Substrate
politics

Trump Replaces Surgeon General Nominee Casey Means with Dr. Nicole Saphier

President Trump withdrew the stalled nomination of Dr. Casey Means for U.S. Surgeon General and announced Dr. Nicole Saphier as her replacement in Truth Social posts. Means faced Senate opposition over her vaccine views and lack of active medical license. Saphier, a radiologist and Fox News contributor, was praised for her communication skills and cancer expertise.

The New York Times
Abc News
The Independent
Cnn
Los Angeles Times
New York Post
+16
23 sources·Apr 29, 11:43 AM(5 days ago)·2m read
Trump Replaces Surgeon General Nominee Casey Means with Dr. Nicole SaphierNbc News
Audio version
Tap play to generate a narrated version.

President Trump withdrew the nomination of Dr. S. Surgeon General on Thursday and announced the nomination of Dr. Nicole B. Saphier in her place. Trump assailed Senator Bill Cassidy, the Louisiana Republican who chairs the Senate Health, Education, Labor and Pensions committee, in a separate post, stating that Cassidy had 'stood in the way of Robert F.

U.S. Saphier serves as director of breast imaging at MSK Monmouth, a branch of Memorial Sloan Kettering Cancer Center in New Jersey, and as an associate professor at Weill Cornell Medical College, specializing in breast and oncologic imaging. She has experience performing minimally invasive, image-guided procedures of the breast, kidney, pancreas, liver, thyroid and lymph nodes, according to the Memorial Sloan Kettering website.

In a Fox News video, Saphier stated that the 'overwhelming majority' of 'good research' shows no causal link between childhood vaccinations and autism. In the same video, she added that if parents don't want to give vaccines when their babies are so little, it is OK to have that conversation and let them wait until their child's a little bit older before they head off to kindergarten.

Means, a Stanford-educated functional medicine physician and wellness influencer, was nominated by Trump last May at the recommendation of Health and Human Services Secretary Robert F. Kennedy Jr. Means holds a medical degree but does not have an active medical license, did not complete a residency, and has never been a practicing physician.

During her confirmation hearing before the Senate HELP committee in late February, Means stated that 'vaccines save lives' but stopped short of recommending vaccines against measles and influenza, saying decisions about vaccination should be made jointly by parents and their pediatricians.

Senator Cassidy noted during the hearing that two children died last year from measles and pressed Means on encouraging the measles, mumps and rubella vaccine. Means responded that she supported vaccination and that every patient should have a conversation with their doctor about getting vaccinated.

Senators Susan Collins of Maine and Lisa Murkowski of Alaska refused to commit to voting in favor of Means' nomination.

Means' confirmation stalled amid opposition, including from some Republicans, over her vaccine views and lack of current medical license. This marks Trump's third nominee for Surgeon General in his second term. His first nominee, Dr.

Janette Nesheiwat, a New York family physician and former Fox News medical contributor, had her nomination pulled just days before her Senate confirmation hearing last year.

Key Facts

Trump nominates Saphier after withdrawing Means
President Trump withdrew Dr. Casey Means' nomination due to Senate stalls and nominated Dr. Nicole Saphier, a radiologist and Fox contributor.
Means' vaccine stance
During hearings, Means supported vaccines but emphasized parent-doctor decisions without recommending specific shots like measles or influenza.
Saphier's background
Saphier directs breast imaging at Memorial Sloan Kettering Monmouth and performs image-guided procedures on various organs.
Senate opposition
Senators Collins and Murkowski refused to commit to Means; Cassidy noted measles deaths in questioning.
Third nomination
This is Trump's third Surgeon General nominee in his second term, following Nesheiwat and Means.

Story Timeline

5 events
  1. 2026-05-02

    President Trump withdrew nomination of Dr. Casey Means and announced nomination of Dr. Nicole B. Saphier for Surgeon General via Truth Social posts.

    9 sourcesThe New York Times · Abc News · The Independent · Cnn
  2. 2026-02 (late)

    Dr. Casey Means appeared before the Senate HELP committee for her confirmation hearing.

    6 sourcesAbc News · Los Angeles Times · Nbc News · Cbs News
  3. 2025-05

    President Trump nominated Dr. Casey Means for Surgeon General.

    1 sourceLos Angeles Times
  4. 2025 (last year)

    President Trump’s first nominee, Dr. Janette Nesheiwat, had her nomination pulled days before her Senate confirmation hearing.

    2 sourcesCnn · The New York Times
  5. 2018

    Dr. Nicole Saphier began serving as a Fox News contributor.

    1 sourceUsa Today

Potential Impact

  1. 01

    Continued advancement of 'Make America Healthy Again' agenda through Means in a non-Surgeon General role.

  2. 02

    Potential smoother Senate confirmation for Saphier due to her supportive vaccine views.

  3. 03

    Influence on vaccination policy discussions in ongoing health debates.

  4. 04

    Shift in public health communication focus toward cancer prevention and vaccine support.

Transparency Panel

Sources cross-referenced23
Framing risk35/100 (low)
Confidence score98%
Synthesized bySubstrate AI
Word count407 words
PublishedApr 29, 2026, 11:43 AM
Bias signals removed5 across 3 outlets
Signal Breakdown
Loaded 5

Related Stories

U.S. Pauses One-Day Ship Guidance in Strait of Hormuz as Iran Talks Advancechannelnewsasia.com
politics1 hr agoDeveloping

U.S. Pauses One-Day Ship Guidance in Strait of Hormuz as Iran Talks Advance

President Trump announced a pause in the one-day-old effort to guide ships out of the Strait of Hormuz, citing progress toward an agreement with Iran. Secretary of State Marco Rubio declared the war with Iran concluded after a month-old cease-fire. The U.S. blockade remains in pl…

The New York Times
National Review
2 sources
Spirit Airlines Cancels All Flights and Begins Wind-Down After Failed $500M Bailout TalksQuintin Soloviev / Wikimedia (CC BY 4.0)
politics3 hrs ago

Spirit Airlines Cancels All Flights and Begins Wind-Down After Failed $500M Bailout Talks

Spirit Airlines announced the immediate wind-down of its operations on Saturday, canceling all flights and stranding passengers and workers. The decision followed the collapse of discussions with the Trump administration for a $500 million bailout. Other U.S. airlines offered res…

BBC News
The Free Press
RealClearPolitics
NPR
4 sources
Democrats in Congress Urge Trump Administration to Acknowledge Israel's Nuclear ProgramOffice of the President of the United States / Wikimedia (Public domain)
politics3 hrs agoDeveloping

Democrats in Congress Urge Trump Administration to Acknowledge Israel's Nuclear Program

A group of Democrats in Congress sent a letter to the U.S. Secretary of State urging public acknowledgment of Israel's nuclear weapons program. The lawmakers cited risks of escalation amid the war in Iran and argued that U.S. silence on the issue affects credibility on global nuc…

JE
1 source