Casey Means and I are the same age. She dropped out of ENT residency and now calls herself a metabolic health and nutrition expert. I completed my internal medicine training and went on to earn certifications in obesity medicine, clinical lipidology, cardiometabolic medicine, menopause, and culinary medicine and working on more. I actively care for patients every day. I would never claim to be qualified to serve as Surgeon General. But her consideration for such a role is a striking reality of how this administration continues to devalue real expertise in favor of hype, media presence and wellness branding. Credentials matter. Experience matters. Our patients deserve better.