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On October 17, 1989 President George Bush nominated Novello for the position of Surgeon General. One of the key factors in his decision was the fact that Novello was publicly opposed to abortion, which was consistent with the President's views. Unlike the controversial Dr. Koop, Novello's Congressional confirmation hearings went smoothly. Antonia Novello became the fourteenth United States Surgeon General and the first woman and first Hispanic to ever hold the position. While Novello was committed to addressing the health issues of both women and Hispanics, she understood that her new role encompassed more than those particular social groups. As the Medical World News reported, at Novello's Senate confirmation hearings she stated, "I do not come before you as the surgeon general for Hispanics, or the surgeon general for women, or the surgeon general for children," but for "every citizen, regardless of race, age, sex, creed, circumstance, or political belief." Novello was sworn into her position on March 9, 1990. During the swearing-in ceremony, she announced that, "The American dream is well and alive today the West Side Story comes to the West Wing."
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