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Trump Replaces Casey Means With Radiologist Nicole Saphier for Surgeon General

The pick tests whether a practicing clinician with a media profile can clear Senate scrutiny after two failed bids.

Overview

  • Trump, who announced the switch Thursday on Truth Social, withdrew surgeon general nominee Casey Means and named Dr. Nicole B. Saphier as his replacement.
  • Means' bid stalled after a February Senate hearing raised concerns about her vaccine comments, incomplete residency, and inactive medical license, and Trump later blamed HELP Chair Bill Cassidy and urged Louisiana Republicans to vote him out.
  • Saphier is a breast radiologist at Memorial Sloan Kettering’s Monmouth site and a former Fox News contributor who has criticized mask and vaccine mandates and written a Make America Healthy Again–themed book.
  • The choice is Trump’s third nominee for the post and highlights friction between Health Secretary Robert F. Kennedy Jr.’s MAHA allies and Senate Republicans, leaving the confirmation outlook uncertain.
  • The surgeon general leads national health messaging and the U.S. Public Health Service, so this pick could influence how the administration talks about vaccines, chronic disease, and lessons from the pandemic.