New Addition to the QUACK PACK

Q: What happens to you if you’re a doctor who drops out of your surgical residency and never finishes? A: Donald Trump names you Surgeon General.

2/25/20262 min read

Here’s the thing about credentials.... they’re not decorations. They’re not flair you stick on a vest at TGI Fridays. They’re supposed to represent years of grinding, supervised training, and proving you can handle life-and-death decisions without Googling it mid-incision 🧠🔬

So when someone drops out of a surgical residency .... which is the part where you actually learn how not to harm people .... and then somehow gets elevated to Surgeon General of the United States? That’s not “disrupting the system.” That’s bypassing it.

Now enter Casey Means. Add in Robert F. Kennedy Jr. and Mehmet Oz and you’ve got what feels less like a public health leadership team and more like a wellness influencer panel at a biohacking convention in Scottsdale. The Surgeon General isn’t supposed to be America’s vibes curator. It’s the nation’s chief public health communicator .... the person who speaks with scientific authority during pandemics, addiction crises, maternal mortality spikes, and vaccine rollouts.

This isn’t about gatekeeping. It’s about standards. Surgical residency is not a book club. It’s brutal for a reason. Medicine is one of the few fields where meritocracy actually matters because biology doesn’t care about branding. Viruses don’t negotiate with ideology. Arteries don’t respect podcast followings.

And let’s zoom out. The pattern matters. When expertise gets replaced with loyalty, institutions erode. Public health depends on trust. Trust depends on evidence. Evidence depends on people who’ve actually completed the training.

The Surgeon General’s uniform isn’t cosplay. It represents decades of accumulated medical science and public service. If we start treating it like a networking opportunity, the cost won’t be political embarrassment. It will be measurable, statistical, and tragic.

Public health isn’t a reality show. It’s epidemiology, data modeling, and hard choices guided by evidence. The bar should be high .... because gravity is real, pathogens evolve, and America deserves better than the Quack Pack. 🧪🇺🇸

Casey Means. Med School Dropout.
NOW ----- American Surgeon General.