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Trump pulls Casey Means' nomination as surgeon general, naming new pick

Trump pulls Casey Means' nomination as surgeon general, naming new pick

Summary

President Donald Trump has withdrawn his nomination of Dr. Casey Means for U.S. surgeon general and instead nominated Dr. Nicole B. Saphier. Means’ nomination stalled in the Senate due to lack of support, while Saphier is a radiologist and former Fox News medical contributor known for her work on cancer detection and prevention.

Key Facts

  • President Trump announced he is replacing Casey Means with Nicole B. Saphier as his nominee for U.S. surgeon general.
  • Casey Means’ confirmation process stalled in the Senate since her February hearing.
  • Senator Bill Cassidy was mentioned by President Trump as blocking Means’ nomination.
  • Means did not clearly support childhood vaccination during her Senate testimony and said “science is never settled” on vaccines and autism.
  • Means experimented with psychedelic drugs in her 30s and does not have an active medical license.
  • Nicole Saphier is a radiologist and former Fox News medical contributor who works on breast cancer diagnosis and treatment.
  • Saphier wrote a book and hosts a health podcast focused on cancer and wellness.
  • Means was originally nominated in May 2025 but her hearing was delayed due to childbirth.
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