Before we have sorted out who or what failed and why, many people have focused on restricting gun access. I will not blithely dismiss that discussion. There is simply no getting around the fact that America has a lot of guns, and it would not be intellectually honest to dispute that the mass availability of guns makes attacks like this easier to commit. Were there to be a wholesale gun confiscation in America, there would doubtless be fewer attacks like this.

The inability of society to properly monitor and manage people experiencing mental health crises is behind many problems, and is largely attributable to the well-intentioned but ultimately problematic choice to deinstitutionalize mental health care in favor of a model of community-based management.

I’m certainly not advocating for “re-institutionalization” but clearly something has to change, and the pendulum needs to swing back toward stronger interventions. Maine and the nation can design a better system that preserves humane treatment while simultaneously taking seriously the need to protect both society, and those like Card who desperately needed help and didn’t get it.