1. United States
2. Calif.
3. Letter

I urge you to vote against confirming Casey Means as Surgeon General. She lacks the qualifications necessary for this critical public health position. Means dropped out of her ENT residency before completing her medical training. She has never treated patients as a licensed physician and is not a practicing scientist. Instead of pursuing clinical medicine, she left her residency to start a wellness company that sells glucose monitors to non-diabetics, people who have no medical need for continuous glucose monitoring. This business model prioritizes profit over evidence-based medicine. During her confirmation hearing, Means was caught promoting wellness brands she owned without proper disclosure, raising serious ethical concerns about conflicts of interest. Her brother serves as an advisor for RFK Jr., and she has advocated unconventional practices that fall outside mainstream medical science. Most troubling is her anti-vaccine stance, which directly contradicts the Surgeon General's responsibility to protect public health through evidence-based guidance on immunizations. The Surgeon General serves as America's doctor, providing trusted medical guidance during health crises and leading initiatives to improve population health outcomes. This position requires someone with extensive clinical experience, scientific credibility, and a commitment to evidence-based medicine. Means has demonstrated none of these qualifications. Her background in wellness marketing and her promotion of unproven health practices make her fundamentally unsuited to lead the nation's public health communications. Americans deserve a Surgeon General who has completed medical training, treated patients, understands scientific research, and will prioritize public health over personal business interests. Casey Means does not meet these basic standards. I ask that you oppose her confirmation and support a nominee with legitimate medical credentials and a track record of serving patients rather than selling products.