DENVER (AP) — The deadliest shooting in modern U.S. history has people around the world wondering why mass violence keeps happening in America.
For those who have lived through mass shootings, and for the law enforcement officers trying to prevent them, the answer is self-evident.
"Because we allow it," said Sandy Phillips, whose daughter was among 12 killed at Colorado movie theater in 2012.
The nation began the week mourning the 49 people killed early Sunday when a gunman wielding an assault-type rifle and a handgun opened fire inside a crowded gay nightclub in Orlando, Florida. Authorities are investigating whether the assault was an act of terrorism, a hate crime, or both. Politicians lamented the violence as tragically familiar despite its staggering scale.
The causes of mass shootings are as disparate as the cases themselves, but those involved in other tragedies couldn't help but feel the similarities.
President Barack Obama called the latest massacre "a further reminder of how easy it is for someone to get their hands on a weapon that lets them shoot people in a school, or in a house of worship, or a movie theater, or in a nightclub.
"And we have to decide if that's the kind of country we want to be."
The Orlando massacre sparks echoes of last year's attack on a social services center in San Bernardino, California.
For Ryan Reyes, whose boyfriend was killed in San Bernardino, the shootings have less to do with gun control and more to do with highly charged political rhetoric and how people treat each other.
"The issue is American society," he said. "We are to blame, and the fact that we refuse to accept the fact that we are to blame just makes it worse. It's what we do to each other that causes these people to get to the point where they feel this is the only option."
Phillips said even the most horrifying massacres have provoked little change.
The best chance might have come after a gunman in Newtown, Connecticut, killed 20 first-graders and six adults at a school in Sandy Hook, just months after the theater shooting. Obama dedicated much of the start of his second term to pushing legislation to expand background checks, ban certain assault-style weapons and cap the size of ammunition clips.
That measure collapsed in the Senate, and since then, the political makeup of Congress has made new gun laws appear out of reach.
When politicians do succeed at pushing for tighter gun measures, they risk their careers. In Colorado, fresh off the theater shooting and still healing from the 1999 shooting at Columbine High School in which two students killed 13 people and themselves, Democrats in the state Legislature in 2013 muscled through new laws requiring universal background checks and banning magazines that hold more than 15 rounds.
Gun control advocates considered it a victory, until furious gun rights supporters forced from office two state senators who supported the measures.
"We could have done something about this in the years since Columbine, since Sandy Hook," said Marcus Weaver, who was wounded in the theater shooting and whose friend was killed. "When is enough enough?"
Sen. Ron Johnson, a Wisconsin Republican and chairman of the Senate Committee on Homeland Security and Governmental Affairs, disagreed that stricter gun laws are the solution.
"I think there's other root causes in play," he said. "I think mental health is a huge issue. One of the motivators is really that ISIS continues to exist, Islamic terror in other forms continues to exist."
Many mass shooters have been found to have severe psychological problems, including the Colorado theater shooter and the man who tried to assassinate Arizona Congresswoman Gabby Giffords in 2011.
Jeremy Richman and his wife Jennifer Hensel whose 6-year-old daughter, Avielle, was killed at Sandy Hook, have created a foundation to help understand the underpinnings of violence and its ties to brain health.
"We need to recognize who needs the help and why they aren't getting it," he said, adding that everyone needs to play a role in sparking change.
Associated Press writer Eric Tucker in Washington contributed to this report.