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Trump replaces his original surgeon general pick with a wellness influencer close to RFK Jr.

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President Donald Trump is tapping Dr. Casey Means, a physician-turned-wellness influencer with close ties to Health and Human Services Secretary Robert F. Kennedy Jr., as his nominee for surgeon general after withdrawing his initial pick for the influential health post.

Trump said in a social media post Wednesday that Means has “impeccable ‘MAHA’ credentials” – referring to the “ Make America Healthy Again ” slogan – and that she will work to eradicate chronic disease and improve the health and well-being of Americans.

“Her academic achievements, together with her life’s work, are absolutely outstanding,” Trump said. “Dr. Casey Means has the potential to be one of the finest Surgeon Generals in United States History.”

In doing so, Trump withdrew former Fox News medical contributor Janette Nesheiwat from consideration for the job, marking at least the second health-related pick from Trump to be pulled from Senate consideration. Nesheiwat had been scheduled to appear before the Senate Health, Education, Labor and Pensions Committee Thursday for her confirmation hearing.

Means and her brother, former lobbyist Calley Means, served as key advisers to Kennedy’s longshot 2024 presidential bid and helped broker his endorsement of Trump last summer. The pair made appearances with some of Trump’s biggest supporters, winning praise from conservative pundit Tucker Carlson and podcaster Joe Rogan. Calley Means is currently a White House adviser who appears frequently on television to promote restrictions on SNAP benefitsremoving fluoride from drinking water and other MAHA agenda items.

Casey Means has no government experience and dropped out of her surgical residency program, saying she became disillusioned with traditional medicine. She founded a health tech company, Levels, that helps users track blood sugar and other metrics. She also makes money from dietary supplements, creams, teas and other products sponsored on her social media accounts.

In interviews and articles, Means and her brother describe a dizzying web of influences to blame for the nation’s health problems, including corrupt food conglomerates that have hooked Americans on unhealthy diets, leaving them reliant on daily medications from the pharmaceutical industry to manage obesity, diabetes and other chronic conditions.

Few health experts would dispute that the American diet — full of processed foods — is a contributor to obesity and related problems. But Means goes further, linking changes in diet and lifestyle to a raft of conditions including infertility, Alzheimer’s, depression and erectile dysfunction.

“Almost every chronic health symptom that Western medicine addresses is the result of our cells being beleaguered by how we’ve come to live,” Means said in a 2024 book co-written with her brother.

Food experts say it’s overly simplistic to declare that all processed foods are harmful, since the designation covers an estimated 60% of U.S. foods, including products as diverse as granola, peanut butter and potato chips.

“They are not all created equal,” said Gabby Headrick, a nutrition researcher at George Washington University’s school of public health. “It is much more complicated than just pointing the finger at ultra-processed foods as the driver of chronic disease in the United States.”

Means has mostly steered clear of Kennedy’s controversial and debunked views on vaccines. But on her website, she has called for more investigation into their safety and recommends making it easier for patients to sue drugmakers in the event of vaccine injuries. Since the late 1980s, federal law has shielded those companies from legal liability to encourage development of vaccines without the threat of costly personal injury lawsuits.

She trained as a surgeon at Stanford University but has built an online following by criticizing the medical establishment and promoting natural foods and lifestyle changes to reverse obesity, diabetes and other chronic diseases.

If confirmed as surgeon general, Means would be tasked with helping promote Kennedy’s sprawling MAHA agenda, which calls for removing thousands of additives and chemicals from U.S. foods, rooting out conflicts of interest at federal agencies and incentivizing healthier foods in school lunches and other nutrition programs.

Nesheiwat, Trump’s first pick, is a medical director for an urgent care company in New York and has appeared regularly on Fox News to offer medical expertise and insights. She is a vocal supporter of Trump and shares photos of them together on social media. Nesheiwat is also the sister-in-law of former national security adviser Mike Waltz, who has been nominated to be Trump’s ambassador to the United Nations.

But she had recently come under criticism from Laura Loomer, a far-right ally of Trump who was instrumental in ousting several members of the president’s National Security Council. Loomer posted on X earlier this week that “we can’t have a pro-COVID vaccine nepo appointee who is currently embroiled in a medical malpractice case and who didn’t go to medical school in the US” as the surgeon general.

Independent freelance journalist Anthony Clark reported last month that Nesheiwat earned her medical degree from the American University of the Caribbean School of Medicine in St. Maarten, despite saying that she has a degree from the University of Arkansas School of Medicine. The White House pulled Nesheiwat’s nomination because of doubts about her confirmation prospects, according to a person familiar with the matter who spoke on condition of anonymity to discuss the administration’s reasoning.

“I am looking forward to continuing to support President Trump and working closely with Secretary Kennedy in a senior policy role to Make America Healthy Again! My focus continues to be on improving the health and well-being of all Americans, and that mission hasn’t changed,” Nesheiwat wrote on social media Wednesday.

