A surgeon general's report in 2006 that called on Americans to help tackle global health problems has been kept from the public by a Bush political appointee without any background or expertise in medicine or public health, chiefly because the report did not promote the administration's policy accomplishments. The report described the link between poverty and poor health, urged the U.S. government to help combat widespread diseases as a key aim of its foreign policy, and called on corporations to help improve health conditions in the countries where they operate. Its publication was blocked by William Steiger, a specialist in education and a scholar of Latin American history whose family has long ties to President Bush and Vice President Dick Cheney. Since 2001, Steiger has run the Office of Global Health Affairs in the Department of Health and Human Services. Richard Carmona, who commissioned the Call to Action on Global Health" while serving as surgeon general from 2002 to 2006, recently cited its suppression as an example of the Bush administration's frequent efforts during his tenure to give scientific documents a political twist. Carmona told lawmakers that, as he fought to release the document, he was "called in and again admonished ... via a senior official who said, 'You don't get it. This will be a political document, or it will not be released.' " A few days before the end of his term as the nation's senior medical officer, he was abruptly told he would not be reappointed.

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