ Insanity, bigotry and hate can not be totally controlled, but the facility to buy guns with out too much of a hassle can and must be controlled.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Alakananda Bagchi, MD, MPH Great Falls, VA In a civilized society, there is no place for personal gun ownership. It's time we joined the ranks of other more developed countries!!

Alan Steinbach, MD, PhD Muir Beach, CA When I finished resuscitation attempts unsuccessfully, I moved the childs arms to better understand how he had been shot. The bullets had passed through his outstretched arms on their way to his heart. But outstretched arms do not stop bullets.

Alan Lichtenberg, MD Denver, CO There is absolutely no need for automatic weapons, except for killing people.

Alberto Reff, MD Redondo Beach, CA The gun lobby has much too much control of every aspect of gun related legislation in the U.S, including limiting the ATF to track weapons and blocking appointment of an ATF director!

Alberto Perez, MD Coventry, CT All these deaths are preventable, keep assault weapons off the streets. Guns in hands of good people is NOT the solution. Keep schools gun free!

Alex Djuricich, MD Indianapolis, IN The science shows owning a gun/having a gun in the home increases risk of death. This is not political: this is science.

Alexander Skog, MD Candidate Baltimore, MD Because I have seen countless young patients come into the Maryland Shock Trauma unit with often times fatal gun shot wounds from handguns obtained through loopholes in the current gun legislation. These are the victims of guns that don't make the news and they need a voice.

Alexandra Forman-Chou, MD Maplewood, NJ We need better gun control to protect our patients and our children.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Alexi Wright, MD Cambridge, MA We cannot afford to regulate toy guns more than real weapons. As a physician, public health practitioner, mother, and human being, I know the stakes are too high to continue protecting an outdated "right to bear arms" over our children.

Alicarmen Alvarez, BSN Birmingham, AL It is time to stop all this violence in our society.Whoever is carrying a gun need to be in a responsable way!

Alice Neumann, MD Auburn, AL Psychotics, addicts including alcohol addicts, anyone who threatens violence, anyone who allows a child under age 21 access to their gun, and misdemeanor or worse criminals should have their guns actively confiscated, not just be prohibited from buying them. Additionally, they should be incarcerated for owning a gun under such conditions. Further, violent fictional TV shows and video games should be taxed to oblivion, and parents should be held liable for allowing their kids access to guns, and should also be subject to incarceration for such crimes against society.

Alice Chen, MD Washington, DC I'm signing for the patients I've cared for who had gunshot wounds 10, 15, 20 years ago - that left permanent damage, sometimes paralysis. I'm signing for my patients who are afraid to go walking in their neighborhoods because of gun violence. I'm signing for far too many families that will have an empty seat at their table this holiday season because our nation failed to keep people safe.

Alice Weiss, BS, RN Yulee, FL It's time for sanity and safety regarding possession and use of guns in our country. I call upon those who responsibly have and use guns to be at the forefront of this conversation

Alison Stuebe, MD Chapel Hill, NC Gun violence is a public health problem. As a physician, I urge lawmakers to take a harm- reduction approach to this cause of entirely preventable morbidity and mortality.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Allie Henderson, MD Ypsilanti, MI I'm signing this petition because I grew up in Flint, MI inthe late 1980s and early 1990s, who now has 2 elementary age children of her own. I reside in Nashville, TN. My husband and younger brother are proud concealed weapon carrying veterans of our armed services, but even they realize the ease with which people can obtain guns is ridiculous. We as a family realize the second amendment states you may have a gun, but the amendment does not say they have to be obtained easily, without license fees, taxes, or insurance, without a documented clean bill of mental health, or the gun purchase has to be made without a waiting period. Have we considered adding some type of 3-5 question mental health screening evaluation to the application to purchase a gun?Have we considered making insurance coverage a requirement to purchase a gun, just like car insurance?

Allison Louis, MD Candidate Chicago, IL The everyday citizen has no need for high powered guns. Guns like these should be tightly regulated.

Amanda Klein, MD Arlington, MA Because this is a huge public health issue. We need our patients to be safe and feel safe. We need the same thing for our children and friends.

Amber Johnson, MD, MBA Baltimore, MD I feel very strongly that gun violence is a public health emergency. Our constitution lists having a gun as a right, but we as a society should re-evaluate what our rights are as Americans and as human beings. If it is a right to carry a gun, should it not be a right to receive medical care if you are shot? Should it not be a right to live free of worry that your children will be sprayed with bullets while getting an education? Should it not be a right to receive psychological care if you are at risk of harming others?

Amit Shah, MD, MSCR Decatur, GA I firmly believe that "an eye for an eye makes both people blind," as Mahatma Gandhi said. More guns means more people blinded by each other.

Amy Mandel-Burington, MD Oakland, CA There is no reason for automatic weapons to be legal. No.Reason. They are not used for hunting, or self-defense. Machine guns are just for killing people. 20 children didn't need to be murdered for us to know this. What are we waiting for? One more? 10 more? 100 more? Act now, stop the madness.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Amy Rothenberg, ND Amherst, MA Must create better gun control & ways to enforce. Must also address mental health services

Amy Banks, MD Lexington, MA I am a physician and a parent of two children. I also lost my father in 1979 when he was held up and murdered by a 16 year old that happened to get one of the many guns in circulation in our country. No intervention has helped our country decrease violence - certainly, decreasing the access to guns is a step in the right direction. I do not want my children to end up on either end of a bullet! Thanks and please let me know if there is more I can do personally or professionally.

Amy McKenney, MD Beachwood, OH As a mother and a doctor I've seen enough children killed. Where are our public health studies about gun deaths in the US? Have they really been suppressed by congress as I heard from a researcher on NPR?

Ana Liang, MD Oakland, CA This type of tragedy can be curbed with stricter regulations.

Ana Lopes, MD Encino, CA I am a parent and hope that my kids can play in their neighborhoods safely without fear of being killed.

Andrea Darby-Stewart, MD Scottsdale, AZ Rational solutions are available to save lives -- if we have the courage and will to pursue them.

Andrea Asnes, MD, MSW New Haven, CT Gun violence is a public health disaster that must be stopped. Banning assault weapons is a clear and crucial immediate step toward solving this epidemic.

Andrea Kim, MD Dallas, TX We are on a trajectory towards disaster after disaster if the current gun laws stand. I do not want to accept Sandy Hook as an inevitable reality of this country. Keep this country great by continually revisiting the reasonableness of its laws.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Anita Gaind, MD, MPH Oakland, CA I am a mother and a physician. I am deeply disturbed by last Friday's events, and want to do all I can to prevent any future tragedies like this. Our children's lives are depending on using our voices to speak out and make the changes necessary to improve safety in our country.

Anje Van Berckelaer, MD, MS Philadelphia, PA I have taken care of too many young people left paralyzed by gun violence. It's time to limit who can obtain guns, and what kind of guns can be bought. Don't let more lives be cut short.

Ann McGaffey, MD Pittsburgh, PA Unacceptable degree of gunshot wound homicides and long-term injuries in the neighborhood where I work and for the patients in my practice and among the residents' patients. Guns are lethal in the hands of people with poor impulse control and poor impulse control is readily found, can't be modified or undone when a gun(s) is involved.

Failure to pass the 2004 assault weapons ban was unacceptable, inexplicable, and unbecoming to our nation -- and still is.

Ann Marie Van Hof, MSN Cambridge, MA STOP legal access to automatic and semi-automatic weapons!

Anna Lizama Clark, MD Orlando, FL Gun possession and use in this country is out of control. We have to do something.

Anne Benham, MD San Mateo, CA Gun violence is clearly one of the most urgent issues in America today.

Anne Rowley, MD Oak Park, IL We can't let gun manufacturers and the NRA control our lives. Our founding fathers wanted to promote our safety, and they were all about changing things to improve the life of Americans. I believe they would be in favor of significantly changing our current situation with respect to gun violence.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Anne Bassler, BSN Belmont, MA This is a matter of national safety to everyone and as a nurse and mother it is of utmost concern to me that this senseless violence continues to occur. No more guns.

Anne Nicholson-Weller, MD Wellesley, MA Guns are degrading our society, and they represent a huge public health problem.

Antal Solyom, MD Lynchburg, VA To help change the mindset of the population about the culture of violence.

Antonnette Graham, BSN, MSW, PhD Beachwood, OH There are too many guns and homicides related to guns in the US. We must stop the gun lobby and the NRA who want to keep selling guns.

Antony Kironji, MD Candidate Baltimore, MD With all the deaths that could be prevented... this isn't something that we should have to think about.

Aparna Asher, MD Clearwater, FL Assault weapons should only be with the military, they have no place in public. High time America gets smart about the excessive guns in society and takes control. They DO NOT make us safer, and are more likely to cause harm than good.

Aris Garro, MD, MPH Providence, RI As a doctor that deals with injured children and a father, I hope we finally wake up as a country and take a stand on gun control.

Arjun Suri, MD Candidate Fresno, CA Because we must change the minds and hearts of our youth to show them non-violence.

Armin Baliguat, BSN Studio City, CA I hate gun violence, or any form of violence!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Arthur Rosenbaum, MD Cleveland, OH Access to guns and the number off guns available has created a dangerous situation in which ordinary human wishes and urges can inan instant become unredeemable action.

Ashish Shah, MD, MBA Phoenix, AZ Truthfully, the 2nd amendment should be repealed. There is no clear reason as to why anyone should own a gun.

Ashley Lamb, MD Somerville, MA To help decrease the number of guns available in our country and hopefully decrease gun violence.

Ateet Shah, MD Fishers, IN I think we have seen one too many massacres of innocent people due to gun violence, and this time it involves little children. We need to join the rest of the civilized world and limit amount of ammunition, strength of guns, and ease of access to guns available to our citizens. Otherwise, we will continue to live in a "war-like" state, fearing for our lives at all times.

Balsam Fanous, MD Saint Petersburg, FL I worked with children and cannot believe how we failed them when they are the most vulnerable, and should be protected and nurtured as they are the future.Guns kill

Barbara Kamholz, MD San Rafael, CA Aside from our abject failure to provide national health insurance, our absurdly irresponsible attitude toward violence in our country is shocking and utterly cowardly and seriously threatens our democracy and freedom of speech and expression. Aren't our children more valuable than this?

Barbara Zind, MD Grand Junction, CO I think gun control is part of the issue as well as mental health support and educational support.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Barbara Snyder, MD Belle Mead, NJ I am well aware of the huge difference in the statistics of murder and suicide rates between the US and other similar countries, such as Canada. How to explain this? Simple--guns are easy to get and keep here and very difficult to get and keep in Canada.

Barbara J Fleming, MD, MD Beachwood, OH A well-armed militia doesn't mean than anyone, and everyone, sane or insane, angry or frustrated, should have devices that can kill, maim, disfigure, etc. The distortion of what the founding fathers meant is beyond terrifying.

Barnet Eskin, MD West Orange, NJ The US has about 10 times as many gun fatalities per unit population as any other country. The human toll resulting from this is a preventable tragedy. I struggle every day I work to save lives as best as I can. How do I justify what I do if it is so easy to take lives in a senseless way?

Barry Massie, MD San Francisco, CA I'm signing because this is a critical problem for which the only solution is better regulation of gun sales and, in particular, assault weapons.

Beatriz Arpayouglou, MD Cliffside Park, NJ The Preamble of the US Constitution states as part of it's rationale to "ensure domestic Tranquility". There is no domestic tranquility as long as there are no real restrictions to the access of automatic and semi-automatic weaponry. The second admendment does not guarantee the civilian population unfettered access to highly destructive weapnry not even conceived of at the time of it's conception and ratification.

Belinda Brown, DNP Cleveland, OH I want guns in the hands of trained, law-abiding professionals. And not have them out- gunned.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Benjamin Kelemen, MD Candidate Baltimore, MD Because it is far past time to address the toll of gun violence sweeping through our country. This is an epidemic unlike any others we face in public health in that it is 100% preventable. Here in Baltimore, we see that firsthand in our emergency rooms, ICUs, and trauma ORs. This is not a personal freedom issue, this is a public safety issue. It is high time for congress to take steps to regulate guns, for healthcare providers to take steps to prevent gun violence, and for us as a society to say no more.

Benjamin Withers, MD, MPH Houston, TX All I need to know as a specialist in public health is that the vast majority of firearms deaths are by friends, acquaintances, family members, or one's own hand. A tiny, tiny percentage of firearms deaths are by innocent victims of criminals.

Beno Michel, MD Palm Beach Gardens, FL We started a war in Afganistan and Iraq because 3000 Americans were killed on 9/11 and yet we are doing nothing about guns when thousands of American who are killed by other Americans every year

Beth Mil, BSN, MSN Pennington, NJ I want the children of my children & granchildren of my grandchildren to grow up in a peaceful world.

Betsy Brown, MD, MA Santa Fe, NM Our country has both the highest number of guns owned and the highest numbers of deaths due to guns, both accidental and intentional. Add to that the stress and fear many people have due to guns and our public health is threatened.

Bill Wood, MD, MPH Chapel Hill, NC I am morally disappointed in a culture that celebrates violence and stands by while its citizens use weapons of mass killing against the innocent and the vulnerable. I am encouraged by the sea change of public opinion in my own lifetime against smoking, recognizing tobacco products as the health hazard that they are. Hopefully we can begin a similar public opinion sea change against guns and a culture of violence. Legislation to curtail gun-related violence would represent a positive step in this direction.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Bonnie MacEvoy, MD, MPH Arcata, CA Tired of taking care of innocent bystanders or victims at night, idiots who shoot themselves while cleaning a gun, and crimes with stolen guns. Time to prohibit military weapons or ammunition and require safety locks, safes, and courses to have a gun, just like we do for cars. What do we have that is "well-regulated" about our gun culture as stated in the Constitution?

Bonnie Sklaren Saint Petersburg, FL I can see no reason for anyone to own or use an assault type weapon, if not in the military on active duty. What are we thinking to allow the NRA to dictate, through their money, such egregious policies. Amendment 2 of the constitution permits arming a militia, not every person on the planet.

Bradley Monash, MD San Francisco, CA When will the right to raise our children in a safe nation become everyone's priority?

Bram Raphael, MD Brookline, MA Change is necessary to prevent further acts on violence.

Brenda Lankford Atlanta, GA The devastation of gun violence reaches farther than media attention, outrage and disgust. As tragic as it is, the tragedy is the mindset that we face that guns is the solutions to mental and emotional issues. These problems cross socioeconomic lines and abilities of the persons handling the guns.

Brian Eichner, MD Durham, NC I am a pediatrician who has taken care of multiple children with both accidental and intentional gunshot wounds. The accidental GSW are generally due to careless gun storage, indicating that having a gun for "protection" can certainly cause tragedy. Certainly, the recent events in CT and CO indicate that the presence of high-capacity assault weapons are completely unnecessary and lead to the deaths of many innocent people, including children. There is ABSOLUTELY NO REASON why these should be available. Ideally, all guns would be banned, but certainly assault weapons and handguns should not be allowed. I certainly disagree w/ the notion that arming teachers or others at schools will solve this problem- the armed guard at Columbine was unable to prevent this over a decade ago.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Brian Bowden, MD Pickerington, OH I have seen first hand the devistation caused by guns to children.

Brian Forbes, MD, PhD Wallingford, PA Automatic weapons are unnecessary

Brienne Miner, MD Hamden, CT I have yet to hear an argument for why automatic weapons should be allowed in the general public.

Brigid McCaw, MD, MPH, MS Orinda, CA This is one of the most important initiatives for the health, wellbeing, and productivity of our country

Brion Winston, MD, MPH Rapid City, SD Gun violence is a US public health problem.

Brooke Wolf Beachwood, OH We must protect our citizens from gun violence by gun safety legislation and by investing resources in mental health

Brooks Walsh, MD New Haven, CT We need to make sure that physicians are free to pursue gun-safety research without political reprisal. We also need to ensure that Florida-style laws that "gag" physician conversations with patients about guns in the home are not passed or repealed.

C Keck, MD, MPH Akron, OH It's time to stop the nonsense we Americans believe is necessary. It is not.

Calen Frolkis, MD Candidate Cleveland Heights, OH The epidemic of violence that has persisted in this country is a public health hazard, and should be treated as such. The countrys health, and safety depends on gun control.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Camille Gannam, MD Candidate Brookline, MA We are aware that this is a major issue facing our country. Now we must all come together to make a stand, otherwise we will go unheard and the violence will continue.

Carl Hyde, BS, MD Yellow Springs, OH The second amendment was never intended to allow unlimited gun ownership by civilians. Private citizens should not own guns except for legitimate hunting in season.

Carl Doershuk, MD Willoughby, OH We, the undersigned doctors, nurses, medical students, and nursing students urge you to pass gun safety legislation immediately and present the nation with a comprehensive plan to curtail gun-related violence

Carla Campbell, MD, MS Philadelphia, PA As a pediatrician I am especially interested in keeping children, as well as all others, safe from injury and death.

