Healthcare
fromMedscape
1 day agoMedscape Most Popular Specialties for Doctors Report 2026
American physicians face challenges with insurance coverage and efficiency mandates, impacting specialty appeal and optimism about the future.
The Trump-era patronage system has affected us all, by so often thrusting inexperienced randos with obvious political mandates into important positions that have previously always been occupied by career civil servants or specialized leaders.
I have now been told that this was a miscommunication, and in fact the decision about how to proceed has not been made, and dissolving and reforming remains one of [the] options being considered.
Means is President Trump's controversial nominee for surgeon general, a role often described as the "nation's doctor." It entails being America's foremost spokesperson on public health, as well as educating the public using the best scientific information available. You're probably most familiar with the surgeon general's warning on cigarette packs and alcohol labels.
Though Means holds a medical degree from Stanford Medical School, she dropped out of her medical residency and holds no active medical license. Instead, she has pursued a career as a wellness influencer, embracing "functional" medicine, an ill-defined form of alternative medicine.
At the end of January, Washington, DC, saw an extremely unusual event. The MAHA Institute, which was set up to advocate for some of the most profoundly unscientific ideas of our time, hosted leaders of the best-funded scientific organization on the planet, the National Institutes of Health. Instead of a hostile reception, however, Jay Bhattacharya, the head of the NIH, was greeted as a hero by the audience, receiving a partial standing ovation when he rose to speak.
Means is a Stanford Medicine graduate who dropped out of her surgical residency and has since made a career infusing spiritual beliefs into her wellness company, social-media accounts, and best-selling book. The exact nature of her spirituality is hard to parse: Means adopts an anti-institutionalist, salad-bar approach. She might share Kabbalah or Buddhist teachings, or quote Rumi or the movie Moana. She has written about speaking to trees and participating in full-moon ceremonies.
If you're based in the United States, you've probably gotten used to government bodies issuing nationwide alerts - including ones that relate to public health. These have, historically, been good ways for health-conscious people to know what to look out for and for regional public health experts to develop strategies to help keep potential outbreaks contained.Unfortunately, now both individuals and institutions are reckoning with a big question: what to do when those warnings are much smaller in number?