The Trump administration has dropped its nomination of Casey Means to be the next surgeon general, opting instead for radiologist and Fox News contributor Nicole Saphier.

Reminder: Means drew criticism for her lack of a medical license or experience treating patients, as well as her stances on a few topics. She had not garnered enough support in the Senate to be confirmed.

The details:

The bigger picture: The move is a blow to MAHA, after a months-long push to get Means confirmed. Leaders in the movement are outraged over the switch.

Read more: Trump drops Casey Means as surgeon general nominee, opts for radiologist Nicole Saphier; Trump pulls Means’ nomination for surgeon general; The new surgeon general nominee has a MAHA problem