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Can Trump’s latest pick for surgeon general make it through confirmation?
Nicole Saphier, President Trump’s nominee for surgeon general.
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President Trump has nominated Dr. Nicole Saphier, a radiologist and former Fox News Channel contributor, for the role of surgeon general. It’s his third pick for this position, often called “the nation’s doctor,” responsible for promoting health and wellness to the general public in the United States.
Saphier is expected to be more acceptable to Republican lawmakers, than Dr. Casey Means, Trump’s previous choice. His first pick, Dr. Janette Nesheiwat, was withdrawn following scrutiny over how she had represented her medical credentials.

Trump described Saphier, who directs breast imaging at Memorial Sloan Kettering Monmouth, as a “STAR physician” and an “INCREDIBLE COMMUNICATOR” in his April 30 nomination post on Truth Social.
The same day, Trump blamed Sen. Bill Cassidy, R-La., a physician, for having “stood in the way” of Means getting confirmed as surgeon general. He accused Cassidy of “intransigence and political games.”
Saphier will be facing scrutiny from the same committee members who were doubtful of Means.
Means told Politico that Sens. Susan Collins, R-Maine, and Lisa Murkowski, R-Alaska, also opposed her nomination, effectively tanking her confirmation.
All three Republican lawmakers serve on the influential Senate Health, Education, Labor and Pensions (HELP) Committee, which Cassidy chairs. The committee holds confirmation hearings for nominated health officials and determines whether to advance them to a full Senate vote.
In response, the Republican members of the Senate HELP Committee wrote, “It’s clear she did not have the votes,” in a post on X.

Does Saphier have a better chance than Means?
While a confirmation hearing has not been scheduled yet, Saphier can expect many questions about her qualifications, views on vaccines and other topics she’s publicly addressed.
David Mansdoerfer, former deputy assistant secretary of health at the Department of Health and Human Services in the first Trump administration, says she likely faces a warm reception from Republicans, saying she’s “extremely strong on some of the core base issues.”
“[She’s great on] the pro-life issue, on chronic disease and prevention. She speaks a lot to the MAHA influence, especially to the suburban moms,” he says, referring to the Make American Healthy Again movement, an interest group that Republicans are trying to win in the midterm elections.
In addition to being a practicing physician, Saphier is also a health influencer and former medical contributor to Fox News from 2018 to this week, a Fox News spokesperson confirmed. She currently sells herbal supplement drops that promote “focus” and “calm” and hosts a podcast called Wellness Unmasked on iHeartRadio. In 2020, she published a book titled Make America Healthy Again — years before the phrase coalesced into a movement led by current Health Secretary Robert F. Kennedy Jr.
Saphier is a clear contrast from Means in some key respects. She is an active licensed physician — which Means wasn’t — practicing at a top academic medical center. These credentials make her a “reasonable choice” for surgeon general, says Dr. Georges Benjamin, CEO of the American Public Health Association.
Benjamin had described Trump’s previous pick, Means, to NPR as “less qualified professionally than any other surgeon general in history.”
In February, Saphier addressed Means’ nomination on her podcast, saying the surgeon general’s main role is public health messaging, and for that they need to be “a trusted messenger.”
“They need the respect of not only …the American people that they are communicating to, but they also need the respect of the administration, which they are working together with,” she said, “And also the [respect of] medical professionals, the medical organizations.” In Saphier’s opinion at the time, that’s where Means was falling short.
Dr. Jerome Adams, who served as the 20th surgeon general in the first Trump administration, said in an interview with NPR’s Morning Edition that he expects Saphier to get the respect of the medical community, along with the public and the Administration.
But Saphier’s focus on individual care is just one piece of public health, Adams says. “She tends to see things through a diagnosis and treatment lens because that’s what cancer docs do. It’s clear when you look at the book she wrote that she does not think of things through a public health and societal lens.”
For instance, “she talks about personal responsibility a lot, but you can’t eat healthy if you are having your SNAP benefits cut or if the cost of groceries is going through the roof because of inflation. The broader societal context actually matters,” he says.
Still Adams wrote on X, “Overall, this is a solid pick. I believe she’ll be confirmed and that she has both the clinical background and the temperament to do a good job.”
Views on vaccines and other credentials
The Trump administration has been trying to pivot away from the focus on vaccines ahead of the midterm elections. Secretary Kennedy’s attempts to make sweeping changes to the vaccine schedule have polled poorly with voters, and been blocked by court challenges from leading U.S. health groups.
Still, the topic will likely be front and center in an upcoming confirmation hearing for the role of surgeon general.
Saphier’s views on the topic are not completely aligned with Kennedy. She criticized his attempts to link vaccines with autism in an op-ed last year in the Wall Street Journal. “When it comes to autism, we can’t afford to chase ghosts,” she wrote, advocating for more research into genetic and environmental causes.
But she disagrees with some public health recommendations on the childhood vaccine schedule. While vaccines “really can save lives,” Saphier said in a February 2025 Fox News Digital video, “I do think that the CDC and the American Academy of Pediatrics need to be less stringent on these schedules,” she said, specifically mentioning the hepatitis B and COVID-19 vaccines for children.
Based on what Saphier has said publicly, “she’s been opposed to vaccine mandates, but she’s not anti-vaccine,” says Benjamin from APHA.
At her confirmation hearing in February, former surgeon general pick Dr. Casey Means articulated a similar position, which served as a sticking point for some senators.
Role of surgeon general
Getting confirmed in this role is high stakes, says Dr. Richard Carmona, who served as the 17th surgeon general in the George W. Bush administration. Of all the competencies required for the role, political affiliation or experience as a television commentator are not high on his list.
The job is “to protect, promote and advance the health, safety and security of the nation” and to represent the U.S. government when disasters and public health emergencies strike in the U.S. and abroad, he says.
The surgeon general commands the U.S. Public Health Service Commissioned Corps, one of the eight uniformed services of the United States, with thousands of members that have earned their ranks in a career of service, Carmona says. The surgeon general’s rank is three-star vice admiral.
For this role, Carmona would prioritize experience in leadership and public health. The surgeon general should have “the credibility to sit at the table with foreign ministers and carry the message of the United States and work with our allies.”
As surgeon general, Carmona fielded questions from lawmakers and the media about a wide range of public health topics, from cancer to emergency preparedness for biological and nuclear hazards.
For someone being considered for the role, “I want to know that you have expertise in public health besides clinical medicine,” he says, “Have you dealt with vaccination issues? Have you dealt with clean water and sanitation? How about air pollution? … That’s what a surgeon general does.”
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Thunderstorms, heat and wind will hamper efforts to contain Colorado wildfires
The Aspen Acres Fire burns on Friday in Rye, Colo.
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Thunderstorms with high winds on Sunday could hamper efforts to contain a massive wildfire that has scorched parts of southern Colorado.
The Aspen Acres Fire, which is burning south of Colorado Springs across Pueblo and Custer counties, has grown to more than 86,000 acres. It began nearly a week ago and is 13% contained, officials said on Sunday morning.

