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Trump Withdraws Surgeon General Nomination, Names New Pick After Vaccine Controversy

Dr. Casey Means's nomination stalled over her views on vaccines. President nominates Dr. Nicole Saphier from Memorial Sloan Kettering instead.

Trump Withdraws Surgeon General Nomination, Names New Pick After Vaccine Controversy
Image via NYT

President Trump on Wednesday withdrew his nomination of Dr. Casey Means for Surgeon General, citing the need for a nominee who could gain swift Senate confirmation, and immediately announced Dr. Nicole B. Saphier as his replacement choice. The move comes after Dr. Means's nomination had stalled in the Senate for several weeks, with her views on vaccine policy emerging as a central point of contention among lawmakers.

Dr. Means, a Stanford-trained physician and author who has advocated for metabolic health and preventive medicine approaches, faced increasing scrutiny from both Republican and Democratic senators over statements she had made questioning certain aspects of current vaccination guidelines. Her nomination had been part of Trump's broader "Make America Healthy Again" initiative, which emphasizes lifestyle interventions and alternative approaches to public health policy.

The president's new nominee, Dr. Nicole Saphier, brings a different profile to the role as a radiologist at the prestigious Memorial Sloan Kettering Cancer Center in New York. Dr. Saphier is also a Fox News medical contributor who has appeared regularly on television discussing health policy issues, giving her name recognition that could aid in the confirmation process. Her background in diagnostic radiology and cancer medicine represents a shift from the preventive medicine focus of the previous nominee.

Senate Republicans had privately expressed concerns about Dr. Means's ability to win confirmation, particularly given the current political climate surrounding vaccine policy and public health measures. Several GOP senators indicated they were uncomfortable with some of her past statements about childhood immunizations, viewing them as potentially problematic for a nominee seeking to serve as the nation's top doctor.

Dr. Saphier's nomination is expected to move more quickly through the confirmation process, with Republican leadership expressing optimism about her prospects. The radiologist has maintained more conventional positions on vaccine policy while still supporting Trump's broader health agenda focused on addressing chronic disease and promoting wellness initiatives. Her confirmation hearings are expected to begin within the next few weeks, as the administration seeks to fill the critical public health leadership role.

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