Bush's nominee for surgeon general, Dr. James Holsinger, has come under fire this week for his anti-gay politics (first documented by Bible Belt Blogger Frank Lockwood ). By day Holsinger teaches health sciences at the University of Kentucky where he was chancellor of the Chandler Medical Center. By night, however, the good doctor is a bible-thumping Reverend with a degree in biblical studies from Asbury Theological Seminary and a seeming
fascination of antipathy towards homosexuals.
Holsinger founded the Hope Springs Community Church, a "recovery ministry" that caters to alcoholics, drug addicts, sex addicts and those seeking to "walk out of that [homosexual] lifestyle," according to its pastor Rev. David Calhoun . When not busy endorsing ex-gay conversion therapy, Holsinger served on  the highest court of the United Methodist Church where he voted to remove a lesbian pastor from her position.
And today, the Human Rights Campaign  released a document Holsinger authored in 1991 as a member of the United Methodist Church's Committee to Study Homosexuality. Titled Pathophysiology of Male Homosexuality, Holsinger's religious tract-cum-scientific paper is a fascinating window into the perverse imagination of homophobia. In essence, Holsinger argues that male-female "reproductive systems are fully complementary" because "anatomically the vagina is designed to receive the penis." The remainder of his paper is a graphic account of the "delicate" rectum which is "incapable" of "protection" if "objects that are large, sharp, or pointed are inserted" into it. From there Holsinger continues to discuss what he imagines are the pains (and pleasures?) of anal sex, from "fist fornication" and "sphincter injuries" to "lacerations," "perforations" and "deaths seen in connection with anal eroticism."
Sharp objects! Deaths seen in connection with anal eroticism! Gadzooks! Now, I've been around the block one or ten times, and I don't know any gay men who have put scissors up their ass, much less died from it. Of course, the barely mentioned but palpably anxious context in which Holsinger connects "death" with "anal eroticism" is the AIDS epidemic. And it should come as no surprise that his paper was part of a larger, pseudo-medical, moral discourse in which gay men's mode of sex (and by extension gay men) were blamed for AIDS - the death we deserved, the sexual suicide we courted.
The flip side of Dr. Holsinger's lurid speculation is the dangerous presumption that because heterosexual sex is "natural," it is safe -- safe from HIV, other sexually transmitted diseases and the trauma and injury that Holsinger seems so feverishly eager to attribute to gay anal sex. We now know, tragically and beyond any possible doubt, that heterosexual sex is not safe unless one practices it as such. And no amount of wishing and praying by our next Surgeon General on the "complementarity of the human sexes" will make it so.
A few years after Dr. Holsinger wrote his little brief against male-male anal sex, then Surgeon General Joycelyn Elders suggested, at a UN Conference on AIDS, that masturbation might be taught to young people as a mode of reducing sexual risk. On this point she was absolutely correct, but for even daring to mention the M-word, she was lampooned by the Christian right and eventually asked to resign by a cowardly Bill Clinton who, in retrospect, might have paid more attention to Dr. Elders and spent less time inserting foreign objects into inappropriate places.
But no matter. The doctor who gave sound, clinical medical advice was fired, while the doctor who engaged in wild, graphic and unsubstantiated fantasies about gay sex will most likely assume the helm as "America's chief health educator." And you wonder why we have a health care crisis in this country.