2026年4月30日，美国东部时间下午1:06 / CNN
作者：亚历杭德拉·哈拉米略
更新于2026年4月30日，美国东部时间下午2:24
约翰·兰帕尔斯基/盖蒂图片社/资料图
2024年4月3日，妮可·萨菲尔医生在纽约福克斯新闻频道工作室亮相福克斯国民台《爱妈妈直播秀》。
唐纳德·特朗普总统周四撤回了陷入困境的卫生局局长提名人选凯西·米恩斯医生，原因是外界对其疫苗观点存在质疑，并宣布提名妮可·萨菲尔医生作为该职位的第三名人选。
“妮可堪称明星医生，她整个职业生涯都在帮助罹患乳腺癌的女性患者度过诊断和治疗难关，同时孜孜不倦地倡导加强癌症早期筛查与预防，与此同时也参与各类其他癌症的诊断和治疗工作，”特朗普在Truth Social平台上写道。
“她同时也是一名极其出色的沟通者，能够让所有美国民众轻松理解复杂的健康议题，”他补充道。
萨菲尔长期担任福克斯新闻频道特约撰稿人，是纪念斯隆凯特琳癌症中心的放射科医生。
这是特朗普在第二任期内第三次提名卫生局局长。他的首名人选珍妮特·内舍瓦特医生是纽约家庭医生，也曾是福克斯新闻医疗特约撰稿人，其提名在参议院确认听证会原定开始前几天被撤回。
米恩斯的提名自2月那场紧张的确认听证会以来便迟迟未能推进。这位毕业于斯坦福大学的医生与“让美国更健康”（MAHA）运动关系密切，曾撰写畅销书《良好能量》，同时也是美国卫生与公众服务部部长小罗伯特·肯尼迪的亲密盟友。
即便在MAHA运动支持者和特朗普的拥趸当中，她也面临质疑。部分MAHA阵营人士对她在疫苗问题上的模棱两可态度表示惋惜，而特朗普自称“忠诚执行者”的劳拉·洛默则频频质疑米恩斯对总统的支持度。
米恩斯的提名之争也逐渐演变为围绕肯尼迪的代理战。过去一年，肯尼迪在疫苗政策上的变革举措激怒了多位共和党议员。
在宣布萨菲尔接替米恩斯前不久，特朗普在Truth Social平台上抨击了参议员比尔·卡西迪——后者在其所辖委员会主持的米恩斯确认听证会上就疫苗政策对其进行了质询。
特朗普指责这位路易斯安那州共和党人阻碍了米恩斯的提名进程，而米恩斯的提名此前一直由肯尼迪大力推动。特朗普曾背书卡西迪参与参议院连任竞选。
“我是应肯尼迪部长的推荐提名了凯西，一名坚定的MAHA斗士。肯尼迪比任何人都更了解MAHA运动，或许除了我本人之外！”特朗普写道。
“尽管如此，无论卡西迪参议员的顽固不化和政治把戏如何阻挠，凯西将继续在我国面临的诸多重要健康议题上为MAHA而战，比如日益严重的儿童疾病流行、自闭症发病率上升、营养失衡、过度医疗化，以及研究不孕症根源等诸多棘手的医疗问题，”他补充道。
但从一开始，米恩斯的提名就伴随着对其政策立场的批评和资质质疑：她未完成住院医师培训，且其行医执照已过期。
CNN此前曾报道，在提名被撤回前的一个多月里，米恩斯曾寻求与两位威胁要否决其提名的共和党参议员进行私下会面。
但截至本月初，她仍未与丽莎·穆尔科斯基和苏珊·柯林斯参议员举行会面。穆尔科斯基在3月中旬告诉CNN，她“对她并不热衷”。
被称为“全国医生”的卫生局局长是一名医师，其职责是通过发布 advisories、报告和行动呼吁，提供有关关键议题的最佳科学信息，教育并建议美国人如何改善健康状况。
卫生局局长同时在美国公共卫生服务军官团任职，监督这支身着制服的团队致力于促进国民健康。
本文已更新，补充了更多信息。
CNN的杰米·冈布雷希特、亚当·坎林和莎拉·奥弗莫赫勒对本文亦有贡献。
Trump pulls controversial surgeon general pick and makes third nomination for the role
Apr 30, 2026, 1:06 PM ET / CNN
By Alejandra Jaramillo
Updated Apr 30, 2026, 2:24 PM ET
Dr. Nicole Saphier appears on FOX Nation’s “Love Mom The Live Show” at Fox News Channel Studios in New York, on April 3, 2024.
