** FILE ** Dr. James Holsinger talks during a news conference after accepting the head position to the Cabinet of Health Services in this Dec. 5, 2003 file photo, in Frankfort, Ky. President Bush's nominee for surgeon general, Kentucky cardiologist Dr. James Holsinger, has come under fire from gay rights groups for, among other things, voting to expel a lesbian pastor from the United Methodist Church and writing in 1991 that gay sex is unnatural and unhealthy. (AP Photo/Patti Longmire, File)