2026年4月30日 / 美国东部时间下午1:40 / 哥伦比亚广播公司新闻
华盛顿讯 —— 特朗普总统周四表示，他将提名妮可·B·萨皮尔医生出任下一任美国卫生局局长，接替此前提名的凯西·米恩斯。米恩斯的提名已在参议院搁置数月。
特朗普通过其在Truth Social平台的两条帖子宣布了此次人事调整。在第一条帖子中，他将米恩斯提名受阻归咎于参议员比尔·卡西迪，称这位路易斯安那州共和党议员“阻挠”了他的提名人选。
“我是在肯尼迪部长的推荐下提名凯西的，他比任何人都更了解‘让美国再次健康’（MAHA）运动，可能除了我本人之外！”他写道。“尽管如此，尽管卡西迪参议员固执己见、玩弄政治手段，凯西仍将继续就我国面临的诸多重要健康议题为MAHA运动而战。”
几分钟后，特朗普宣布提名萨皮尔。萨皮尔是一名放射科医生，同时也是纪念斯隆凯特琳癌症中心蒙茅斯分院乳腺影像科主任。在获得提名前，她曾是福克斯新闻频道的医疗撰稿人。2020年，她出版了《让美国再次健康：不良行为与大政府如何引发万亿美元危机》一书。她还主持一档名为《健康解密》（Wellness Unmasked）的健康与养生播客节目。
“妮可一名出色的明星医生，她职业生涯中一直指导罹患乳腺癌的女性患者度过诊断和治疗阶段，同时不懈倡导加强癌症早期筛查与预防工作，与此同时也与男性和女性患者一同对抗其他各类癌症的诊断与治疗，”特朗普写道。“她还是一位极其出色的沟通者，能够让所有美国民众轻松理解复杂的健康议题。”
米恩斯的提名听证会于2月25日举行，但自那以后，由于她难以在参议院获得足够支持，提名进程陷入停滞。
在参议院卫生委员会举行的提名听证会上，有几个值得关注的时刻：米恩斯在证词中并未直接回应是否会鼓励母亲为子女接种疫苗。身为医生的卡西迪和委员会其他成员都曾强调多种疫苗在挽救生命方面的价值。当被问及疫苗与所谓自闭症潜在关联时，米恩斯告诉委员会，“科学从未有定论”。
米恩斯还公开承认自己在30多岁时曾尝试过致幻药物。
米恩斯拥有医学教育背景，但目前并未持有有效行医执照，这一点在她的提名听证会上被指出。特朗普于2025年5月提名米恩斯，但她因生下第一个孩子导致提名听证会推迟。
Trump pulls Casey Means’ nomination as surgeon general, naming Nicole Saphier as replacement
April 30, 2026 / 1:40 PM EDT / CBS News
Washington — President Trump on Thursday said he is nominating Dr. Nicole B. Saphier to be the next U.S. surgeon general, replacing his nomination of Casey Means, whose bid has stalled in the Senate for months.
The president announced the shuffle in a pair of posts on Truth Social. In the first, he blamed Sen. Bill Cassidy for Means’ nomination stalling in the wake of her confirmation hearing in February, saying the Louisiana Republican “has stood in the way” of his pick.
“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!” he 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.”
Minutes later, Mr. Trump said he’s nominating Saphier, a radiologist and director of breast imaging at Memorial Sloan Kettering Cancer Center Monmouth. She was a Fox News Channel medical contributor until her nomination. In 2020, she wrote the book, “Make America Healthy Again: How Bad Behavior and Big Government Caused a Trillion-Dollar Crisis.” She hosts a health and wellness podcast called “Wellness Unmasked.”
“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,”the president wrote. “She is also an INCREDIBLE COMMUNICATOR, who makes complicated health issues more easily understood by all Americans.”
Means’ confirmation hearing was Feb. 25, but since then, the process stalled as she struggled to receive sufficient support in the Senate.
Among a handful of notable moments during her confirmation hearing before the Senate Health Committee, Means in her testimony wouldn’t directly say if she would encourage mothers to vaccinate their children. Cassidy, who is a doctor, and others on the committee have stressed the value of many vaccines in saving lives. When asked about vaccines and any potential link to autism, Means told the committee the “science is never settled.”
Means also publicly acknowledged experimenting with psychedelic drugs in her 30s.
Means, who was educated as a physician, does not have a currently active medical license, something that was pointed out in her confirmation hearing. The president nominated Means in May 2025, but her confirmation hearing was delayed when she gave birth to her first child.
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