Trump’s Surgeon General Pick Dodges Vaccine Questions at Senate

Casey Means, Donald Trump’s nominee for US surgeon general, testified before the Senate health committee on Wednesday and repeatedly declined to directly answer questions about vaccine guidance. Despite graduating from Stanford School of Medicine, Means does not have an active medical license, did not complete her surgical residency, and is not board-certified, instead building her career as a wellness influencer aligned with health secretary Robert F Kennedy Jr’s vaccine skepticism.

When pressed by Republican Senator Bill Cassidy on whether she would encourage routine childhood vaccinations like the MMR vaccine, Means avoided a direct answer and instead emphasized parental “autonomy” in medical decisions. She similarly sidestepped questions about whether vaccines cause autism, a discredited theory promoted by Kennedy, and declined to affirm whether the flu vaccine prevents hospitalization, instead offering only that it prevents severe illness “at a population level.”

Democratic Senator Bernie Sanders expressed serious concerns about Means’s ability to counteract Kennedy’s disinformation about vaccine safety and efficacy at a time when measles outbreaks are spreading across the country, including the worst outbreak in South Carolina in over 30 years. Means also faces significant conflicts of interest stemming from undisclosed financial partnerships with wellness products, with Senator Chris Murphy noting apparent violations of Federal Trade Commission rules regarding compensation for product promotion.

Under Kennedy’s direction at the Department of Health and Human Services, the Trump administration has terminated grants, driven out career public health experts, and installed anti-vaccine loyalists to the immunization advisory committee despite Kennedy’s assurances during his own confirmation that he would not interfere with its composition. Means’s nomination represents a direct threat to evidence-based public health policy, with former Surgeon General Richard Carmona calling it a “disgrace” and stating the role requires “a real leader” equipped to combat disinformation.

Means abandoned her medical residency after becoming “disillusioned with traditional healthcare” and co-founded a glucose-monitoring company while co-authoring a book with her brother, a Kennedy adviser, arguing that metabolic health offers alternatives to conventional medicine. This is Trump’s second surgeon general nomination; his first nominee, Dr Janette Nesheiwat, was withdrawn after reports of misleading medical credentials emerged.

(Source: https://www.theguardian.com/us-news/2026/feb/25/casey-means-surgeon-general-nominee)