There are a lot of reasons to question President Donald Trump’s decision to nominate Casey Means to be surgeon general. In reality, she is an establishment pick, and she'll push the establishment narrative. Much of the criticism is coming from the anti-vaccine community, in which Kennedy himself was a prominent leader for many years. Means unquestionably has support from within the MAHA movement, with figures from the wellness world, where Means has a huge following, celebrating her nomination. “A superb choice for US Surgeon General,” Dr. Suneel Dhand wrote on Instagram.