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Trump replaces surgeon general pick Casey Means with radiologist Nicole Saphier

Trump blamed Cassidy for keeping Casey Means from receiving a confirmation vote before announcing a new nominee.

Trump replaces surgeon general pick Casey Means with radiologist Nicole Saphier
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This article1 analysis · Oct 7, 2026

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Wgmevia Thenationaldesk
Apr 30, 2026
tl;dr

President Donald Trump withdrew Casey Means as his surgeon general pick and announced radiologist Nicole Saphier as his replacement, saying Senator Bill Cassidy had blocked a confirmation vote. The report also describes concerns Cassidy and Senator Lisa Murkowski raised about Means’ vaccine views.

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

Senator whose role in delaying Casey Means’ nomination is cited by Trump as the reason for the change

PRIMARY SUBJECT
Donald Trump
R · President of the United States

President who withdrew Casey Means as his surgeon general pick and nominated Nicole Saphier

Trump's version of this story ↗
Lisa Murkowski
R · AK · SEN

Senator who raised concerns about Means’ vaccine views

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

Health and Human Services Secretary who recommended Means for the role

ALSO MENTIONED  Calley Means, Senior White House adviser and Casey Means’ brother; Casey Means, Surgeon general nominee whose nomination Trump withdrew; Janette Nesheiwat, Earlier surgeon general pick whose consideration Trump withdrew; Nicole Saphier, Radiologist and new surgeon general nominee

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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