Carol Eggers, MSN Trumbull, CT We have been silent and passive too long about the absurdity of non-military and non- police citizens possessing assault weapons and about their production for non-military use in our country. We have not only allowed our own citizens to suffer but also those of other countries. We should be ashamed.

Carol DeLaney, BSN, MSN Winchester, MA Sandy Hook should be our tipping point. We should have zero tolerance for having assault weapons sold to individuals. I also support a ban on hand guns --England did it.

Caroline Lin, MD Pittsburgh, PA No more excuses! Sensible limits are gravely needed to reduce morbidity and mortality due to gun violence.

Carrie Gosch, MD Chicago, IL As a parent and a pediatrician I feel that our legislators should no longer remain inactive on an issue that affects the lives of children and families everywhere.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cary Stegman, MD Scottsdale, AZ As a physician, I have sadly seen avoidable morbidity and mortality caused by firearms.

Catharine Arnold, MD Madison, CT We have to stand up to the NRA and enact gun safety laws!

Catherine Kerrigan, NSG Lutz, FL As a retired RN, I feel very strongly that we need to remove assault weapons from public availability. Tax, fees, required classes annually, all would be a big help in keeping us safe.

Cecilia Rivera-Amisola, MD Dayton, OH I understand why keeping a pistol might be necessary for some, for self defense, but high- powered assault weapons that can decimate an entire classroom of little kids has no place in our society. "The right to bear arms" served a different purpose when it was first conceived. Its meaning has been redefined and corrupted to suit the hunger of some people who collect guns for recreation,as a hobby.

Chad Deal, MD Beachwood, OH Do not see any reason for semiautomatic rifles (military arms) to be in civilian hands, nor magazine clips with 10-100 bullets, nor guns that penetrate police body armor.

Chanda Bewtra, MD Omaha, NE Guns are a menace to public health, just like polio, flu and AIDS virus. Watch canada, australia, and enact a similar gun law. 2nd amendment does NOT give rights to own an arsenal

Charles Homer, MD, MPH Boston, MA 1. I am a pediatrician and child health is my life. 2. I am also appalled about the restrictions on public health research about gun safety.

Charles Mayer, MD, MPH Seattle, WA Gun ownership is a public health catastrophy. Please pass legislation now to no longer allow guns to be owned. For those, who wish to shoot for sport, guns should be available at shooting ranges and locations specifically designated for hunting

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Charlotte Thompson, MD La Jolla, CA We must not allow the NRA to dictate gun policy or more and more innocent children and adults will be slaughtered.

Cheryl DeMichele Erie, PA We desperately need gun control in this country. Look at the UK model and some other countries in Europe. It works for them!

Chloe Atreya, MD, PhD San Francisco, CA I support the immediate passage of gun safety legislation along with a comprehensive plan to curb gun violence.

Chris Jefferson Nokomis, FL Time to begin to change our laws for the betterment of all of our citizens.

Christianna Stuber, MD Fremont, CA As a surgeon, I have cared for accidental and intentional injuries from guns of all sizes. Some of my the most devistating injuries have been from both small and large caliber weapons (including BB guns). Many of the victims are innocent bystanders, hunters, and children. Please help to get our legal and illegal firearms off the street, as well as encourage support and access to mental health services for those in need.

Christine Veenstra, MD Ann Arbor, MI I have seen the tragic effects of gun violence on the lives of my patients. I have lived in fear for my own safety, when mentally unstable patients or their family members bring concealed weapons into the hospital. And I live in fear for the safety of my two young children, who should be safe and secure from gun violence in their school and their community but can never really be safe when there are so many guns available in this country.

Christine Garro, MS, PA-C Providence, RI Violence and death by guns is epidemic in this country. There is no justifiable reason for assault weapons and high ammunition magazines to be available to the general public. We need to interpret our right to own guns with common sense.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Christopher Collier, MD Candidate Chicago, IL Changes in the American lifestyle and the expansion of public law enforcement since the 1700s gives new context to the antiquated "right to bear arms". Federal and state law must adapt to societal need, balancing pro and con in a way that protects the American way of life for the greatest number of American people. I sign to recognize the urgent need to re- examine our current gun laws in the context of today's America.

Christopher Hall, MD Ogden, UT The ready availability of guns optimized for killing humans is a danger to all of us. Please act to curb this violence now.

Christopher Jones, MD, PhD Salt Lake City, UT The logical result of a gun culture (including inadequate weapons laws) is an arms race of ever more lethal weapons in the hands of a citizenry that is ever more tolerant of violence.

Christopher Lillis, MD Fredericksburg, VA Gun violence is a public health threat in our great nation. We need to do all we can to curb gun violence.

Chukwuma Onyeije, MD Alpharetta, GA Gun violence is a serious public health matter.

Chunhuai Chao, MD Arlington, TX The American madness and cavalier attitude towards guns has got to stop. Enough is enough. If we can abolish slavery and let women vote by changing the constitution, why can't we get rid of the second amendment? This "right to bear arms " for ordinary citizens is idiotic.

Cindy Purdy, BSN, MPH Orinda, CA No one needs an automatic weapon to defend themselves. In all the industrialized countries we like to compare ourselves to, there is not less incidents of aggressive acts,but there is a higher rate of homicide. The differance is that they have gun control laws that protect their citizens. This HAS to end. If we can't protect our littlest citizens, we really need to examine our beliefs as a country and do what we need to do to correct this.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cindy Brown, MD Asheville, NC As a physician, I believe our society must do better preventing injury and death from firearms. We need our legislators to put aside politics and get this done.

Clyde Newton, MA, MD Spofford, NH Assault guns are too easy to get; need 100% background checks for all guns

Colin McCreight, MD Shiprock, NM Civilians have no business owning assault weapons and high-capacity magazines, both of which make it easier to kill innocent bystanders. Gun owners have plenty of other ways to exercise their 2nd amendment rights without access to assault weapons.

Courtney Beach, MD Richmond, CA The second amendment was written in a far different time with different weapons, technology, dangers and population density. We need to get guns off the streets and out of homes.

Craig Blinderman, MD, MA New York, NY There is no reason citizens should have access to weapons of military grade. Safeguards need to be in place to make it more difficult to obtain weapons. Simultaneously, we need to work to improve access to mental health services, especially for the most at risk youth and adults. And especially for those who may have access to weapons. The state is responsible for protecting the life AND liberty of its citizens. But without life there can be no opportunity for liberty.

Craig Brenner, MD Akron, OH Endless violence in the USA is attributed to gun ownership and permission to use excessive firearms.

Cynthia So, BA, MPH San Francisco, CA We have lost too many lives to senseless violence - there is no reason for these kinds of guns to be in the hands of civilians.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Cynthia Gibert, MD, MSc Washington, DC The time is long past to review the intent of the 2nd amendment and to act as a nation in a manner that reflects the intents of the founding fathers and not the National Rifle Association and the political leaders who are held hostage by the NRA and other gun lobbyists.

Cynthia DeLago, MD, MPH Moorestown, NJ The argument that "guns don't kill; people do" is ridiculous. There will always be mentally unstable people. Guns in their hands, compared to other weapons, make it more likely that their victims will not survive the attack. No guns = less death. Simple.

Cyrus Kapadia, MD Guilford, CT I am privileged to belong to the healers art. Anything I can do to minimize wanton slaughter of innocent men, women and children is a worth goal. Is that not a "no brainer?"

Dan Croft, MD MPH Lebanon, NH Gun violence is a serious issue that needs to be addressed with legislation.

Daniel Kang, MD, MPH Los Angeles, CA I'm a military veteran and a believer in the 2nd amendment. I'm also a physician and parent and feel something reasonable must to be done curb the gun violence in our country that is now taking our children's lives

Daniel Tobin, MD Hamden, CT Gun violence is preventable. No one needs assault weapons for self defense or hunting. I don't want to see any more children die.

Daniel Kozman, MD Candidate Chicago, IL As a healthcare provider and patient advocate, I demand that we take the necessary measures to prevent further gun violence that has so often threatened the safety of innocent American citizens. This is a complex problem and will thus need a complex solution. The only way to prevent gun violence is a multifaceted approach to both limit the availability of (and access to) guns, and to provide easy access to mental health services for all who need it. Implementing one anti-gun law such as banning assault rifles, or arming teachers in the classroom, will not make this problem go away. We must do this and more.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Please do not let the opportunity and momentum of these calls for reform go to waste - our children's blood is on our own hands if we do.

Daniel Debowy, MD Brookline, MA Because the best approach involves greater support for mental health and less support for a free-for-all gun market.

Daniel Solomon, MD, MPH West Newton, MA The epidemiology is clear: environments with guns are more dangerous, not less.

Daniel Solomon, MD Jamaica Plain, MA Gun control is an issue of public health, and speaks to the moral culture of how we treat one another.

Daniel O'Connell, MD, MPH Yonkers, NY Political pressure is needed for common sense gun safety reform.

Daniel Weintraub, MD Ardmore, PA This is a major public health problem and a disgrace for our country. We need to take action on sensible gun control.

Daniel Corlew, MD,MPH Murfreesboro, TN The country and the world desperately need gun control legislation

Daniel Sabath, MD, PhD Seattle, WA Gun violence is an increasingly serious public health issue, and as a physician I am ethically obligated to do what I can to improve public health. As such, I want whatever measures are necessary to reduce/eliminate gun-caused injury and death.

Daniel W van Heeckeren, MD Gates Mills, OH Among many things, the CDC needs to track gun casualties as they track ALL other health hazards!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Dannie Ritchie, MD, MPH Providence, RI I find as a public health physician researcher, who studies the social determinants of health, disparities and equity that the discussion about gun violent is missing the root causes. Gun violence is but a symptom of a disease. The disease is a society that not only glorifies violence but teaches that violence is the definitive solution to conflict. If all we do is model combativeness, fighting and violence as the way to resolve those that we are angry or disagree with then that is all we are practiced in thinking about and acting out. Yes, it is true that we have a pitiful mental health system but it is the mental health of the greater society that needs to change. The culture of violence such that those with mental health issues or just frustrated with life and their situation turn to violence to resolve their problem. We must also talk about a predatory arms industry that uses guns as a right and stokes people's irrational fears and fantasies in order to further their profits. RESTRICT their advertising and lobbying efforts. We must change the conversation and expose the industry for what it is and talk honestly about who we are as a culture that models violence as definitive conflict resolution. We have met the enemy.

Dariusz Kostrzewa, MD Narragansett, RI What is wrong with our society if some of us need semiauthomatic weapons for personal use!?

David Melzack, RN, NP Malden, MA We believe in non-violence. The guns available today are mass killing weapons and there lawfulness to the public leads to access for mentally disturbed individuals. If Sandy Hook was not enough to convince lawmakers, then we are not sure what is.

David Mehr, MD, MS Columbia, MO We need to address this epidemic of violence with concrete steps.

David Fleisher, MD Columbia, MO One can't kill 26 people with a 6-shooter.

David Tayloe, MD Goldsboro, NC No civilian needs to own a military-style assault weapon

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

David Adinaro, MD Florham Park, NJ I am tired of caring for people who have been shot. I am also tired of worrying when my children go to public places.

David Keller, MD Pawtucket, RI Gun violence is a public health problem and should be treated as such.

David Fagelson, MD Putney, VT I am against the monstrous horrors of gun violence

Debabrata Ray, MD, MPH Chesterfield, MO We have too many deaths in this country compared to other western countries! Time to take our heads out of the sand!

Deborah Leiner, MD Greensboro, NC A stray bullet killed a beautiful, young pediatric nurse in my community as she was riding home from a 4th of July celebration in the car with her husband and two children. There are many more stories like this that don't make headlines. Gun violence takes a toll on our communities and families and especially the most vulnerable among us who have no political voice, our children. It must be addressed comprehensively as the public health problem it is.

Deborah Satterfield, MD Portland, OR Death by firearms is a public health problem unique to our country in its magnitude

Deborah Richter, MD Montpelier, VT I have seen too many of my patients die from gun violence. Its time to join the rest of the industrialized world and keep the public safe.

Deepa Galaiya Palo Alto, CA Data. We have the same rates of crimes such as theft as other developed countries but our homicide rate is significantly higher.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Denise Davis, MD Berkeley, CA We have lost our way in America when guns are easy to obtain and thousands of men, women and children die freom gun violence and firearm accidents. We can change this.

Dennis Davidson, MD, PhD, MDiv Crestone, CO Americans need to look no further than Canada to see the lethal effects of the lack of gun control legislation. As presiding officer of the Senate, please lead the Senate and the House to ban (at the very least) assault type weapons.

To paraphrase Senator Kerry many years ago, who will we ask to be the last parents to have their child die from assault weapons?

Dennis Novack, MD Narberth, PA I take care of inner city patients, many of whose lives have been scarred forever by senseless gun violence. It's too much. Congress must finally act to stem the carnage!

DeShawn Taylor, MD Waddell, AZ I've seen gun violence from both sides, in the streets of the neighborhood I grew up in and caring for victims of gun violence as a medical student and resident. The availability of guns increases the opportunity for life ending violence.

Diana Wasserman, MD Lincoln, MA As a pediatrician, mother and grandmother I believe that we must each take a stand to eliminate this epidemic of gun violence in cities, suburbs and homes across the US. Gun control and improving access to mental health services are two essential steps.

Diane Brackett, MD Candidate Orlando, FL The argument that "guns don't kill people, people kill people," is akin to saying that "defibrillators don't save people, people save people."

Diane Savarese, MD Northborough, MA We MUST develop a rational national policy that keeps weapons out of the hands of potentially dangerous people and eliminates military style weapons from civil society.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Diane Bogan, ADN Rio Rancho, NM This madness has to stop.

Dinah Kudatsky, BA, MSW, LCSW Amherst, MA Even the body is self-regulating. Without regulation, we've got some form of cancer; the part takes over the whole. Wall Street is a cancerous form of capitalism on the economic equilibrium of the US; the lobbyists for corporations are a cancer on our democracy. And in my humble opinion, the NRA is a cancer on law enforcement. I hope President Obama takes his obvious empathetic grief into leadership/action to begin to stop this approach to gun ownership. Because of our mindless lack of a sane gun control policy, we are the most violent nation on earth. We can, we MUST, change this. Meantime, prayers for the victims and their grieving loved ones.

Dipti Amin, MD Clearwater, FL We need to protect everyone and follow Australia's example

Donald Skog, MD Cresskill, NJ The first amendment of the Constitution guarantees the right to LIFE.

Donald Lighter, MD Knoxville, TN Over my many years of practice, including emergency department work, I have seen the tragic effects that guns have on individuals and families. Irresponsible gun ownership and use has flourished since the repeal of the Brady Bill, and Congress can act now to rectify the problem. Don't delay and debate this critical public health issue - act responsibly and reinstate Brady.

Donald Reed, MD Falmouth, VA I'm a psychiatrist and I have seen reports of the high numbers of suicides with firearms. They don't allow time to recover from the impulse.

Donna Tully, MSW, PA Petaluma, CA I believe we need to slow down and stop violence in our country, against children, women and against people in other countries with our on-going wars.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Dorothy Tompkins, MD North Garden, VA Guns are made to kill. It is unconscionable that we continue to allow them in such numbers in our society.

Douglas Laity, MD San Diego, CA Every country has people who are mentally ill and/or socially maladjusted. Every country has kids who watch violent movies and play violent video games. And relatively speaking, Americans are already religious - there are more professing and practicing Christians in America than any other wealthy nation. And yet America is alone - pathetically, foolishly alone - among all affluent nations by having 10,000 gun homicides and 30,000 total gun deaths annually. We know what to expect with widespread gun ownership; we already have 300 million guns at the ready to escalate any situation to a lethal volley of bullets. This status quo is unacceptable.

Douglas Newton, MD, MPH Denver, CO Fear and a sense of feeling unsafe in our communities has contributed to more stranger danger and sedentary life styles, resulting in more pediatric mental health issues. Assault weapons and horrible incidents like Newtown exacerbate this dynamic. As a child psychiatrist, I too often see the end result of breakdowns in our societal and family systems that lead to trauma. We have an obligation not just to the victims, survivors and the Newtown community at large. We, as a nation of physcians and citizens, have ethical and moral responsibility to proactively influence gun control whilst screening for, preventing and accurately treating mental illness.

Douglas Arenberg, MD Ann Arbor, MI I have witnessed gun violence at my work-place first-hand, and on each occasion the shooter was known to have suffered mental illness.

Douglas Kramer, MD, MS Craftsbury Common, VT We also need a revitalization of the State Hospital System and the ability to relatively easily, with safeguards, evaluate potentially dangerous people.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Eliot Nelson, MD Williston, VT Gun violence in rural states occurs most often in the form of suicide -- but the toll overall is just as high as that in urban areas -- Vermont's overall firearm death rates are very close to those of Illinois and California -- yet our libertarian state legislators and even our democratic Governor are intimidated by the pro-gun lobby -- we need to develop a national policy that can help us prevent gun deaths!

