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Trump’s first surgeon general tries to stop nominee from becoming his second

Casey Means has been nominated for nearly 11 months despite lacking a medical license and public health experience, drawing criticism from all previous U.S. surgeon generals.

  • Former Surgeon General Jerome Adams urged the Senate on Sunday to reject President Donald Trump's nominee Casey Means, arguing she fails to meet basic physician requirements for the 6,000-person Public Health Commissioned Corps.
  • Means's nomination has stalled in the Senate for nearly 11 months amid Republican concerns about her inactive medical license and her abandonment of surgical residency in favor of functional medicine.
  • Former Surgeon General Richard Carmona stated Means lacks "experience" and "credibility," while no past surgeon general has publicly defended her qualifications against the unified professional rebuke.
  • White House official Calley Means denounced Adams as a "lightweight," prompting Adams to reply that "lowering the discourse to crass ad hominem attacks comes across as childish and defensive."
  • Lawmakers remain frustrated with Health and Human Services Secretary Robert F. Kennedy Jr.'s vaccine policy agenda, leaving the surgeon general post vulnerable to prolonged vacancy or continued contestation.
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The Washington Post broke the news in on Sunday, March 29, 2026.
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