The Casey Means Surgeon General Nomination Appears To Be In Trouble

It’s somewhat stunning to realize that the United States has been operating with Surgeon Generals that are merely “acting” in the role or “performing the duties of” since January 20th of 2025. The last Senate-confirmed SG was Dr. Vivek Murthy. The current nominee from the Trump/Kennedy team is Dr. Casey Means. This nomination has been languishing since May of last year. There has been plenty of pushback on her, due largely to her current profession as “wellness influencer” and the fact that she didn’t complete her residency and doesn’t have a license to practice in any of our 50 states.

She recently went before the Senate for her confirmation hearing and it, um, didn’t go all that well. As a result, it appears her nomination is very much in trouble. There are several GOP senators who are publicly expressing doubts about her, perhaps none more important then Bill Cassidy.

Senators Bill Cassidy (R-La.), Susan Collins (R-Maine), Lisa Murkowski (R-Alaska), and Thom Tillis (R-N.C.) all expressed concern in a confirmation hearing last month about her potential role and appear to remain doubtful. Just one of those senators may be enough to block her nomination from advancing beyond the Senate Health Committee.

Afterward, Senators Collins and Murkowski both said they still had questions. Murkowski also said she had “strong reservations” about Means’ nomination and that, as of last week, that opinion hadn’t changed, according to the Post.

So why did the confirmation hearing go so poorly? For some reasons you’d expect, and some you probably didn’t. Means mostly ducked questions about vaccines, giving interested senators no idea where she actually lands on the issue. There were also perfectly reasonable questions about her qualifications, given that she is not currently a practicing doctor of any kind. In her influencer career, she has mirrored much of what RFK Jr. has claimed about diet and exercise being the cure to most health issues, all while hocking your stereotypical supplements and magic potions.

But then there are the drugs and the lunar-worship.

A book that she co-authored with her brother, titled Good Energy, considered by some to be the “MAHA bible,” contains a chapter titled, “Trust Yourself, Not Your Doctor.” She has also drawn criticism for writing about taking magic mushrooms, consulting a “spiritual medium,” and participating in “full moon ceremonies.”

I won’t say I’m against the use of psychedelics generally, but I typically don’t love hearing about how great they are from my doctor.

As we’ve talked about before, it has become very clear that Kennedy simply lied a whole bunch in his own confirmation hearings as to what he would do as Secretary at HHS, particularly when it comes to vaccines. The thing about lying to people like Bill Cassidy, though, is now Kennedy needs him to confirm his hand-picked ally for Surgeon General.

And unless Cassidy is far stupider than I think he is, you have to believe he isn’t going to let Lucy pull the football away at the last moment for a second time.