Elizabeth Lindsey, BSN Birmingham, AL As a citizen of the US, I can't take anymore of this random, senseless violence. We are better than this and know that we can do something about it if you will act. Please address this with meaningful legislation.

Elizabeth Kass, MD Lodi, CA I believe that the public safety crisis we are facing will only be mitigated by a multi- pronged approach. Needed measures include improved care of the mentally ill, containment of gang violence, gun safety legislation, etc.

Elizabeth Horvath, DO Barrington, IL We are the only nation in this world that allows citizens to have military weapons of mass destruction! I have seen one too many GSW in the ER that was preventable.

Elizabeth Kass, MD Brookline, MA There is no reason any civilian needs an assault weapon and it is inexplicable that is a culture we cannot commit to meaningful gun control and stand up to the special interests that have blocked this. We should not wait for another tragedy to prove this yet another time.

Elizabeth Alpern, MD Philadelphia, PA Now is the time. We must protect our children. This is a public health issue and should be treated as such.

Elizabeth Neary, MD, MS Madison, WI Our current registration laws have fatal loopholes-guns purchased at private gun shows and between individuals are not required to be registered-this needs to be changed. Also, need to have an assault weapons ban.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Ellen Blair, MD Apex, NC Our society needs to focus on developing methods of conflict resolution other than the finality of gun violence. AS the wife of an avid deer hunter, it's clear to me that a REAL hunter does not need an assault or semi-automatic weapon to take down an animal. Guns can be fun, but too much of a good thing is NOT good. I back President Obama's goal of finding a balance on this issue. We can do this.

Elora Apantaku, MD Candidate North Chicago, IL As a lifelong Chicagoan, I understand that gun violence is a constant, insupportable problem. I recognize that the laws and public opinions on this issue often coalesce into an emotional and logistical quandary, but the number of times I've heard Kathy Brock or Cheryl Burton--our local news anchors--say a variation on "was not the intended target" in reference to an adolescent child who has been shot or killed, is excruciating. And I have never met these children. I can only imagine the pain felt by their mothers, their siblings, is unbearable. Unlivable, almost.

People can be murdered in a number of ways. My father was a trauma surgeon at St. Mary's, across the street from Humboldt Park, in the eighties. Murder capital of the country, maybe even the world. And he has stories: he's operated on a man with an axe in his chest. But I find it hard to believe that with an axe, a potential murderer could slay an "unintended target."

The Sandy Hook Massacre is a truly horrific event. But it is also important to realize that these massacres are not isolated events. Gun violence kills thousands every year, and many of those thousands die in Chicago. Gun violence is destroying my city. In one summer, Chicago will see three times as many children shot down at Sandy Hook Elementary shot down while walking on our sidewalks or playing in their lawns. This is not right, and this will never be right. I only ask that those in this country with legislative powers see this, and think on this issue.

Emily Stagg West Hartford, CT Since the Newtown shootings, I have heard people avoiding the issue of gun violence-- blaming the media, parenting, security, and not least of all they have been blaming mental health professionals. My colleagues and I work hard every day to improve the lives of children and families--we are not miracle workers, but we do the very best we can. I refuse to take the fall for these crimes, so many of which could have easily been prevented by stronger gun oontrol laws.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Emily Antoon, MD Candidate, MA Flint, MI I am entering pediatrics in the coming year and I want my patients to be safe at home and at school. I am also a member of this society and I am horrified and tired of the gun violence that we see every day in our trauma bay.

Emma Ruderman, MD Candidate Bronx, NY We can no longer allow lives to be lost tragically again and again by our refusal to act on this issue.

Enrico Caiola, MD Webster, NY Something has to be done to stop the senseless violence.

Enrique Leon, MD Tacoma, WA We must have mental health care for all and more strict gun laws.

Erawati Bawle, MD Troy, MI It is the height of irrationality to allow private ownership of assault weapons and machines of mass murder.

Eric Rodriguez, MD Pittsburgh, PA Because Second Amendment rights can't keep trump all other rights... Besides, what "well-regulated militia" kills children?

Esther Choo Providence, RI For our children.

Eunice Yu, MD Baltimore, MD Our lack of mental health support services with the widespread access to guns in our society is a recipe that continues to lead to disaster.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Eva Kojnok, MD Seattle, WA In a civilized society there is no reason for citizens to own semi automatic weapons. These are designed with the primary purpose of killing human beings. Their sales need to be outlawed, and their existing ownership closely monitored. Only by making it very difficult for disturbed individuals to get their hands on these kind of mass killing weapons can we hope to prevent massacres of this order in the future.

Evan Weisman Atlanta, GA I don't own a gun. I don't want a gun. I am tired of the atrocities committed by users of guns.

Eve Colson, MD Woodbridge, CT We need safer gun laws. We need to end the senseless violence. We, as a country can and should do better than this.

Fadya El Rayess, MD Barrington, RI I have always believed in gun control. I do not think that civilians need guns.

Fay Safavi, MBBS Dallas, TX President Obama needs to lead with concrete and meaningful actions to put a stop to massacre of innocent people. He must act with urgency.

Ferdous Zannat, MD Bronx, NY Having a gun at home helps no one!

Frances Hicks, MD Portland, OR Children lose their lives and often other children involved are permanently affected

Frances Doucette Okatie, SC It's time to take a stand against assault weapons and also look at the need for evaluation of the people who maybe mentallly unstable who purchase them

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Francine Jolton, MD Martinez, CA As a mother of three school age children and a provider of medical care to many low income children, this violence must stop. All children deserve a happy and safe environment to grow and thrive

Francisco Medina, MD Fort Lauderdale, FL We need to improve access to mental health services, to avoid violence exposure, and to enact strict weapons control within our constitutional rights.

Frank Speizer, MD Rockport, MA With respect for gun owners, there is no reason that ANY gun needs to be able to shoot more than 3-6 bullets without a significant time delay or need to reload.

Frederic Jones, MD Sapphire, NC The massacre with children's bodies devastated by the impact of missiles fired from weapons of war that have no place in hands of our citizens. Ban these weapons and the ammunition from public sale as well as clips with capacity beyond 6 rounds. In this high tech world, let us design a chip for each handgun that delays instant reloading!

Frederick Ammerman, DO Northampton, MA Assault weapons are not for self defense. They are not for hunting. They should not be in the possession of private citizens.

Frederick Ruberg, MD Brookline, MA Thank you for the opportunity to contribute some of our ideas. Since Doctors For America is a group dedicated to public health, it seems optimal for the group to approach this problem from a public health perspective. That means focusing on the fact that guns hurt people and need to be regulated as or more strongly than other potentially harmful actions or substances such as smoking, drunk driving, and drugs.

Improvements in the mental health system are obviously critical to reducing gun violence but it seems very difficult to actually detect those who would perpetrate violence with guns; the only real solution is to eliminate access to the guns themselves.

Specifically:

Complete ban on assault weapons and high-capacity magazines

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Intense regulation (given the 2nd amendment language "well-regulated militia," this seems constitutionally consistent) including a complete registry of all guns owned by civilians, technology to allow guns to be shot only by their registered owners, absolutely no loopholes re: private sales/"gun shows".

Ideally no guns would be owned by civilians at all, in our opinion, but barring that, regulation is the key.

Gail Bourque, PsyD Richmond, CA As a physical therapist, I have been the treating practitioner for rehabilitation for people injured with guns. As a Health Psychologist specializing in pain management, trauma and pain linger from gun shot events, causing untold misery. Let's reduce gun violence.

Gail Gnatek, CRNP Amherst, MA I have no problem with hunting or gun ownership in general. However, something needs to be done to halt this epidemic of gun violence. No one other than military or law enforcement personnel needs an assault rifle. Nor do they need massive amounts of ammunition.

Gary Greenberg, MD, MPH Durham, NC Military functions are not needed for citizens' guns.

Gary Davis, DO Willoughby, OH Our nation's culture has evolved into a sick state in which violence, including graphic firearm violence, is celebrated and honored in Hollywood's cash-for-violence films, in innumerable "first person shooter" video games, and in the worship of firearms as social status symbols. These gradual cultural paradigm shifts, coupled with a substantial rise in untreated mental health issues which leaves "unsafe," "at risk" individuals wandering the societal landscape without support or a safe haven, have created a cultural milieu ripe for such incidents of "role-playing" massacres as occurred last week in Sandy Hook.

These conditions require a wide-ranging study of what elements are critical to the occurrance of such acts, and implementation of broad sweeping changes in the ways in which our society views and manages the teaching of violence as a heroic solution to internal pain, as well as the manner in which our citizens view and obtain firearms and their accoutrements, particularly semi-/automatic and assault weapons and high-capacity ammunition clips.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Gena Lewis, MD Oakland, CA If we do not get rid of assault weapons in our country we will continue to have war on our streets and in our communities.

Gerald Friedland, MD Guilford, CT I deplore gun violence and availability of weapons for civilian use

Gideon Adegbile, MD Springboro, OH Gun violence caused a national nightmare nearly fifty years ago. It caused all kinds of nightmare forty, thirty, twenty, ten years ago! It is still doing it. We need to be more objective, more serious about our 'rights' and 'freedom.'

Gil Lancaster, MD Bridgeport, CT I am signing because gun violence is one of the most important public health problems we have in this country- and maybe one of the least recognized!

Glenn Sehankamhol, MD Williamsburg, VA Enough, its time to show some courage. Ban assault rifles and clips of more than 9 bullets and make it retroactive with a federal repurchase program for the ones out there.

Gloria Algeo, BSN Kerrville, TX Tighten the laws pertaining to purchase of guns. Specifically, the ability to purchase guns at gun shows, through the internet and through private dealers. A three day waiting period and background checks should be applicable for any and all gun purchases. Questions should include if there is the possibility of a gun in your household being obtained by a person with mental illness, are you responsibly planning to lock the gun up. If gun violence occurs due to your not locking the gun up, then you should be held accountable for that violence.

GP Tamesis, MD, MPH Norfolk, VA Gun violence is not a political issue, it is a public health issue and a preventable epidemic.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Grace Cavallaro, MD Danville, CA Assault weapons are made to kill (weapons of war). Our founding fathers never imagined such weapons when writing the Constitution. These should be banned. More accessible and low cost mental health needs to be addressed, as well as reasonable security at all schools (not more guns!). The solution is multifaceted and will decrease, but never eliminate the risk of this happening again. I do not want these children's deaths to be in vain. They were riddled with bullets and killed in cold blood. This should make ALL politicians want to ban assault weapons and high-capacity magazines. If they cannot think of banning these weapons, they maybe need to imagine this being their own children, grandchildren, or neighbor's children. My heart still aches for these families.

Greeshma Shetty, MD Needham Heights, MA We need real political action to end gun violence in our communities.

Gregory Van Hyfte Chicago, IL I see the toll that violence takes on innocent lives and creating a culture of fear in America. This must end for us to be a peaceful nation.

Hal Grotke, MD, FAAFP Fairhaven, CA People need access to mental health professionals, especially family doctors.

Hannah Oakland, MD Candidate New York, NY I am signing because I believe that we are presented with too many diseases that we need so much more science to cure for us to waste human lives and health on medical problems that we can mitigate with legal action.

Harry Selker, MD Wellesley Hills, MA This is an obvious pervasive health problem that should be reversed -- gun access and use as it is now is inexcusable.

Harry Pollock, MTS, MD Cleveland, OH When I worked at Metro I saw the results of gun violence first hand. I believe that when I was young that neighborhoods were much safer and that the gun culture has become part of the problem. I believe access to assault weapons needs to be curbed.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Harvey Alter, MD Chevy Chase, MD This is a "moral cliff" that must be addressed. How many assault weapons does America need in the hands of its citizens?

Harvey Friedman, MD Merion Station, PA The level of gun violence in our country is shameful and speaks extremely poorly of our nation as a civilized society. Gun safety legislation is a must! Please act.

Helen Aguila, MD Newark, NJ Instruments that facilitate chaos and violence in the society must be regulated and controlled. It is important that society tune in to the inner desire of every individual for harmony,peace and love . We must make sure that as our children grow up these inate desires are preserved and not replaced with blatant materialism that leads to wanton desires that drive men to disregard everything else including lives just to achieve power and the satisfaction of bestial human instincts

Helen Pelecanos, MD, MPH Cleveland, OH We need to move on, leaving gun culture and violence in the past and on to the better peace-loving culture we can be.

Hermelino Tolentino, MD Cleveland, OH This may not eradicate gun violence but it surely will reduce the incidence.

Hermila Brito, BA, AS San Jose, CA Gun violence has become too commonplace in our society. As a nation, we cannot let more children die without creating change in our guns laws and our society.

Howard Swidler, MD Bethlehem, PA As an emergency physician, I urge passage o f sensible gun control and more attention to mental health funding.

Howard Aizenstein, MD, PhD Pittsburgh, PA With wide availability of rapid firing guns, it is too easy for horrible mass killings.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Howier Wolf, MD Boulder, CO This country's love affair with guns is causing ugly consequenses. Get rid of all automatic weapons--please!

Imran Sayeedi Oak Park, CA Gun violence is out of control. Change and regulation is needed to prevent these sorts of tragedies from occurring.

Inna Zdorovyak, MD Las Vegas, NV I am horrified and outraged by the too many senseless acts of violence in this country due to guns. Guns are getting in the wrong hands. Therefore we need to act towards tighter control of the right to bear arms.

Isabel Malone, MD Candidate Riverside, IL Enough is enough. it's time for change.

Ivy Kuhn, BA, BSN, MSN Philadelphia, PA We commit each day to help all children live healthy hopeful lives. Gun violence destroys this

Jack Tempel, MD Candidate Chicago, IL Because more guns portends more gun violence. Fewer guns begets fewer heinous crimes. It's as simple as that.

James Bennett, MD Santa Cruz, CA Allowing citizens to have military-grade assault weapons is insane. Extend the logic and any licensed pilot should be able to fly an F-16 armored with tomahawk missiles in public airspace. Public safety demands limitations on the 2nd amendment.

James Boyer, MD Hamden, CT It is way past time to do something signficant to curb the use of guns in the USA

James Finkelstein, MD Washington, DC

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

This man-made epidemic must be stopped at its roots. Waiting for the full-expression of the disease leads to the irreversible disasters such as Newtown.

James Kolb, MD Bedford, MA Gun violence is a national epidemic and public health crisis. The time to enact this sensible legislation is now.

James Pruden, MD Teaneck, NJ Because I know that even though we can't eliminate the 300 million guns in the U.S. that there is some common ground that most US citizens will agree to (clip size, Gun show limitations etc.) that will go some way to eliminating the unabated loss of life that occurs in the present circumstance.

James MacDonald, MD Columbus, OH This is the public health crisis of our time.

James Katowitz, MD Philadelphia, PA To urge Congress to help reduce gun violence as well as to vote for increased mental health care support.

Jamie Harms, MD Annapolis, MD Guns allow impulsive behaviors to have lethal consequences. My patient's son killed himself with a gun this year.

Jan Newman, MD, MA Clinton, MT Other countries do not have the problems with gun violence and gun suicide that we do. It is time to take action against the munitions industry and its propaganda arm the NRA. I am a surgeon and I can tell you that telling a family that they have lost a member due to gun violence is a heavy, heavy job.

Jan Widerman Philadelphia, PA Enough with these mass killings! Mental health and non or low insurance coverage must be addressed

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Janani Srikantharajah, MD Candidate Los Angeles, CA Gun violence is preventable. It takes an unnecessary toll on lives, families, and society. Medical professionals do not get involved in public policy efforts as much as they should considering the first hand experience they all have with victims of poor policy decisions. This petition is of utmost importance because it signals that health professionals are fed up with the senseless injury and death that comes with inadequate gun control policies. Models and pilot programs of successful violence prevention exist and should be brought to scale across the US.

Jane Cauley Pittsburgh, PA We have got to ban assault weapons and gun magazines that have a massive amount of bullets. We need to stop the violence. We need more background checks.

Janet Squires, MD Pittsburgh, PA The 'rights' of children to be safe from assault-style weapons is unquestionable.

Janette D. Sherman, MD Alexandria, VA I've seen too many violet deaths and injuries.

Janice Gibeau, RN, PhD Chesterfield, MA As a previous clinical administrator in mental health hospitals and community based organizations I have been so disappointed in the politization of gun control. There is no reason to support the sale of assault weapons of any kind. I am also alarmed at the assumption that the mentally ill should be targeted as the aggressors. They are more frequently the victims of others who act out the stigmatization of mental illness.

Janice Werbinski, MD Portage, MI It's time for action. No more rhetoric. Mental Health needs attention and we must get weapons out of the hands of crazies!!

Jasvinder Singh, MD Birmingham, AL It's a shame that children have to die so that NRA can encourage the selling of these killer weapons, which will fall in the hands of people, they shouldn't

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Javay Ross, MD Berkeley, CA To save lives. Even if it's just one!

Javier Galvez, MD Cleveland, OH Because gun control is crcial

Jay Mathur, MD New Haven, CT The right to bear arms is irrelevant in the free world.

