Yes, there is a fight right now among MAHA activists. Yes, it has to do with the announcement on May 7 2025 that "wellness influencer" and bestselling author Casey Means was replacing Dr Janette Nesheiwat as President Trump's nominee for the office of Surgeon General. Dr Nesheiwat, it emerged, had misrepresented her medical credentials.

A post by former Vice Presidential Candidate Nicole Shanahan, without whose financial and strategic support for RFK Jr's candidacy, neither he nor President Trump would be in power right now, has been widely circulated. Shanahan found it "strange" that a direct assurance to her from RFK Jr, in exchange for her support for his confirmation, that neither Casey nor her brother Calley Means would be brought to serve in HHS, was disregarded.

There is a lot of condescension — unfortunately, much of it male — that followed the expressions of outrage from key MAHA voices, many of them female. The @SecKennedy account on X called criticisms of Casey Means by MAHA voices, "absurd". This is a terrible tone in which to address the serious concerns of a base that has fought for this leader and supported him.

Calley Means, for his part, Casey Means' brother, has been insulting. He used sarcasm to assign to me, as just one example of the regrettable reaction to MAHA outrage, views I do not hold: