Appointments and Executive Changes

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      Who Is Casey Means, Trump’s Pick for Surgeon General?

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      Dr. Means, President Trump’s new pick for surgeon general, has focused on the prevalence of chronic diseases and called on the government to scale back on childhood vaccines.President Trump said on Wednesday that he would nominate Casey Means, a Stanford-educated doctor turned critic of corporate influence on medicine and health, as surgeon general.Dr. Means, an ally of the health secretary, Robert F. Kennedy Jr., has described becoming disillusioned by establishment medicine. She rose to prominence last year after she and her brother, Calley Means, a White House health adviser and former food industry lobbyist, appeared on Tucker Carlson’s show.What is her field of medicine?Dr. Means, who trained as an otolaryngologist and head and neck surgeon, left surgery behind without finishing her training to practice so-called functional medicine, which focuses on addressing the root causes of disease. She published a diet and self-help book last year titled “Good Energy: The Surprising Connection Between Metabolism and Limitless Health.” Before that, she had been best known for founding Levels, a company that offers subscribers wearable glucose monitors to track their health.She has focused on the prevalence of chronic diseases in the United States and has taken aim at obesity, diabetes and infertility, problems she has attributed to the use of chemicals and medications and Americans’ sedentary lifestyles.What has she said about vaccines?Dr. Means has echoed some of Mr. Kennedy’s skepticism of vaccines, calling on the new administration to study their “cumulative effects” and to weaken liability protections offered to vaccine makers as a way of encouraging them to develop new shots.“There is growing evidence that the total burden of the current extreme and growing vaccine schedule is causing health declines in vulnerable children,” she wrote in an October newsletter.Child health experts are adamantly opposed to trimming the list of recommended immunizations, warning that such changes would trigger outbreaks of deadly infectious diseases. And they have noted that the government makes available the safety data used to license vaccines and the safety data generated after they are put into use.What has she said about the food supply?Dr. Means has also pushed for a concerted campaign to pare back corporate-friendly policies related to the production and sale of food and medicine. For example, she has supported serving more nutritious meals in public schools, investigating the use of chemicals in American food, putting warning labels on ultra-processed foods, forbidding pharmaceutical companies from advertising directly to patients on television and reducing the influence of industry among drug and food regulators.“American health is getting destroyed,” she said at a Senate round table event on food and nutrition in September. “If the current trends continue, if the graphs continue in the way that they’re going, at best we’re going to face profound societal instability and decreased American competitiveness, and at worst, we’re going to be looking at a genocidal-level health collapse.” More

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      Melissa Toogood Named New Director of Juilliard’s Dance Division

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      A member of Merce Cunningham’s final company, Toogood brings to the job years of experience as a dancer and educator.The Juilliard School has named Melissa Toogood as dean and director of its dance division, the school announced on Tuesday. Toogood, a Bessie Award-winning dancer who was a member of the Merce Cunningham Dance Company in its final years, succeeds Alicia Graf Mack, who is to become the artistic director of Alvin Ailey American Dance Theater. Toogood, who is Australian and lives in Sydney, will begin on July 1.“I’ve had many types of experiences and worked with many kinds of dancers and companies, Toogood, 43, said in a phone interview. “I’ve always been reaching for new knowledge.”Damian Woetzel, president of the Juilliard School, called her “one of the extraordinary artists of our time” and said: “I’ve watched her stage, I’ve watched her teach, I’ve watched her develop dancers at all levels, but really focusing on the younger dancers. And I have seen her develop her own leadership in that way that is inspiring.”Toogood, who started teaching at the Cunningham school at the choreographer’s request, continued to dance in New York after Cunningham’s company performed for the last time in 2011. “I had a really intense freelance career, which is challenging and uncertain, and I hope to prepare young people for all of those outcomes,” she said. “Because I can speak to it personally.”Toogood stages Cunningham dances and has performed with companies and choreographers including Kyle Abraham, Michelle Dorrance, Jamar Roberts and Pam Tanowitz, with whom she has had an 18-year collaboration.At Juilliard, she hopes to broaden her students’ understanding of the roles of art and artists. “I really think of art as an act of service, whether to an idea or a community or a work,” she said. “If a choreographer just makes you walk across the back of the room, they wouldn’t put that in a piece if it wasn’t important. I want them to leave as comprehensive thinkers and understanding that there are no small parts and that kind of connection to each other and the work and every role you play, whether it’s seemingly important to you at that time or not, is important.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Soprano Patricia Racette to Lead Opera Theater of St. Louis

