
By Justin Thompson
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Your field guide to gay men's health. The blog is no longer active, but is still available to use as an information resource.


“Because of the questions that have been raised about Dr. Holsinger’s qualifications and ability to fulfill the duties of the job, I do not believe that he will be able to provide adequate leadership in the public health field as Surgeon General, and I must go on record as opposing his nomination,” Clinton said in a statement.
In a statement released on June 7, Obama said, “America’s top doctor should be a doctor for all Americans, and so I have serious reservations about nominating someone who would inject his own anti-gay ideology into critical decisions about the health and well-being of our nation.”

President Bush's nominee for surgeon general, James Holsinger, on Thursday during his testimony to the Senate Health, Education, Labor and Pensions Committee "sought to distance himself" from a "controversial" paper he wrote on the health of men who have sex with men, saying that the paper is not a scientific document and that many of the issues raised in it are out of date, the Washington Post reports (Lee, Washington Post, 7/13). Bush nominated Holsinger on May 24 to succeed former Surgeon General Richard Carmona, who ended his term last year with no replacement.
The HIV Medicine Association and other groups -- including the American Public Health Association and some gay and lesbian organizations -- announced their opposition to Holsinger ahead of his Senate confirmation hearing. HIVMA, APHA, the Human Rights Campaign, the National Gay and Lesbian Task Force and other groups in their opposition to Holsinger cite in part a document he wrote in 1991 called the "Pathophysiology of Male Homosexuality." The document was written to a United Methodist Church panel studying homosexuality. In the document, which focuses on anatomy and the reproductive system, Holsinger wrote that the "varied sexual practices of homosexual men have resulted in a diverse and expanded concept of sexually transmitted disease and associated trauma." Holsinger also called anal sex unnatural and gave an anatomical explanation (Kaiser Daily HIV/AIDS Report, 7/12).
Holsinger during the HELP Committee hearing said that his views have changed and that the issues he raised in the paper are not relevant to current public health discussions (Washington Post, 7/13). "I can only say that I have a deep appreciation for the essential human dignity of all people, regardless of background or sexual orientation," Holsinger said, adding, "Should I be confirmed as surgeon general, I pledge to you to continue that commitment" (Harris, New York Times, 7/13). He also said that condom use is important for preventing pregnancies and the spread of sexually transmitted infections and suggested that condoms are appropriate for teenagers, the Los Angeles Times reports.
HELP Committee Chair Edward Kennedy (D-Mass.) during the hearing said he recently received a letter from a group of leading HIV/AIDS physicians that concluded Holsinger's paper was "not based on science but rather is ideology with a veneer of science." William Owen -- one of the letter's authors and a physician in San Francisco -- was cited as a source by Holsinger in his paper. "The paper implicitly attempts to show that there is a scientific consensus for the proposition that homosexuality is abnormal, when in fact the scientific consensus in 1991 was much more strongly in favor of the concept that homosexuality is not abnormal and is not a disorder," the letter said, adding, "That consensus has only strengthened over time."
Kennedy said many committee members are "concerned about aspects of Dr. Holsinger's record that indicate that Dr. Holsinger has let his ideological beliefs cloud his scientific judgment." He added, "These concerns are serious at any time but all the more so in light of Dr. Carmona's alarming testimony" (Alonso-Zaldivar, Los Angeles Times, 7/13). Kennedy at the start of the hearing said he plans to introduce legislation that would give the surgeon general's office more political independence (New York Times, 7/13). Holsinger during the hearing said that he would resign if pressured to put politics above science but only after trying to inform policymakers on the science and come to a consensus. "Candidly, if I were unable to do that and I was being overridden, if necessary, I would resign," he said (Washington Post, 7/13).
No Democrats during the hearing indicated that they would support Holsinger's nomination, and fewer than half of the HELP committee members attended the hearing (Los Angeles Times, 7/13). Republicans on the panel expressed their support for the nomination, according to the New York Times. The HELP Committee likely will vote on Holsinger's nomination in September (New York Times, 7/13).
C-SPAN video of the complete hearing is available online.
NPR's "All Things Considered" on Thursday reported on the hearing. The segment includes comments from Holsinger; Sen. Patty Murray (D-Wash.); and Ruth Holsinger, mother of James Holsinger (Silberner, "All Things Considered," NPR, 7/12). Audio and a partial transcript of the segment are available online.
In addition, WBUR's "Here & Now" on Thursday included a discussion with Drew Armstrong, a reporter covering the nomination for Congressional Quarterly. Audio of the segment is available online. Thursday's program also included a discussion with Laurie Garrett, senior fellow for global health at the Council on Foreign Relations, about politics and the position of surgeon general ("Here & Now," WBUR, 7/12). Audio of the segment is available online.



