Casey Means, a prominent nutrition advocate in the Make America Healthy Again movement, has been described as insufficiently critical of vaccines.

Casey Means isn’t currently licensed as a doctor. But that’s not why anti-vaxxers and conspiracists think she’s unsuited to be surgeon general—to them, her anti-vaccine opinions aren't extreme enough.

Trump changed his surgeon general pick, setting aside a nominee who backed COVID masking and social distancing . What to know about his new pick, Casey Means.