President Donald Trump has withdrawn the nomination of Casey Means for U.S. Surgeon General and announced he will instead nominate Nicole Saphier, a radiologist and frequent Fox News medical contributor. The decision ends Means' bid for the position after her nomination encountered significant resistance in Congress.

Means, a Stanford-trained physician and prominent figure in Robert F. Kennedy Jr.'s Make America Healthy Again movement, had faced questions from lawmakers on both sides of the aisle regarding her qualifications and background. Axios reported that a key point of contention involved her positions on pesticides and other MAHA-aligned policy priorities, which complicated her path to Senate confirmation.

Saphier, who has authored books on healthcare policy and has been a visible presence on Fox News for years, becomes Trump's third pick for the Surgeon General post. The Daily Wire described the selection as a potential stabilizing choice following the turbulence surrounding previous nominees.

The Surgeon General serves as the nation's top public health communicator and advisor, a role that has taken on heightened prominence in recent years. The position has remained unfilled under the Trump administration as prior nominations encountered obstacles.

The Atlantic noted the shift reflects broader tensions within the MAHA coalition and the administration's health policy agenda, while PBS and BBC confirmed the core details of the nomination change. Saphier's nomination will still require Senate confirmation before she can take office.