Trump’s nomination of Fox News medical contributor Dr. Janette Nesheiwat as surgeon general prioritizes TV credentials over public health experience, a break from past picks who held senior clinical or policy roles. Nesheiwat, with no prior government health leadership, would oversee the $6 billion U.S. Public Health Service Commissioned Corps. This pick is less qualified than #10’s context of democratic backsliding; it mirrors an 8% decline in public trust in federal health agencies since 2020, per Pew Research. No comparable nominee has lacked a public health degree since C. Everett Koop in 1981, making this a 45-year anomaly in medical authority.

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