manila philippine lawmakers reject president rodrigo duterte choice health secretary tuesday make fifth cabinet member turn since duterte come power reason give rejection paulyn ubial public office 27 years philippines cabinet minister must approve commission appointments hear take place long start work senator gregorio honasan chairman commission health committee say decide withhold consent appointment ubial elaborate presidential spokesman ernesto abella express regret say government grateful service duterte enjoy strong opinion poll number since win presidency last year elections heavy scrutiny war drug kill thousands filipinos appear impact rat trust satisfaction duterte fell low presidency third quarter year survey show sunday although sentiment leadership remain positive overall lawmakers also reject appointments duterte foreign environment agrarian reform social welfare minister two minister recommend maoist rebel leaders still talk peace government duterte stop negotiations continue violence duterte pick foreign environment minister alan peter cayetano roy cimatu confirm philippine lawmakers reject fifth duterte cabinet pick