Dr. Casey Means takes her seat at the start of a Senate Health, Education Labor and Pension Committee Conformation Hearing for U.S. Surgeon General on Capitol Hill on Wednesday, Feb. 25, 2026, in Washington.Tom Brenner/AP
President Donald Trump’s pick for surgeon general, wellness influencer Casey Means, parroted various MAHA talking points throughout a Senate confirmation hearing Wednesday, while deflecting on key issues such as vaccines and birth control. Some of Means’ responses even appeared to contradict previous public health-related statements she’s made in order to fall in line with the administration.
The MAHA talking points included a push for “informed consent” where “patients [or parents] need to have a conversation with their doctor” to ensure “faith in public health.” Then, “I don’t think it’s responsible to make a blanket statement for all Americans” when discussing the safety of vaccines and birth control pills. Instead, Means claimed, that public health officials should “focus on the root causes of why we are sick.”
Her remarks on vaccines and birth control pills were particularly troubling. She largely disregarded decades of overwhelming scientific evidence that vaccines do not cause autism, insisting that “we should not leave any stone unturned” to promote further investigation. Means also backed her previous claim that birth control represents a “disrespect for life” and carries “horrifying health risks” for women, telling senators Wednesday that “all medications have risks and benefits” and provided the example of “blood clots and stroke risk in women who have clotting disorders, who are smokers, who have obesity.”
In a telling exchange, Sen. Ed Markey (D-Mass.) cited a newsletter from August 2024, in which Means pointed to the World Health Organization’s warning against glyphosate and argued that people should avoid conventionally grown foods that hurt, among several other reasons, “your cellular health.” But when asked about Trump’s executive order last week that sought to ensure “an adequate supply” of glyphosate-based herbicides, such as Roundup, Means appeared to deflect. Instead, Means backed her previous claims on removing toxic chemicals from food but refused to note the difference in the Trump administration’s position.
“I’m just trying to help you to agree with yourself,” Markey said.
“We are in a very complicated moment for agriculture and food,” Means responded. “We cannot overturn the entire agriculture system overnight.”
As my colleagues Kiera Butler and Anna Merlan wrote last May after Means’ nomination, the wellness influencer was a campaign adviser during now-Health and Human Services Secretary Robert F. Kennedy Jr.’s 2024 presidential bid and a key promoter of his “Make America Healthy Again” agenda.
Means has even appeared to alarm some of Kennedy’s allies, who have criticized her as “sinister [functionary] of Big Pharma, Big Food, or something much worse.” At Wednesday’s hearing, Democrats pointed to Means’ history of promoting products while rarely disclosing that she was earning financial compensation from their developers.
In little over a year, Kennedy has proven that, in the Trump administration, what is said during one’s confirmation hearing testimony can’t exactly be relied upon. The secretary hasn’t followed through with many of the promises he made last year, including supporting childhood vaccines and not scaling back vaccine funding. Taken together, there might be little to believe when Means claims that she will protect things like birth control or that “anti-vaccine rhetoric has never been a part of [her] message.”
