Casey Means' Inactive Medical License Comes Under Scrutiny
President Donald Trump's nominee for U.S. surgeon general has sparked scrutiny online as her Oregon medical license has been inactive since 2019.
While U.S. surgeons general are not required to have an active medical license while serving in the position, Casey Means' nomination has ignited a debate about transparency and professional qualifications for the role.
Nicole Shanahan, Health Secretary Robert F. Kennedy Jr.'s running mate in the 2024 presidential election, wrote on X, formerly Twitter, "I was promised that if I supported RFK Jr. in his Senate confirmation" that Means would not work under the Department of Health and Human Services (HHS).
She added, "I don't know if RFK very clearly lied to me, or what is going on."
Newsweek contacted HHS for comment via email outside regular working hours. Means, who was not immediately reachable via her social media accounts, was also contacted via an email to the department.
While most surgeons general have a medical or public health background, holding an active medical license is not a statutory or regulatory requirement for the position.
However, Means' nomination has raised questions about professional representation in the health and wellness industry. As medical influencers gain vast followings online, there is growing concern over how credentials are communicated—and whether audiences are being misled about an expert's active medical authority.
Means is a physician turned entrepreneur who earned her undergraduate and medical degrees at Stanford University. She trained in otolaryngology—ear, nose and throat surgery—before leaving clinical practice to focus on what she described as "root-cause resolution medicine" and systems-based approaches to health.
Means co-founded Levels in 2019, a company that promotes continuous glucose monitoring for nondiabetic users as a tool for metabolic optimization.
She has written extensively about the relationship between diet, lifestyle and metabolic health, and she often uses social media and public speaking engagements to advocate for personalized wellness strategies.
Means is a vocal supporter of Kennedy and his agenda to "Make America Healthy Again."
In February, she celebrated his confirmation as health secretary, writing on X, "@RobertKennedyJr has a vision for the future that aligns with what I want for my family, future children, and the world."
Calley Means, her brother, was also recently appointed as a White House adviser on the "Make America Healthy Again" campaign.
According to publicly available records from the Oregon Medical Board, Means' license was granted in 2014 and transitioned to an inactive status five years later, in July 2019.
An inactive license means she is no longer authorized to practice medicine or prescribe medication, although there is no indication of disciplinary action or revocation.
Her continued use of the "Dr." honorific and promotion of health interventions has prompted backlash from physicians who argue that it blurs the line between credentialed medical advice and wellness entrepreneurship.
Conservative commentator Laura Loomer wrote on X: "Casey Means, the new Trump nominee for US Surgeon General doesn't even have an active medical license in Oregon when she established her medical practice. How is the top doctor in the US supposed to give medical guidance and advice to the nation when she doesn't even have an active medical license in the state where she allegedly practiced medicine? Does Casey Means even have an active medical license in any state?? This is so embarrassing for the Trump administration."
She wrote in a separate post: "Surgeon General is a very interesting term. The Surgeon General is the nation's top doctor, responsible for providing medical advice and leadership on public health issues. It is worth noting that Casey Means doesn't have a surgical residency, and isn't a surgeon. The term Surgeon General is interesting given the fact that there is no requirement to be a Surgeon to be Surgeon General. Turns out you can be a social media influencer and become Surgeon General."
Dr. Mary Talley Bowden, the founder of Americans for Health Freedom, wrote on X: "Shouldn't the surgeon general have an active medical license?"
Nicole Shanahan, a lawyer and Robert F. Kennedy Jr.'s former running mate, wrote on X: "Yes, it's very strange. Doesn't make any sense. I was promised that if I supported RFK Jr. in his Senate confirmation that neither of these siblings would be working under HHS or in an appointment (and that people much more qualified would be). I don't know if RFK very clearly lied to me, or what is going on. It has been clear in recent conversations that he is reporting to someone regularly who is controlling his decisions (and it isn't President Trump). With regards to the siblings, there is something very artificial and aggressive about them, almost like they were bred and raised Manchurian assets."
