An alternate hypothesis by Stephen Thomas of Harvard Medical School is that medicine has been getting so good that many crimes that would have been murders in a previous era are becoming attempted murders.
http://people.wku.edu/james.kanan/Murder%20and%20Medicine.pd...
Despite the proliferation of increasingly dangerous weapons
and the very large increase in rates of serious criminal
assault, since 1960, the lethality of such assault in the
United States has dropped dramatically. This paradox has
barely been studied and needs to be examined using national
time-series data. Starting from the basic view that
homicides are aggravated assaults with the outcome of the
victim’s death, we assembled evidence from national data
sources to show that the principal explanation of the
downward trend in lethality involves parallel developments
in medical technology and related medical support services
that have suppressed the homicide rate compared to what it
would be had such progress not been made. We argue that
research into the causes and deterrability of
homicide would benefit from a “lethality perspective” that
focuses on serious assaults, only a small proportion of
which end in death.
As for whether governments should focus on prevention rather than punishment, it can also be argued that incarceration does indeed prevent recidivism during the period of incarceration.