Jay Bhatt, MD Ann Arbor, MI Because the human spirit and their life is too precious to lose via violence

Jean Naples, MD, PhD West Haverstraw, NY We must institute all action to stop the increasing level of gun violence in the USA.

Jean Emond, MD New York, NY Its time to join together to make a changethat is long overdue.

Jeanne Tyan, MD San Francisco, CA I am an Emergency Room physician and parent.

Jeanne Huck Tarpon Springs, FL There is too much innocent killing.

Jeff Kohlwes, MD, MPH Mill Valley, CA I feel our second amendment rights should not expand to include automatic weapons especially with enhanced magazine capacity. This is not what our forefathers envisioned when creating the constitution.

Jeffrey Katz, MD Chestnut Hill, MA Gun violence is endemic and largely preventable, but only if we have the courage to face the facts.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jeffrey Linder, MD, MPH, FACP Newton Highlands, MA Gun violence IS a public health problem. At a minimum, there is no plausible argument for people to have handguns or assault rifles. These firearms are not used for hunting.

Jennifer Hernandez, BSN San Diego, CA It's the right thing to do for the safety of our children and future.

Jennifer Locke, MD Lutz, FL Now is the time. It should not be more difficult to obtain license to drive a motor vehicle than to own and operate a gun.

Jennifer Ron, MD Chicago, IL Caring for children with lethal gunshot wounds, being a parent, having common sense. These are just a few of the reasons that we NEED to get guns under control!

Jennifer Jones, MD Candidate Chicago, IL The number of violent crimes committed with guns in Chicago is spiraling out of control with greater than 2000 shooting incidents, resulting in over 400 homicides occurring in 2012. This is simply unacceptable. Something needs to be done to curb access to guns in this city and nationwide.

Jennifer Lee, MD Boston, MA It is so important to have stricter gun laws, to decrease the chance that Sandy Hook can happen again. People do not need assault weapons to protect themselves.

Jeremy Herman, MD Los Angeles, CA Many have argued that we live in a uniquely violent society and that we should seek to abolish this violence with either more guns in schools or by somehow changing our society. Violence is not unique to America in 2013. Mental illness is not unique to America in 2013. However, at the present time, the ability to own an assault rifle appears to be fairly unique to America in 2013. I hope that you examine other countries track records and evidence to try to determine what the best course of action is as we do when we treat a disease. It is wrong to say that these tragedies are senseless when we have evidence that tells us that other countries with proper bans on deadly weapons do not have the same rate of violence that we have.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jerome Schroeder, MD Candidate Denver, CO I'm sick and tired of a small but powerful group of people holding the rest of America hostage to their own warped sense of importance. the NRA needs to be put in it's place as a fringe, out of touch group which does not represent the majority of Americans.

Jessica Manyan, DO Pawtucket, RI The only way this violence will stop is if the federal government restricts access to guns. It is inexcusably irresponsible to allow semi-automatic weapons and high count clips to flood our country.

Jill Edwards, MSN North Branford, CT No one needs an assault rifle to protect their home or to hunt. Jill Schellhase, MD Lancaster, OH Enough is enough! No more useless deaths!

Jim Carpenter, MD, MPH, FAAP Berkeley, CA Among my duties is reviewing child deaths in my county. Gun-related homicides, suicides and "accidents" stand out as some of the most unnecessary and preventable. Guns are the only common consumer product without regulations or oversite by the CPSC.

Jim Sabin, MD Wellesley, MA If a food additive or infectious disease caused a fraction of the avoidable deaths that occur from guns, we would have regulated it decades ago.

Joan Hoffman, MD Oakland, CA In addition to restricting access to guns, we need to improve access to mental health services. Violent thoughts precede violent actions, and we need more robust systems to identify people at risk of committing violent acts and to offer treatment.

Joanne Costello, PhD East Greenwich, RI The US's gun policy is its greatest shame. It is imperative that we prevent access to guns to prevent violence, what we saw on Friday in CT and what happens every day in our urban neighborhoods.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Joanne Spruance, BA Salt Lake City, UT I live in Utah where concealed weapons can be carried into the classroom, which I think is RIDICULOUS!

Jody Norton, RN, CHPN Davis, CA We have two intertwining issues. Minimal resources for those with mental illness other than crisis intervention. This along with the prevelance of guns will lead to one crisis after another.

Joel Fortin, BA, MD San Francisco, CA Gun bans & registration are vital for saving lives & wounds

Joel Paine, BS, MD Santa Rosa, CA For too long, our Congress has been impotent and needs to perform it's feduciary duty to America by passing some substantive legislation to reduce gun violence in this country once and for all. Our legislators' lack of spine and action, and their kowtowing to the NRA's power have been shameful. America is clamoring, especially after the recent massacre in Connecticut, for change. I pray Congress gets off its collective duff to finally accomplish either gun or ammunition sales restriction.

Johanna Meyer-Mitchell, MD Martinez, CA Guns allow dangerous people to kill many others quickly; there is no non-military use for multiple-rapid-fire weapons

Johanna Pallotta, MD Boston, MA We must outlaw all guns. We need to stop these senseless shootings. I'm a pacifist.

John Lewin MD, MD Washington, DC Because assault weapons are unsafe and have no role in gun sports or personal protection!

John Wong, MD Belmont, MA Reducing the risk of tragedies such as Newtown is possible, and it starts with getting assault weapons off the streets.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

John Marshall, MD Candidate Baltimore, MD I have already signed, but I wanted to add some comments. I am a medical student at Hopkins who grew up in Statesboro, GA. Killing my first deer was a right of passage for me growing up. I have hunted all my life and own 3 guns. But I am in favor of gun control. It will be a tricky issue - to regulate guns. The businesses around my home town had the most booming business they have ever seen in the last two months since the shootings for fear of legislation. What we need are people at Washington who understand this perspective. "Gun control" CANNOT be a regulation on the guns used for hunting. And why should it be? These are not the guns used for mass killings. Instead, what must be banned are the collection of automatic guns, plus the modifications of semiautomatics which allow mass shootings. These are never important in hunting, and the banning of these should be not be contentious.

John Lake, MD Minneapolis, MN I an tired of being bullied by the gun lobby into accepting gun violence as a part of "freedom".

John Haresch, MD Kitty Hawk, NC We must take on this issue as what it is: a public health embarrassment. Mental health care and gun access must both be addressed if we are to change this horrific situation.

John Watts Haresch, MD, MA Kitty Hawk, NC Gun violence is a multi-faceted problem and demands a multi-faceted, evidence-based approach. We know what the risk factors are. We know how to reduce some of those risks. For the risks that we don't know how to reduce, more research is demanded.

John Bent, MD Bronx, NY I support the second amendment but am outraged by how the NRA has blocked all reasonable regulation. Hopefully this petition will embolden our political leaders to take action to curb our country's violence problem.

John Mitchell, MD New York, NY Enough is enough. Let us stop the insanity. Our Founding Fathers would not have imagined a rifle that shoots 30+ rounds that was aimed a innocent children.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

John Carl, MD Cleveland, OH The U.S. has neither a higher incidence of mental illness nor social pathology different from other developed countries, such as Canada and the EU. These societies have 30-fold lower homicide rates. The only factor differentiating us from them is the lack of gun control. This insanity must stop. I shoot firearms as a hobby, but have chosen not to own them because of my children. I am not opposed to hunting or sport gun use, but our current laws are toothless. We will hold each member of Congress responsible for enacting sensible gun control legislation in the 2014 elections.

John Schumann, MD Tulsa, OK To improve health and safety and lessen risk, we should have common sense laws restricting assault weapons.

John Trumper, MD Brattleboro, VT The nation as a whole supports the ban on military weapons available to civilians. It is long overdue that our "leaders" at least follow and defy the NRA

John Frey, MD Madison, WI I have been a family doctor for 40 years and have patients and families who have been scarred by gun violence. It never goes away. Assault weapons ban and gunlocks are essential to make progress in this country.

John Frey, MD Madison, WI My work in urban high risk communities for 40 years has reminded me daily about the risks of gun violence for families and children

Joleen Chambers Dallas, TX Citizens deserve a safe environment to live and work. Reasonable gun laws protect us all.

Jonathan Lynne, MD Rancho Cucamonga, CA The number of live years and economic loss to gun violence should prompt us to revamp our mental health services and to broaden health coverage for providing mental health to all Americans.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Jonathon Thorp, MD, MBA Odenton, MD As a society we need to make policy changes to outlaw and ban the use of semi- and fully- automatic weapons so that our schools, workplaces, streets, and homes are safer.

Jordan Sloshower, MD Candidate New Haven, CT Because there's simply no need for semi-automatic weapons in civilian hands.

Jordan Marmet, BS, MD Hopkins, MN I do not believe that laws protecting our right to self defense or hunting for sport should extend to military grade assault weapons, nor should second amendment rights prevent solid background checks and waiting periods before all gun sales!

Joseph Cubells, MD, PhD Atlanta, GA I am a gun owner and outdoorsman, and believe in the second amendment right to bear arms, but I also am a physician who recognizes the reality that gun violence is a MAJOR public health problem that is unique the the U.S. among wealthy nations. I was appalled to read in JAMA (see epub ahead of print: doi: 10.1001/jama.2012.208207) that Congress has specifically forbidden the CDC and NIH from conducting research that "promotes gun control." The first step to addressing the current gun-violence crisis is to allow our Federal health research agencies, which are the best in the entire world, to conduct unfettered research on gun violence as a significant cause of morbidity and mortality in the U.S. Simultaneously, the Clinton-era ban on high-capacity magazines and assault weapons MUST be immediately reinstated. The third step must be to institute a national buy-back program for assault weapons, high-capacity magazines and hand guns, followed eventually by an outright ban on civilian possession of such weapons, similar to that successfully employed in Australia, a nation that like ours, has a tradition of outdoor sporting uses of firearms, but in which the rate of gun violence is much much lower than in the U.S.

Joseph Majzoub, MD Boston, MA Human nature does not include killing other humans. Assault weapons are not required for other legitimate purposes. The Second Amendment has been misinterpreted.

Joseph Frolkis, MD, PhD Brookline, MA Recent events have shown the fallacy of the "if guns are outlawed only outlaws will have guns" arguement. It is time to act to prevent further bloodshed.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Joseph Prezio, MD Troy, NY Because it needs to be done

Joy Silver, MD Palatine, IL Because gun legislation is the only way to decrease the devastation caused by gun violence.

Joy Marshall, MD Cleveland, OH This country has over 30,000 homicides by guns a year - it is way past time to stop - The idea that the second amendment has anything to do with our lack of gun control is an out and out lie -- this is about money - money and power. To compare the "blunderbusts" of the past with our current propensity for AK 47s and other war toys would be simply a laughable absurdity if we werent forced to weep over the thousands of murders they cause each year.

Joyce Copeland, MD Efland, NC As a Quaker, I believe in plowshares. We need to use common sense not follow the dollar gun laws.

Juanita Lynn Taylor, MD Hummelstown, PA I believe that we need to start the painful process of removing assault rifles and ammunition from circulation. I know it is a long process as so many have been sold but the longest journey starts with but one step.

Judith Pinsker, MD, MPH Wellesley Hills, MA Many of my patients and patients' family members have been killed or injured by gun violence. This is unnecessary and unacceptable.

Judith Feinberg, MD Cincinnati, OH Gun violence is out of control in this country. We are the only industrialized nation with so many gun owners, gun violence, and deaths from shootings. It is insane, and must stop.

Judy Fine-Edelstein, MD Lexington, MA As a physician, advocate, mother, and citizen I am sickened by the toll that guns and violence have taken in our communities, and I have supported this issue for many years now. Finally, I hope our voices will be heard.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Julia Kammel, MD Candidate Washington, DC I strongly believe that guns should only be used by those who have undergone training and significant physiological assessment. Those who protect our nation such as policemen should be able to have guns but there is no reason that others should have these weapons in their home. Unless someone can prove to me that more guns are used to protect owners in their homes from burglars than the harm they cause I hope that we can strengthen our laws.

Julia Frank, MD Silver Spring, MD I am a mental health professional, and gun control is an essential part of making society safer for both the patients I treat and for the public at large. Without it, mental health reform is likely to backfire, to the detriment of all.

Julia Doucet, BS, RN Bristol, VT Enough is enough. Guns are for hunting animals, not assaulting people.

Julie Lindholm, MD Page, AZ I have treated countless patients, victims of street gang wars and drug related violence. I have seen children take other children's lives with guns. I have seen great losses to our whole society because of easy access to weapons.

Julie Vannerson, MD Indianapolis, IN Yes, people will kill no matter what. But they will do it a lot more quickly and efficiently with guns!

Julie Crosson, MD Waban, MA my patients regularly experience trauma due to guns, legal guns, we need MUCH tighter gun restrictions to protect our patients and citizens

Julie Silverman, MD Seattle, WA Because guns and gun violence are a public health issue.

Juliet Bradley, MD Chicago, IL Violence is a public health problem of epidemic proportions!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Justine Summers McClain, MD Candidate Washington, DC As a hunter and the daughter of a hunter, I disagree with the availability of assault weapons and semi-automatic weapons in this country and think all guns should be regulated more strictly.

Justine Mccarthy, MD Florence, MA I hope that this is the moment that the combination of strong political will for, and weak resistance against gun law reform, can allow for real reform to be made.

K Moeller, MD Alameda, CA We need better gun control in the USA.

K Costenbader, MD Boston, MA There are more regulations surrounding marijuana than there are around gun acquisition in this country! It is outrageous and must be changed!

K Burke, MD las cruces, NM Comprehensive is the key word, taking a few guns off the street, or providing mental health for a handful of isolated kids will not end the carnage. We must think more comprehensively.

Kae Bates Newport, OR A national effort to focus on measures to reduce gun violence is needed to save lives-NOW!

Kahleb Graham, MD West Warwick, RI The answer to gun violence in schools is not more guns in school.

Karen Savage Birmingham, AL Assault rifles are not needed for recreational hunting. We need to make it much more difficult for folks to arm themselves with guns.

Karen Postal, PhD Andover, MA The violence has to end. We need sensible gun control laws to protect our children and all of our citizens.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Katherine Henry, MD Candidate Palos Verdes Peninsula, CA This is a public health and safety concern. The current federal laws on gun ownership are not in the best interest of the people who are supposed to be protected by the government.

Katherine Herz, MD, MHSR San Francisco, CA As a pediatrician, I feel that taking measures to reduce gun violence is a public health -- and child health -- imperative. If your concern is for protecting children's health and well- being, this is a no-brainer. We should have fewer guns, less amunition, and less glorification of the value of guns in our society. Thank you.

Katherine Sheffield, MD Florence, MA No one needs an assault rifle. Only harm can come of these weapons (outside of military use). Too many lives have been ruined and mostly preventable.

Katherine Gullett Tacoma, WA It is imperative that we make a beginning in restricting the availability of guns in our country.

Kathleen Sylvester, MS South Deerfield, MA It is well overdue to have a national gun control policy that can help to minimize access.

Kathleen George Schapira, BSN medfield, MA Enforce Existing Laws Reduce Horrific Violence

Kathleen Leonardo, MSN Cooperstown, NY Every day, I work with people to improve their quality of life by either improving their health or easing their discomfort. Politics aside, we must make serious efforts stop unnatural death and injury by guns in our society.

Kathleen Harris, MD Hilton Head Island, SC Banning assault weapons and registration of all guns is immediately necessary. Stop the NRA from influencing your vote!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kathryn Malakorn Lew, MD, MPH Boston, MA Gun violence is an atrocious waste of human lives. The statistics are clear on the accidental lost of lives from children playing with guns at home. The horror of 20 children's deaths at the hands of someone who had access to guns is incomprehensible. We need legislation to limit guns in the homes, particularly semi-assault and assualt weapons. We need stricter regulations as to who has access to purchase them, and longer wait times. Let's make it difficult for those who have harmful plans in mind to obtain such weapons.

Kathryn McCans, MD Havertown, PA I care for children in the emergency department or when there are concerns for maltreatment. I do this in one of the poorest and most violent cities in America, Camden, NJ. We have allowed too many innocent children to be lost or injured.

Kathryn Porterfield, BA, MSN Brattleboro, VT I work in mental health.

Katrina Saba, MD, MS Oakland, CA I am a pediatrician in Oakland, California. When I was in high school in a wealthy Boston suburb, I knew of school mates killed by guns in their own home. As a doctor, I've seen patients killed by guns in their own home, and too many children killed in my community from guns on the street. Enough is enough.

Keith Rafal, MD, MPH Medway, MA Although gun safety legislation is only one piece that is needed to address gun violence, it certainly is an important component of a national soul searching to help us address this important problem.

Kelley Meade, MD Berkeley, CA Gun control is a public health issue and has reached a crisis.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kelly Dauer, MD, BS College Park, MD Please put an end to the possibility of another shooting. We cannot continue to stand by and do nothing when people continue to be killed at the hands of psychiatrically unstable people. My fiance (another physician) and myself are contemplating relocation to practice medicine in another country because of the state of our society. Our country cannot afford to lose good physicians.

