The more than twenty murders in a Texas church are just the latest mass shooting victims in the United States - and the response has become routine.
Shock, followed by prayers and vigils, followed by a refusal by politicians and lobbyists to seriously debate the core issues.
Al Jazeera takes a look back at the history of gun violence in the US and what it could mean for the future.
Al Jazeera's Patty Culhane reports from Washington, DC.
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