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Trump Drops Casey Means, Nominates Radiologist Nicole Saphier for Surgeon General

The nomination exposes rifts with MAHA activists that could shape the confirmation fight.

Overview

  • Trump withdrew Casey Means and named Dr. Nicole Saphier on Thursday after questions over Means’ experience and vaccine views left her short of GOP votes.
  • Saphier is a radiologist who leads breast imaging at Memorial Sloan Kettering’s Monmouth site and previously served as a Fox News medical contributor.
  • Leaders in Robert F. Kennedy Jr.’s Make America Healthy Again movement criticized the switch and some urged scrapping the surgeon general’s office, even as Kennedy voiced support for Saphier.
  • Anti-abortion groups praised Saphier for continuing a teen pregnancy and urged her to confront mail-order abortion, following a 5th Circuit pause on the FDA’s mail dispensing policy.
  • Saphier has backed scaling back some childhood vaccine guidance while defending the MMR shot and has questioned parts of Trump’s health messaging, pointing to a more conventional approach to federal public health communication.