President Bush's
nominee for surgeon general faces a contentious
confirmation hearing because of his writings about
homosexuality and health.
In advance of the
Senate hearing on Thursday, gay rights groups, the
American Public Health Association, and 35 members of the
House were lining up in opposition to James W.
Holsinger's nomination. The Kentucky doctor garnered
the support of a prominent former surgeon general, C.
Everett Koop, as well as the American College of Physicians.
Holsinger wrote a
paper in 1991 for a United Methodist Church committee
that gay groups and others interpret as saying that
homosexuals face a greater risk of disease and that
homosexuality runs counter to anatomical truths.
In the paper,
which focuses extensively on human anatomy and the
reproductive system, Holsinger said the ''varied sexual
practices of homosexual men have resulted in a diverse
and expanded concept of sexually transmitted disease
and associated trauma.''
Health and Human
Services officials said Holsinger was asked more than 17
years ago to compile a survey of peer-reviewed scientific
data on health issues facing homosexuals.
''Since then, the
science has deepened with continued research on these
issues. Dr. Holsinger remains focused on addressing the
health of all in need, including gay and lesbian
populations, consistent with sound science and the
best medical practices,'' said Health and Human Services
spokeswoman Christina Pearson.
If confirmed,
Holsinger would succeed Richard Carmona, whose term expired
last July. Carmona accused the Bush administration on
Tuesday of muzzling him on several hot-button health
issues, such as abstinence-only sex education and
embryonic stem cell research. He also said the
administration quashed or delayed important health reports
for political reasons.
Democratic
senator Edward M. Kennedy of Massacusetts, chairman of the
Senate health committee, said Holsinger's record ''appears
to guarantee a polarizing and divisive nomination
process.''
Kennedy also
responded to Carmona's allegations of political
interference. He demanded that Health and Human Services
secretary Mike Leavitt provide documents that would
show various political appointees' interaction with
the surgeon general's office. Rep. Henry Waxman, a
California Democrat, also demanded documents associated with
reports Carmona was preparing on issues such as global
health and prisoner health.
Maria Kemplin, a
former coworker of Holsinger's, wrote Reublican senator
Mitch McConnell of Kentucky in support of the nomination.
Holsinger does not discriminate and ''is able to see
across divisive issues and relate with integrity to
people, no matter their life circumstances,'' said
Kemplin, who described herself as a liberal Democrat and
member of gay and women's rights groups.
Officials with
the American Public Health Association, which represents a
broad array of health officials and health educators, said
Wednesday that the association cannot support a
nominee with discredited views on sexuality.
''While we have
no doubt that Dr. Holsinger has made positive
contributions throughout his medical and public health
career, we believe his previously expressed views on
sexuality are inconsistent with mainstream medicine
and public health practice,'' said Georges Benjamin,
executive director of the association.
Holsinger is a
professor from the University of Kentucky's College of
Public Health. He also worked for 26 years in a variety of
positions at the Veterans Affairs Department,
including stints as chief of staff or director at
several VA medical centers. (Kevin Freking, AP)