May 9th, 2025
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President Donald Trump is reportedly contemplating Dr. Casey Means, a physician who has segued into a prominent wellness advocate with demonstrable connections to Health and Human Services Secretary Robert F. Kennedy Jr., as his prospective nominee for surgeon general, following the retraction of his prior selection for the consequential health portfolio.
In a communiqué disseminated via social media on Wednesday, Trump heralded Means' "impeccable 'MAHA' credentials" – a reference to the "Make America Healthy Again" rubric – asserting that she would dedicate her efforts to the eradication of chronic maladies and the enhancement of the health and overall well-being of the American populace.
“Her academic achievements, coupled with her life’s oeuvre, are unequivocally unparalleled,” Trump averred. “Dr. Casey Means possesses the potential to emerge as one of the most distinguished Surgeon Generals in the annals of United States History.”
This action entailed Trump's withdrawal of Janette Nesheiwat, erstwhile Fox News medical contributor, from consideration for the position, thereby signifying at least the second instance of a health-related appointee by Trump being withdrawn from Senate deliberation. Nesheiwat had been slated for appearance before the Senate Health, Education, Labor and Pensions Committee on Thursday for her confirmation hearing.
Means and her sibling, Calley Means, a onetime lobbyist, functioned as principal strategists in Kennedy's improbable 2024 presidential campaign and were instrumental in orchestrating his endorsement of Trump during the previous summer. The duo shared platforms with some of Trump's most fervent adherents, garnering commendation from conservative commentator Tucker Carlson and podcaster Joe Rogan. Calley Means presently holds an advisory post within the White House, routinely featuring in broadcast media to advocate for stringent limitations on SNAP entitlements, the elimination of fluoride from potable water supplies, and sundry other tenets of the MAHA doctrine.
Devoid of any prior governmental tenure, Casey Means, having abruptly terminated her surgical residency, purportedly due to a profound disillusionment with conventional medical paradigms, subsequently co-founded Levels, a health tech enterprise facilitating the monitoring of users' glycaemic indices and other physiological parameters, concurrently monetizing her social media presence through sponsored endorsements of nutraceuticals, topical preparations, infusions, and sundry other commodities.
In sundry interviews and treatises, Means and her sibling delineate an intricate and bewildering nexus of causal factors underpinning the nation's health challenges, notably implicating venal food consortia that have insnared the populace in deleterious dietary regimens, thereby rendering them beholden to quotidian pharmacotherapy from the pharmaceutical sector for the management of adiposity, diabetes, and other chronic morbidities.
Few health experts would contest the assertion that the American diet—replete with processed foodstuffs—constitutes a salient factor in the aetiology of obesity and kindred maladies. However, Means posits a more radical correlation, attributing alterations in dietary habits and quotidian existence to a plethora of disparate conditions, encompassing infertility, Alzheimer's, depression, and erectile dysfunction.
"Virtually all chronic health ailments managed by Western medical modalities are, according to Means in a 2024 collaborative volume with her sibling, a consequence of cellular duress wrought by contemporary lifestyles."
Means has largely eschewed Kennedy's polemical and discredited perspectives on vaccines. Nevertheless, she advocates on her website for a more rigorous inquiry into their safety and suggests facilitating legal action for patients against pharmaceutical companies in cases of purported vaccine-related harms. Federal statute, in effect since the late 1980s, has afforded these corporations immunity from legal culpability, thereby fostering vaccine innovation unimpeded by the specter of exorbitant personal injury litigation.
Though undertaking her surgical traineeship at Stanford University, she has since garnered a substantial online following by dint of her trenchant criticisms of the medical establishment and her vigorous advocacy of natural foods and lifestyle modifications as a means of effectuating the remission of obesity, diabetes, and other chronic ailments.
Should Means be confirmed as surgeon general, he would face the formidable task of championing Kennedy's expansive MAHA agenda, a programme predicated on the systematic expunction of multifarious additives and chemicals from the American food supply, the meticulous eradication of systemic conflicts of interest within federal agencies, and the strategic incentivization of salutary foodstuffs in scholastic and other nutritional schemes.
Nesheiwat, Trump's initial appointee, serves as a medical director for a New York-based urgent care enterprise and has frequently featured on Fox News, providing medical acumen and perspectives; a fervent advocate for Trump, she often disseminates images of them together via social media, and is, moreover, the sister-in-law of former national security adviser Mike Waltz, himself the nominee for Trump's ambassadorship to the United Nations.
However, she had recently become the subject of critique from Laura Loomer, a far-right associate of Trump whose influence proved pivotal in the removal of several members from the president’s National Security Council. Loomer had previously asserted on X that the role of surgeon general was untenable for “a pro-COVID vaccine nepo appointee embroiled in a medical malpractice suit who lacks a US medical degree.”
Last month, the independent freelance journalist Anthony Clark reported that, contrary to her assertion of holding a medical degree from the University of Arkansas School of Medicine, Nesheiwat had in fact obtained hers from the American University of the Caribbean School of Medicine in St. Maarten; this disclosure, according to an individual apprised of the situation who spoke anonymously to elucidate the administration's rationale, prompted the White House to withdraw Nesheiwat's nomination owing to uncertainties regarding the likelihood of her confirmation.
“I eagerly anticipate the sustained provision of my support to President Trump and the prospect of a close working relationship with Secretary Kennedy in a prominent policy capacity, aiming to revitalise American health,” Nesheiwat conveyed via social media on Wednesday, further asserting, “My unwavering commitment remains fixed upon the enhancement of the health and overall well-being of the populace of the United States, and that overarching objective is immutable.”
The Surgeon General, de jure the nation's paramount medical officer, presides over a complement of 6,000 personnel within the U.S. Public Health Service Commissioned Corps and possesses the prerogative to promulgate advisories apprising the populace of emergent public health exigencies.
The White House's decision in March to withdraw the nomination of erstwhile Florida GOP Representative Dave Weldon for the leadership of the Centers for Disease Control and Prevention stemmed from significant disquiet among influential Republican senators regarding his perceived scepticism towards vaccination, ultimately compelling his capitulation upon being apprised by the administration of his insufficient support for confirmation.
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