Dr. Casey Means, Trump’s nominee for surgeon general, graduated from the Stanford School of Medicine but left her residency before completion, and is now a wellness influencer and tech company founder. As the nation’s top doctor, the surgeon general is meant to be a trusted voice guiding Americans on matters about health, based on professional credentials and experience. Means is a millionaire, contrarian and dropout, who continues to boast her credentials even as she seeks to destroy the system that awarded them.