Casey Means, nominated by Donald Trump for the role of U.S. Surgeon General, faced lawmakers recently after a postponed hearing due to her going into labor. This position is critical, as the Surgeon General provides important public health guidance.
Democrats on the Senate committee quickly raised concerns about Means’s capacity to counter misinformation, particularly surrounding vaccines. Senator Bernie Sanders voiced his worries about whether she could effectively do her job in light of the growing misinformation regarding vaccine safety.
Means, a Stanford Medical School graduate, did not complete her surgical residency and lacks board certification and an active medical license. Her experience is primarily as a wellness influencer and as part of the Make America Healthy Again (Maha) movement, promoted by Trump and Robert F. Kennedy Jr.
During her testimony, she hesitated to directly endorse vaccinations. When pressed by Senator Bill Cassidy on whether she would encourage parents to vaccinate their children, she responded with caution, emphasizing the need for discussions between parents and pediatricians. On vaccine safety, she sidestepped directly addressing concerns that vaccines might cause autism, despite such claims being widely discredited.
Currently, the U.S. is grappling with serious measles outbreaks, the worst in decades, linked to declining vaccination rates. In light of this, public health officials like Mehmet Oz have urged Americans to vaccinate, stressing the dangers posed by diseases like measles.
Means mentioned her discontent with traditional healthcare practices, favoring a focus on diet and lifestyle over usual medical recommendations. She co-authored a book, “Good Energy,” advocating for a metabolic health approach, which some critics label as bordering on pseudoscience.
Last year, the Trump administration announced a reduction in routine childhood vaccinations, which has alarmed health professionals. Experts warn that fewer vaccines could lead to increased outbreaks of preventable diseases. Former Surgeon General Richard Carmona criticized Means’s nomination as damaging to public health, citing her lack of relevant experience.
Dr. Carmona’s concerns echo a broader sentiment among public health experts. Many fear that Means’s nomination could exacerbate the divide between scientific evidence and personal beliefs regarding health. As misinformation continues to thrive, the need for authoritative leadership in public health is more critical than ever.
For more insights on public health, visit the CDC for reliable information and resources.

