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The Surgeon General Nominee Revolving Door Spins Again, As Trump Nom Casey Means Exits and New One Enters

Trump and Kennedy blamed Cassidy for the delay in advancing Casey Means’s nomination.

The Surgeon General Nominee Revolving Door Spins Again, As Trump Nom Casey Means Exits and New One Enters
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This article1 analysis · Oct 7, 2026
Apr 30, 2026
tl;dr

President Trump withdrew Casey Means as his Surgeon General nominee and announced Nicole Saphier as his new pick. The article also recounts Trump and HHS Secretary Robert F. Kennedy Jr.’s criticism of Sen. Bill Cassidy, whom they blamed for delaying Means’s confirmation.

Community verdict

VOTING CLOSED
How does this story look for
Bill Cassidy R · LA · SEN
NOT RATEDCLOSED

No good or bad look here

This story reports what happened without casting Cassidy in a good or bad light, so readers don’t rate it and it doesn’t count toward Cassidy’s record.

● INFORMATIONAL

People in this story

SWIPE →
Bill Cassidy
R · LA · SEN

Senate HELP Committee chairman blamed for delaying Casey Means’s nomination

PRIMARY SUBJECT
Donald Trump
R · President of the United States

President who withdrew Casey Means’s nomination and announced Nicole Saphier as his new nominee

Trump's version of this story ↗
Susan M. Collins
R · ME · SEN

Senator described as one of the senators whose opposition stalled Means’s nomination

Lisa Murkowski
R · AK · SEN

Senator described as one of the senators whose opposition stalled Means’s nomination

Robert F. Kennedy Jr.
R · Secretary of Health and Human Services

Health and Human Services secretary who criticized Cassidy over the nomination delay

ALSO MENTIONED  Casey Means, Surgeon General nominee whose nomination Trump withdrew; Nicole Saphier, Trump’s announced choice to be the next Surgeon General; Anthony Fauci, Former public health official mentioned in criticism of Nesheiwat’s COVID positions; Calley Means, Casey Means’s brother and an HHS consultant who criticized Cassidy; Janette Nesheiwat, Trump’s earlier Surgeon General nominee whose nomination was withdrawn; Mike Pence, Former vice president mentioned in connection with a group that Calley Means said criticized Casey Means

Part of a bigger story

5 OUTLETS
Trump Withdraws Casey Means Nomination and Names Saphier

Trump withdrew Casey Means’s surgeon general nomination and named Nicole Saphier as her replacement, while blaming Sen. Bill Cassidy for delaying the nomination. Center outlets report the replacement and attribute Trump’s blame of Cassidy, with some adding senators’ concerns about Means or Cassidy’s primary context. Right-leaning outlets emphasize criticism of Cassidy and present him as responsible for the delay, with some also mentioning his impeachment vote or primary standing.

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