Means must be confirmed by the Senate before she can assume the role of surgeon general.
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CNN
28 minutes ago
- CNN
Top RFK Jr. aide attacks US health system while running company that promotes wellness alternatives
Calley Means has built a following within the 'Make America Healthy Again' movement by railing against the failings of the U.S. health system, often pinning the blame on one issue: corruption. Means, a top aide to Health Secretary Robert F. Kennedy Jr., was hired as a White House adviser in March. He has used that perch to attack the nation's leading physician groups, federal agencies and government scientists, claiming they only protect their own interests in the nation's $4.9 trillion-a-year industry. In recent interviews, speeches and podcasts he has called the American Medical Association 'a pharma lobbying group,' labeled the Food and Drug Administration 'a sock puppet of industry,' and said federal health scientists have 'overseen a record of utter failure.' Means, however, has his own financial stake in the sprawling health system. He's the co-founder of an online platform, Truemed, that offers dietary supplements, herbal remedies and other wellness products. Some of the vendors featured on Truemed's website are supporters of Kennedy's MAHA movement, which downplays the benefits of prescription drugs, vaccines and other rigorously tested medical products. Kennedy has pledged to run the Department of Health and Human Services with 'radical transparency,' but Means has never had to publicly disclose his own financial details or where exactly they intersect with the policies he's advancing. 'It reeks of hypocrisy,' said Dr. Reshma Ramachandran, a health researcher at Yale University. 'In effect, he is representing another industry that is touting nonregulated products and using his platform within the government to financially benefit himself.' In a written statement, Means said his government work has not dealt with matters affecting Truemed and has focused on issues like reforming nutrition programs and pressuring companies to phase out food dyes. 'Pursuing these large-scale MAHA goals to make America healthy has been the sole focus in my government work,' Means said. Truemed helps users take tax-free money out of their health savings accounts, or HSAs, to spend on things that wouldn't normally qualify as medical expenses, such as exercise equipment, meal delivery services and homeopathic remedies — mixtures of plants and minerals based on a centuries-old theory of medicine that's not supported by modern science. The business model caught the attention of the IRS last year, which issued an alert: 'Beware of companies misrepresenting nutrition, wellness and general health expenses as medical care.' Truemed co-founder and CEO, Justin Mares, said in a statement the company is 'in full alignment' with IRS guidelines. 'Truemed enables patients to work with providers to use medical funds for root cause interventions like exercise and vitamin D to reverse disease under current law,' Mares said. The full extent of Means' potential conflicts — including his personal investments— are unclear because of his status as a special government employee. Unlike presidential appointees and other senior officials, special government employees are temporary staffers who do not have to leave companies or sell investments that could be impacted by their work. Also, their financial disclosure forms are shielded from public release. 'It's a big problem,' says Richard Painter, a former White House ethics lawyer under George W. Bush now at the University of Minnesota. Painter and other experts have raised alarms over a whirlwind of Trump administration actions to dismantle the government's public integrity guardrails. Still, part-time government employees are subject to the same law that bars all federal staffers from working on issues that could directly benefit their finances. When such cases arise, they must recuse themselves or risk criminal penalties. Means regularly opines on matters before HHS, including rethinking the use of drugs for depression, weight loss, diabetes and other conditions. Recently he's been promoting a new government report that calls for scaling back prescription medications in favor of exercise, dietary changes and other alternatives. 'If we rely less on our medical system, less on drugs, it necessitates the spiritual, cultural conversation about what we're doing to our children's bodies,' Means said in a recent podcast appearance. Experts note that government ethics rules are intended to both prevent financial conflict violations, but also the appearance of such conflicts that might undermine public trust in government. 