Authorities have ordered people to evacuate or to prepare to evacuate across counties including Custer, Pueblo, Huerfano and Fremont.
Scattered showers and thunderstorms could hit south central and southwest Colorado on Sunday, according to the National Weather Service.
Officials and forecasters say the rain could be beneficial for firefighting but are concerned it could lead to road damage in burned areas and cause flash flooding.
“The main threats from storms will be gusty outflow winds up to 50 mph and lightning,” the NWS office in Pueblo said.
Red flag warnings and air quality alerts have also been issued across the state, with the Colorado Department of Public Health and Environment on Sunday warning residents to limit time outdoors because of heavy smoke.
Other wildfires are burning in the state, including the Ferris Fire in southwest Colorado that has grown to more than 42,000 acres and is 7% contained as of Sunday afternoon. The Gold Mountain Fire, which is also in the southwest portion of the state, has grown to more than 25,000 acres and is 0% contained as of Sunday.
A memorial service was held on Sunday for three firefighters who were killed battling wildfires on the Colorado-Utah border on June 27: Emily Barker, Sydney Watson and Nick Hutcherson.
The firefighters, along with two others, were involved in a “burnover incident,” which happens when firefighters are overtaken and have to shelter as best they can while a fire passes directly over them, according to the Department of Interior. Two firefighters survived and were treated for burns.
Colorado Gov. Jared Polis ordered flags to fly half-staff in honor of the deceased firefighters.

