The Dictatorship

Trump pulls nomination for surgeon general nominee Casey Means

Published

1 month ago

May 2, 2026

Trump pulls nomination for surgeon general nominee Casey Means

WASHINGTON (AP) — President Donald Trump said Thursday he’s nominating radiologist and former Fox News Channel contributor Dr. Nicole Saphier for surgeon general after Dr. Casey Means’ path forward stalled in the Senate over questions about her experience and her stance on vaccines.

In a social media post, Trump said he would nominate Saphier, whom he called “a STAR physician who has spent her career guiding women facing breast cancer through their diagnosis and treatment.” Health Secretary Robert F. Kennedy Jr. complimented the nomination, calling Saphier “a long-time warrior for the MAHA movement.”

But at least in one instance, she hasn’t been in lockstep with Trump’s thoughts on health policy, telling The Associated Press in September that his cautions about pregnant women taking Tylenol were oversimplistic and “patronizing.”

Means’ withdrawal came after her tense exchanges with lawmakers of both parties threw into question whether she could secure enough votes to advance out of the Senate health committee.

Ranking member Sen. Bernie Sanders I-Vt. questions Dr. Casey Means during a Senate Health, Education Labor and Pension Committee confirmation hearing for U.S. Surgeon General on Capitol Hill Wednesday, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner)

In an interview Thursday, Means said her nomination fell apart after a “yearlong smear campaign against me,” which she said was a larger effort to impugn the MAHA movement and its focus on reforming food and healthcare.

She said she will continue to “help with progress on this movement how I can.”

Means pitched ideas popular with MAHA

In nominating Means last May, Trump sought to hire a close Kennedy ally as the nation’s doctor. The 38-year-old Means, a Stanford-educated physician who became disillusioned with the health care system and pivoted to a career as an author and entrepreneur, promotes ideas popular with the MAHA movement, including that Americans are overmedicalized and that diet and lifestyle changes should be at the center of efforts to end widespread chronic disease.

But Means, who did not finish her surgical residency program and doesn’t currently have an active medical license, also had faced scrutiny for her lack of experience and potential conflicts. On top of those concerns, senators grilled her in February about Kennedy’s effort to pull back vaccine recommendations — leading to some contentious moments as Means toed the line between support for vaccines and calling them a decision best made by patients and their doctors.

In her confirmation hearing, Means was repeatedly asked about the birth dose of the hepatitis B vaccine, which the U.S. Centers for Disease Control and Prevention stopped recommending for all children late last year in a move criticized by scientific and medical groups nationwide and currently blocked during a lawsuit. Means has raised doubts about the birth dose, posting on social media in 2024 that giving the vaccine to a newborn whose parents don’t have hepatitis B was “absolute insanity.”

Dr. Casey Means takes her seat at the start of a Senate Health, Education Labor and Pension Committee confirmation hearing for U.S. Surgeon General on Capitol Hill, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner, File)

Means’ nomination had languished since the late February confirmation hearing, even as activists from the MAHA movement orchestrated a push to support her bid by surging phone calls to Republican senators Lisa Murkowski of Alaska and Susan Collins of Maine. They had both indicated reservations with the pick.

Means told The Associated Press her understanding was that Murkowski wasn’t going to vote for her, and Collins had serious reservations.

“I think there was some talking past each other,” Means said of her conversations with the senators, noting they seemed focused on vaccines when she “wasn’t coming in with any agenda to impact the vaccine conversation.”

In post Thursday, Trump called Means “a strong MAHA Warrior” and also criticized the “intransigence and political games” from GOP Sen. Bill Cassidy of Louisiana, the chair of the Senate health committee, who is facing a tough reelection this year and who interrogated Means about vaccines during the hearing.

Means’ brother, Calley Means, a health adviser to the Trump administration, blamed Cassidy in a social media post, claiming his “constant delay tactics” sank the nomination because he didn’t bring Means’ nomination to a committee vote. Kennedy later piled on with his own post claiming Cassidy “did the dirty work for entrenched interests seeking to stall the MAHA movement.” Cassidy didn’t respond to a request for comment.

Now Trump will try to fill the post a third time

Means is the second U.S. surgeon general pick whose nomination has been withdrawn in Trump’s second term. Trump withdrew his first nominee, Fox News medical contributor Janette Nesheiwat, after questions were raised about her academic credentials.

Saphier is director of breast imaging at Memorial Sloan Kettering Monmouth, according to her profile on the New York-based institution’s website. She has a doctor of medicine degree from Ross University School of Medicine in Barbados along with fellowships at the Mayo Clinic, the profile said.

Like Means, Saphier has questioned whether every child needs to get the hepatitis B vaccine at birth.