John Lamparski/Getty Images/File
President Donald Trump on Thursday pulled his embattled surgeon general nominee Dr. Casey Means amid questions over her vaccine views and announced his third pick for the role in Dr. Nicole Saphier.
“Nicole is a STAR physician who has spent her career guiding women facing breast cancer through their diagnosis and treatment while tirelessly advocating to increase early cancer detection and prevention, while at the same time working with men and women on all other forms of cancer diagnoses and treatments,” Trump wrote on Truth Social.
“She is also an INCREDIBLE COMMUNICATOR, who makes complicated health issues more easily understood by all Americans,” he added.
Saphier, a longtime Fox News contributor, is a radiologist at Memorial Sloan Kettering Cancer Center.
This is Trump’s third nominee for surgeon general in his second term. His first, Dr. Janette Nesheiwat, a New York family physician and former Fox News medical contributor, saw her nomination pulled just days before her Senate confirmation hearing was set to begin last year.
Means’ nomination had languished since her tense confirmation hearing in February. A Stanford-educated medical doctor, she’s well-connected to the “Make America Healthy Again” movement as the author of a best-selling book, “Good Energy,” and a close ally of Health and Human Services Secretary Robert F. Kennedy, Jr.
Even among MAHA and Trump supporters, she faced skepticism. Some in the MAHA sphere lamented her noncommittal stance on vaccines, while Laura Loomer, Trump’s self described “loyalty enforcer” frequently questioned Means’ support for the president.
And increasingly, the Means vote had looked like a proxy battle over Kennedy, who over the past year has plunged ahead on vaccine policy changes that have rankled some Republicans across the spectrum.
Shortly before announcing Saphier as Means’ replacement, Trump took to Truth Social to blast Sen. Bill Cassidy, who pressed Means on vaccine policy during her confirmation hearing before the committee he chairs.
Trump accused the Louisiana Republican, whom he’s endorsed against in his Senate reelection campaign, of standing in the way of Means, whose nomination had been championed by Kennedy.
“I nominated Casey, a strong MAHA Warrior, at the recommendation of Secretary Kennedy, who understands the MAHA Movement better than anyone, with perhaps the possible exception of ME!” Trump wrote.
“Nevertheless, despite Senator Cassidy’s intransigence and political games, Casey will continue to fight for MAHA on the many important Health issues facing our Country, such as the rising childhood disease epidemic, increased autism rates, poor nutrition, over-medicalization, and researching the root causes of infertility, and many other difficult medical problems,” he added.
But from the beginning, her nomination was trailed by criticisms of her policy positions and questions about her credentials: She did not complete her residency, and her medical license has lapsed.
CNN previously reported that prior to being withdrawn, Means had for more than a month, sought private meetings with the two Republican senators threatening to sink her nomination.
But as of earlier this month, the meetings with Sens. Lisa Murkowski and Susan Collins hadn’t happened. Murkowski told CNN in mid-March she was “not enthusiastic about her.”
The surgeon general, known as “the nation’s doctor,” is a physician who focuses on educating and advising Americans on how to improve their health by issuing advisories, reports and calls to action to offer the best available scientific information on crucial issues.
The surgeon general also serves in the US Public Health Service Commissioned Corps, overseeing this group of uniformed officers who seek to promote the nation’s health.
This story has been updated with additional information.
CNN’s Jamie Gumbrecht, Adam Cancryn and Sarah Owermohle contributed to this report.
发表回复