Kelly Wood, MD Chapel Hill, NC As a caretaker of children and a protector of their spirit, I want to protect them in any way possible, especially from gun violence.

Ken Edelin, MD Sarasota, FL The madness of gun deaths and injuries in urban and suburban America has to stop!

Kenneth Sapire, MD Houston, TX We need to take care of our communities in a sensible manner. Let those who must carry weapons but do not sell ammunition...

Keri Foster, ASN Lander, WY I believe that it is simply unnecessary for individuals to have access to military-grade weapons. Hand guns, hunting rifles, perhaps. But assault-type weapons, outrageous. It only increases the likelihood that these weapons will fall into the hands of the unskilled and mis-intended.

Kerry Shannon, MD/PhD Candidate Baltimore, MD We have for too long ignored the horror and death that guns have taken on so many lives in our country. We have spent so long defending the right to bear arms, and forgotten about the right each of us have to feel safe and secure in our homes, schools and communities.

Comprehensive gun control must come with a package of services including more comprehensive medical, particularly mental health services.

Ketan Patel, MD New York, NY The NRA is evil! We need to end the silence of the majority. I will never again vote for a candidate who is not an ACTIVE advocate for gun control.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kevin Contrera, MD Candidate Baltimore, MD I support common sense laws discouraging assault weapons and ownership registries.

Khalid Bashir, MD Omaha, NE To protect children

Kim Osborne, MSN New Albany, OH I believe that there should be stricter gun control. Weapons that have the ability to fire multiple rounds should not be sold to the public.

Kimberly Zeller, MD Riverside, RI In the interest of public safety, our nation's leader owe it to the people to call for at least as much accountability in the ownership and operation of firearms as there is in the operation of vehicles. No one with a responsible attitude toward weapons should object to reasonable regulation and monitoring of their use. There is no place for automatic weaponry in civilized civilian society.

Kimberlydawn Wisdom, MD, MS Detroit, MI As an emergency medicine physician having practiced in a large inner city, I witnessed first-hand the devastating impact that guns have on the lives of children, families and our society as a whole. It's unfortunate that a major tragedy had to occur to get people mobilized to to address gun violence. In addition, this a wake up call regarding more robust efforts to support those with mental illness. Hopefully actions today will make our society a safer place to live, learn, work, play and pray!

Kirsten Salmeen, MD San Francisco, CA Guns DO maim and kill people.

Kitsa Catherine Kondylis-deBlois, MD Concord, MA As a physician who trained in the ED and on a major city trauma team, I have seen both criminals and policemen suffer from the prevalence of too many guns. Let's start with banning assault weapons.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Kohar Jones, MD Chicago, IL Gun safety saves lives. Too many of my patients on the South Side of Chicago have had their lives sadly changed by gun violence.

Komal Patil-Sisodia, MD Ellicott City, MD My one year old son is my main reason for signing. I want to make sure he grows up in a society where he can feel safe. Gun violence is a multi-factorial problem that needs to be addressed from all angles - gun control, mental health access, and the heavy marketing of violence in the media (movies, TV, first shooter video games) to our children. Please sign and help us address one part of the issue. Let's create a better society for our children.

Kris Gupta, MD, PhD East Greenwich, RI While I understand that the cause of the tragedy in Newtown, CT is multifactorial, I find it unfathomable that these "semi-automatic" rifles are necessary/legal in any society.

Lance Goetz, MD Midlothian, VA I have children and my heart aches for all of those families who have lost loved ones due to gun violence.

Laura Davies, MD San Francisco, CA It is critical to ensure safety for our children and adults.

Laura Whitman, MD Southport, CT Mr Obama, you have been given a mandate. There is only one path. Please take it. Otherwise, I am afraid I will have to ask for my vote back.

Laura Koenigs, MD Longmeadow, MA Our attitude towards guns has made them a public health hazard. They should be regulated as automobiles and people should have the same sort of licensing requirements that you must have to drive a car!

Lauren Spieler, DO Sebastopol, CA There are ways to make our country safer and saner. We need strict gun control and stronger mental health programs in schools.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lauren Kern, MD Chicago, IL As a psychiatrist, I understand that violence cannot be predicted. Our best option for reducing the loss of lives is my strictly limiting access to firearms.

Lauren Mcdonald, MD Dallas, TX It is an epidemic that needs to stop

Laurie Fishman, MD Boston, MA More children are killed by guns than GI disease!

Leah Alexander, MD Fairview, NJ Too many innocent people die from gun related violence in the U.S, not only in the case of the tragedy in CT, but in many communities around the country on a smaller scale. Can we at least ban the assault rifles? I mean, this isn't the Middle East, Mexico, or Afghanistan; this is the U.S. We can do better!

Leah Taffel, MD Candidate New York, NY It is our job to protect the health of all the people in our country. Stopping gun violence is a pivotal way of doing this.

Lee Moss, MSN Salt Lake City, UT Guns don't kill people, people kill people but high-capacity clips and semi automatic assault weapons make it much easier for people to kill many people quickly. It's time to change this!

Leena Gandhi, MD, PhD Cambridge, MA I watch with horror every passing month as presidents, senators, representatives from both sides stay silent while innocent people are killed in schools, malls, movie theatres, temples, day spas. Living in the U.S. is a threat to the health of every citizen--we are not safe in our own society. As a doctor and as a citizen, I demand action.

Lela Bachrach, MD, MS Berkeley, CA I have too many pediatric patients that have been impacted by gun violence. It is time to address this public health crisis!!!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lenore Cohen, BA, MD Sunnyvale, CA My profession and my passion is caring for people. Guns never promote this, only violence. Semiautomatic weapons, in particular, have no other purpose but to kill large numbers in a short period of time. It is time, it is beyond time, to stop this insanity for which our great country is known throughout the world.

Leonard Cruz, MD Asheville, NC It is time for moderate voices to be heard

Leslee Ball-Scovel, MD San Antonio, TX Military type weapons do not have any place in civilian society!!

Lesley Stephens Hanes, MD, MSc New York, NY I'm a pediatric ED specialist and have seen enough anguish from gun violence. Too many people are dying and the senseless empowerment of violence has to end. We cannot continue to allow our neighbors to arm themselves against imaginary foes, enabling them to turn around and kill our children and loved ones.

Leslie Kammire, MD Winston Salem, NC We are not advocating "taking away anyone's guns", just the assault weapons. Too many times they fall into the hands of the mentally ill, resulting in tragedies such as we just witnessed.

Lester Hartman, MD Needham Heights, MA Time to stop semiautomatic weapons

Lila Rosenthal, MD Boulder, CO Because I don't want to live in a society that finds the right to bear semi-automatic weapons more valuable than the lives of thousands of innocents every year. The spate of massacres by lone gunmen in our country in recent years is out of control and demands a multi-faceted legislative response.

Linda Morenz, MD Tucson, AZ I'm tired of hearing about these senseless mass murders.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Linda Maki, MD Menlo Park, CA We must pass gun safety legislation now. WE MUST ALSO make mental health services much more available. It is very difficult and expensive for most people to get mental health counseling in this country. It should not be this way. This tragedy must be a wake up call on both these issues.

Linda Wood, RN Trenton, NJ I work in an urban hospital and have seen too many traumatic injuries, long term disabilites and deaths due to gun violence. Some of the victims are intended targets while others are innocent victims of wrong place-wrong time. Shame on us that a large portion of our citizens must live in fear of injury/death because we cannot control gun sales and violence. The elderly poor are prisoners of their homes and now the children are not safe. Unless in the military, why would/does anyone need to arm themselves with a weapon that in an instant can injury/kill many people. They should be removed from the marketplace. Enough damage can be done by shotguns and hand guns to keep our EDs in business. It's time to take action before you or a family member fall victim to the problem. Are we or are we not a civilized nation?

Linda Gochfeld, MD Princeton, NJ As a psychiatrist, I know that a gun in the home is a serious risk that a depressed or impulsive teenager will commit suicide. Homicide with guns is a daily occurrence in some neighborhoods, leaving loss and trauma everywhere. This must be addressed as a serious public health issue.

Linda Smith, MPH Dayton, OH Gun violence is a significant public health issue!

Linda Antoon, BSN Dayton, OH Too many people are murdered with guns.

Linda Bennington, BSN, MSN Virginia Beach, VA I grew up with guns and learned to respect them at an early age. No one I knew ever had need of a semi-automatic rifle. They always end up in the wrong hands.

Lindsay Fitch, MD Catonsville, MD I am a pediatrician, a mom, and a horrified American

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lisa Wong, MD Newton, MA Over 6000 U.S. children have died from gun violence this year. If we are serious about public health, we must work to correct this.

Lisa Letourneau, MD, MPH Scarborough, ME Because we must change the culture of this country to stop the senseless killings

Lisa Schimmenti, MD Minneapolis, MN Guns have killed and wounded innocent victims at schools, movies and malls. America is no longer a safe place to raise a family and the solution to arm everyone is not acceptable and will only lead to more gun violence. The gun lobby and NRA only want to sell everyone a gun and have use inflammatory langauge to cause a painfully divided nation. End the gun violence now. Limit access to guns and ammunition. Save lives. The children in Newtown had a right to life that was taken away but those that think a right to a gun is more important than the lives of those innocent children.

Lisa Navracruz, MD, FAAFP Cleveland, OH I run a Teen Clinic at a Free Clinic and see way too much violence-- as a doctor and a mother, we must protect our children!

Lisa Plymate, MD Seattle, WA We cannot continue to lose lives so senselessly. When I did homecare, I saw a patient who would not stand up in her apartment after 2PM, because of the fear of getting shot. Last year, I had to comfort a mother whose teenage daughter was shot walking home from school. We cannot continue like this.

Lisha Barre, MD, MA Boulder, CO The right to live in and enjoy a safe society is as sacrosanct as the right to bear arms. Let's be true to the spirit of the founding fathers and acknowledge that the second amendment did not intend to assure to any and all individuals an unlimited arsenal of weapons of mass destruction, which could be readily diverted to killing innocents.

Lonice Thomas, MD Rumford, RI I see families touched by gun violence on a fairly regular basis. In some ways, they never get over it.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lorrie Leigh, AA candidate Columbia, MD I believe that we can honor the second amendment and have reasonable limits on semi and automatic weapons, licensing and a national database to prevent severely mentally handicapped and convicted violent felons from owning or living in a home where guns are present. I believe high capacity ammunition should also have restricted access. The founding fathers were referring to black powder muskets that did not reload easily. They did not and could not conceive of the violent mass murder possible with today's weaponry.

Louise Acheson, MD, MS Cleveland, OH My daughter is a teacher in Watts.

Lucy Truman, MD, PhD Newtown, CT I live in Sandy Hook, Newtown CT and we are grieving. By a horrible coincidence, in 1996, I was working in A&E (ER) on the morning of the Dunblane Massacre in Scotland- waiting for casualties- that never arrived. 15 children aged 5-6 years old were killed. The possession of all handguns has been illegal in the UK since 1997. To witness these two awful, awful, events in my lifetime seems unbelievable and I support this petition.

Ludmilla Nelson, LVN, AA Canoga Park, CA I have worked for 30+ years as a nurse, 15 of those in hospital emergency departments,15 in a busy Family Practice, and 3 years in pain management. Please, please, we must make some sane changes.

Lulu Tsao, MD Candidate Boston, MA The accessibility of guns is a public health crisis: an outdated right from the 1700s should not dictate our policy on assault guns now.

Lynda Flom, MD Pittsburgh, PA Make our country safe from senseless gun violence.

Lynn LI, MD Worchester, MA Too many inappropriate persons are processing guns. Too much violent media, games. Too little attention to mental illness treatment.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Lytitia Shea, MD Indianapolis, IN Let's accomplish three things:

1) Ban on semi-automatic and assault weapons

2) Close the loop hole on gun show and private sales

3) Limit the amount of ammunition that can be purchased at one time by one person

Majid Cina, MD Ellicott City, MD International data strongly demonstrate that strong gun control laws reduce gun-related violence.

Mani Mani, MD Mission, KS I have seen too many wounds from guns.

Mara Rabin, MD Salt Lake City, UT Gun control is a public health issue. Please pass gun control legislation to protect innocent people from harm.

Marc Schenker, MD Davis, CA Gun controls are the ONLY way to realistically reduce gun deaths in this country. It works elsewhere, and can work here.

Marc Ringel, MD Greeley, CO Patients are sometimes surprised by my questions about their use of seat belts until they understand that, as a family doctor, my job is to promote their health and well being in every way I can. Out of the same concern for the health of individuals and of our society as a whole, I have seen that we we urgently, desperately need new policies and practices to address the undeniable threat that firearms pose to the American people. I urge, no demand, that legislators do all they can to make America safer and healthier for us and for those we love, by discussing, legislating and implementing a comprehensive plan to curtail gun violence.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marcel Castor, MD Candidate South Orange, NJ Regardless of how you put it having easy access to guns also increases death by guns. At the least make mental health screening and comprehensive assault weapon bans a priority. I hope to never have care a child that is a victim of gun violence in my future.

Margaret Bia, MD New Haven, CT To help our coutry evolve into a more civil one

Margaret Shepp, MD Portland, ME Enough already! A comrehensive plan should include reasonable gun restrictions, mental health care, and cultural change. No guns for teachers!

Margaret Chybinski, BSN Trenton, NJ No civilian needs an assault rifle

Margaret Hauler, BSN Morrisville, PA I see how careless individuals get posession of guns, the destruction it causes for family, and the chaos it causes for health care workers.

Margaret Kozel, MD Jamestown, RI There are no greater threats to our liberty than pervading violence and fear. We cannot be held hostage to an ideology in which guns equate with freedom.

Margi Shah, MD Ardmore, PA I am a psychiatrist and always screen about access to guns and to families of people with mental illness, i always do gun education if they have guns in the house. Access to better mental health care is a must but so is preventative measures. You need to limit accessiblity. It is just as if a person wants to commit suicide, they need access and means. That is the same for homicide. You need to have access to a gun if you want to shoot someone. We are in desperate need of better gun control. Why would anyone need a semi-automatic weapon in the first place? Those guns are only for the military--not for hunting or target shooting or home defense. It is a shame that the NRA, just because they have so much money, have so much power. This is not a political issue, but a common sense issue. The government needs to stop being intimidated by the NRA.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Marianne Herr-Paul, DO Greencastle, PA I am an osteopathic family physician with two grown daughters, and a six-year-old grand- daughter (as well as 4 year-old grandson); there is no reason for US citizens to have assault weapons that can kill 20 children in a sweep.

Marina Goldman, MSN Montague, MA End gun violence. Ban assault weapons. Enact Federal laws.

Marissa Wilck, MD, MS Philadelphia, PA Its enough of of this madness. We owe it to our children and to ourselves.

Its a sick society that puts the "right to bear arms" above so many other basic human rights. Its certainly not a society to be proud of.

Marivic Borromeo, MD Seattle, WA As a primary care physician, my focus is on preventive health care. Gun safety is a big part of this and I counsel all my pediatric patients and families on this issue and stress the importance of gun safety. I urge our elected officials to do the same. It is cowardly to kowtow to the NRA.

Marjorie Rosenthal, MD, MPH New Haven, CT I am a pediatrician in New Haven and my children go to public school in New Haven. We do not need armed guards in the school of my children and my patients--we need less access to weapons.

Marjorie Hogan, BA, MD Saint Paul, MN As a pediatrician, I am appalled that this country places the rights of children to live an thrive far behind the perceived "rights" of gun lovers.

Mark Berman, MD San Francisco, CA Gun violence can be prevented. Our reluctance to enact strict gun-control laws is inexcusable. A country which has high rates of mental illness should not have easy access to guns.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Mark Richman, MD, MPH Pasadena, CA To be politically palatable, the United States requires comprehensive, non-extreme, gun control legislation and enforcement.

Mark Siegel, MD Hamden, CT Insufficient gun safety poses a major health hazard to our citizens.

Mark Rosenberg, MD, MA Deerfield, IL To prevent future unnecessary killings

Mark Unverzagt, MD Albuquerque, NM Enough is enough.

Mark Supiano, MD Salt Lake City, UT It is time for this to end.

Mark Ryan, MD Richmond, VA Evidence shows that reasonable gun control saves lives. We must act to help reduce the over 35,000 Americans killed yearly by guns.

Marsha Epstein, MD, MPH Los Angeles, CA The facts show that gun availability increases suicides and homicides. There is no reason for anyone to have an assault weapon.

Martha Anne Moore Merrick, NY I believe our forefathers did not intend these travesties to occur when they wrote our constitution & it's amendments in a far different era.

Martin Pollak, MD Brookline, MA We need to reduce gun violence. We need to make it exceptionally difficult for gun users to fire of multiple rounds in rapid succession. The "right" to bear arms does not mean a right to have and carry any sort of weapon everywhere and anywhere.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Martin Gregory, PhD Salt Lake City, UT The ongoing loss of life from gun violence is a national tragedy. We need sensible restrictions and sane laws to limit this senseless loss of life.