“I don’t necessarily think it’s necessary,” she said on a podcast in September. “My opinion is if a woman recently tested negative for hepatitis B and they’re living a low-risk lifestyle, no IV drug use, not a sex worker, they don’t have a hepatitis B positive person living in the home, then the newborn probably doesn’t need this vaccine and we can have a conversation about whether or not they should get the vaccine later in life.”

She also has criticized COVID vaccine booster requirements, arguing on a radio show in September that they were not always rooted in evidence.

Saphier used the phrase “Make America Healthy Again” years before Kennedy popularized it. It was the title of a book she wrote in 2020 that criticized government handling of health care and the Affordable Care Act.

In at least one case, Saphier has diverted from Trump’s medical messaging. Last year, as Trump advised pregnant women, “Don’t take Tylenol” — promoting unproven and in some cases discredited ties between the medication, vaccines and autism — Saphier said that while pregnant women generally are advised to take acetaminophen only under medical supervision, when necessary and at the lowest effective dose, equally important was that untreated fever or severe pain can also pose serious risks to mothers and babies. She noted that part was missing from Trump’s message, delivered at a press conference with top U.S. health officials.

“For decades, women have endured a paternalistic tone in medicine. We’ve moved past dismissing symptoms as ‘hysteria,’” Saphier wrote in an email to the AP at the time. “The President’s recent comments on Tylenol in pregnancy are a prime example. Advising moderation was sound; delivering it in a patronizing, simplistic way was not.”

On a podcast at the time, Saphier said the press conference was “full of hyperbole” and “really painful to watch.”

Saphier did not respond to a request for comment.

___ Kinnard reported from Columbia, S.C.

The Dictatorship

Court denies request to immediately block DOJ ‘slush fund’

Published

11 hours ago

June 11, 2026

Blue Light Newsroom

Court denies request to immediately block DOJ ‘slush fund’

Jun. 10, 2026, 6:14 PM EDT

A federal judge in Washington has denied a bid Wednesday brought by a watchdog group to immediately block the Justice Department’s “anti-weaponization” fund, for now choosing to trust the department’s assertions that it is not moving forward with the fund.

U.S. District Judge Richard Leon ruled immediately, denying Citizens for Responsibility and Ethics in Washington’s request for a temporary restraining order that would have blocked the Department of Justice from taking steps to create the fund.

Throughout the 30-minute hearing, the DOJ reiterated that the administration was not moving forward with the nearly $1.8 billion fund, which seeks to compensate individuals who allege they have been politically targeted or victimized by the DOJ.

Andrew Block, the only lawyer present for the government, repeatedly cited Acting Attorney General Todd Blanche’s June 2 congressional testimonyin which he said the administration was “not moving forward” with plans to create the fund.

Leon indicated he agreed with the DOJ’s position that the case appeared to be moot, saying he was not persuaded there was an issue for the court to decide regarding the creation of the fund. He issued a stern warning to the DOJ, saying, “Don’t play possum with this court!” — meaning he does not want to be deceived.

The plaintiffs argued Blanche’s testimony did not amount to an official cancellation. Nikhel Sus, CREW’s attorney, said Blanche “refused to memorialize that rescission,” or in other words, put it in writing. Sus said that was “highly unusual.” Leon responded, “This whole case is highly unusual to say the least.”

Leon asked the government twice why they would not just rescind the order that established the fund. Block responded, “I don’t know,” and pointed again to Blanche’s public statements about the fund’s future.

Both Leon and Sus raised the issue of Trump’s continued public defense of the fund. “It can still be an important issue and also not moving forward,” Block said. “That isn’t a direction to move forward with the fund.”

Although Leon rejected CREW’s bid for an immediate block, he indicated he is still considering its request for a longer-term block against the fund.

A block order from a separate federal judge in Virginia remains in effect until at least Friday.

Fallon Gallagher is a legal affairs reporter for MS NOW.

The Dictatorship

Trump is accelerating our Social Security insolvency crisis

Published

11 hours ago

June 11, 2026

Blue Light Newsroom

Jun. 10, 2026, 5:50 PM EDT

The date when Social Security’s trust fund is expected to run out of money just got bumped up. The fund is now projected to empty in 2032according to a new report released by Social Security’s trustees.

The new depletion date isn’t an earth-shaking change — it’s only a quarter earlier than the estimate in last year’s report. But it illustrates how President Donald Trump’s policies are degrading a program he promised to never jeopardize — and accelerating an approaching crisis in how our government will assist the elderly and disabled.

The report names three factors that contributed to the earlier insolvency date. One is a declining fertility rate, but the other two drivers can be traced back to Trump: a drop in immigration into the country, and the “substantial effect” of the tax policies in the One Big Beautiful Bill he signed last summer.

Trump’s acceleration of the program’s insolvency comes atop his assaults on the program’s administrative capacities.

