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

    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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    Judge Reinstates NLRB Member Fired by Trump

    A federal judge on Thursday reinstated Gwynne Wilcox, a Democratic member of the National Labor Relations Board, declaring that President Trump’s attempt to fire her was unlawful.The ruling, which the Trump administration immediately moved to appeal, was a rebuke of Mr. Trump’s expansive view of executive power and his efforts to establish presidential control over agencies designed by Congress to be independent from the White House.Judge Beryl A. Howell, appointed to the Federal District Court in Washington by President Barack Obama, excoriated Mr. Trump’s vision of unchecked authority in her 36-page ruling, referring to a declaration he had made during the 2024 campaign that he would be a dictator on “Day 1” and to an image that the White House shared of Mr. Trump wearing the crown of a king.“A president who touts an image of himself as a ‘king’ or a ‘dictator,’ perhaps as his vision of effective leadership, fundamentally misapprehends the role under Article II of the U.S. Constitution” Judge Howell wrote.She later continued that “an American president is not a king — not even an ‘elected’ one — and his power to remove federal officers and honest civil servants like plaintiff is not absolute, but may be constrained in appropriate circumstances, as are present here.”Ms. Wilcox did not immediately respond to a request for comment.Her ouster, in January, had the effect of paralyzing the N.L.R.B., which hears labor disputes, because it left the board with just two members — a Republican and a Democrat — and, by federal law, the board cannot act without a minimum of three members.She swiftly filed a lawsuit, one of several cases that could wind up before the Supreme Court as a test of the reaches of executive authority.In a lengthy hearing in the case on Wednesday, before the ruling, Judge Howell made a joke about the case’s possible trajectory, saying that she understood that “this court is merely a speed bump for you all to get to the Supreme Court.” More

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    Transgender Rights Are Human Rights

    More from our inbox:‘I Am So Sorry’Lying to ChildrenThe Education Department said it would investigate two colleges that have been caught up in disputes regarding transgender athletes.Demetrius Freeman/ReutersTo the Editor:Re “Pain Is the Point of Trump’s Transgender Policy,” by Jennifer Finney Boylan (Opinion guest essay, Feb. 18):For most of my life I feared what would happen if anyone knew that I experienced a full spectrum of both feminine and masculine expressions. The shame began when I was a small child and followed me throughout much of my life. Even so I did not grow up with a fear of my government. America was a work in progress.I have seen rights gradually extended to women, racial minorities and sexual minorities, including trans and nonbinary people. However, today I find myself joining the rapidly growing ranks of innocent Americans who get up each morning fearing their own government.By targeting trans and nonbinary people, our president seeks to secure unchecked power at the expense of the vulnerable and innocent. Scapegoating minorities is a tried and true model for dictators throughout history. Here President Trump joins the likes of Vladimir Putin and Viktor Orban by manufacturing a perceived threat from an innocent minority, which will eventually justify restrictions on civil rights for everyone.I have listened to his calls for a return to a time when there were only two genders. That was also a time when America freely and openly discriminated against women, people of color, Jews and others. The fact is there have never been just two genders. Many societies accepted us, and even those that tried to ban us recognized our existence in those very bans.We will not disappear again into the shadows. We will resist, those who love us will resist, and those who are decent will resist. As long as we do so, the ideal that all Americans are created equal will not fade, that this country might endure and grow once again.Mark PetersenPark City, UtahTo the Editor:Re “Trump’s Shameful Campaign Against Transgender Americans” (editorial, Feb. 16):The Trump administration’s attacks on transgender and nonbinary individuals compromise our safety and attempt to strip us of our rights and our humanity. These policies aren’t just cruel — they are also deeply un-American.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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    Former Defense Secretaries Call Trump’s Firing of Military Leaders ‘Reckless’

    Five former defense secretaries condemned President Trump’s firing last week of senior military leaders as “reckless” and urged Congress not to confirm their successors.In an extraordinary letter to lawmakers on Thursday, the five men — including one who served under Mr. Trump during his first term — asked that the House and the Senate hold “immediate hearings to assess the national security implications of Mr. Trump’s dismissals.”The letter is signed by defense secretaries who served under both Democratic and Republican presidents since 1994: William J. Perry, Leon Panetta, Chuck Hagel, Lloyd J. Austin III and Jim Mattis, Mr. Trump’s first defense secretary.In a purge of the military’s senior ranks last Friday, Mr. Trump fired Gen. Charles Q. Brown Jr., a four-star fighter pilot who was only the second African American to be the Joint Chiefs chairman, saying he would be replaced by a little-known, retired three-star Air Force general, Dan Caine. In all, six Pentagon officials were fired, including Adm. Lisa Franchetti, the chief of Naval Operations, and Gen. James Slife, the vice chief of the Air Force; and top lawyers for the Army, Navy and Air Force.“Mr. Trump’s dismissals raise troubling questions about the administration’s desire to politicize the military and to remove legal constraints on the president’s power,” they said in the letter. “Talented Americans may be far less likely to choose a life of military service if they believe they will be held to a political standard.”Defense Secretary Pete Hegseth has said the firings are within the president’s right to choose who he wants in these positions.The five former defense secretaries urged Congress to “hold Mr. Trump to account for these reckless actions and to exercise fully its constitutional oversight responsibilities.” More

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    In Memory of Our Decency: ‘That Was U.S.A.I.D.’

