MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

Donald Trump has recently made a range of appointments in the health sector of the US. They will strongly influence conventional and so-called alternative medicine (SCAM) in the US as well as worldwide. It therefore seems worth to look at the backgrounds and qualifications of these men and women and critically evaluate their fit for leadership roles in healthcare. In part 1 of this series, we looked at Robert F.Kennedy Jr. and David Weldon. Now I will focus on Trumps nominations for Surgeon General

Janette Nesheiwat – Surgeon General

We featured Janette once before.  She trained as a family and emergency medicine physician, became the medical director at CityMD and also a Fox News contributor. She has no significant public health leadership experience. As the Surgeon General, she would require shaping national health policy and communicating science to the public, areas where she has no training or experience. She also lacks expertise in public health and epidemiology. Her Fox News role and online vitamin sales raise doubts about her prioritization of evidence-based public health over media-driven health promotion. The Surgeon General is the nation’s leading spokesperson on public health, overseeing the U.S. Public Health Service Commissioned Corps and issuing science-based health advisories. Nesheiwat would be a disaster for such a position.

Nesheiwat’s nomination was eventually withdrawn by Trump. This suggests internal concerns about her fitness for the job.

Casey Means – Surgeon General

RFK Jr wrote on X: “The Surgeon General is a symbol of moral authority who stands against the financial and institutional gravities that tend to corporatize medicine. Casey Means was born to hold this job. She will provide our country with ethical guidance, wisdom, and gold-standard medical advice.” Yet her suitability for Surgeon General is a contentious issue.

Means holds a 2014 MD from Stanford University and a bachelor’s degree in human biology. She is an advocate for addressing chronic diseases through nutrition, exercise, and lifestyle changes. Her book “Good Energy”, co-authored with her brother Calley, argues that metabolic dysfunction is a root cause of most chronic illnesses. As a “wellness influencer”, Means has demonstrated an ability to communicate health concepts to a broad audience. 

Critics point out that Means dropped out of her residency at Oregon Health & Science University months before completion. This means she is not board-certified and has very limited clinical experience; for instance, she never saw patients without supervision. Her medical license has been inactive since 2024, and she has done as good as no own original research. Unlike past Surgeons General, who had extensive backgrounds in public health administration and infectious disease, Means has no government or public health leadership experience. Her focus is on functional medicine and wellness, both areas that lack rigor and are close to quackery.
It gets worse: Means has expressed skepticism about vaccines, suggesting in a 2024 newsletter that the current vaccine schedule contributes to the decline of pediatric health. Her endorsement of dangerous nonsense like energy healing and raw milk seems worrying. Moreover, Means also co-founded Levels, a company selling continuous glucose monitors to non-diabetics, and markets supplements and other dubious health products. RFKJr’s claim that Means will offer “ethical guidance” seems particularly odd: she has no training in medical ethics and some of her past actions are outright unethical. Physicians like Dr. Neil Stone have therefore called Means “grossly underqualified”.
The Surgeon General must provide science-based guidance, oversee >6,000 officers, and address diverse and serious public health issues. Means’ inexperience and narrow focus limits her effectiveness. Crucially, her history of promoting of vaccine skepticism and quack medicine undermines trust in science-based policies.
In summary, Means seems wholly unsuited for the job of Surgeon General. In the interest of the US public health, her appointment should not be confirmed by the Senate.

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