
Dr. Casey Means is a holistic medicine doctor whose prominence rose with the Make America Healthy Again movement and its ties to Robert F. Kennedy Jr.’s presidential campaign. (CNN)
In a dramatic last-minute move, former President Donald Trump has replaced his nominee for U.S. Surgeon General just a day before her Senate confirmation hearing. Dr. Janette Nesheiwat, a family physician from New York, is no longer in the running. Trump has instead nominated Dr. Casey Means, a holistic health advocate, to lead the nation’s public health efforts.
A Strategic Switch in Surgeon General Nominee Before the Senate Spotlight
The announcement arrived Wednesday, catching many by surprise. Nesheiwat was set to face senators Thursday for her confirmation hearing. Instead, the White House released a new name, signaling a shift in Trump’s health policy vision.
Dr. Casey Means, a former Stanford medical student and a well-known figure in the Make America Healthy Again (MAHA) movement, is stepping in as the new nominee.
Trump Praises Means’ Vision and Credentials
On his Truth Social platform, Trump praised Means’ background and alignment with his goals.
“Casey has impeccable MAHA credentials,” Trump wrote. “She will work closely with our amazing Secretary of Health and Human Services, Robert F. Kennedy, Jr., to reverse the Chronic Disease Epidemic and deliver great health for ALL Americans.”
Trump also called her academic and professional record “outstanding,” claiming she could become one of the finest Surgeon Generals in U.S. history.
Who Is Dr. Casey Means?
Dr. Means gained national attention through her advocacy for nutrition, holistic health, and chronic disease prevention. She often critiques the current healthcare system for prioritizing pharmaceuticals over preventative care.
She dropped out of her medical residency at 30, feeling disillusioned with traditional medicine. Speaking on the Joe Rogan podcast, she revealed how she began reevaluating public health data and questioned the direction of her work.
She and her brother, White House health adviser Calley Means, frequently appear at MAHA events and public forums. They argue that systemic changes are needed to combat rising chronic illnesses.
Nesheiwat Still in the Picture—Just Not as Surgeon General
Dr. Janette Nesheiwat, a former Fox News medical contributor, has been a vocal supporter of Trump’s healthcare agenda. Despite the sudden shift, she remains committed to serving the administration.
“I’m looking forward to working closely with Secretary Kennedy in a senior policy role to Make America Healthy Again,” Nesheiwat said in a post on Wednesday. She emphasized that her mission to improve Americans’ health hasn’t changed.
The White House has hinted that she will continue in a different senior role within the Department of Health and Human Services.
Political Connections and Background Noise
Nesheiwat is also linked to another high-profile Trump nominee—her brother-in-law, Mike Waltz. Waltz is the National Security Adviser and was recently nominated for U.S. Ambassador to the United Nations. His own role has faced scrutiny following a security lapse involving sensitive military discussions.
Another Recent Withdrawal Raises Eyebrows
This isn’t the first time Trump’s team has pulled a health nominee at the last minute. In March, Dr. Dave Weldon’s nomination to head the CDC was withdrawn less than an hour before his Senate hearing. Concerns reportedly stemmed from Weldon’s past remarks about vaccines. Dr. Susan Monarez was later tapped for the role.
A Clear Direction Toward Holistic Health
Trump’s latest nomination signals a broader shift in how he envisions the future of American healthcare. With Dr. Casey Means at the forefront, holistic approaches, nutrition, and disease prevention may become more central to the national conversation.
The message is clear: Trump is doubling down on the MAHA movement—and Dr. Means is now its most prominent face.