Lamenting a uniquely American tragedy, an anguished and angry President Joe Biden delivered an urgent call for new restrictions on firearms after a gunman shot and killed at least 19 children at a Texas elementary school.

Biden spoke Tuesday night from the White House barely an hour after returning from a five-day trip to Asia that was bracketed by mass shootings in the U.S. He pleaded for action to address gun violence after years of failure — and bitterly blamed firearm manufacturers and their supporters for blocking legislation in Washington.

Also read: Gunman kills at least 18 children at Texas elementary school

’“When in God’s name are we going to stand up to the gun lobby?” Biden said with emotion. “Why are we willing to live with this carnage? Why do we keep letting this happen?”

With first lady Jill Biden standing by his side in the Roosevelt Room, the president, who has suffered the loss of two of his own children — though not to gun violence — spoke in visceral terms about the grief of the loved ones of the victims and the pain that will endure for the students who survived.

“To lose a child is like having a piece of your soul ripped away,” Biden said. “There’s a hollowness in your chest. You feel like you’re being sucked into it and never going to be able to get out.”

He called on the nation to hold the victims and families in prayer — but also to work harder to prevent the next tragedy, “It’s time we turned this pain into action,” he said.

At least 19 students were killed at Robb Elementary School in the heavily Latino town of Uvalde, Texas, according to local officials. The death toll also included two adults. The gunman died after being shot by responding officers, local police said.

It was just a week earlier that Biden, on the eve of his overseas trip, traveled to Buffalo to meet with victims’ families after a racist, hate-filled shooter killed 10 Black people at a grocery store in Buffalo, New York.

The back-to-back tragedies served as sobering reminders of the frequency and brutality of an American epidemic of mass gun violence.

“These kinds of mass shootings rarely happen anywhere else in the world,” Biden said, reflecting that other nations have people filled with hate or with mental health issues but no other industrialized nation experiences gun violence at the level of the U.S.

“Why?” he asked.

It was much too early to tell if the latest violent outbreak could break the political logjam around tightening the nation’s gun laws, after so many others — including the 2012 shooting at Sandy Hook Elementary School in Newtown, Connecticut that killed 26, including 20 children — have failed.

“The idea that an 18-year-old kid can walk into a gun store and buy two assault weapons is just wrong,” Biden said. He has previously called for a ban on assault-style weapons, as well as tougher federal background check requirements and “red flag” laws that are meant to keep guns out of the hands of those with mental health problems.

Late Tuesday, Senate Democratic Leader Chuck Schumer set in motion possible action on two House-passed bills to expand federally required background checks for gun purchases, but no votes have been scheduled.

Biden was somber when he returned to the White House, having been briefed on the shooting on Air Force One. Shortly before landing in Washington, he spoke with Texas Gov. Greg Abbott and offered “any and all assistance” needed, the White House said. He directed that American flags be flown at half-staff through sunset Saturday in honor of the victims in Texas.

Also read: 3 teens killed, 1 injured in gas station shooting in U.S. Texas

His aides, some of whom had just returned from Asia with the president, gathered to watch Biden’s speech on televisions in the West Wing.

“I’d hoped when I became president I would not have to do this, again,” he said. “Another massacre.”

In a stark reminder of the issue’s divisiveness, Biden’s call for gun measures was booed at a campaign event in Georgia hosted by Herschel Walker, who won the Republican nomination for U.S. Senate.

Speaking at an Asian Pacific American event that was intended to celebrate Biden’s Asia trip, Vice President Kamala Harris said earlier that people normally declare in moments like this, “our hearts break — but our hearts keep getting broken ... and our broken hearts are nothing compared to the broken hearts of those families.”

“We have to have the courage to take action ... to ensure something like this never happens again,” she said.

Echoing Biden’s call, former President Barack Obama, who has called the day of the Sandy Hook shooting the darkest of his administration, said, “It’s long past time for action, any kind of action.”

“Michelle and I grieve with the families in Uvalde, who are experiencing pain no one should have to bear,” he said in a statement. “We’re also angry for them. Nearly ten years after Sandy Hook—and ten days after Buffalo—our country is paralyzed, not by fear, but by a gun lobby and a political party that have shown no willingness to act in any way that might help prevent these tragedies.”

Congress has been unable to pass substantial gun violence legislation ever since the bipartisan effort to strengthen background checks on firearm purchases collapsed in the aftermath of the 2012 shooting.

Despite months of work, a bill that was backed by a majority of senators, fell to a filibuster — unable to to overcome the 60-vote threshold needed to advance.

In impassioned remarks on the Senate floor Tuesday, Sen. Chris Murphy, D-Conn., who represented Newton, Connecticut, in the House at the time of the Sandy Hook massacre, asked his colleagues why they even bother running for office if they’re going to stand by and do nothing.

“I’m here on this floor to beg — to literally get down on my hands and knees — to beg my colleagues,” he said.

Murphy said he was planning to reach out to Texas Republican Sen. John Cornyn after the two had teamed on an earlier background check bill that never became law. He said he would also reach out to Texas’ other Republican Sen. Ted Cruz.

“I just don’t understand why people here think we’re powerless,” Murphy said. “We aren’t.”

Cornyn told reporters he was on his way to Texas and would talk with them later. Cruz issued a statement calling it “a dark day. We’re all completely sickened and heartbroken.”

Sen. Joe Manchin, D-W.Va., who sponsored gun legislation that failed to overcome a filibuster in the Senate after Sandy Hook, said, “We’re just pushing on people who just won’t budge on anything.”

“It makes no sense at all why we can’t do commonsense things and try to prevent some of this from happening,” he said.