The surgeon general, considered the nation’s doctor, oversees 6,000 U.S. Public Health Service Corps members and can issue advisories that warn of public health threats.

In March, the White House pulled from consideration the nomination of former Florida GOP Rep. Dave Weldon to lead the Centers for Disease Control and Prevention. His skepticism on vaccines had raised concerns from key Republican senators, and he withdrew after being told by the White House that he did not have enough support to be confirmed.

The withdrawal was first reported by Bloomberg News.

This story was originally featured on Fortune.com



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Doctor: A ‘cure’ for aging is getting closer but society isn’t ready

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Genesys CEO: How empathetic AI can scale our humanity during economic uncertainty

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In light of the U.S. tariff announcements and rising economic uncertainty, I believe companies will instinctively turn to efficiency measures to weather potential disruption. And while efficiency is critical, it’s empathy—together with operational rigor—that will determine who thrives.

In an era increasingly shaped by AI, the most memorable customer experiences harness the power of “and”—they are fast and human, automated and deeply personal. Being seen and understood isn’t at odds with scale. It’s what elevates it. 

From transactions to trust

Over the past decade, organizations have invested in technology to make customer service faster, more consistent, and less reliant on human intervention.

While automated chatbots and self-service tools have become commonplace, many experiences still feel impersonal and often frustrating. That’s because they were built for efficiency, not empathy.

But business is shifting from a service economy, where value is measured by speed and volume, to an experience economy, where value is created through emotional resonance, trust, and personalization. 

This concept of the “experience economy” was first introduced by B. Joseph Pine II and James H. Gilmore, who argued that we are moving into an era where the primary offering is not a product or a service, but rather the experience itself. In their words, “work is theatre and every business a stage.” That framing may sound dramatic, but it’s more relevant now than ever. Consumers aren’t just buying outcomes. They’re buying how those outcomes feel.

It’s a shift that’s easy to see in our daily lives. We’ll choose a coffee shop not just for the quality of the coffee, but for how the space makes us feel. We’ll return to a brand that remembers our preferences. We’ll tell friends about the airline that made a frustrating delay easier to navigate with clarity. These experiences create differentiation in a world where many services have become commoditized. In fact, according to a survey we conducted in 2024, 30% of consumers say they have stopped using a brand after a negative experience in the past year.

The five levels of experience

Technology has historically lagged behind this evolution, but that’s changing, too. Artificial intelligence is now capable of understanding sentiment, adapting to behavior in real time and personalizing every interaction. This evolution requires more than incremental upgrades. It calls for a new approach—one where conversations across channels, moments, and touchpoints are designed to feel seamless, personalized, and emotionally intelligent.

To understand how organizations are navigating this shift, we developed a five-level maturity model that maps progress from basic transactions to fully orchestrated, emotionally intelligent experiences.

Levels 1 and 2: Rely on rigid, rules-based systems like legacy phone trees or entry-level chatbots to handle simple customer requests. These interactions are often siloed, reactive, and limited in their ability to adapt. 

Level 3: Integrates predictive and generative AI to personalize interactions in real time. Virtual assistants don’t just answer questions—they start to anticipate needs, resolve problems proactively, and adapt based on context.

Agentic AI is the bridge to the highest levels of experience orchestration, enabling systems to take initiative, make decisions, and coordinate actions across channels to pave the way for emotionally intelligent and fully orchestrated experiences.

Level 4: AI will begin to reflect emotional intelligence. It will detect tone and sentiment, respond with appropriate empathy, and even switch communication styles based on the customer’s preferences or language. This will enable systems to handle more complex, emotionally charged conversations like resolving a billing dispute or managing a delayed flight without losing the human touch.

Level 5: Universal orchestration. This is an aspirational frontier. AI will be adaptive and predictive, and capable of acting as a kind of personalized virtual concierge that understands individuals holistically across time and channels. For many industries, it is poised to become a competitive imperative.

The economic value of empathy

There’s no doubt that automation and augmentation drive real value. Businesses that implement AI-driven tools to handle routine customer interactions and provide real-time employee assistance often see meaningful improvements in efficiency, cost savings, and scalability, while also driving increases in employee engagement and customer satisfaction.

But the real prize lies beyond efficiency, in loyalty.

When businesses invest in empathetic AI that can personalize experiences, optimize journeys, and foster trust, they unlock a new level of potential economic impact. Consider a regional bank with a thousand customer service agents. By layering empathetic AI capabilities into its operations, it could not only reduce churn and improve employee retention but also create new top-line opportunities through more effective upselling, cross-selling, and long-term customer loyalty.

Empathy, in a very real way, can pay.

Empathy by design

Empathy is often thought of as a uniquely human trait. But in the context of AI, it becomes both a design challenge and a philosophical one.