July 2, 2007
Senate Health, Education, Labor and Pensions Committee
Senate Russell Office Building 317
Washington, DC 20510-2101
Sent via fax: 202-224-2417
Dear Senator Kennedy:
I am writing on behalf of the board of directors of the HIV Medicine Association (HIVMA) to express strong reservations regarding President Bush’s nomination of James Holsinger, MD to be the Surgeon General of the
As physicians and scientists who have devoted our professional careers to prevention, research and clinical care aimed at relieving the human suffering caused by HIV/AIDS, we are dismayed that the nominee to serve as the nation’s First Physician would be an individual noted for his intolerant and misguided views on homosexuality. These views are of particular concern because of the disproportionate impact of HIV/AIDS on men who have sex with men, especially gay men of color, as we try to reduce the 40,000 new HIV infections in the nation each year. There is little doubt that stigma and discrimination, including homophobia, fuel the AIDS epidemic both in the
We have no doubt that Dr. Holsinger is a fine physician and has performed ably as a public servant. His campaign to address childhood obesity in
Please contact the HIVMA executive director Christine Lubinski to discuss this important issue further.
Sincerely,
Daniel R. Kuritzkes, MD
Chair, HIV Medicine Association
Action Alert via AIDS Project Los Angeles
Greetings,
On May 24, President Bush nominated Dr. James Holsinger to serve as 18th Surgeon General of the United States. As America's chief health educator, the Surgeon General must be devoted to helping all Americans lead healthy lives and must be committed to science. Among the stated duties of the post is to provide leadership in promoting health initiatives such as HIV prevention efforts.
In the past, Dr. Holsinger has exhibited a prejudice against homosexual men. His efforts to put a scientific veneer on his prejudices (as evidenced in a 1991 paper http://ga0.org/ct/p7aXO9p1k4hG/ for the United Methodist Church) call into serious question his ability to advocate for sensible HIV care and prevention education.
His nomination must be approved by the Senate Health, Education, Labor, and Pensions Committee (HELP) before the nomination is sent to the entire Senate for confirmation. Senator Edward Kennedy (D-Mass.) serves as the Chair and Senator Michael Enzi (R-Wyo.) is the Ranking Member of the Committee. Although no hearing date has been set yet, it's vital that we educate our senators as soon as possible.
Please tell your senator to voice opposition to Holsinger's nomination. It's quick and easy using APLA's In The Loop!
http://ga0.org/campaign/holsinger/geb8kk4136ntnm?
Send a letter to the following decision maker(s):
Your Senators
Below is the sample letter:
Subject: Please Oppose Dr. Holsinger's Nomination As Surgeon General!
Dear [decision maker name automatically inserted here],
As your constituent, I urge you to oppose the nomination of Dr. James Holsinger to the post of Surgeon General.
As the nation's chief health educator, charged with improving the health of all Americans, the U.S. Surgeon General must be committed to science and willing to set aside his political or religious views.
While Dr. Holsinger has enjoyed a long and distinguished career in public health, he has a record of demonstrating extreme prejudice toward homosexuals. Perhaps most disturbing is a 1991 paper he prepared for the United Methodist Church entitled "Pathophysiology of Male Homosexuality." In it, Dr. Holsinger expressed medical opinions about the abnormality and health dangers of gay sexual practices.
Dr. Holsinger's biography also includes involvement with the Hope Springs Community Church in Lexington, Kentucky, which has advanced a ministry to "cure" homosexuals, an approach widely discredited by mainstream medical and scientific organiz ations.
Dr. Holsinger's efforts to put a scientific veneer on his prejudices demonstrably compromises his ability to advocate for the better health of all those living with and at risk for HIV/AIDS.If confirmed, he will alienate the AIDS community and further marginalize and stigmatize gay people.
HIV/AIDS is a devastating public health epidemic, heavily impacting both the gay and heterosexual community in this country and worldwide. Evidence-based efforts to stop the HIV epidemic require an unbiased public health agenda.
Now, more than ever, the nation needs a Surgeon General who is able to recommend sound health policy to all Americans, who unites and supports the health and well-being of all Americans.
For these reasons, I urge you to voice your opposition to Dr. Holsinger's nomination.
Sincerely,
[Your Name]
http://ga0.org/campaign/holsinger/geb8kk4136ntnm?
Take Action!
Instructions:
Click here to take action <http://ga0.org/campaign/holsinger/geb8kk4136ntnm?> on this issue
What's At Stake:
In a document titled "Pathophysiology of Male Homosexualityhttp://ga0.org/ct/p7aXO9p1k4hG/," Dr. Holsinger wrote the following statements about the abnormality and health dangers of homosexual sexual practices:
In fact, the logical complementarity of the human sexes has been so recognized in our culture that it has entered our vocabulary in the form of naming various pipe fittings either the male fitting or the female fitting depending upon which one interlocks within the other. When the complementarity of the sexes is breached, injuries and diseases may occur as noted above.
