The Surgeon General's Report

As a presidential candidate, George Bush promised over and over again that he would be guided by "sound science." But almost from the outset, his Administration has come under repeated accusations that it has distorted or quashed science in favor of political or ideological considerations. Now comes this testimony from the man who served as his Surgeon General, as recounted by the Los Angeles Times:

"The reality is that the 'nation's doctor' has been marginalized and relegated to a position with no independent budget and with supervisors who are political appointees with partisan agendas," Dr. Richard H. Carmona told the House Committee on Oversight and Government Reform. "Anything that doesn't fit into the political appointees' ideological, theological or political agenda is ignored, marginalized or simply buried.

"The problem with this approach is that in public health, as in a democracy, there is nothing worse than ignoring science or marginalizing the voice of science for reasons driven by changing political winds," said Carmona, who served from 2002 to 2006. "The job of surgeon general is to be the doctor of the nation — not the doctor of a political party."

Carmona testified alongside former Surgeons General C. Everett Koop and David Satcher, who served in the Reagan and Clinton administrations, respectively. They also told the committee that they faced political interference, particularly on morally charged issues such as sexuality and drug use.

But Carmona said some fellow surgeons general told him interference rose to new levels during his tenure.