Building emotionally intelligent systems requires training models to recognize more than just words. They must interpret tone, pace, hesitation, and sentiment. They must connect disparate data points to understand context, like why a customer is calling, how they’re feeling, and what they’ve experienced before, then adjust their response accordingly.

Some of the more advanced systems now match customers with agents based on emotional state and skill compatibility, offer proactive help before an issue escalates, and adjust tone in real time. They’re also capable of continuous learning, using journey data to refine interactions and ensure the experience gets better over time.

This is a new kind of intelligence. This is empathy by design. 

The human future of AI

As we move further into the experience economy—during times of macroeconomic tailwinds or headwinds—one thing is clear: Being human is a business advantage. In fact, a Forrester analysis shows that companies that improve CX can drive significant revenue growth. 

The most valuable experiences in life, and in business, are those that make us feel seen, understood, and valued. They help turn customers into loyalists, and brands into beacons. Empathy isn’t a feature. It’s the future. And AI, when built with that truth at its core, can help us deliver something truly powerful: technology that scales service and scales humanity.

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.

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The U.S. trade deficit: It’s time to dump do-it-yourself economics and go back to basics

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Since President Trump’s inauguration on Jan. 20, it seems that many people—particularly the chattering classes—have suddenly become experts in international trade. Mr. Trump’s tariffs have spawned a litany of what economist David Henderson termed “do-it-yourself economics.” These are economic ideas that reflect the intuitive notions of laypeople and owe nothing to the ideas generated by trained economists and the economics profession. Not surprisingly, Henderson concluded that the gap between the notions of do-it-yourself economics and orthodox economics is widest in the sphere of international trade.

This gap is evident in the current brouhaha over trade and tariffs, particularly in the two opposing camps: those responsible for formulating the administration’s trade agenda (Mr. Trump and his cabinet) and those critiquing it (primarily commentators and journalists). The result of this dynamic is not only that the Trump administration has enacted wrongheaded trade policies, but also that the opposition to these policies is largely ineffective or irrelevant. Both camps are engaged in do-it-yourself economics.

The misconceptions emanating from both camps stem from one common oversight: Neither Mr. Trump nor his detractors have familiarized themselves with the savings-investment identity, a basic yet crucial mechanism that governs the magnitude of a country’s trade balance. Indeed, by definition, a country’s trade balance is governed entirely by the gap between its domestic saving and domestic investment. If a country’s domestic saving is greater than its domestic investment, like China’s, it will register a trade surplus. Likewise, if a country has a savings deficiency, like the United States, it will register a trade deficit. The United States’ negative trade balance, which the country has registered every year starting in 1975, is “made in the USA,” a result of its savings deficiency. To view the trade balance correctly, the focus should be on the domestic economy.

As it turns out, one of us, Hanke, analyzed the United States’ large and persistent trade deficits and found that they are primarily driven by its large and persistent fiscal deficits at the federal, state, and local government levels. In other words, in the aggregate, there is a savings deficiency in the United States, and this savings deficiency comes from the public sector—the U.S. private sector actually generates a savings surplus. This aggregate gap between savings and investment is filled by foreign imports of goods and services, resulting in an easy-to-finance capital inflow surplus and a trade deficit.

Armed with the basic truth of the savings-investment identity, we now turn to Mr. Trump’s camp. Mr. Trump and his advisors believe that the United States’ trade deficit is the result of foreigners ripping off and taking advantage of the United States. Indeed, Uncle Sam is characterized as being a victim of unfair trade practices. This characterization is clearly wrong on two counts. First, the trade deficit is not caused by foreigners; rather, it is homegrown, the result of choices made by Americans (in the aggregate) to invest beyond what they save.

Second, the trade deficit is not necessarily harmful. It instead appears to be a privilege extended to Americans by foreigners willing to invest in U.S. assets. This is a symbiotic relationship: Americans get cheap access to capital, while foreign governments and institutions get a safe place to park their money and earn a return.

When it comes to trade policy, the Trump administration’s detractors are just as lost as the White House. A recent high-profile article in the New York Times—Totally Silly.’ Trump’s Focus on Trade Deficit Bewilders Economists,” contains an indicative summary of what journalists and commentators have to say about trade deficits. There’s just one little problem with the article and its respondents: No one ever explicitly mentions the true source of the trade deficit, which is elucidated by one of the most basic identities in economics. The identity tells us that if savings are less than investment, the gap must be filled by a trade deficit.

Both Mr. Trump’s cabinet and those criticizing his policies have a fundamental misunderstanding of what drives the U.S. trade deficit. As a result, the trade debate has turned into a futile filibuster, highlighting the dangers of do-it-yourself economics. It’s time to go back to the basics.

Steve H. Hanke is a professor of applied economics at the Johns Hopkins University and the author, with Leland Yeager, of Capital, Interest, and Waiting. Caleb Hofmann is a research scholar at the Johns Hopkins Institute for Applied Economics, Global Health, and the Study of Business Enterprise.

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.

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