Attempts to persuade the suspect to surrender his gun failed, and he fired on Carmona, narrowly missing the doctor/deputy's head. Carmona returned fire and killed the man, whom police later determined was mentally ill and had killed his father just before the incident with Carmona.
Law enforcement officials praised Carmona for saving lives that day and (on this occasion and others) for risking his own life. In 1992, he dangled from a helicopter to rescue a man after a medical chopper crashed on snowy Mount Graham in southern Arizona. In 1988, Carmona was shot in the leg by a suicidal suspect during a SWAT operation.
Jamie Peachey
President Bill Clinton and Rich Carmona after a Tempe rally.
AP Photo/Ron Edmonds
President George W. Bush and Carmona during his years as U.S. surgeon general.
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Surgery professor Putnam wrote in his letter urging lawmakers to reject Carmona's surgeon general nomination: "It is patently clear that Sheriff Carmona . . . not Dr. Carmona, was at center stage [when he killed the suspect]. "Could not a physician have recognized the behavior of a mentally ill individual and responded in kind?"
Carmona says all these issues, some which date back more than two decades, were vetted by the U.S. Senate when members considered his surgeon general appointment — and he notes that the appointment was unanimous among a Senate almost evenly split between Republicans and Democrats.
While working for the Sheriff's Department, Carmona got firsthand experience on the U.S.-Mexico border. He describes it as "complex," and he says it gave him a chance to bring the kind of humanitarianism essential in the medical profession to law enforcement.
"Most of what you encounter [along the border] are poor people who desperately want to eat or take some money home for their families," he says.
As a deputy, he worked with volunteer groups to place food and water in the desert to reduce the number of lives claimed each year by brutal temperatures.
"We tried to advise people that there was no way you are going to walk from Mexico to Phoenix, or even Tucson, in 110-degree heat, no matter what those coyotes [people smugglers] tell you."
Nativists criticize such humanitarianism as aiding immigrants unlawfully, but Carmona says, "Humanitarianism rises above all.
"Even people who break the law deserve to be treated as humans. That is a societal norm. That is our value. To just say, 'They're undocumented so just let them die in the desert?' Never! That doesn't make any sense."
About his diverse work history — which also includes a stint as an ocean lifeguard in New Jersey, time as a practical nurse in San Francisco, part-time work as a professor of surgery and pharmacy at the University of Arizona Medical School, and vice chairman of Canyon Ranch Institute, a health resort in Tucson — Carmona says:
"A lot of people think all that's pretty cool," he says with a grin. "And a lot of people think, 'Wow, that's just a guy who couldn't keep a job.' And, probably, there's some truth in that."
Rich Carmona contrasts starkly with Jeff Flake, a onetime moderate Republican who now espouses the Tea Party principles that have come to define the GOP.
Flake's history includes working as a former lobbyist and registered agent for Rossing Uranium, a mine that operates in the African country of Namibia. As a lobbyist, Flake was paid to influence lawmakers in Washington and to promote the firm's interests.
Carmona supports a woman's right to make her own healthcare decisions, including reproductive choices. Flake is a staunch anti-abortion advocate and co-sponsor of an anti-abortion bill containing the language "forcible rape" — a phrase suggesting that women have responsibility in certain rapes.
The sentiment behind the bill's language was uttered by Missouri Congressman Todd Akin in an election-season faux pas that became a big headache for the national Republican Party, only Akin used the term "legitimate rape." Akin's notion was that women who are legitimately raped don't tend to get pregnant because their bodies fend off hostile sperm.
Carmona and other veterans have attacked Flake for not supporting laws to aid members of the armed services, highlighting Flake's "no" vote on a bill that covers educational expenses for servicemen and -women who spent at least three years on active duty.
Flake has come under attack from VoteVets.org, a national progressive veterans-advocacy group that's airing a campaign ad featuring an Iraq veteran slamming Flake's negative votes on several bills to provide benefits to veterans returning from Iraq and Afghanistan.
"Jeff Flake doesn't deserve my vote or my respect," Steven Lopez, a Chandler resident who served two tours in Iraq, says in the video.
The congressman defends his no votes on certain veterans bills, saying that attached to them were financial earmarks for what he considered wasteful spending. Flake has bucked his own party on earmarks, the practice of attaching "pork barrel" funding for local projects to unrelated bills lawmakers are expected to adopt.
Flake argues on his website that his "commitment to the troops . . . is unshakable." Criticism of his votes — against increased funding for veterans programs, to cut veterans' benefits, and to block protections against increased healthcare costs for veterans — ignores the many times he voted in support of veterans, the congressman claims.