Carmona worked for the Pima County Sheriff's Department since 1986, eventually working his way up to deputy sheriff. He was a peace officer leader of the SWAT division, with expertise in special operations and emergency preparedness, including weapons of mass destruction. Carmona described himself as an "agent of change" willing to question the status quo, but that he always treated "patients, staff, and co-workers with respect." Senators on both sides of the aisle praised Carmona's qualifications and supported his nomination; he was confirmed by the U.S. Senate on July 23, 2002 by a vote of 98-0.In 2006, Carmona released a landmark Surgeon General's report on the health effects of Carmona is currently vice chairman of the Canyon Ranch resort and spa company, president of the non-profit Canyon Ranch Institute, and a professor at the Mel and Enid Zuckerman College of Public Health at the In 2006, Republicans attempted to recruit Carmona to run for Congress in On July 10, 2007, Carmona, along with former Surgeons General Carmona also testified that the Bush Administration had attempted for years to "water down" his report on the dangers of Carmona said that his predecessors as Surgeon General had told him, "We have never seen it as partisan, as malicious, as vindictive, as mean-spirited as it is today, and you clearly have worse than anyone's had. "Carmona was the Democratic nominee for U.S. Senate in Arizona in the race to replace retiring Republican Senator Carmona is married to Diana Sanchez. He served as medical director of the county's police and fire departments. Bystanders warned Carmona that the motorist was armed, and in the confrontation that ensued, Carmona fired his weapon seven times, hitting the man three times and killing him. Carmona resides in Accounts of the incident vary, but Carmona says he spotted a driver assaulting another driver after a car accident and pulled over to help. Carmona worked in various positions in the medical field including In 1999, Carmona was off duty when he killed a motorist in a shootout at a Tucson intersection. During the nomination process, Carmona was questioned about his management style and the amount of time it took him to become board-certified in his field. They have two daughters, two sons, two granddaughters, and two grandsons. President Bush nominated Carmona to become the 17th Surgeon General of the United States in March 2002.

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