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The nomination of wellness influencer Dr. Casey Means to service arsenic U.S. surgeon general has stalled, a period aft a contentious confirmation proceeding saw senators from some awesome parties grill her connected vaccines and different wellness topics. The hold deepens doubts astir her expertise to unafraid nan basal votes for nan role.
Despite ongoing efforts from nan White House and "Make America Healthy Again" (MAHA) activists, nan information has languished, highlighting persistent divisions complete wellness policy, moreover erstwhile Congress has shown deference to President Donald Trump. This marks nan latest setback for Health Secretary Robert F. Kennedy Jr.'s agenda, pursuing 2 ineligible challenges past week.
Dr. Means, a 38-year-old Stanford-educated physician, became disillusioned pinch accepted medicine and did not complete her surgical residency. She has faced scrutiny complete her constricted acquisition and imaginable conflicts of interest. Her adjacent alignment pinch Secretary Kennedy, whose push to importantly trim vaccine recommendations has drawn disapproval from lawmakers and aesculapian groups, is different important hurdle.
To beforehand to a afloat Senate vote, Dr. Means apt requires nan support of each Republican connected nan Senate Health, Education, Labor and Pensions Committee. However, pursuing past month’s hearing, 2 cardinal Republicans – Alaska Senator Lisa Murkowski and Maine Senator Susan Collins – indicated they still had unanswered questions.

Senator Murkowski stated connected Tuesday that she remains successful "the aforesaid spot" regarding her hesitations. Senator Collins and Republican committee president Senator Bill Cassidy, a Louisiana expert who questioned Dr. Means extensively connected vaccines during nan hearing, did not respond to inquiries astir nan delay.

White House spokesperson Kush Desai affirmed nan Trump management is engaged successful "productive conversations pinch nan Senate" to beforehand Dr. Means' nomination. He added that her "elite world credentials, investigation inheritance and defense connected America’s chronic illness pandemic will make her a captious plus for President Trump’s push to Make America Healthy Again."
Kennedy spokesperson Andrew Nixon reiterated nan Republican administration's backing for Dr. Means, praising her connection advocating for healthier manner choices complete what he termed "sick care."
The contentious proceeding underscored nan difficult way to confirmation. Dr. Means promotes ideas celebrated wrong nan MAHA movement, including nan belief that Americans are overmedicalized and that fare and manner changes are cardinal to combating wide chronic disease.
However, she has been criticized for holding an inactive aesculapian license, for sometimes failing to disclose financial relationships pinch brands she promotes, and for definite past health-related comments.
During her hearing, senators questioned her attack to nationalist connection regarding vaccines. Senators Murkowski and Cassidy pressed Dr. Means connected her past skepticism astir nan commencement dose of nan hepatitis B vaccine. While nan U.S. Centers for Disease Control and Prevention precocious paused its proposal for each children – a move later temporarily blocked by a national judge – Dr. Means acknowledged nan vaccine's value but stressed parental decision-making pinch doctors.
Senator Cassidy besides inquired if she would counsel Americans to vaccinate against nan flu and bales amidst ongoing outbreaks. She avoided a nonstop commitment, alternatively emphasizing nan value of informed consent. Senator Collins questioned Dr. Means astir her past defense for nan therapeutic usage of psychedelic mushrooms. Dr. Means, who has spoken positively astir her ain experiences, stated she would not urge psychedelics for nan wide American public.
As Senators Murkowski and Collins appeared undecided, MAHA activists launched a run to support Dr. Means' bid, urging supporters to inundate nan senators pinch telephone calls. "Please telephone some of them. Call them clip aft time. Get your friends to telephone them," Tony Lyons, caput of nan Kennedy-aligned group MAHA Action, instructed supporters earlier this month.
Conversely, others person vocally opposed Dr. Means' nomination. Dr. Jerome Adams, who served arsenic Surgeon General during President Trump’s first term, has many times deemed her unqualified owed to her inactive aesculapian license. He noted successful an question and reply that Republicans successful Congress and nan Trump management privately disapprove of nan prime but position it arsenic Secretary Kennedy’s prerogative.
"What I support proceeding from folks is, ‘This is what Bobby wants,’" Dr. Adams said.
While an progressive aesculapian licence is not legally mandated for nan Surgeon General, nan U.S. Public Health Service Commissioned Corps, which members are required to join, states that its wellness professionals should person up-to-date licenses. Dr. Means testified during her proceeding that she voluntarily made her Oregon aesculapian licence inactive, and that Adm. Brian Christine, who leads nan Commissioned Corps, had confirmed her eligibility to serve.
Even if Dr. Means clears nan committee, securing confirmation by nan afloat 100-member Senate remains challenging. Republican Senator Thom Tillis of North Carolina, who is not seeking re-election, told The Associated Press he is leaning against voting for her.
![‘[Means] resume already puts maine connected alert — and past I don’t deliberation she did herself immoderate favors successful nan hearing,’ Senator Tillis remarked.](https://static.the-independent.com/2026/03/25/15/54/GettyImages-2262971677.jpg)
"Her resume already puts maine connected alert — and past I don’t deliberation she did herself immoderate favors successful nan hearing," Senator Tillis remarked.
Dr. Means’ confirmation hold is unusually protracted. At astir 300 days since her information successful May, her process has taken almost doubly arsenic agelong arsenic nan mean statesmanlike prime successful President Trump's 2nd term. Data from nan nonprofit Partnership for Public Service indicates that nan mean clip betwixt information and confirmation for Trump's nominees was 157 days wrong nan first 400 days.
Some processes person moved overmuch faster. Markwayne Mullin, nan caller Department of Homeland Security secretary, had his confirmation hearing, level vote, and swearing-in each wrong a azygous week.
One facet contributing to Dr. Means' drawn-out information was nan commencement of her boy past October, which coincided pinch her initially scheduled confirmation hearing. However, Chris Piper, head of nationalist argumentation and stakeholder engagement astatine nan Partnership for Public Service, noted that nan magnitude of clip since her rescheduled proceeding is besides atypical. He explained that candidates are often voted retired of committee wrong a week of their hearing.
"A monthlong hold pursuing a proceeding is atypical for astir nominations, peculiarly astatine this level of position," Piper concluded.
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