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The U.S. Surgeon General oversees the U.S. Public Health Service (USPHS) Commissioned Corps, over 6,000 uniformed public health officers of the HHS' Public Health Service (PHS). The United States Public Health Service Commissioned Corps is the uniformed service branch of the United States Public Health Service and one of the eight uniformed services of the United States:
https://www.newsweek.com/who-casey-means-trump-nominates-wellness-influencer-surgeon-general-2069344
Who is Casey Means? Trump Nominates Wellness Influencer as Surgeon General
By Gabe Whisnant - May 07, 2025President Donald Trump has selected Dr. Casey Means, a wellness advocate and social media influencer with close ties to Health and Human Services Secretary Robert F. Kennedy Jr., as his new nominee for U.S. surgeon general. The decision follows the withdrawal of Trump's initial pick, Dr. Janette Nesheiwat, from Senate consideration.
In a Wednesday post on social media, Trump praised Means for her health-focused background and alignment with his "Make America Healthy Again" initiative, saying she has "impeccable 'MAHA' credentials." He added, "Her academic achievements, together with her life's work, are absolutely outstanding. Dr. Casey Means has the potential to be one of the finest Surgeon Generals in United States History." Means is expected to focus on combating chronic disease and improving overall public health.
What to Know About Dr. Casey Means
Means is a wellness influencer and physician known for advocating lifestyle-based approaches to health, particularly in the areas of metabolic health, nutrition, and chronic disease prevention. A former practicing ear, nose, and throat surgeon, she co-founded the metabolic health company Levels and has gained a large following through her writings, podcasts, and social media presence focused on functional medicine and health optimization.
Her nontraditional background and emphasis on holistic wellness have made her a prominent voice in the growing movement to integrate lifestyle and nutrition into mainstream healthcare.
As surgeon general, Means would oversee the 6,000-member U.S. Public Health Service Commissioned Corps and serve as the nation's leading voice on public health, with the authority to issue advisories on major health threats.
Dr. Janette Nesheiwat Withdrawn as Trump's Surgeon General Pick
The move comes as Trump withdrew Nesheiwat's nomination amid growing scrutiny. Nesheiwat, the medical director of a New York urgent care center and a frequent Fox News contributor, had been scheduled to appear before the Senate Health, Education, Labor and Pensions Committee for her confirmation hearing Thursday. She is a vocal supporter of Trump and has a family tie to former National Security Adviser Mike Waltz, who is now Trump's pick for U.S. ambassador to the United Nations.
However, Nesheiwat faced backlash from some of Trump's far-right allies. Activist Laura Loomer criticized her credentials on social media, claiming she was "a pro-COVID vaccine nepo appointee" involved in a medical malpractice case and questioned her education.
CBS News later reported that Nesheiwat earned her medical degree from the American University of the Caribbean in St. Maarten, despite claiming it came from the University of Arkansas. The controversy mirrors another recent withdrawal—former Florida GOP Rep. Dave Weldon, who had been nominated to lead the CDC, withdrew in March after concerns about his vaccine skepticism led the White House to conclude he lacked sufficient Senate support.
Republican Senator Bill Cassidy of Louisiana singlehandedly administers American medical policy, not President Trump and HHS Secretary Kennedy:
Trump names Nicole Saphier as Surgeon General pick, withdraws Means
By Ahmed Aboulenein - April 30, 2026Summary
- Withdrawing Means deals a setback to Health Secretary Kennedy
- Trump attacks Cassidy for blocking Means' nomination
- Saphier known for breast cancer advocacy, Fox News contributions
WASHINGTON, April 30 (Reuters) - U.S. President Donald Trump named radiologist and Fox News contributor Dr. Nicole Saphier as his pick for U.S. Surgeon General on Thursday, his third nominee for the post, after withdrawing the nomination of Casey Means.
The move sets up a standoff between Trump and Republican Senator Bill Cassidy of Louisiana, whom he accused of blocking Means' nomination and called "a very disloyal person."
Means was a key ally of Health Secretary Robert F. Kennedy Jr. but lacked the votes to advance from the Senate Committee on Health, Education, Labor, and Pensions, which Cassidy chairs.
She is not a practicing doctor and is an integral part of the Make America Healthy Again movement that has undermined vaccines. Her brother Calley Means works for the White House.
Cassidy's office did not immediately respond to requests for comment on Trump's accusation or Saphier's nomination.
Means was not immediately reachable.FOX NEWS CONTRIBUTOR TAPPED FOR ROLE
As the nation's doctor, the surgeon general provides Americans with the best scientific information available on how to improve their health and reduce risk of illness and injury.
Saphier, who works at Memorial Sloan Kettering, is the author of books including "Make America Healthy Again: How Bad Behavior and Big Government Caused a Trillion Dollar Crisis."
"Nicole is a STAR physician who has spent her career guiding women facing breast cancer through their diagnosis and treatment while tirelessly advocating to increase early cancer detection and prevention," Trump wrote in a post on Truth Social.
He said in an earlier post that Means would continue to fight for the Kennedy-led Make America Healthy Again movement despite Cassidy's opposition to her nomination.
"Despite Senator Cassidy's intransigence and political games, Casey will continue to fight for MAHA on the many important Health issues facing our Country," Trump said.
Kennedy praised Means as one of his movement's "most powerful evangelist" in a post on X and accused Cassidy of "doing the dirty work for entrenched interests" by stalling her nomination. He said Means would remain a close partner.
THIRD ATTEMPT TO FILL POST
Means was Trump's second nominee for the role after he withdrew his prior pick, Janette Nesheiwat, in May. Both nominations faced opposition from far-right activists, including Laura Loomer, who is known to have Trump's ear.
Means faced pointed questioning from Democrats and some Republicans, including Cassidy, at a contentious February confirmation hearing over her views on vaccines, birth control and other areas of public health policy, as well as potential financial conflicts of interest.
She said vaccines are "a key part of any infectious disease public health strategy" but declined to directly reject a long-discredited claim linking vaccines to autism promoted by Kennedy, a longtime anti-vaccine activist.
Lisa Gilbert, co-president of watchdog Public Citizen, called the withdrawal of Means' nomination a "clear-cut victory for public health."
"Casey Means is unqualified and unfit to be Surgeon General and the withdrawal of her nomination is a win for the American public," she said in an emailed statement.
Saphier, unlike Means, holds an active medical license. She is director of breast imaging at Memorial Sloan Kettering, with a doctor of medicine degree from Ross University School of Medicine in Barbados and fellowships at the Mayo Clinic.
She shares some commonalities with the Kennedy-led movement; her book discusses preventing chronic diseases through lifestyle factors such as diet and exercise.
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