Martina Nicholson, MD Santa Cruz,, CA We need both more safety and restrictions on gun carrying and purchasing, and even more, we need school classes focused on conflict resolution skills and peace-making, and self- control of anger and resentment and self-soothing for rage attacks. We also need better mental health care coverage for all Americans.

Marvin Rubin, DPM Toledo, OH Enough, there are far too many tragedies!

Mary Selkerstag Wellesley Hills, MA I would ban all guns- No need

Mary Donnelly-Strozzo, DNP, MPH Baltimore, MD I support eliminating hand guns, assault weapons, any automatic weapons.

Mary OBrien, MD NY, NY As a physician in New York City, I have seen too many people die needlessly from guns. I wholeheartedly support a complete ban on all assault weapons and strict laws on licensing hunting guns.

Mary Monopoli, BA, ADN Vestal, NY The children of Sandy Hook Elementary are all OUR children.

Mary Daye, MD Liverpool, NY Safety and sanity should be supported under the laws of this great country

I'm all for hunting - animals for food

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Mary Morrison, MD Wynnewood, PA Because it is good for children and adults. We need accessible and affordable mental health care too.

Mary Carrasco, MD Pittsburgh, PA I attend our county's Child Death Review Team and clearly see the need for gun control

Mary Morrison, MD Wynnewood, PA The everyday losses in North Philadelphia to gun violence. Please help our patients and their families.

Mary Copley, MD Prichard, WV There is absolutely no need for anyone to have war weapons except soldiers. These heavy duty weapons are too easily used by criminals and unstable people. Look at Israel and how they take care of their weapons in a violent society.

Mary Beth Miotto, MD Northborough, MA My views on gun control were formed during my pediatric training. I saw children in the Emergency Room who died from stray bullets or were left orphans as innocent victims of random shootings. Our community lost the manager of our Neonatal Intensive Care Unit when she was hit by a stray bullet on her way home from work... and people were too afraid to open their doors to help her so she bled to death. I came onto my suburban block after an ER shift to find yellow crime scene tape because a group of 10 year olds played "pretend Russian Roulette" in a basement with a registered gun and the child of the home's owner blew most of his face off.

Anyone who has experienced this particular type of violence even as a bystander wants to see change. Don't we all?

This is a matter of public health. The public allows itself to be vaccinated, drink purified and fluoridated drinking water, and keep their children safe in countless other ways. We need to think of all the dead, within our borders and outside of declared war, and do the right thing in restricting gun or ammunition access or increasing gun safety in other ways, if only to stop the endless bloodshed.

How can I be a physician and not want to keep people protected from this scourge?

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Mary Carol Kennedy, MSN, RN, CS Turtle Creek, PA There needs to be less availablity of many kinds of guns that are currently easily accessible to citizens. There needs to be better access and long term treatment for the mentally disabled.

Mary Lou Condon Portland, ME Actions speak louder than words, the time is now.

Maryann Furlong, BS, MA Ansonia, CT Our children need to be protected.

Maryjo Cosgrove, BSN Hyannis, MA Please put an end to this madness for the sake of our children.

Matt Pogodzinski, MD Evanston, IL Gun violence, particularly against children, is our national shame

Matthew Mintz, MD Washington, DC As physicians we are interested in the health and safety of our patients and the population as a whole. We can not eliminate all harms, but believe in harm reduction. Car manufacturers make cars and people have the right to drive them, but you have to follow the rules of the road (stopping at traffic lights), obey the speed limit and wear your seatbelt. All of these rules and regulations reduce harms while not substantially impeding on invidual freedoms. No individual needs a semi-automatic weapon designed for massacre to hunt or protect themselves. Reasonable gun control laws can be enacted that do not significantly limit individual freedom, but substantially reduce harm.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Matthew Bosley, MD Lincoln, NE Yes, this is largely a conversation about access to firearms -- especially "weapons of excessive force" -- but this is also a conversation about universal access to proper, quality mental services, delivered in a timely manner, and (again) for EVERYONE who needs them, WHEN they need them, as well as universal knowledge of mental illness and the compassionate acceptance of those with mental illness by everyone else. The death of anyone, whether a close friend/relative or a stranger, is very tragic, but the violent death of totally innocent small children, in the presence of other small children, should be seen as a far greater tragedy many times over!

I think that the celebration and embrace of violence by the larger society in our country just brings an emotionally or mentally unstable individual closer to the tipping point and dissolves what should be a strong societal barrier to committing an act of violence.

So, no more delays -- you, too, Boehner and McConnell -- because right now, immediately, is the time for rational, intelligent, honest, truth-based, "non-partisan" consideration of this obvious, massive problem within our society, to make living in this country again something we are proud of, not afraid of. The people of the United States are bigger than the National Rifle Association and WILL out-vote the NRA when necessary.

Maureen Oskandy, MD Tucson, AZ We cannot allow gun advocates to assert that their 2nd amendment rights are more important than the right to public safety for all citizens.

Maureen Roche, BSN West Haven, CT Gun control should be of utmost importance.

Meaghan Combs, MD, MPH Madison, WI Because a school shooting happened in my home town last year, Chardon, Ohio. It was a tragedy, the news covered it for a day and then nothing is different. It makes me sick to think elementary school children had to die before our country calmed down, grew up, and got serious about this issue. It needs to stop. We are too smart of a nation to just keep bickering over the issues and not finding solutions. Enough.

Meenakshi Bewtra, MD, MPH Penn Valley, PA As a physician and public health advocate, I strongly support stricter gun laws in this country.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Meenakshi Bewtra, MD, MPH Philadelphia, PA As a physician and public health advocate, I am appalled at the loop-holes and lack of strict gun laws in the country. It is a continued source of terrorism for this nation's citizens.

Meg Brizzolara, ASN San Quentin, CA Guns are a public health issue and a menace to the health of our communities

Megan Ranney, MD, MPH East Greenwich, RI As a practicing emergency physician, I see on a daily basis the tragedies of gun violence. As an injury prevention researcher, I know that there are straightforward and evidence-based solutions to the scourge of gun violence. As a parent, I believe that we have a duty to stand up for what is right, and to make the world safer for our children.

Mehrnaz Hadian, MD West Hollywood, CA I do NOT want to be worried when I am going shopping in a mall or seeing a movie or sending my kid to school that it may be my or my kid's last day on Earth because some crazy folks who live in a fantasy world or full of hatred have access to assault weapons.

The second amendment right of a few cannot be an excuse to restrict the first amendment right of many. The truth is that all of that 2nd amendment talk is a convenient cover for a very profitable business of selling guns, for NRA, which MUST be stopped even if we have to go through another civil war to stop it like the slavery.

Melanie MacLennan, MD, AAFP Asheville, NC Gun control laws in other countries have been shown to decrease and prevent horrors such as the recent mass killings we have seen in this country.

Melanie Jay, MD Brooklyn, NY As a physician, my job is to prevent unnecessary death. Our current lack of gun responsibility and control is appalling, and we need to fix that. As a mom with two six year old boys, I am heartbroken.

Mia Yang, MD Baltimore, MD Please keep mental health professionals funded for all of the people affected by gun violence.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Michael Messer, BSN Birmingham, AL There are too many young people being killed. There has to be better gun control to stop their access to weapons.

Michael Um, MD Emeryville, CA I hope that I will never have to hear about another school shooting in the news again.

Michael Stein, MD Walnut Creek, CA Gun violence, especially with assault weapons, is a public health problem and needs to be addressed with limitations on access to these weapons Also the large capacity clips have absolutely no place in the hands of civilians; they are only designed to kill people.

Michael Good, MD Durham, CT Time for change, we must stop being cowed by gun fanatics and let reason and common sense prevail.

Michael Soule, MD Cambridge, MA The danger presented by handguns and the constant daily toll of handgun violence are costs that are unnecessary. In addition to shocking mass shootings and daily murders and accidental deaths (which take the lives of children nearly every day), it is estimated that nearly 60% of the firearm-related deaths in the United States each year are due to suicide. Studies indicate that some of these would be preventable deaths if firearms had not been available. When taken together, the further proliferation of firearms in our society presents a much larger danger than the pro-gun lobby admits and strict measures across all kinds of firearms and ammunition should be implemented.

Michael Landau, MD Candidate Baltimore, MD Why don't guns require licenses like cars? Why not have more rigorous mental health examinations for more dangerous guns?

Michael Eppel, MD, FACG Lincoln, NE We've tried the NRA way and it's failed. It's past time for sensible gun control...just like other countries have.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Michael Williams, MD Moorestown, NJ Time for action against gun violence is now. The NRA has only 4 million members. Doctors for America along with other groups can easily amass a much larger coalition than the NRA and make it happen.

Michael Cullen, MD Troy, NY We do not need guns in our world, certainly not semi-automatic or assault weapons. Please join most civilized countries and bad weapons in whatever way possible. These shooting deaths need not happen.

Michael Carpathios, MD Pittsburgh, PA It is clear that strict gun control prevents gun-related fatalities in other countries. You can't say that our country is different and that it would not work here. Our citizens deserve a safer society.

Michael Johnson, MD Barrington, RI Because enough is enough. Stop the killing! We are long overdue for sensible guncontrol in this country.

Michael Kalm, MD Salt Lake City, UT If we can regulate the use of automobiles, we can regulate the use of guns.

Michael Metcalf, MD Spokane, WA Change is needed. Gun laws written decades ago are not appropriate for our world. Change is needed!

Michael Miller, MD, BS It is past time for our nation to be leading the developed nations in deaths due to gun violence.

Michele Lorand, MD Chicago, IL I have seen too many children die as the result of gun violence. Like Typhoid Fever, gun violence is a predictable disease with a fatal end. While we may not be able to quickly cure all the social ills that lead someone to use a gun, we can stop the vector of the disease of violence and curtail gun use. Ban all assault weapons!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Michele Barber Beverly, MA We need meaningful change in gun laws. Automatic weapons are not for sport or hunting, they are for killing in large numbers.

Michelle Allen, MD Irvine, CA Weapons of warfare should not be on our streets and the NRA should not have the power to continue blocking scientific research on public health and safety issues related to firearms.

Michelle Taube, MD Eugene, OR We need to have stricter laws on gun ownership and types of weapons and ammunition that are sold in this country to prevent violent gun tragedies.

Michelle Whitehurst Cook, MD Henrico, VA Homicide is a public health problem and contributor to large number of preventable American deaths in young people. There is no reason for non military or policemen to own assult weapons. There is no rush to buy a gun, time should be available for screening and should include screening for family members living at home. Storage should be sold with weapon and a license should be granted as it is with driving a car with testing for safety knowledge.

Minesh Shah, MD, MPH Chicago, IL Gun violence claims too many people's lives in America - by homicide and suicide. It is a public health emergency that requires urgent action

Mohammad Kamal, MD Marion, IN Very concerned about widespread gun availability.When 2nd amendment was passed our law enforcement agencies were not that efficient. Now with a 911 call police can be at doorstep of any Ameican home within five minutes.

Mollie Weaver, MD Waynesville, NC We live in a violent society. The fact that I need to prepare my children to "take cover" at school is abhorrent. Surely gun owners can give up a little of their gun freedom to ensure that more children don't die.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Monica Mahajan, MD Dunlap, IL Too many lives have been lost needlessly.

Monica L. Northington, MD, MPH Ridgeland, MS We are long past the point when enough was enough. We are far past the point when it was time to act. America will not wait any longer for you to act.

Monte Lieberfarb, MD Willits, CA It's overdue that we remove war implements from the hands of those who would use them for mass murder.

Nancy Palmer, MD Walnut Creek, CA As a primary care provider in a poor community, I see the devastating effects of gun violence on my patients every day. It must stop!

Nancy Briggs, MD, MS, MPH California, MD As an emergency physician, I've seen the effect guns have on individuals. The latest incidents in Conn. and New York demand effective action.

Naomi Dworkin, MD Belmont, MA There is no reason to allow assault weapons to be legal and available. This worship of weaponry must stop.

Naomi Rios, MD Candidate Baltimore, MD I believe we need a comprehensive approach to preventing these tragedies: gun safety legislation and increased awareness and care for mental illness.

Nathan Erdmann, MD, PhD Birmingham, AL To remind our representatives that millions of citizens do not agree with the interest groups dominating Washington.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Nayan Shah Miami, FL I personally believe that gun should be banned for public use. Even with background check there is no guarantee that person will never become angry or violent. Plenty of guns are sold on the street. You cannot cover an infected wound with band-aid.

Neena Qasba, MD Candidate Farmington, CT We need to ban assault weapons but most importantly we need to increase funding for mental health and social services. We need accessibility to these services. The longer and more difficult task will be to undo the culture of violence that has permeated our society. We need to strengthen our neighborhoods and bonds with each other.

Nicholas Szumski, MD West Hollywood, CA It is easier to buy a gun than to drive a car or vote in most states. This does not make sense. Common sense regulation will not keep firearms out of the hands of responsible users, but will help keep them from being so often the cause of someone's death.

Nicholas Yeager, MD Newark, OH Gun violence is an unacceptable epidemic in this country and it needs to stop. We fight like hell to save children with cancer everyday, and when a child's life is ended by gun violence, we do nothing. It has to stop, we would not tolerate this amount of death in any other area of our society.

Nicole Chase, MD Boston, MA I just cannot agree that more guns are the solution to this epidemic of murder. Living in fear is not an option I'm willing to accept.

Nira Pollock, MD, PhD Brookline, MA This needs to be the highest priority issue for Congress and the Obama administration. There is not a moment to lose. Fix this problem NOW.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Nira Pollock, MD, PhD Brookline, MA Since Doctors For America is a group dedicated to public health, it seems optimal for the group to approach this problem from a public health perspective. That means focusing on the fact that guns hurt people and need to be regulated as or more strongly than other potentially harmful actions or substances such as smoking, drunk driving, and drugs.

Improvements in the mental health system are obviously critical to reducing gun violence but it seems very difficult to actually detect those who would perpetrate violence with guns; the only real solution is to eliminate access to the guns themselves.

Specifically:

-Complete ban on assault weapons and high-capacity magazines

-Intense regulation (given the 2nd amendment language "well-regulated militia," this seems constitutionally consistent) including a complete registry of all guns owned by civilians, technology to allow guns to be shot only by their registered owners, absolutely no loopholes re: private sales/"gun shows".

-Ideally no guns would be owned by civilians at all, in my opinion, but barring that, regulation is the key.

Nirupama Madduri, MD Houston, TX Because I am a developmental pediatrician and child advocate.

Nithya Sunder, MD Chicago, IL As a pediatrician, I have seen first hand children injured by handguns they have found at home as well as children caught in the crossfire.

Nnaemeka Madubata, MD Riverdale, MD There's always a question about "what's necessary" versus "what's extra". Guns modeled after weapons used in battle are what I'd consider "extra", and using them for any other purpose is overkill. I can't get behind the viewpoint that argues otherwise. We need to have a discussion on what's "necessary", because even if it means a block on what's "extra", it at least makes situations like mass killings harder to pull off. And anything that can do that should be warranted.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Noemi Spinazzi, MD Oakland, CA Because I have lost patients to accidental gun violence

Nora Rowley, MD, MPH Homewood, IL Firearms are lethal weapons. I have taken care of too many victims of firearms and motor vehicle accidents (MVA's) to know that firearm injuries are more likely to be lethal than MVA's. Why do we regulate motor vehicle use but barely touch the accessibility, ownership and use of firearms.

Nora Schwartz-Martin, MD Amherst, MA Decrease access to guns!

Oliver Kendall, MD Cambridge, MA I'm signing because to do nothing would be negligent. Clearly we can improve upon this moral failure.

Oliver Gregory, MD Candidate Worcester, MA For the lives and legacy of the 20 children lost on Friday. May their sacrifice open the eyes of our elected representatives to do the right thing for our children and our families.

Owen Kendall, MD Candidate Jamaica Plain, MA We must get guns off the street to protect the people of this great nation if we have any hope of remaining great in the future.

Pamela Simms-Mackey, MD Oakland, CA Too many of our children die every day in the streets of Oakland due to gun violence. Assault guns and rifles have no business in the hands of ANYONE but soldiers. We need strong anti-gun laws to help curb the violence that many of our children across our nation see and experience daily.

Pamela Doldt, BSN Dedham, MA The epidemic of gun violence needs to stop

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Pamela Duke, MD Bala Cynwyd, PA Over 30,000 people die from gun viiolence a year and we can stop this with gun control. At least stop assault weapons and large capacity magazines. Give people options to lock up guns in police stations for safety and sign them out. Be creative. We can solve this problem as other countries have.

Pat Kramer, BSN Oak Creek, WI I see no need to have high capacity and assault weapons being used other than during war. I can not believe that they are used to hunt animals. Gun violence is a scourge on society and accounts for millions of health care dollars. Think of all of the young men and women getting Social Security and Medicare/Medicaid as a result of been shot at during street violence. It has to stop soon!!