    More from our inbox:The 14th Amendment and Birthright CitizenshipOpposing Trump’s Transgender PoliciesReady to March Again Ashraf Shazly/Agence France-Presse — Getty ImagesTo the Editor:Re “Chaos and Confusion Reign as U.S. Cuts Off Aid to Millions Globally” (news article, Feb. 12):It can take an obituary to get to know someone — though often too late.Most Americans hadn’t known much about the United States Agency for International Development. Some may have seen its “helping hand” logo when a famine was in the news and U.S.A.I.D.-supplied bags of wheat, marked with the logo, appeared briefly on our screens. But that was it.It has taken the callous dismantling of U.S.A.I.D., the mindless amputation of America’s helping hand, for people to get to know the agency and the value of foreign aid. Many are learning for the first time about the good work done during its nearly 64 years.I was in Washington during the attacks of Sept. 11, 2001. I thought then, and still think, that the only way to prevent another such catastrophic event and protect the long-term security and prosperity of our beloved homeland is for America to be an exemplary global citizen, for us to maintain mutually respectful relationships with as many countries as possible, and for us to win hearts and minds with our decency and generosity. That was U.S.A.I.D.Perhaps the public’s post-mortem appreciation of U.S.A.I.D. will lead to a resurrection of America’s helping hand. Let us hope and pray.Gary NewtonGeorgetown, MaineTo the Editor:Re “One Very Real Problem Lost in the Politics of Aid Cuts: Child Malnutrition,” by Nicholas Kristof (The Point, Opinion, nytimes.com, Feb. 10):As one of the world’s richest and most powerful nations, America has historically responded to the cries of hunger from abroad. We simply can’t turn our back now when children are starving in Sudan, Gaza, the Democratic Republic of Congo, Haiti and many other impoverished areas.U.S.A.I.D. should be reopened and the Food for Peace program, which was started by President Dwight Eisenhower, must get a funding increase. Food for Peace supports lifesaving programs including nutrition for infants.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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    Trump Fires Joint Chiefs Chairman Amid Flurry of Dismissals at Pentagon

    President Trump fired the country’s senior military officer on Friday after weeks of turmoil at the Pentagon, injecting politics into selecting the nation’s top military leader.Gen. Charles Q. Brown Jr., a four-star fighter pilot known as C.Q. who became only the second African American to hold the chairman’s job, is to be replaced by a retired three-star Air Force general, Dan Caine, who endeared himself to the president when they met in Iraq six years ago.“Today, I am honored to announce that I am nominating Air Force Lieutenant General Dan ‘Razin’ Caine to be the next Chairman of the Joint Chiefs of Staff,” Mr. Trump said in a message on Truth Social. “General Caine is an accomplished pilot, national security expert, successful entrepreneur, and a ‘warfighter’ with significant interagency and special operations experience.”Joint Chiefs chairmen traditionally remain in place as administrations change, regardless of the president’s political party. But current White House and Pentagon officials said they wanted to appoint their own top leaders.Defense Secretary Pete Hegseth also indicated, in a statement about General Brown and General Caine, that Adm. Lisa Franchetti, the first woman to lead the Navy, was being fired, as was the vice chief of the Air Force, General James C. Slife.“I am also requesting nominations for the positions of chief of naval operations and Air Force vice chief of staff,” Mr. Hegseth said. “The incumbents in these important roles, Adm. Lisa Franchetti and Gen. James Slife, respectively, have had distinguished careers. We thank them for their service and dedication to our country.”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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    State Department Revises Plan to Buy Armored Teslas

    Tesla’s name was removed from a State Department document that listed planned vehicle purchases after the existence of the list was reported late Wednesday. The potential award raised questions about why the government was giving a lucrative contract to the company, which is led by Elon Musk, one of President Trump’s most important advisers.A department procurement forecast for 2025 detailed purchases the agency expected to make, including $400 million for armored Tesla vehicles. The document did not specify which Tesla model, but the electric Cybertruck, which has a body of high-strength stainless steel, would be the most suitable.Later on Wednesday, a different version of the procurement document appeared online. It referred to “armored electric vehicles,” omitting any mention of Tesla.Mr. Musk spent more than $250 million to help elect Mr. Trump, who then appointed him as the leader of a cost-cutting initiative that’s been called the Department of Government Efficiency, or DOGE.Plans to spend $400 million on Tesla pickups raised eyebrows given that Mr. Musk has been posting almost hourly on X, the social media site he owns, about wasteful government spending.Tesla and the State Department did not respond to requests for comment. On X, Mr. Musk shared a post from a supporter that said a report on the topic by Rachel Maddow of MSNBC was a “hit piece.”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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    8 Inspectors General Fired by Trump File Lawsuit Seeking Reinstatement

    Eight former inspectors general who were summarily fired by President Donald J. Trump last month filed a lawsuit on Wednesday asking a judge to declare their removals illegal and order the government to reinstate them.“The purported firings violated unambiguous federal statutes — each enacted by bipartisan majorities in Congress and signed into law by the president — to protect inspectors general from precisely this sort of interference with the discharge of their critical, nonpartisan duties,” the complaint said.The lawsuit asserts that the plaintiffs remain the lawful inspectors general of their agencies because Mr. Trump’s dismissals broke the law. It asks for an injunction requiring the executive branch to allow them to return to work and awarding them back pay.Four days after Mr. Trump returned to office last month, the White House notified as many as 17 inspectors general in tersely worded emails that they were being terminated because of “changing priorities.”Those were all in direct conflict with statutory restrictions on firing such officials in the Inspector General Act of 1978 and strengthened by lawmakers in the bipartisan Securing Inspectors General Act of 2022.That statute says that before an inspector general is removed, the president must provide Congress with 30 days’ advance notice, including a written explanation with “the substantive rationale, including detailed and case-specific reasons for any such removal.”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