
Last week, President Donald Trump nominated Dr. Casey Means to be surgeon general. Means is a wellness influencer and, along with her brother, a prominent advocate for Health Secretary Robert F. Kennedy Jr.’s “Make America Healthy Again” movement. WSJ’s Kristina Peterson reports on how Means’s nomination makes her the latest figure from the lightly regulated wellness industry who has been elevated by Kennedy. Jessica Mendoza hosts. Further Listening: - The Fight to Kick Soda Out of Food Stamps - The Fight Over Fluoride Sign up for WSJ’s free What’s News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices
Chapter 1: Who are Casey and Callie Means and what is their role in wellness advocacy?
Back in October, podcaster Joe Rogan featured a brother and sister duo on a show. People want to be healthy. There's a huge system rigged against them. Casey and Callie Means are big in the wellness space. Casey, the sister, is a medical doctor. The brother, Callie, is a former food lobbyist. They each co-founded startups related to health.
People know that something's not right. And people know that this health issue is the tip of the iceberg.
Chapter 2: What is the Make America Healthy Again (MAHA) movement?
Casey Means is one of the more influential figures in the Make America Healthy Again movement.
That's our colleague Christina Peterson. She's been covering the Maha movement closely.
She kind of came to prominence last year when she and her brother wrote this book called Good Energy that is sort of examining the root causes for why America is not as healthy as it should be.
Chapter 3: Why was Dr. Casey Means nominated as Surgeon General and what does it signify?
Last week, President Trump nominated Casey Means to be Surgeon General, a powerful role inside Robert F. Kennedy Jr. 's Department of Health and Human Services. Means' nomination has put her in the national spotlight, making her the latest and now most prominent Maha influencer elevated by Kennedy's political rise.
The rise of RFK, he's now the nation's most powerful public health official, has created avenues in which some of these figures stand to profit.
Welcome to The Journal, our show about money, business, and power. I'm Jessica Mendoza. It's Monday, May 12th. Coming up on the show, the business ties of RFK Jr. 's Maha inner circle. Before he took office as HHS secretary, Robert F. Kennedy Jr. gave a forceful statement to Congress.
We will remove financial conflicts of interest from our agencies. We will create an honest, unbiased, gold-standard science at HHS, accountable to the president, to Congress, and to the American people.
Chapter 4: How has RFK Jr.'s leadership influenced the wellness industry in government?
Kennedy has presented himself as the antidote to business interests becoming entangled with the nation's health care. He's called out conflicts of interest between the government and big food companies and big pharma. As he's pushed to get those industries out of government, he's surrounded himself with people from another industry with growing influence.
A lot of the most influential Maha figures have businesses in the wellness industry, which is a little more lightly regulated. And people that I've talked to have raised some concerns that their close alliance with RFK kind of makes it seem like the government has backed the wellness industry, that they have this sort of imprimatur of the government when that's not necessarily the case.
Some of these companies are sort of catering to health optimization, people who want to really learn a lot about their health and optimize everything they can do to be healthier and live longer. And that's just a little bit of a different emphasis than sort of traditional public health.
One recent public display of the ties between RFK Jr. and the wellness industry was at a press conference in April.
Let's join me in welcoming a warrior for America's children, RFK Jr.
Thank you, Governor Morrissey.
At the Health and Human Services building, Kennedy announced plans to phase out some artificial food dyes.
And we are going to get rid of the dyes, and one by one, we're going to get rid of every ingredient and additive in food that we can legally address.
It had the vibe of almost a campaign event. Tons of people wearing Maha hats, apparel, When RFK was speaking, people held up their phones to film him. It really had almost like a concert rock star vibe, more than a typical health policy press conference. And it was packed. There were tons of people.
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Chapter 5: What happened at the April press conference involving RFK Jr. and wellness influencers?
who is known as the food babe she is someone who has long championed getting rid of certain dyes and additives out of certain foods and she is the co-founder of a company called Truvani which makes protein powder supplements and snack bars And she was extremely enthusiastic to be talking about the FDA's announcement that it was phasing out certain food dyes.
It was just kind of striking to have some people on stage who were later praised by Kennedy.