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      Patricia Racette, who has a recent history of performing in and directing productions with the company, will begin as its artistic director this fall.The soprano Patricia Racette has performed on some of the world’s biggest stages, but she has long felt a special connection to Opera Theater of St. Louis, where she made her debut in 1993.Now Racette, 59, will deepen her ties to St. Louis: She will lead Opera Theater as its next artistic director, the company announced on Tuesday.Racette, who has directed productions for the company and overseen its young artist program for six years, said she was excited by the challenge of working to keep opera fresh and relevant.“It feels like a very natural evolution for me,” she said. “I feel we all have a stake in this.”She begins her tenure in October and will succeed James Robinson, who departed last year to lead Seattle Opera as general and artistic director.Racette said she would build on Opera Theater’s reputation for experimentation. The company, founded in 1976, has given the premiere of works like Terence Blanchard’s “Fire Shut Up in My Bones,” which later became the first work by a Black composer to be presented by the Metropolitan Opera. She said that she hoped to work with a variety of contemporary composers, including Kevin Puts, Jonathan Dove and Missy Mazzoli.“I have a perspective and passion for new works, and I’m going to enjoy applying that perspective and passion again on the other side of the curtain,” she said.Racette, who made her debut at the Met in 1995, is known for her portrayals of Puccini heroines. She has also ventured into other genres, including cabaret, which she said she hoped to bring to St. Louis. She said opera companies should not fear crossover repertoire.“These are our stories and traditions,” she said. “It’s an opportunity for accessibility, relevance and impact.”Many opera companies, including Opera Theater of St. Louis, are grappling with rising costs and the lingering effects of the pandemic. The company has benefited from a robust endowment, which is currently valued at about $100 million, and is exploring building a new home at the former headquarters of a shoe company in Clayton, a suburb of St. Louis. (Its theater is in another suburb, Webster Groves.)Racette said she was not daunted by financial challenges.“We’re just going to have to get more creative,” she said. “The arts in troubling times are more important than ever.” More

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      University of California’s New President, James Milliken, Will Come From Texas

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      James B. Milliken will lead the California system, relinquishing his position as the chancellor of the University of Texas system.The University of California system announced on Friday that its new president would be James B. Milliken, a longtime public university leader who currently serves at the University of Texas system and previously ran the City University of New York and the University of Nebraska.At a fraught time in higher education, Mr. Milliken, 68, is regarded as an experienced and relatively safe choice to lead the nation’s most prestigious public university system.Mr. Milliken, known as JB, will take over the system of nearly 300,000 students at a time when the Trump administration is targeting the nation’s elite universities — and has the U.C. system in its cross hairs. All 10 University of California campuses are under investigation by the administration for various reasons, including admissions practices and allegations of antisemitism.So far, the California system has escaped some of the deep federal funding cuts the White House has announced that it was imposing at other universities. The system does, however, face a proposed cut of about 8 percent in its share of the state budget, as California seeks to manage a projected long-term deficit.In announcing Mr. Milliken’s selection, the University of California Board of Regents said that the new president “understands how critical U.C.’s contributions are to the state and the country, and he has decades of experience leading public institutions during times of unprecedented change in higher education.”Highlighting Mr. Milliken’s commitment to low-income students, the regents referred to his stewardship of the City University of New York system, where he served from 2014 to 2018.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      How Rubio Proved Himself as Trump’s Loyal Foreign Policy Foot Soldier

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      As Secretary of State, Marco Rubio has been Donald Trump’s reliable echo on issues like Iran, Ukraine and Gaza. But Steve Witkoff, the president’s friend, remains the chief negotiator.After President Trump ousted Mike Waltz, his national security adviser, on Thursday night, he settled on someone less hawkish on Russia and willing to remain in lock-step with his foreign policy approach to Iran, Gaza and China.He didn’t have to look far.By making Marco Rubio the top foreign policy adviser in the West Wing, in addition to his main day job as secretary of state, Mr. Trump turned to a one-time political rival who has spent the first three months of the administration as a loyal, globe-trotting foot soldier and a reliable echo of the president’s agenda.Now Mr. Rubio will help run that agenda from inside both the White House and the State Department headquarters — even as the president’s longtime friend, Steve Witkoff, remains the chief negotiator, in charge of finding an end to the wars in Ukraine and Gaza and reaching a deal with Iran on its nuclear weapons program.Leslie Vinjamuri, the director of the U.S. and the Americas Program at Chatham House, a London-based research institute, said Mr. Rubio is “willing to align and to follow with where Trump is. What we’re getting, throughout this administration, is: Loyalty comes first, loyalty to the man, loyalty to the mission.”But by consolidating so much foreign policy power in one person, she added, Mr. Trump risks losing someone who might provide him with different policy perspectives or competing advice.“You just reduce the number of potential points for somebody saying, ‘Actually, whoa. Look what just happened,’” she said. “‘Look at this piece of information that flies in the face of what we suspected.’”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Marco Rubio Adds a New Title Under Trump: Interim National Security Adviser

