If Cruz had been on record for his many acts requiring a police presence, he wouldn't have been able to buy the guns he used. Everything was in place to be effective, yet the local sheriff had an arrangement with the school district to prevent Cruz from having a record. The FBI also dropped the ball.
With Holmes, it was primarily his shrink that had information about his intent, yet I recall there was an issue with doctor/patient privilege that prevented any reporting prior to the act.
If someone breaks and hours off the deep end, it could very well be their first and last act, and there's no effective way to make that determination.
Instead of trying to solve the unknowable, I'd rather see focus on what we know. We know these acts usually take place in gun free/kill zones. Let's fix that first. Let's get rid of arrangements between school districts and law enforcement that hides criminal behavior.
There are probably other issues to address, but the left's Pavlovian response is to blame the tool, and that's the fight we're in.
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What you said was "no doctor/patient privilege." But that's not correct, the privilege is still there - it's always there - but under some circumstances the doctor is allowed or required to 'break' the privilege.