'If I were running the ethics office over at HHS, I sure as heck wouldn't want anybody going around giving interviews and speeches about government matters that could have an effect on their own financial interests,' Painter said. Means' rapid rise reflects the seeming contradictions within the MAHA movement itself, which urges followers to distrust both big corporations and the government agencies which regulate them. Means rails against big pharma and food conglomerates, two industries that he says he spent years working for as a consultant in Washington. Means has no medical training. A graduate of Harvard Business School, he previously ran a bridal gown startup with his wife. On Wednesday, he's scheduled to be the keynote speaker at FDA's annual science forum, according to a copy of the program shared with The Associated Press. He traces his passion for health care reform to the death of his mother from pancreatic cancer in 2021. Shortly thereafter, Means and his sister, Dr. Casey Means, took psychedelics together and had 'a mind-blowing, life-changing experience,' which led them to co-author a wellness book, launch separate health startups and begin appearing on podcasts. Casey Means was recently nominated to be surgeon general and has faced scrutiny over her qualifications, including an unfinished medical residency. Asked about her nomination, President Donald Trump said: 'Bobby thought she was fantastic,' adding that he did not know her. Meanwhile, her brother has stepped up his rhetoric for the MAHA agenda, recently declaring that Kennedy has 'a spiritual mandate to reform our broken system.' While promoting the administration's accomplishments, Means does not shy away from plugging his own brand or those of his business partners. When asked to offer health advice to listeners of a sports podcast, Outkick The Show, in April, Means said: 'Read our book, 'Good Energy.'' He also recommended blood tests sold by Function Health, which provides subscription-based testing for $500 annually. The company was cofounded by Dr. Mark Hyman, a friend of Kennedy and an investor in Truemed, which also offers Hyman's supplements through its platform. Casey Means is also an investor in Hyman's company. 'If you're sick, most likely you have some kind of nutrient deficiency, some kind of biomarker that you can actually then target with your diet and your supplements,' Calley Means said. Like dietary supplements, the marketing claims on laboratory tests sold by Hyman are not approved by the FDA. The agency has warned for years about the accuracy of such tests and tried to start regulating them under President Joe Biden. Experts say MAHA entrepreneurs like Hyman are following a playbook common to the wellness industry: Identify a health concern, market a test to diagnose it and then sell supplements or other remedies to treat it. 'It ends up favoring these products and services that rest on flimsy grounds, at the expense of products that have actually survived a rigorous FDA approval process,' said Dr. Peter Lurie, a former FDA official who is now president of the Center for Science in the Public Interest. Many of the items sold via Truemed, including sweat tents, cold plunge tanks and light therapy lamps, wouldn't typically qualify as medical expenses under rules for HSAs, tax-free accounts created by Congress to manage medical costs. The IRS generally states that HSA purchases must help diagnose, cure, treat, mitigate or prevent disease. Truemed allows users to request a 'letter of medical necessity' from a doctor, stating that the product in question could have medical value for them. Like other telehealth services, there's usually no real-time communication with the patient. The physician reviews a 'simple survey solution,' filled out by the Truemed user, according to the company's website. Industry representatives say customers should be careful. 'You need to be prepared to defend your spending habits under audit,' said Kevin McKechnie, head of the American Bankers Association's HSA council. 'Companies are popping up suggesting they can help you manage that process and maybe they can — so the debate continues.' Americans have an estimated $147 billion in HSA accounts, a potential windfall for companies like Truemed that collects fees for transactions made using their platforms. Means sees an even bigger opportunity — routing federal funds out of government programs and into more HSAs. 'The point of our company is to steer medical dollars into flexible spending,' Means told fitness celebrity Jillian Michaels, on her podcast last year. 