(DDM) – Dr. Casey Means told senators that the United States is grappling with unprecedented levels of chronic and mental illness, describing the country as a “nation with a broken heart” during her confirmation hearing to become surgeon general.
Appearing before the Senate Health, Education, Labor and Pensions Committee, Means testified for more than two hours, outlining her broader vision for public health while downplaying vaccines as an immediate policy focus.
Means said that if confirmed, her primary emphasis would be on addressing chronic disease, lifestyle-related conditions and systemic health challenges. She signaled that vaccine policy would not be at the top of her agenda, a statement that drew scrutiny from lawmakers.
At one point, she sparred with a senator over the effectiveness of influenza vaccination. During the exchange, she avoided directly answering repeated questions about whether flu shots reduce hospitalization and death, prompting visible frustration from some committee members.
Senators from both parties pressed Means on a wide array of issues, including vaccines, abortion access, contraception policy and pesticide regulation. The questioning also extended to her professional qualifications and potential conflicts of interest.
Means, a Stanford-trained physician and wellness author, has built a national profile as a health influencer. Her critics have questioned whether her public positions align with established scientific consensus in certain areas. Supporters argue that her focus on preventative health and metabolic disease reflects urgent national priorities.
Lawmakers also asked Means about her personal experiences, including past use of psychedelic mushrooms, which she acknowledged. The line of questioning underscored the intense scrutiny nominees face in high-profile public health roles.
The hearing came nearly four months after her initial confirmation session was postponed due to the birth of her child. The delay added anticipation to Wednesday’s proceedings, which were closely watched by medical professionals and political observers alike.
If confirmed, Means would serve as the nation’s top public health spokesperson, advising the administration and shaping messaging on health risks and prevention strategies. Her performance before the committee offered insight into how she may approach contentious issues in a politically polarized environment.


