That has not pleased several people who had helped negotiate the original settlement, including Koop.
Dr. Koop retired in 1989, before his second term as surgeon general had expired.
" Dr. Koop himself once told Life magazine, "I think I scare most people.
In 1991, Koop won an Emmy for a five-part series on health care reform, Dartmouth said.
Koop's impact was great, although the surgeon general has no real authority to set government policy.
"My only influence was through moral suasion, " Koop said just before leaving office in 1989.
Everett Koop, who served during the Reagan administration, is unquestionably the best-known Surgeon General in modern times.
During a lengthy confirmation battle, Dr. Koop pledged not to use his office as an antiabortion soapbox.
An assistant at Koop's Dartmouth College institute, Susan Wills, confirmed his death but didn't disclose its cause.
After graduating from Cornell Medical College in 1941, Dr. Koop opted for the then-unusual specialty of pediatric surgery.
He became a hero to AIDS activists, who chanted "Koop, Koop" at his appearances but booed other officials.
Koop received his medical degree at Cornell Medical College, choosing pediatric surgery because so few surgeons practiced it.
Everett Koop wrote a brochure about AIDS that was sent to all 107 million American households in 1988.
CNN: HIV in the '80s: 'People didn't want to kiss you on the cheek'
Nominated for the office by President Ronald Reagan in 1981, Dr. Koop was known as a crusading abortion opponent.
An assistant at Koop's Dartmouth institute, Susan Wills, said he died Monday in Hanover, where he had a home.
Koop, who turned his once-obscure post into a bully pulpit for seven years during the Reagan and George H.
Everett Koop, surgeon general in the Reagan administration, and Dr. David Satcher, surgeon general during the Clinton administration, also testified.
Even after leaving office, Koop continued to promote public health causes, from preventing childhood accidents to better training for doctors.
Although Koop eventually won wide respect with his blend of old-fashioned values, pragmatism and empathy, his nomination met staunch opposition.
Soon, though, he was a hero to AIDS activists, who chanted "Koop, Koop" at his appearances but booed other officials.
Known for wearing bow ties, suspenders and a clipped beard, Koop is survived by his wife, three children and eight grandchildren.
It was the largest public health mailing ever, according to a biography of Koop on a website of the surgeon general.
Koop was by far the best-known surgeon general, and decades after he left the job he was still a recognized personality.
As surgeon general, Koop knew it was the responsible thing to do.
Dr. Koop disappointed some in 1989 when, as surgeon general, he refused to endorse any conclusion about the psychological effects of abortions.
Koop served as chairman of the National Safe Kids Campaign and as an adviser to President Bill Clinton's health care reform plan.
Koop was appointed surgeon-in-chief at Children's Hospital in Philadelphia and served as a professor at the University of Pennsylvania School of Medicine.
Critics said Reagan selected Koop, a pediatric surgeon from Philadelphia, only because of his conservative views, especially his staunch opposition to abortion.
Koop was born in New York's borough of Brooklyn, the only son of a Manhattan banker and the nephew of a doctor.
Koop's wife died in 2007, and he married Cora Hogue in 2010.
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