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      The former senator from Florida is now the head of four government bodies. He has outdone Henry Kissinger and even Xi Jinping, China’s leader, who has only three main titles.Secretary of state. Acting administrator of the U.S. Agency for International Development. Acting archivist for the National Archives and Records Administration. And now interim national security adviser to President Trump.Like a Christmas tree bedecked with shiny ornaments of every shape and size, Marco Rubio, 53, has accumulated four titles starting with his confirmation as secretary of state on Jan. 20, the same day that Mr. Trump took his oath of office.It very well could be a record in the modern history of the U.S. government. And it adds to the immigrant success story that is core to the narrative of Mr. Rubio, a former senator from Florida whose father worked as a bartender and mother toiled as a housekeeper after they left Cuba for the United States.But the proliferation of titles raises questions about whether Mr. Rubio can play any substantial role in the administration if he is juggling all these positions, especially under a president who eschews the traditional workings of government and who has appointed a businessman friend, Steve Witkoff, as a special envoy handling the most sensitive diplomacy.Mr. Trump announced Mr. Rubio’s newest position in a social media post on Thursday afternoon, a surprise twist in the first big personnel shake-up of this administration. The president had just ousted Michael Waltz from the White House national security adviser job as well as Mr. Waltz’s deputy, Alex Wong. In the same post, Mr. Trump said Mr. Waltz would now be his nominee to be ambassador to the United Nations.Mr. Rubio’s appointment to yet another job — as if he were cloned in a B-grade sci-fi movie — was so sudden that Tammy Bruce, the State Department spokeswoman, learned about it when a reporter read Mr. Trump’s social media post to her during a regular televised news conference.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Elise Stefanik, Cabinet Hopes Dashed, Considers Her Next Move

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      Styrofoam packing peanuts littered an empty office in the Rayburn House Office Building across from the Capitol on Monday morning as two moving men unpacked a plush couch, an upholstered armchair, lamps and a lucite side table.Representative Elise Stefanik of New York was back.This had not been the plan.Ms. Stefanik, the self-proclaimed “ultra MAGA” warrior whom President Trump nominated to serve as ambassador to the United Nations, had expected to sail through her Senate confirmation vote, which was to be scheduled in early April.So she boxed up her office. She sent off her longtime chief of staff, Patrick Hester, to start a new job at the State Department, where he ended up working for seven days. She completed a “farewell tour” of her district, checked out schools for her son in New York City and was looking forward to moving into the $15 million Manhattan penthouse that comes with what is considered a fairly cushy job.Instead, Ms. Stefanik was back here on Capitol Hill amid the peanuts, contemplating her next steps and pinning most of the blame for what happened on Speaker Mike Johnson.To detractors, the president’s decision to pull Ms. Stefanik’s nomination was something akin to karmic comeuppance for a Republican lawmaker who was elected as a moderate but tacked unapologetically to the MAGA right, coming to personify the opportunistic shape-shifting that has gripped her party in the age of Mr. Trump.Ms. Stefanik’s plight seemed to crystallize in one succinct cautionary tale the limits of loyalty in the MAGA universe. Even one of the president’s most stalwart defenders, an effective ally since his first impeachment trial, ultimately did not get what she had long been promised.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      DOGE Guts AmeriCorps, Agency That Organizes Community Service Programs

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      The independent federal agency that organizes community service work in the United States has placed on administrative leave almost all of its federal staff at the direction of Elon Musk’s cost-cutting team, according to people familiar with developments at the agency.Those on leave include all of the employees of a national disaster response program, according to the people, who spoke on the condition of anonymity because of the sensitivity of the information they provided.A majority of federal employees at the agency, which is known as AmeriCorps, received emails on Wednesday with an attached memo, dated April 16, from the interim head of the agency, Jennifer Bastress Tahmasebi. The memo told them they were placed on administrative leave with pay, effective immediately, according to two copies reviewed by The New York Times.It also directed them not to return to AmeriCorps property or access its systems.The changes at AmeriCorps come as Mr. Musk’s team, called the Department of Government Efficiency, has moved to shutter agencies, including those with missions cast into law by Congress, in a bid to cut what it calls excess federal spending.As with other agencies affected as part of Mr. Musk’s effort, only a small fraction of AmeriCorps employees remained at the headquarters in Washington on Thursday. The expected cuts could gut the agency’s response work in regions decimated by recent natural disasters, including areas in the Southeastern United States that were wiped out by Hurricane Helene. An official with the Trump administration confirmed on Thursday that roughly 75 percent of full-time AmeriCorps employees were placed on administrative leave, and noted that the agency’s $1 billion budget, which the official suggested was mismanaged, was appropriately targeted in President Trump’s bid to eliminate waste.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More