“These three brave heroes ran towards the flames, put themselves in harm’s way, and gave the ultimate sacrifice to protect Coloradans, our communities and our families,” Polis said in a social media post on Sunday.
Another fire across the border in southern Utah, the Babylon Fire, has grown to more than 90,000 acres and is O% contained as of Sunday afternoon. It is expected to be hot and dry through Monday, with very little humidity, officials said, making conditions challenging for containment.
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At least 25 people die in US as record heatwave scorches swaths of country
At least about two dozen people have died amid the perilous climate crisis-driven heatwave that has scorched swaths of the US with record temperatures.
As a huge heat dome sits over the county’s eastern half, extreme heat gripped millions of people in the days leading up to the US’s semiquincentennial on Saturday – and beyond it. More than 20 states experienced have reported stifling temperatures more than 100F (38C), marring celebrations. And more than 140 million people remained under active heat alerts across the US on Sunday.
Officials in New Jersey believe the extreme heat was a factor in the deaths of 22 people across 10 counties there, mostly in central and northern parts of the state. Many of the individuals were found in homes with no air conditioning, outside their residences, on the street and in parked cars, according to officials.
The first of those deaths occurred on Thursday, and the ages of the deceased in question mostly range from their mid-30s to their 80s. Preliminary findings cause investigators to believe the deaths are heat-related, though the chief state medical examiner for New Jersey would later determine the exact cause of death for each.
“This is not a typical summer heatwave,” the New Jersey department of public health said in a statement. “This type of heat can quickly become life-threatening to humans and to animals of all ages.”
The National Weather Service (NWS) has said cool air from the north in the coming days is going to lower some of the most extreme temperatures in the region, including New Jersey. The Fifa World Cup final is scheduled to be held in the New Jersey city of East Rutherford on 19 July.
Elsewhere, a heat-related death was reported in Cook county, Illinois, Natalia Derevyanny, a government spokesperson, told NBC News. The cause of that death was recorded as organic cardiovascular disease – with heat stress as a contributing factor.
Hinds county in Mississippi reported the death of 74-year-old Mitchell Ray Cooley due to heat exposure on Thursday, state officials said. Cooley had been reported missing, and his body was found the next day behind a gas station, the county coroner said in a statement.
“Mr Cooley suffered from a medical condition that impaired his judgment,” the coroner’s office said. “Based on the investigative findings, scene examination, and subsequent evaluation, the cause of death has been determined to be weather-related heat exposure. At this time, there is no indication of foul play.”
Meanwhile, on 27 June, Martha Irene Van Egmond, 83, died in Bolton, Mississippi, after falling in her garden. When her husband, Rick, tried to help her up, he fell too. The couple were unable to get up and spent hours in the heat.
Rick Van Egmond said he and his wife called out for help, and eventually two men from a nearby apartment complex came – but it was too late for Martha. She died surrounded by flowers, doing what she loved, he said to local news outlet WAPT.
Jeramiah Howard, Hinds county’s chief death investigator, attributed her death to the heat combined with her age, WAPT reported.
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As Donald Trump spoke during rain-dampened celebrations in Washington DC on Saturday, emergency services there had treated 51 people with heat-related issues as of 8pm ET, with 12 taken to nearby hospitals, according to local emergency response officials.
Other events scheduled for Saturday – including the Independence Day parade in DC – were cancelled amid the blistering heat. Among other weather-related disruptions, Trump’s so-called Great American State Fair on the National Mall also temporarily closed down on Friday after reports that 44 visitors had been treated for heat-related illnesses.
The worst of the heat started moving out of the US’s north-east and midwest regions by Sunday, shifting farther south into the mid-Atlantic and south-eastern parts of the country.
But scientists warn that heatwaves with extreme temperatures are indications that the world must lower the greenhouse gas pollution driving the global climate crisis.
The NWS is urging the public to avoid heat sickness by drinking plenty of fluids as well as staying out of the sun and in air-conditioned environments. Officials have also asked people to check on relatives and neighbors.
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Paul Pelosi in hit-and-run in California, car left with major damage, authorities say
Rep. Nancy Pelosi, D-Calif., and her husband Paul arrive at the funeral services for Clive Davis at Central Synagogue in New York, Monday, June 29, 2026.
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LOS ANGELES — The husband of former House Speaker Nancy Pelosi was involved in a hit-and-run in California that left a parked car with “major” damage authorities said Saturday, and he could face misdemeanor charges.
Paul Pelosi was driving his brown convertible Friday in Yountville, a town in the heart of wine country, when he struck a legally parked car on the side of the road, briefly stopped and then drove away, the Napa County Sheriff’s Office said in a statement. No injuries were reported.

A witness saw the collision and called 911. Shortly afterward sheriff’s deputies found Pelosi with damage to the front of his car on a road roughly a quarter of a mile away. He reportedly told officers he knew he hit something but was not sure when or what caused the damage.
Pelosi, 86, did not have any alcohol in his system, according to the statement. The sheriff’s office referred him to the Department of Motor Vehicles for a process to determine whether he may continue to drive — something that officials say is common for older drivers.
Pelosi was not arrested, and because no one was injured, the sheriff’s office recommended a misdemeanor charge for fleeing the scene of an accident.
A staffer for Nancy Pelosi did not immediately respond to an email seeking comment.
Paul Pelosi pleaded guilty in 2022 to misdemeanor charges of driving under the influence in Napa County and was sentenced to five days in jail and three years of probation. However, he served only two days in jail and received good conduct credit for two other days, leaving just one day to serve in a work program at the courthouse.
As part of his probation, Pelosi was required to attend a three-month drinking driver class and install an ignition interlock device, which forces drivers to provide a breath sample to prove sobriety before the engine will start. He also was ordered to pay about $5,000 in victim restitution for medical bills and lost wages, along with nearly $2,000 in fines.
That same year he was attacked and severely beaten with a hammer at the couple’s San Francisco home.
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