- on a personal level, which would mean being directly involved with this woman in this case;
- or, possibly, on a systemic level, which would mean interacting with communities with regard to re-payment schemes, pollution, etc., and would be excluded in this case since purchasing a gun is an inherently health-neutral act.
Of importance to note is the fact that if the records had been kept according to the law, the woman would probably have not been prevented. Ah, the intertwining of ethics, letters, and enforcement!
I must confess that I lapsed into "health"-oriented "nurse think" when I first read about this--yeah, the law was broken and someone's rights were probably violated but maybe we saved a life. Luckily, there is the ever vigilant Nurse with a Gun who helped me get my thinking grounded again. Thanks, Xavier.