Reduced immigration during Trump’s second term — especially when coupled with a declining fertility rate — strains Social Security because the program is funded through payroll taxes. Those come out of people’s paychecks, and fewer workers supporting an aging population means the program receives less revenue. Indeed, Social Security already has been tapping its trust fund for the better part of the past two decades because the program’s costs have exceeded its cash income. And as the Center on Budget and Policy Priorities pointed out last yearlast year’s tax cuts were a boon to the rich but a bust for the solvency of the Social Security trust fund.

To be clear, if the fund is depleted, Social Security won’t go belly up. Benefits will continue to be paid out, but there will be a large drop in the amount. The Committee for a Responsible Federal Budget estimates that the “average monthly cut would total $500, which is more than what the average retired household spends on groceries each month.”

That would be a huge blow to the budgets of many older Americans. Social Security is a major source of income for most retirees, and roughly 40% of beneficiaries over the age of 65 rely on it for most of their income. And it would mark the destabilization of the sole source of retirement security for most Americans that is supposed to be insulated from ups and downs — unlike 401K plans. As the CBPP has pointed outSocial Security is “most workers’ only source of guaranteed retirement income that is not subject to investment risk or financial market fluctuations.”

Trump’s acceleration of the program’s insolvency comes atop his assaults on the program’s administrative capacities. His cuts to the Social Security Administration have left offices understaffedincreased wait timesand reduced quality of customer service.

Ultimately, Trump is exacerbating a colossal social safety net problem that predates him, and the trust fund will hit dire straits after he has left office. Democrats need to have clear plans for shoring up the program and making it robust for the future — which will require not being sheepish about taxes as a tool for renewing the social contract. And when Republicans try to claim that they, too, are champions of Social Security, all Democrats need to do is point to the truth.

Zeeshan Aleem is a writer and editor for MS NOW. He primarily writes about politics and foreign policy.

The Dictatorship

Wednesday’s Mini-Report, 6.10.26

Published

11 hours ago

June 11, 2026

Blue Light Newsroom

Today’s edition of quick hits.

* The latest from Northern Ireland: “The family of a man who lost an eye in a knife attack appealed for calm on Wednesday after the incident triggered a wave of anti-immigrant violence in Belfast overnight, with masked men burning families out of their homes and torching vehicles. The appeal ‌came as a Sudanese man appeared in court charged with attempted murder and as British Prime Minister Keir Starmer and politicians in Northern Ireland condemned the violence by ‘masked thugs’ that had targeted ethnic minorities.”

* In related news: “The British government hit out at X owner Elon Musk Wednesday, accusing him of whipping up tensions online ahead of disorder in Belfast.”

* The tenuous state of a dubious ceasefire: “Trump said the U.S. is going to hit Iran ‘hard’ today when pressed by reporters in the Oval Office about his statement earlier that Tehran will ‘pay the price’ for taking ‘too long’ to reach a peace agreement. ‘Well, we’re going to be attacking them and attacking them very hard, resuming bombing,’ he said.”

* The latest casualty figures from Lebanon: “Israel’s military offensive in Lebanon has killed at least 3,666 people, including 131 healthcare workers, and injured more than 11,300 since the U.S. and Israel began their war with Iran in late February, the Lebanese health ministry reported yesterday.”

* The changing nature of modern warfare: “Ukraine is wreaking havoc on unarmored trucks and trains in the battlefield’s rear, using drones with upgraded engines and batteries, integrated Starlink communication systems and new artificial-intelligence capabilities. The ramped-up attacks are causing fuel shortages, complicating troop rotations and reducing Russian military activity on the front.”

* This seems like a reasonable request: “Democrats on the House Intelligence Committee demanded Wednesday that Bill Pulte, President Donald Trump’s controversial pick for acting director of national intelligence, submit to a full security check before assuming the post, including an examination of his financial holdings and foreign contacts.”

* Some market trends can’t be stopped despite the White House’s best efforts: “Even as President Donald Trump boosts coal over clean energy, solar power is hitting new milestones in the U.S. and remains the leading source of new power. Data released Wednesday by global energy think tank Ember, along with a report by the Solar Energy Industries Association and analytics firm Wood Mackenzie, show the continued growth of solar and decline of coal in the United States despite federal policy. In May, for the first time, solar supplied more of the nation’s electricity than coal, or 12.8%, Ember said.”

* A bizarre schedule for a nonemergency vanity project: “Federal officials are laying more groundwork to begin construction on President Donald Trump’s planned 250-foot-tall triumphal arch, sharing additional documents that detail the project’s scope and an aggressive timetable for potentially completing work before Trump’s term ends. According to National Park Service documents posted this month, the administration envisions 20 hours per day of construction on the arch, year-round, in hopes of completing the project within two to three years.”

See you tomorrow.

Steve Benen is a producer for “The Rachel Maddow Show,” the editor of MaddowBlog and an MS NOW political contributor. He’s also the bestselling author of “Ministry of Truth: Democracy, Reality, and the Republicans’ War on the Recent Past.”