'I want to get that $4.5 trillion of Medicare, Medicaid, everything into a flexible account.' Means' pitch for expanding HSAs echoes two decades of Republican talking points on the accounts, which were created in 2003 to encourage Americans in high-deductible plans to be judicious with their health dollars. But HSAs have not brought down spending, economists say. They are disproportionately used by the wealthiest Americans, who have more income to fund them and a bigger incentive to lower their tax rate. Americans who earn more than $1 million annually are the group most likely to make regular HSA contributions, according to an analysis by the nonprofit Center on Budget and Policy Priorities. More than half Americans with HSAs have balances less than $500. Trump's 'One Big Beautiful Bill' would further expand HSA purchases, making gym memberships and other fitness expenses eligible for tax-free spending. That provision alone is expected to cost the government $10 billion in revenue. 'These are really just tax breaks in the guise of health policy that overwhelmingly benefit people with high incomes,' said Gideon Lukens, a former White House budget official during the Obama and Trump administrations, now with the Center on Budget and Policy Priorities. Expanding HSA eligibility was listed as a goal for a coalition of MAHA entrepreneurs and Truemed partners, founded by Means, which lobbied Congress last year, according to the group's website. Means said in a statement that the group focused only on broad topics like 'health care incentives and patient choice — but did not lobby for specific bills.' In total, the HSA expansions in Trump's bill are projected to cost the federal government $180 billion over the next 10 years. As HSAs expand to include more disparate products and services, Lukens says the U.S. government will have fewer dollars to expand medical coverage through programs like Medicaid. 'We have a limited amount of federal resources and the question is whether we want to spend that on health and wellness products that may or may not be helpful for wealthy people,' Lukens said.
Hamilton Spectator
an hour ago
- Hamilton Spectator
Takeaways from AP's report on financial interests of RFK Jr. adviser who runs wellness platform
ASSOCIATED PRESS (AP) — Calley Means has built a following by railing against the U.S. health system, often hammering on alleged financial conflicts within the medical establishment. Means, a top aide to Health Secretary Robert F. Kennedy Jr., was hired as a White House adviser in March. He has used that position to accuse physician groups, federal agencies and government scientists of financial interests that bias their work. Means, however, has his own stake in the sprawling health system. He's the co-founder of an online platform that offers dietary supplements, herbal remedies, exercise equipment, light therapy lamps and other wellness products. The Associated Press found that Means' heated rhetoric against the medical mainstream dovetails with the interests of his company TrueMed, which features vendors who are prominent supporters of Kennedy's 'Make America Healthy Again' movement. Because of his status as a temporary government employee, Means is exempt from publicly disclosing his financial details. The AP reviewed more than two dozen interviews, speeches, articles and podcast appearances by Means both before and after he joined the government. Here are some takeaways from the AP's reporting : Attacking prescription drugs, promoting wellness alternatives Means' company, Truemed, helps users take tax-free money out of their health savings accounts, or HSAs, to spend on things that wouldn't normally qualify as medical expenses, such as meal delivery services and homeopathic products — remedies based on a centuries-old, debunked theory of medicine. As a top messenger for the administration, Means has been promoting a new government report that calls for scaling back prescription drugs for depression, weight loss and other conditions. By criticizing the use of drugs and other rigorously tested products, health experts say Means is furthering the interests of his company, which offers alternatives to traditional medicine. 'It reeks of hypocrisy,' said Dr. Reshma Ramachandran, a health researcher at Yale University. 'In effect, he is representing another industry that is touting nonregulated products and using his platform within the government to financially benefit himself.' In a written statement, Means said his government work has not dealt with matters affecting Truemed and has focused on issues like reforming nutrition programs and pressuring companies to phase out food dyes. 'Pursuing these large-scale MAHA goals to make America healthy has been the sole focus in my government work,' Means said. Undisclosed interests The full extent of Means' potential financial conflicts are unclear because of his status as a special government employee . Unlike presidential appointees and other senior officials, special government employees do not have to leave companies or sell investments that could be impacted by their work. Also, their financial disclosure forms are shielded from public release. 'It's a big problem,' says Richard Painter, former White House ethics lawyer under George W. Bush. 