Thanks, Vaniari, who's been an extraordinary leader.
The day after that press conference, Hari did a joint CNN interview, sharing top billing with the FDA commissioner. She'd already starred with other Maha moms in a video shared on the official White House X account.
The Make America Healthy Again movement is the strongest movement in America because it contains moms.
So she's someone that they've really turned to to help amplify their message. And they don't typically identify her company, but, you know, she has a very vigorous online presence. And it does seem like this is giving her even more visibility.
And so all of these connections, does it violate any ethical rules or any laws? No.
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Chapter 6: Who is Vani Hari and what role does she play in the MAHA movement?
Probably not. Some of these situations operate in a little bit of a gray zone. People who are coming into government do have to declare all of their financial investments. Sometimes the government asks them to divest of certain stocks. They generally cannot keep receiving a salary from the outside.
Hari is not a government employee, so she can't advocate on behalf of RFK Jr. 's movement while still running her health and wellness business. But Christina says perception matters in government.
Ethics experts say most of the time the government doesn't want to give the impression of even the appearance of a conflict of interest. So that's why they would typically avoid things like that that could give the impression of using the public office for private gain.
Another person in the same bucket as Hari is Dr. Mark Hyman, another wellness startup founder that Christina noticed was in that same press conference in March.
I'm a lifelong advocate for addressing chronic disease through food.
Hyman sells a variety of supplements and nutrition books. He also owns a membership-based health program called Function Health. RFK Jr. said he's known Hyman for 20 years.
He talked about how he and Mark Hyman have long been friends. He gave a shout out to Mark Hyman's book.
Mark Hyman says in his book, The 10 Day Sugar Detox, which I'll give a plug to his very good book. He talks about it.
So there were just some kind of unorthodox elements of having business owners who didn't talk about their businesses, but stand to benefit from some of these policies and from at a minimum being on stage with RFK Jr. and being praised by him.
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Chapter 7: Are there ethical concerns about wellness industry figures' involvement with government?
I think what is unusual that we're seeing is this sort of intertwining of the Maha universe with HHS. And not all of this is in ways that raise eyebrows. Some of it is just that there is a very devoted community of Maha moms, as they're called, and advocates of
But I think where people are concerned is where they do enter into the official agency activities and are featured in their press conferences or their official communications. That's where I think things get a little blurry, according to ethics experts. And the concern specifically is, are you using government, the public office to benefit individuals or businesses?
A spokesman for the HHS said, quote, it appears that the Wall Street Journal is taking issue with private citizens exercising First Amendment rights. Christina says that there are Maha influencers who are getting official roles in the government. That's after the break.
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Hey.
Hey, we're so excited for tonight. Before we come over, though, may I ask if there are any unlocked guns in your home?
Our guns are stored securely, locked in a safe that the kids can't access.
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Chapter 8: What connections exist between RFK Jr., wellness startups, and policy influence?
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Trump's new pick for Surgeon General, Casey Means, touts views shared by many MAHA supporters. Here she is on Tucker Carlson's podcast.
All aspects of modern American society are rigged against the American patient to get us, you know, addicted to food, allegiant to pharma.
Means got her medical degree from Stanford University, though she didn't finish her residency afterwards. And she doesn't have an active medical license. She's pushed to overhaul the country's food and health systems, driven by a deep distrust of America's pharmaceutical and food industries. She's questioned medical expertise and vaccine mandates.
Mean's embrace of many of these Maha ideas started after her mother died of pancreatic cancer.
Casey Means writes in her book about how when their mother was dying in 2021, she was angered by the doctors who were pushing surgical interventions on her mother when she wanted more to preserve her quality of life. And so she felt that that was an example of the medical establishment not giving good advice to patients and not putting their wishes first.
Casey Means also owns her own wellness business.
So Casey is a co-founder of a company called Levels that is a subscription-based app that connects to wearable glucose monitors.
Levels can be used for many things, whether it's AI-powered food logging, whether it's tracking your macros. Christina also found that Means has investments and ties with other companies and people who are close to Kennedy's inner circle. For example, she's an investor in Dr. Mark Hyman's company Function Health. And Hyman, in turn, is an advisor on Casey Means' company, Levels.
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