Casey Means

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Paula Casey Means (born September 24, 1987), known as Casey Means, is an American wellness influencer, author, and former physician. Means graduated from the Stanford University School of Medicine in 2014. She pursued an ENT surgical residency at Oregon Health and Science University but dropped out of the program in 2018. Although Means was educated as a physician, she does not have an active medical license. She previously operated a functional medicine practice in Portland. She is considered a leader of the Make America Healthy Again (MAHA) movement along with her brother, Calley Means, who is also her co-author and business partner. On May 7, 2025, President Donald Trump nominated her as surgeon general, following his withdrawal of his earlier nominee, Janette Nesheiwat. Trump withdrew Means's nomination in April 2026, replacing her with Nicole Saphier.