1. United States
2. Mich.
3. Letter

Multiple news outlets, including the Associated Press and The Guardian, report that Means does not hold an active medical license, is not board-certified, and does not plan to reactivate her license if confirmed. Instead of a background in public health leadership, she has built her profile as a wellness influencer and entrepreneur with financial ties to wellness and health-tech ventures, raising serious questions about conflicts of interest. During her confirmation hearing, she declined to clearly commit to promoting routine childhood vaccinations, according to coverage from AP News and Common Dreams. At a time when measles outbreaks are resurging and public trust in health institutions is fragile, ambiguity from the nation’s top health official is dangerous. The Surgeon General must defend evidence-based care — not undermine it.