Revision History

President Trump withdrew Dr. Casey Means' nomination for U.S. Surgeon General on April 30, 2026, after her confirmation stalled over concerns about her incomplete surgical residency, lapsed medical license, and controversial vaccine views. Trump named radiologist Dr. Nicole Saphier — his third nominee for the role — as a replacement, raising questions about whether RFK Jr.'s Make America Healthy Again policy agenda can survive without a sympathetic surgeon general champion.