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This doesn't happen in certain countries, some of which have gun control, so I do think that reducing access to firearms can help as it obviously has in places like Japan. No gun crime and far lower violent crime. Conservatives say that passing gun laws only affects law abiding citizens and not criminals but in Japan to be law abiding is a deeply ingrained social value so gun laws do work. Even the Yakuza are getting rid of theirs because of the legal liability they present.
I don't think that's possible in the US though, its just a different culture here. I don't really support further gun control. The only idea I've seen floated that seems acceptable is the law supported by the GOP and NRA in 2016 which would allow gun sales to those on watch lists to be frozen for 72 hours during which the Feds have to prove probably cause to a judge. I think its a decent compromise with the gun control advocates but even that law wouldn't have prevented this tragedy it seems.
I agree with those saying we should expand mental health access but for different reasons. I think even if you expand access some people will still slip through the cracks. Some of the shooters did have access to mental health services and still did what they did. The reason I agree is because it would be very helpful on a host of more mundane issues like depression, anxiety, substance abuse etc.
Are you using Japan as an example because you think the lower ownership of guns is a causal reason for their low crime?
As an addition, if you recognize how "watch lists" have served us for flying, I don't especially place too much faith in their execution.