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President Trump accused Sen.Bill Cassidy, R-La., on Thursday of being “very disloyal” and playing “political games” over his opposition to the confirmation of the commander-in-chief’s second Surgeon General nominee.
The President concluded his remarks byurging voters to replacethe Louisiana Republican.In a Truth Social post, Trump assailed Cassidy over the failure to secure Casey Means’ confirmation.
“For months, Senator Bill Cassidy (of the GREAT State of Louisiana!), a very disloyal person whose ‘TRUMP’ Endorsement got him elected, but later voted to impeach ‘President Trump’ on what has now proven to be a total Hoax and Scam, has stood in the way ofRobert F.Kennedy Jr.’s Nominee, Casey Means, for the important position of U.S.Surgeon General,” Trump wrote.
He described Means as a “strong MAHA (Make America Healthy Again) Warrior” who “will continue to fight for MAHA on the many important health issues facing our Country.”
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Dr.Casey Means appears at a Senate Health, Education, Labor and Pensions Committee hearing on Capitol Hill in Washington, D.C., on Feb.25, 2026.She is the nominee for medical director in the Regular Corps of the Public Health Service and U.S.surgeon general.(Andrew Harnik/Getty Images)
Means’ brother, Calley Means, who serves as aWhite Houseadvisor, also blamed Cassidy for the failed nomination.
“Bill Cassidy is a mindless avatar for his donors and a blind defender of the status quo system that is profiting from American sickness,” he wrote on X.“At every turn during Casey’s confirmation, Bill Cassidy worked to delay her and smear her.For several months last year, Bill Cassidy knew Casey’sdue date.He demanded to schedule her hearing on her due date, and at the last minute scheduled it two days later.”
“He could have scheduled it weeks before,” he added.“Casey ended up having her baby the hour her first hearing was scheduled.”
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Sen.Bill Cassidy, R-La., holds his head as Dr.Casey Means testifies during a Senate Health, Education, Labor and Pension Committee confirmation hearing for U.S.Surgeon General on Capitol Hill in Washington on Feb.25, 2026.Trump heavily criticized Cassidy over the failure of Means to secure Senate confirmation.(Tom Brenner/AP)
In a subsequent post, Trump announced thefaces primary challengesfrom Louisiana Treasurer John Fleming and Rep.Julia Letlow, R-La.

President Donald Trump announced Dr.Casey Means as his nominee for surgeon general.(Getty Images/AP Newsroom)
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Means had previously appeared before the Senate Committee on Health, Education, Labor, and Pensions, which Cassidy chairs.During the proceeding,Cassidy raised concerns regarding herviews on vaccinations.
�s office for comment.
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