Additionally, Holsinger and his wife were founders of Hope Springs Community Church, which operates a "Men's Sexual Integrityhttp://www.hopespringschurch.com/content.cfm?id=201 " recovery program. The church's website describes the program as "an opportunity for men to heal from sexual brokenness and find strength to overcome unhealthy sexual behaviors." This type of "ex-gay" conversion therapy has been condemned by almost every major, reputable medical organization — including the American Psychological Association, which issue d a condemnation http://www.apa.org/pi/lgbc/publications/justthefacts.html#2 more than 10 years ago.
A number of advocacy organizations, including AIDS Action http://www.aidsaction.org/ , the National Gay and Lesbian Task Force http://www.thetaskforce.org/ and the Human Rights Campaign http://www.hrc.org/, have voiced opposition to the nomination. Supporting Holsinger are organizations such as Exodus International http://www.exodus.to/ and Americans For The Truth About Homosexuality http://americansfortruth.com/ .
Campaign Expiration Date:
July 15, 2007
AIDS Action's alert on the nomination of Dr. Holsinger for Surgeon General:
Contact: Anna Ford 202-530-8030 ext. 3074 aford@aidsaction.org
CALL YOUR SENATORS AND URGE THEM TO OPPOSE THE NOMINATION OF DR. JAMES HOLSINGER FOR SURGEON GENERAL!
On May 24, 2007 President George Bush nominated Dr. James Holsinger for Surgeon General of the United States. As America's chief health educator, the Surgeon General must be devoted to helping ALL Americans lead healthy lives and be committed to science. Among the stated duties of the Surgeon General is to provide leadership in promoting health initiatives such as HIV prevention efforts.
Dr. Holsinger has had an extensive medical career; however, he also has a record showing prejudice towards and bias against homosexuals. HIV/AIDS continues to be a devastating public health epidemic, heavily impacting the gay community. Dr. Holsinger's efforts to put a scientific veneer on his prejudices puts his ability to advocate for the better health of all those living with and at risk for HIV/AIDS into serious question. Most disturbing was a 1991 paper prepared for the United Methodist Church by Dr. Holsinger entitled "Pathophysiology of Male Homosexuality," in which Holsinger expressed his medical opinions about the abnormality and health dangers of gay and lesbian sexual practices. His record also shows his support for reparative therapy to "cure" homosexuals, an approach widely discredited by mainstream medical and scientific organizations. AIDS Action strongly opposes his nomination and believes that if confirmed, he will not gain the confidence of people living with HIV/AIDS and will further marginalize and stigmatize gay people.
His nomination must be approved by the Senate Health, Education, Labor, and Pensions Committee (HELP) before the nomination is sent to the entire Senate for confirmation. (No hearing date has been set). Senator Edward Kennedy (D-MA) serves as the Chair and Senator Michael Enzi (R-WY) is the Ranking Member.
THE SENATE NEEDS TO HEAR FROM YOU! TELL THEM THE FOLLOWING:
* YOU OPPOSE THE CONFIRMATION OF DR. JAMES HOLSINGER FOR SURGEON GENERAL
* A SURGEON GENERAL WITH A RECORD OF PREJUDICE TOWARDS AND BIAS AGAINST THE HOMOSEXUAL COMMUNITY WOULD LIKELY BE A DIVISIVE, POLARIZING FIGURE AND DETRIMENTAL TO THE HEALTH AND WELL BEING OF ALL AMERICANS
* A SURGEON GENERAL THAT IS NOT COMMITTED TO SCIENCE WOULD JEOPARDIZE EVIDENCED BASED PUBLIC HEALTH EFFORTS
PLEASE CALL YOUR SENATORS AND SENATORS SERVING ON THE HEALTH EDUCATION LABOR AND PENSIONS (HELP) COMMITTEE. IF YOUR SENATORS SERVE ON THE HELP COMMITTEE IT IS ESPECIALLY IMPORATANT THAT YOU CALL!
HELP Committee Members include: Edward Kennedy (D-MA), Christopher Dodd, (D-CT), Tom Harkin (D-IA), Barbara Mikulski (D-MD), Jeff Bingaman (D-NM), Patty Murray (D-WA), Jack Reed (D-RI), Hillary Clinton (D-NY), Barack Obama (D-IL), Sherrod Brown (D-OH), Michael Enzi (R-WY), Judd Gregg (R-NH), Lamar Alexander (R-TN), Richard Burr (R-NC), Johnny Isakson (R-GA), Lisa Murkowski (R-AK), Orrin Hatch (R-UT), Pat Roberts (R-KS), Wayne Allard (R-CO), and Tom Coburn (R-OK).
You can reach your Senators by calling the Capitol Switchboard at 202-224-3121 and asking for them by name. To find out who your Senators are, go here and type in your zip code in the space provided. You can also email your Senators directly by clicking here and typing in your zip code in the space provided.
TAKE AIDS ACTION!
Urge your Senators and the Senate HELP Committee to Reject Bush's Nomination for Surgeon General!
FOR IMMEDIATE RELEASE
June 18, 2007
Press contact: Noel Alicea, 212 367 1216
Gay Men’s Health Crisis calls
Surgeon General nominee a danger
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