'I think it's a loophole.' Plugging products and business associates While promoting the administration's accomplishments, Means has not shied away from plugging his own brand or those of his business partners. When asked to offer health advice to listeners of a sports podcast, Outkick The Show, in April, Means suggested they read his book 'Good Energy,' which he co-authored with his sister, Dr. Casey Means. He also recommended blood tests sold by Function Health, which provides subscription-based testing for $500 annually. The company was cofounded by Dr. Mark Hyman, a friend of Kennedy and an investor in Truemed, which also offers Hyman's supplements through its platform. Like dietary supplements, the tests marketed by Function Health are not clinically approved by the Food and Drug Administration. 'It ends up favoring these products and services that rest on flimsy grounds, at the expense of products that have actually survived a rigorous FDA approval process,' said Dr. Peter Lurie, a former FDA official who is now president of the Center for Science in the Public Interest. Steering medical dollars into health savings accounts Means says he has not worked on issues impacting HSAs since joining the federal government. Federal ethics laws forbid government employees from taking part in decisions that could impact their financial situation. But before joining government, Means said the mission of his company 'is to steer medical dollars into flexible spending.' 'I want to get that $4.5 trillion of Medicare, Medicaid, everything into a flexible account,' he told fitness celebrity Jillian Michaels, on her podcast last year. Truemed collects fees when users and partnering companies use its platform. Means also founded a lobbying group, made up of MAHA entrepreneurs and TrueMed vendors, that listed expanding HSAs as a goal on its website. Means said in a statement that the group focused only on broad topics like 'health care incentives and patient choice — but did not lobby for specific bills.' Benefits of HSAs questioned Expanding HSAs has been part of the Republican health platform for more than 20 years. The tax-free accounts were created in 2003 to encourage Americans in high-deductible plans to be judicious with their health dollars. But HSAs have not brought down spending, economists say. They are disproportionately used by the wealthiest Americans, who have more income to fund them and bigger incentives to lower their tax rate. Americans who earn more than $1 million annually are the group most likely to make regular HSA contributions, according to an analysis by the nonprofit Center on Budget and Policy Priorities. Most Americans with HSAs have balances less than $500. HSA expansions in Trump's 'One Big Beautiful Bill' are projected to cost the federal government $180 billion over the next 10 years. 'These are really just tax breaks in the guise of health policy that overwhelmingly benefit people with high incomes,' said Gideon Lukens, a former White House budget official during the Obama and Trump administrations. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
Yahoo
an hour ago
- Yahoo
It Sure Seems Like One Key GOP Vote Regrets Appointing RFK Jr.
Senator Bill Cassidy promised the American people that Robert F. Kennedy Jr. would not make any changes to the CDC's vaccine advisory committee when he cast his decisive confirmation vote for the HHS secretary. But on Monday RFK Jr. scrapped the board entirely, leaving Cassidy scrambling to explain himself and his vote. 'Of course, now the fear is that the ACIP will be filled up with people who know nothing about vaccines except suspicion,' Cassidy posted on X after Kennedy explained his rationale in a Wall Street Journal op-ed. 'I've just spoken with Secretary Kennedy, and I'll continue to talk with him to ensure this is not the case.' When asked what he said specifically to Kennedy to 'ensure' that the immunization advisory committee wouldn't be run by anti-vaxers, Cassidy went mum. 'I'd rather just characterize it as: we had a conversation,' he told Semafor's Burgess Everett on Tuesday. When Burgess asked if Cassidy was 'still comfortable' with voting to confirm RFK Jr. in February, Cassidy replied 'I'd rather not comment on that.' During the confirmation process Cassidy explicitly guaranteed that 'If confirmed, [RFK Jr.] will maintain the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices without changes.' Either Cassidy was lying, or RFK Jr. was lying to Cassidy. Now all of the other promises that Cassidy made on RFK's behalf—like not making false claims about vaccines causing autism, or even appearing before Congress on a quarterly basis—are moot. Cassidy claimed that he studied his decision to confirm Kennedy 'exhaustively' and took it 'very seriously.' It's clear that Cassidy's words meant nothing as Kennedy guts a key institution of our national health apparatus.
