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Trump pulls Casey Means' nomination as surgeon general, naming Nicole Saphier as replacement

The White House said the move clears a stalled confirmation fight after senators questioned Means’ experience and vaccine views, while Saphier has backed parts of the MAHA agenda.

  • On Thursday, President Donald Trump withdrew Casey Means' nomination for U.S. surgeon general and announced Dr. Nicole B. Saphier, a board-certified radiologist, as her replacement.
  • Means' nomination stalled after a February 25, 2026, Senate HELP Committee hearing where lawmakers questioned her vaccine stance and lack of an active medical license.
  • Trump praised Saphier as a 'STAR physician' and 'INCREDIBLE COMMUNICATOR' who makes 'complicated health issues more easily understood by all Americans,' contrasting her with Means' wellness background.
  • Accusing Senator Bill Cassidy of 'intransigence and political games,' Trump called him 'very disloyal' and urged Louisiana voters to remove him in the May 16 Republican primary.
  • Saphier is Trump's third surgeon general nominee in his second term, following failed vetting and confirmation struggles that have complicated the administration's public health agenda.
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Politico broke the news on Thursday, April 30, 2026.
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