Patricia Kellner, MD University Heights, OH Too many of my patients have experienced gun violence and death in their families in Cleveland and surrounding suburbs.

Patricia Sommer Novelty, OH Because I believe there is no easy fix to this problem, but more guns in every public place is not the answer as the NRA is espousing.

Patrick Meyer, MD Janesville, WI As a pediatrician, I find it abhorrent the level of gun violence in our country, especially in comparison to other developed nations. Gun reform is long overdue.

Paul Esteso, MD Candidate Baltimore, MD It is necessary to do all reasonable measures to prevent these massacres.

Paul Mazur, MD, MPH Belfast, ME This is a health care crisis like many another, and it has clear preventable components -- and gun safety legislation is one!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Paul Cook, MD Greenville, NC The FDA regulates medications for safety reasons. Why do we not regulate guns in the same manner? It is clear that more people in this country die from guns than die from unsafe medications.

Paula Hillard, MD Menlo Park, CA This has to stop!

Paula Bachner, RN Boston, MA We can do better with control of assault weapons

Pedro Zevallos Mesquite, TX It is about time we take action to do every thing we can prevent further injuries and loss of life due to guns

Peggy Matteson, BSN Providence, RI Rapid fire guns, created to do a more efficient job of killing people, should be banned since there is no need for sporting hunters to use them.

Pennny Li, MD Candidate Portland, OR Too much unnessacary violence, ask yourselves if we are done testing the theory that guns bring more peace than violence in this country

Perry Fine, MD Salt Lake City, UT Most gun violence is preventable. In my 30 year career, I have witnessed way too many innocents' and their loved ones' lives devastated by this preventable form of violence. It can be mitigated by sensible policies to limit access to weapons whose only purpose is mass murder (military style assault weapons and high-capacity ammunition clips).

Peter Emblad, MD San Francisco, CA I've seen enough. Enough of suicide attempts, gun fights gone awry, and no action. We need more mental health, first and foremost, and more gun control. There is no need for anyone to have a gun, except for law enforcement.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Peter Ellis, MD New Haven, CT The pendulum has swung too far in support of gun rights to the degree that our public health is jeopardized. Its time to introduce some common sense measures.

Peter Barnett, MD, MPH Corrales, NM As a physician, person, and parent, I have personal and professional experience with our countries lack of control of weapons.

Peter McGough, MD Mercer Island, WA I am appalled at how we accept the deaths of so many innocent lives from gun violence. I believe this is not only a major public health battle, but for the soul of our country.

Philip Levitt, MD West Palm Beach, FL As a neurosurgeon I have seen children killed by gunshot wounds to the head, in drive by killings, at drug deals gone bad and from guns left around carelessly at day care centers. It's not just assault rifles. And the medical literature says that a gun in the home is many times more likely to be used on an occupant by an occupant than on an intruder. The paranoid fantasy that the government is going to come and get innocent people in their homes is at the root of all this gun craziness and it needs to stop.

Phillip Brewer Cheshire, CT As a veteran emergency physician who has treated hundreds (that is not an exageration) of gunshot victims over the 25 year span of my career, I must stand with my colleagues who demand that the elected representatives of the people find the courage, intelligence, dedication, and patience to make meaningful change in our weapons laws to reduce the mayhem.

Pooja Singal, MD Candidate Severna Park, MD When I swear my Hippocratic Oath to do the best I can by my patients, I want to do it knowing that I have lobbied for the kind of legislation that will protect them and their innocent children from horrors unknown. We owe it the people who depend on us to protect and look out for them, to pass this vital legislature. As a future physician, I refuse to open up any more newspapers detailing horrific shootings in theaters, schools, playgrounds, and who knows where else? This must end, and it has to start with us, today, now.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Priscilla Sepe, MD Candidate, MPH Philadelphia, PA Ban assault weapons. Make it a felony to possess an illegal weapon. Make it mandatory to report lost/stolen weapons. Remove loophole of buying guns at shows without background checks. More strict mental health/background checks. More gun buy backs.

Rachael Oxman, MD Baltimore, MD We spend everyday fighting to save lives, but we allow guns into the hands of most. While violence can never be stopped altogether, guns make it possible for a single person to overwhelm and kill large numbers of innocent people in a single moment. I am tired of watching the young die or even worse be saved after gun shots wounds that leave them completely debilitated and shadows of their former selves. We need LAWS that control who carries weapons and the type of arms allowed for civilians.

Rachel Steinhart, MD, MPH El Cerrito, CA The destructive capacity of automatic weapons so often used in mass murder events is far and beyond anything aguably needed for hunting game or protecting oneself. At the least, we should be able to make these murderous weapons off our streets. If not now, when?

Rachel Lovins, MD New Haven, CT Because as a human a mother and a doctor I'm tired of this and don't want to love in a military state

Rachel Clements Boise, ID I am tired of fighting with political factions in this country regarding gun rights over human rights to live free of fear injury or death. I am not saying guns should be taken away. However, I think that responsible gun ownership is necessary.

Rachel Blair, MD Candidate Baltimore, MD Even in my short time during rotations, I will never forget the tragedy of a young teenager dying after a gun shot wound in the emergency room and the haunting sobs of his family members.

Rachel Niehuus, MD, PhD Bellville, T Gun violence is a public health crisis that kills 30,000 people a year in America.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rachel Harris, MD Candidate Arlington, VA As a medical professional, too often I have seen the horrific effects of gun violence on my patients and their families. We cannot stand by and watch this tragedy continue to wreck havoc across our nation. It is time to protect our children, friends, families, patients, and colleagues from this atrocity.

Rachel Lampert, MD Our hearts are with you is a wonderful sentiment, yet hollow unless backed up by plans to prevent similar tragedies in the future. No one's rights to carry a gun outweigh the rights of kindergartners to start first grade.

Ralph Bolman, MD Boston, MA It is time to face down the people who want to preserve the right to own any and all types of guns with no regard for the safety of Americans. Enough is enough.

Ralph Fishkin, DO Bala Cynwyd, PA More specificity than mere "gun safety" is needed. We need a ban on assault weapons and large magazines for ammo. We need accurate state of the art national registration and screening for purchase of weapons. We need severe penalties for straw gun purchasers, and we need adequate detention and treatment for the potentially violent mentally ill, a small segment of the mentally ill population. We need to reassess the Second Amendment.

Ram Krishnamoorthi, MD Chicago, IL It's time to bring the same grassroots advocacy that we brought to health reform to one of the most preventable public health scourges in America: gun violence. As physicians we have an absolute obligation to promote public safety because we see the victims of gun violence and those who are at risk for harming themselves and others from severe mental illness everyday. I'm proud that Doctors for America is taking up this cause to call on experts in gun safety and policy-makers from throughout the political spectrum to comprehensively and strongly address this problem.

Randall Anselmo, MD North Bennington, VT Guns don't kill people, people kill people. People do a much more thorough job with the kind of weapon that is specifically designed for it. Get rid of assault weapons already! Let's improve mental health monitoring and treatment by starting with the people who believe assault weapons should be available to the public.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rashmi Jasrasaria, MD Candidate Stanford, CA I am signing this letter because I believe it is part of a physician's responsibility to advocate for patients through political change, and while increased gun regulation is only one way we can avoid tragedies like the Sandy Hook mass shooting in the future, it is a first-step, not only in memory of those who fell, but also for the many who are the casualties of street and gang violence everyday.

Rebecca Wiese, MD Davenport, IA We can prevent these deaths; it is immoral not to act

Rebecca Jones, MD Whately, MA It is time to stand together as a nation to end gun violence

Rebecca Cunningham, MD Boston, MA I remain shocked and disturbed that the availability of weapons for mass killing is even subject to debate. There is not a reason on this planet that these types of weapons should be available to any civilian. It is critical to let public safety and common sense take precedence over politics and to place reasonable restrictions on the availability of weapons that can cause such devastating carnage before still more innocent victims suffer.

Rebekah Wheeler, MSN, MPH San Francisco, CA To protect the future of young children.

Rebekah Diamond, MD Candidate New York, NY I am so glad to see this petition exist and to be part of the medical community as it takes action to address this pressing issue. Steep opposition is no excuse for inertia and complacency, and I applaud my fellow healthcare providers for taking the first steps towards creating a safer nation.

Rekha Dharmaji, MD Los Gatos, CA To safeguard my children and fellow citizens from the future events.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Renee McKinney, MD Roslindale, MA We as physicians and medical providers need to clearly state that gun violence is intolerable and more preventable with laws to ban the sale and possession of assault weapons. Enough is enough

Renee Olesen, MD Salt Lake City, UT As a pediatrician, I advise families to lock up there guns separately from ammunition and away from children. My state, Utah, is very gun liberal. I would like to see stricter gun laws, especially pertaining to automated weapons.

Resmiye Oral, MD Iowa City, IA Violence of any kind leads to impaired mental health. Gun violence has the highest likelihood of mortality in the context of violence outcome.

Rhoda Nutik Palo Alto, CA It is obscene that so many are dying from automatic rifles, concealed weapons, gun show purchases. Let's get rid of guns except for the police!

Richard Grand, MD Boston, MA I am appalled by the failure of our government to regulate firearms of all kinds. We are being held hostage to the NRA instead of advocating for all of our citizens, especially our most vulnerable citizens - our children.

Richard Lerner, MD Worcester, MA In addition to all the other regular suggestions (assault rifles, high capacity clips, background checks at gun shows), I want to have all ammunition registered with a serial number. This is possible and would add 20 cents to $2.50 per box, depending on who you ask. Any crime can then be traceable if the assailant is not known. Remember that it is the bullet that actually kills someone

I also want the people who don't lock up the ammunition and gun according to the law to be held partly responsible, subject to criminal prosecution. If their gun is stolen, they need to report it and then would not be held accountable.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Richard Evans, MD Bowdoinham, ME I own a half-dozen guns, I hunt, but I want thoughtful, reasonable, strict gun control. What's the problem with that?

Richard Baughman, MD Etna, NH There are too many inappropriate guns. We are becoming a nation of violence and ill will.

Richard Ransohoff, MD Cleveland, OH The petition says it all. Gun violence is a public health matter and it is only common sense for physicians and nurses to speak out.

Richard Smith, MD Dayton, OH There is no place for assault weapons in civilized society.

Richard MD, MD, PhD Cleveland, OH The ease of obtaining a gun, particularly an automatic rifle or a large capacity magazine for a hand gun, cannot be allowed to continue.

Richard Bruno, MD Candidate Portland, OR Don't let this issue fade away, we need real reform now!

Richard Long, MD Smithfield, RI I cannot ignore 30,000 preventable deaths. Electing to NOT bear arms is also an exercise of my second amendment rights. Our congress needs the courage, now, to pass meaningful gun safety legislation to begin the process of correcting this imbalance. We recognize that SAMs and anti-tank rockets are not appropriate for public ownership. Why not extend this intuitive good sense to military style assault weapons as well. Let's start where we can find common ground and consensus.

Richard Kanner, MD Salt Lake City, UT I am fed up with the NRA who have changed from an organization that used to teach the proper use and handling of firearms to one that is dedicated to the widespread proliferation of deadly weapons to all that can buy one.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Rick Haeseler, MD Guilford, CT In the US, guns cause more suffering and untimely death than many diseases. They also contribute significantly to the rising cost of medical care in our country.

Rick Watnick, MD Birmingham, MI The debate is over, unless we are all insane. There is simply no need for assault weapons, other than for military use. .

Rima Fawaz, MD Boston, MA Stop the violence. Ban guns as is it banned in all the developed world.

Rita Officer, PsyD Fayetteville, AR Sensible gun legislation such as an assault weapons ban should be one part of this effort; stronger mental health committment laws as well as increased access to mental health services should be another part

Rita Hand, MSN Los Angeles, CA Gun control in light of recent events is an imperative.

Rob MacGregor, MD Philadelphia, PA It's just crazy that we have so many loose guns with such lethal firepower circulating among we citizens. PLEASE restrict rapid fire and large capacity guy ownership, and numbers of purchases to no more than 1 per month!

Robert Lowe, MD, PhD Birmingham, AL The bloodshed must STOP! There is no sane reason that US citizens need assault rifles or large ammunition magazines. Please make these illegal and hopefully save many lives in the future. We ALSO need to make mental health care a normal fully covered part of our healthcare going forward.

Robert Morris, MD Pasadena, CA We desperately need strict gun control laws. We are the only developed industrial country that allows ramped sales of extremely dangerous weapons. Many of these weapons eventually kill family members and neighbors. Be strong and pass control legislation.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Robert Toon, MD Mount Sterling, KY The current death rate from firearms is unacceptable.

Robert Brown, MD Boston, MA I know first hand about the high risk of having guns in homes that have children.

Robert Cohen, MD, MSc Boston, MA We desperately need gun control legislation. Guns do kill people--let's not kid ourselves

Robert Reece, MD North Falmouth, MA It's past time when we ban assault weapons and handguns that only kill people.

Robert Steinberg, MD, PhD Northampton, MA This is the right thing to do. It's time to stand up to the NRA

Robert Buffaloe, MD Harrisburg, MO No one needs an automatic or semi-automatic weapon.

Robert Khanlian, MD Corrales, NM The carnage, cost, and suffering from gun violence are treatable public health matters requiring immediate remedy.

Robert Brown, MD, MPH New York, NY Though I agree wih right to bear arms, these do not need to include all firearms, including assault rifles, automatic weapons, or concealed weapons. Most of these automatic weapons are illegal to hunt with and have no legitimate purpose. Regulations are in order and necesarry to ensure the freedoms of our children and population.

Robert Needlman, MD Cleveland, OH Rationale gun control legislation is way overdue.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Robert Luedecke, MD San Antonio, TX No one needs an assault rifle or large clip for hunting or protection. Everyone needs a background check before buying any gun.

Robert Corson, MD Salt Lake City, UT Gun access should be limited to hunting and military. Beyond that, it only increases our collective risk.

Robert Crittenden, MD, MPH Seattle, WA Enough. No more assault rifles should be available.

Roberta Ballard, MD Bodega Bay, CA In the hope that research can be resumed and gun violence can be approached as a public health issue in America

Roberta Kenney, RN Clarkton, NC In my years of correctional nursing, I was witness to the effect of guns on our nation. I worked with the men who held the guns that killed the victims. So many lives affected by the ease of obtaining a gun. It's time to change that with strict control over who can obtain weapons.

Roberta Blumberg Raleigh, NC We must do something to decrease the 34 deaths by gun violence every day in America.

Roberts Goldman, PhD Barrington, RI It's rediculous that a country like ours should tolerate the private possession of assault weapons and this kind of tragedies.

Rochelle McKown, MD Desoto, TX Guns should be at least as regulated as automobiles. Gun violence would be so much less common if laws were to deter accessibility.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Romi Webster, MD, MPH Jamaica Plain, MA Too many of my pediatric patients have already lost someone they love to gun violence and/or been threatened themselves. We can't keep exposing our children to this.

Ron Edwards, MD topeka, KS Current policy is a much greater threat to our society than less freedom to instruments of mass destruction such as rapid fire weapons.

Ronald Pye, MD Newburyport, MA It is time for our elected representatives to have the courage to do what is right. No other nation has this problem. It is time for our leaders to lead regardless of the opposition.

Roniel Cabrera Gainesville, FL Newton changed everything. Enough. We need comprehensive gun laws.

Roxanne Sukol, MD, MS Cleveland, OH In memory of David Neil Sukol 8/3/54-8/31/89 .357 Magnum

Roxanne B Sukol, MD, MS Pepper Pike, OH In memory of David Neil Sukol, Aug 3 1954 to Aug 31 1989, .357 magnum

Rubeen Israni, MD, MSCE Mickleton, NJ I think we need a multifaceted approach to prevent more innocent children from being slaughtered.

Ruby Chang, MD Great Barrington, MA Gun control is the only way to prevent thousands of death to the youth of our country. Why would we not do that for the next generation ? Look at the evidence. Wisdom comes from strength. Does our leaders have the qualifications to lead?

Saeed Ahmed, MD Houston, TX Effective gun control in America is long overdue. Too many innocent children have been killed and hurt by guns. We must take action now!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sagarika Nayak, MD Westlake, OH This is a very important for the safety of our children, grandchildren and our community that we have less guns, less bullets available to the public. There is no way to prevent these massacres by policing only the mentally ill. I applaud the LA police dept. for having a day to bring in guns without any questions.

Sahil Banka, MD Philadelphia, PA This is a public health issue that pertains to everyone's safety versus the rights of a few to retain deadly weapons. How can we raise our children to be fearless when our own laws permit possession of guns that can fall into anyone's hands?

Saira Malik, MD Granger, IN Because life is too precious.

Samuel Enumah, MD Candidate Baltimore, MD Because the next generation deserves a safer world.

Samuel Poon, MD Pawtucket, RI President Obama is right - we have to start somewhere to ensure a safer America for the next generation.

Sandra Katz, MD, JD Tucson, AZ When are our leaders going to have the courage to stand up to the gun lobby? We are at war with ourselves, no better off than the people of Afghanistan and war-torn countries, when our citizens are fearful in malls, schools, theaters that a madman will start shooting. We were hopeful that after Gabby Giffords was shot, something would be done. But it's always the same: President Obama goes to the site, says some comforting words, tears, promises---but nothing changes. The families, friends,and surviving victims must live with the horror for the rest of their lives, and the culture continues to promote guns and violence.

Sandra Schorr, MD Hendersonville, NC I am particularly concerned about ammunition and guns that are more assault weapons than sports or protection devices.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sandra Balmoria, MD Reston, VA I have treated many patients with mental health problems that could cause them to choose to use a gun. There is no way to deny them access to guns under the current law. All we can do as professionals is ask their friends/family to remove weapons from areas they can access. The way that we treat mental illness in this country is such that most of our mentally ill patients are now free to move about our country. This is wonderful for freedom, but dangerous with the laws as written. Either we go back to the days of locking up people, or we could lock up guns, and hold their owners accountable for keeping their firearms away from those who should not have access. I think allowing your weapon to fall into the hands of anyone not trustworthy -whether your 5-year-old, or a 20-year-old neighbor, should be a felony. No responsible gun owner would let a mentally ill person use their gun. Health professionals are perfectly capable of identifying individuals who should not have access to weapons, as are police officers. If we can add names to the registry, and tighten private gun sale rules to hold sellers responsible for selling to inappropriate owners, then there is some hope for improvement. In the long term, we have to provide better support for friends and families who are doing the best they can to care for the mentally ill, to the point of losing their own lives. This country is full of warriors who are underappreciated and often judged by their neighbors because they are caring for someone who is mentally ill. And let us not forget the vast number of suicides, many of which could have been prevented with better mental health resources and decreased access to guns.

Sara Beth Karp, MD New York, NY Because there is no reason assault weapons should be legal

Sarah Rowan, MD Denver, CO I have so many patients suffering from gun-related violence, both physically and psychologically. And the suffering is lifelong. America needs smarter gun control laws!

Sarah Birss, MD Cambridge, MA I support an assault weapons ban. Assault weapons are too dangerous to be allowed for private ownership.

Sarang Baman, MD franklin, WI It's time we take a comprehensive approach that all can agree on.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sari Davison, MD Seattle, WA It is unconscionable to not limit the availability of guns. Only gun manufacturers and vendors benefit from the lack of control.

Scott Vampola, ADN Omaha, NE I am signing this petition because the right to life is more important than the right to bear arms.

Scott Corlew, MD, MPH Murfreesboro, TN Because gun control is the right thing to do - sort of a no-brainer. Handguns have no purpose whatsoever other than to kill people. Assault weapons and semiautomatic (and automatic) weapons have no role in civilian life.

Seanta Clark, PhD, MPH Tega Cay, SC Children represent our tomorrow's future, therefore commit to ensure their safety by advocating for a ban on assault weapons & strict gun laws.

Shabbir Hossain East Setauket, NY Meaningful change in what is a pervasive cultural problem, requires a strong message from our leaders. This message is, guns have NO place in our or any civilized society.

Shaili Desai, MD West Chester, OH Enough is enough! We need tighter gun control!

Shalini Reddy, MD Chicago, IL For all the kids who are murdered by guns everyday.

Shamita Misra Columbia, MO We do not need guns to be safe. Education and a non violence approach makes societies safe and progressive

Shana Theobald, MD Denver, CO Because of the high rates of gun violence, the easy access to guns. I volunteered with a gun buy-back program in Chicago and I was shocked (and disturbed) by the number of guns

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual. that we collected from people's houses that were just laying around, easily accessible. The tragedies in the past few years have been unthinkable...and preventable, and have cost too much in terms of lives lost, healthcare dollars and peace of mind. It's time to make this a public health issue and make our communities safer and healthier, and less violent.

Sharon Paige, PhD, MD Candidate Seattle, WA As a future pediatrician, I am concerned about the safety and well-being of our children. We can and we must do better. Please protect the children by passing common sense gun safety laws.

Sheila Leavitt, MD Newtonville, MA If we are ever to become a rational, fact-based, civilized country, we need to enact legislation regulating the ownership and use of firearms, legislation that reflects the research on the dangers posed by guns in the home, legislation that will keep guns out of the hands of the mentally unstable and of terrorists, and so on. Australia did the right thing very soon after their last mass murder in 1999. They did a massive gun buy- back/meltdown, as well as reform of their gun laws. If the NRA was not giving out big bucks to many politicians and controlling the message, we might have a chance at becoming as civilized in this regard as are our friends Down Under.

Shelley Thiebeau Tipp City, OH Too many innocent people get caught in the crossfire. No one has a "right" to own an assault rifle capable of shooting multiple rounds in seconds.

Shelly Maramonte, MD Concord, CA I believe that gun violence is a public health issue for my patients. Many of them have been touched by gun related violence. The rules on reporting gun related violence statistics from the CDC and ATF need to change, as well as gun ownership and safety laws.

Shelly Berkowitz, MD Northampton, MA we need to get the guns out of our communities to prevent the senseless killings

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sherry Taylor, MD, PhD Northampton, MA I have personally had to watch a 10 year old child die after he accidentally shot himself through the head with an assault rifle. I never want to see this again.

Shirley Fry, MBBS, MPH Indianapolis, IN Assault rifles other non-sporting guns have no place in a civilized society; it's time the US grew up and joined other developed countries in adopting sensible gun laws that are proven to equate with much lower homicide accident rates

Shiro Tanaka, MD Cincinnati, OH Semi-automatic assault weapons don't belong to American society.

Shona Gibson, MA, MSN Arlington, MA Because I care about the children of this country. Our children ages 5-14 are 13 times more likely to die from a gunshot than a child in any other developed country. It is time to prevent the senseless deaths of these innocent children.

Shubha Bhat, MD Candidate Stanford, CA When I was in 9th grade my classmate, her mother and her grandparents were shot and killed by her step-father, who suffered from mental illness. My classmate was smart, beautiful and well-loved and would have gone on to do incredible things for our community. We were all devastated by her loss. I hope that President Obama and members of Congress can help us prevent senseless acts of violence like this through passing gun safety legislation soon.

Siqin Ye, MD Boston, MA To make sure that my son will grow up without the fear of school shootings

Sonja Rakowski, MD Boston, MA This unspeakable tragedy is a clear reminder of the very real threat that gun violence poses to public safety and public health. As a health professional, I feel it's my obligation to speak out in favor of common-sense gun control legislation that will prevent needless and senseless deaths such as these.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sophia Mai, MD Los Angeles, CA Because I believe that it's about time something is done

Stephanie Wall, MD Cotuit, MA Time for gun control is long overdue. Ban automatic weapons.

Stephanie Van Dyke, MD Baltimore, MD We must protect our children, not our guns. Let us focus on increased regulation/background checks in all gun purchases and bans on semi-automatic weapons.

Stephanie McLaughlin, MD Candidate Baltimore, MD Gun control is a public health issue that affects us all!

Stephen Hunt, MSN Birmingham, AL Ownership of semi-automatic weapons with high-volume magazines should be outlawed within the United States of America except for military and specific law enforcement personnel!!

Stephen Deputy, MD New Orleans, LA Children always get the bad end of guns. No benefits, just injuries. We need to treat the violence epidemic as a public health threat and not just use emotions and political influence to make decisions. Epidemiological studies, interventions, and outcomes should guide decision making.

Steve Cochran, MD Akron, OH There is no excuse for weapons in our society whose sole purpose is killing people.

Steve Pawar, MD Gibsonia, PA I need every one in my family, neighborhood and society to be safe and free from random gun violence. Enough is enough. Simple benign people to live freely without being slaughtered by gun totting gun fanatics and their followers.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Steven Joyce, MD Salt Lake City, UT We need rational gun laws. There are no "well regulated militias" anymore, so private gun ownership for sport or self defense can and should be reexamined. Set some limits!!!!

Stuart Levin, MD Raleigh, NC This is a public health issue that needs to be addressed.

Susan Balke, DO Marianna, AR LaPiere makes me SICK!! Armed guards in schools? Well, with that thought, why not in LIBRARIES, Churches,grocery stores... On school buses, city buses, trains, planes..... Sounds like going back to Wild West & gunslinging cowboys!!

Susan Willman, MD Oakland, CA I am tired of this irrational support of the second amendment which was written over two hundred years ago before the development of automatic weapons. We need to update our laws to reflect the change in technology and the changing culture.

Susan Daly, MD Chaplin, CT There can't be assault weapons (or semiautomatics) in a peaceful society. Too much is too much.

Susan Lowery, MD Montague, MA The lack of regulation for non-sporting guns is costing 30,000 lives/year. This is a critical public health issue. Combine that with the decimation of mental health services for the poor, and we have a recipe for disaster. Over and over again. We must stop the madness. We owe it to ourselves, our families, our colleagues, and our community.

Susan Logsdon Olney, MD I believe automatic weapons have no place in the open public market. They should not be sold at gun shows under any circumstance. The purchase oof an automatic weapon should require positive ID of a law enforcement agent and the seller must verify the ID.

Susan DeLaney, ND Chapel Hill, NC After this incident it should be clear to all that our guns laws are too lax.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Susan Eder, MD Raleigh, NC While I am very concerned about mental health car in this country, it is my conviction that only through limiting the availability of guns will we be able to protect our children and citizens.

Susan Lee, MD Huntington Station, NY It is time for stricter Gun Control legislation . We cannot allow these tragedies to continue.

Susan Vierczhalek, MD Croton on Hudson, NY for the safety of our children and their families

Susan Taylor, MD Oak Ridge, TN As a primary care physician, my focus is on prevention of disease and death. These deaths were preventable.

Susanna Huh, MD, MPH Boston, MA A child in America is 13 times more likely to die in a gun homicide than children in other developed countries. This is unacceptable and demands immediate action to pass appropriate gun safety legislation to keep our children safe.

Sushil Singh, MD Plymouth, MA Time for us who have devoted our lives to the well being of others to take a stand against this senseless violence.

Suzanne Doleac, MD Candidate Portland, OR Listen to the international community. Please I beg of you - there is essentially no country who share similar lax gun regulation facing these horrors.

Suzanne Kreisberg, MD Coppell, TX We need to stop the killing of our children.

Sydney R. Jones, MD Dallas, TX It's amazing to think that if we ALL work together and achieve GUN SAFETY, we will save 3.4 lives every hour!!

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Sylvia Ross, MSN Little Compton, RI I am signing this petition because I think that we need better control on assault-like weapons. They do not belong in main-stream America. I support a ban on these guns/weapons for any kind of licensure.

T..H Delfos Birmingham, AL Guns are TOO easy to get and when used it is seldom for self-defense as claimed!

Tara Bishop, MD Woodbridge, CT Gun violence is a public health issue. As a doctor, my goal is to protect the health of my patients and gun control is a part of that.

Taraneh Razavi, MD Menlo Park, CA Common sense. Guns don't kill people? Not only do guns kill people but they can kill a lot more people in a much shorter time.

Teresa Kammerman, MD Beachwood, OH Too many children have lost their lives to gun violence. This has to end

Thomas Neely, MD Brookline, MA Gun violence is a massive public health problem and one we know how to fix. As a physician, I will no longer stand on the sidelines and leave this issue in the hands of dithering politicians. Health professionals need to play a bigger role in this conversation because death and injury caused by guns is a HEALTH problem.

Thomas Hirt, MD Beavercreek, OH If you are not in law enforcement or the military, you do not need a handgun or assault rifle. Period.

Thomas Connally, MD Arlington, VA, VA I have had several friends and patients whose children died of self inflicted gunshot wounds. Never one in criminal violence. Having guns around the house is very dangerous. Let's get cracking on gun safety.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Thomas Friedland, MD Ellensburg, WA Simple. Outlaw semi and automatic weopons, handguns (they are not used for hunting) and clips that hold more than 6 bullets.

Tim Mchugh, MD Kuna, ID I am a gun owner who enjoys recreational shooting, but I am also a husband, father, grandfather, and physician who realizes that firearms were invented and are produced for only one reason, to kill. While there are many dangerous past times we enjoy and tools we use, involves equipment that is valued solely for its efficient lethality. It is time that we as a nation put the health and lives of our neighbors, our families, our children ahead of our selfish endeavors and pursuits. My guns will never make me feel loved and needed; only other people can do that.

Timothy Churchill, MD Brookline, MA It's time for healthcare workers to take a stand against guns, just as we work against other needless causes of death such as heart disease or diabetes

Tina Stein, MD Villanova, PA Australia passed a ban on assault weapons with real teeth in it and homicide went down 69%. Our assault ban which expired in 1996 was toothless and just used to prove that bans don't work. But they do. I can't believe the solution being proposed is to arm teachers. Lunacy.

Tom Brysacz, MD Tucson, AZ Because other countries, with better gun laws, are far safer. I want my grandkids to be safer. The NRA is just plain wrong!!

Tom Abelson, MD Beachwood, OH While it is true that humans, not guns kill people, a killer human being will kill less if they don't have an assault weapon or lots of ammunition and if they have had a background check that included a visit to their home by law enforcement.

Toni Dorvitt Greenbelt, MD Maintaining the status quo on gun violence is insanity. We must look at curtailing the sale and distribution of certain weapons, and addressing the psychosocial issues that contribute to an increasing tolerance of violence.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Valerie Little Dayton, OH I am signing because there is simply no reason for the public to have easy access to assault weapons. There is no need for them and until we can work on other issues that may cause these tragedies it seems that the quickest way to start making a difference is to ban assault weapons and make it a strict ban. The killer in Connecticut did not have a criminal record. He had access to an assault weapon because his mother was allowed to have that weapon. Why did she need it? This is just plain old common sense and the arguments used against it are just obsfication and stalling.

Veronica Downer, BSN Ann Arbor, MI I am scared for the future of this great nation. Mental Health HAS GOT to be addressed with this.

Victoria Bontatibus, BSN East Haven, CT I am signing this because I want the access to guns to be very limited and assault rifles banned. I also hope that more programs to help people with mental illness and their families are established.

Victoria Morgan, BSN Marietta, GA As an emergency room RN, I have seen too many senseless deaths of children as a result of guns! It's time we addresses a serious threat to our children's well being. 1 in 5 accidental deaths in children is a shooting death.

Victoria Chen, MD Brooklyn, NY As a developmental pediatrician, I specialize in children with special health care needs. Too many times, I have seen children's lives radically changed because of senseless gun violence, such as a 12 year old female who had to endure years of physical therapy to regain the ability to walk after being accidentally shot in the head at 5 years old. These are the silent victims of lax gun laws, and they need to be heard.

Walter Lambert, MD Miami, FL While I accept gun ownership, I am opposed to assault-type weapons (including semi- automatic rifles) and even more strenously opposed to high-capicity magazines. Having lived in Miami-Dade County my whole life, I have witnessed the death and disabilities caused by drug dealers and gang violence with these types of weapons and ammunition.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Walter Baile Houston, TX Under the guise of "self protection" we have let our country be over run by the gun culture to the point that we have become the wild west with guns in schools, hospitals and many other places. Exposed guns are now a form of bullying and intimidation and must be stopped. Legislation improving mental health for potentially violent people must be improved.

Wendy Jorgensen, PhD Columbus, OH Gun violence is one of the most urgent and preventable health problems in U.S. society.

Will Sawyer, MD Cincinnati, OH Since physicians have to certify commercial carriers (trucking, busses, and airlines) about some medical conditions for their license, why not add a similar process for license to own a gun? This may help limit some people from legally owning a gun.

William Shore, MD San Francisco, CA WE must also increase access to mental health services for all!

William Martinez, MD, MS Jamaica Plain, MA Guns (and in particular assualt weapons) make it easier for individuals behaving violently to cause greater harm. We need policy to address both the underpinnings of violent behavior and weapons that amplify the harm caused by this behavior.

William Herring, MD Vilas, NC I am deeply troubled by the continuing gun violence while our elected officials ignore the problem.

William Young, MD Glenside, PA I have seen too many gun violence victims. Stop the madness!

Willis Sutliff, MD Rapid City, SD The mass killing needs to stop.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.

Wuroh Timbo, MD Candidate Baltimore, MD To aid in the prevention of tragedies like Sandy Hook from happening again.

Yishan Cheng, MD Candidate Baltimore, MD I want to take care of kids with diseases in my future career, not kids hurt by a diseased nation.

Zachary Ginsberg, MD, MPP Manhasset, NY The cost of children's lives for others to have personal guns is too high.

Zahid Imran Baton Rouge, LA For a better future for all in America without the cloud of gun smoke choking our great nation.

Zaida De Jesus Lawrence, NY Enough is enough. Processed hundreds, thousand of medical claims related to gun injuries.

Institution names are listed for identification purposes. Each of us signed the letter and speaks as an individual.