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Surgeon General of the United States

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(Redirected fromU.S. Surgeon General)
Head of the U.S. Public Health Service Commissioned Corps

Surgeon General of the
United States
Seal of the United States Public Health Service
Flag of the United States surgeon general
Incumbent
Vacant
U.S. Public Health Service
Commissioned Corps
StyleSurgeon General
Vice Admiral
AbbreviationSG
VADM
Reports toAssistant Secretary for Health
SeatHubert H. Humphrey Building,United States Department of Health and Human Services (HHS),Washington, D.C.
AppointerPresident of the United States
withUnited States Senateadvice and consent
Term length4 years
Constituting instrument42 U.S.C. § 205 and
42 U.S.C. § 207
FormationMarch 29, 1871
First holderJohn M. Woodworth (as supervising surgeon)
DeputyDeputy Surgeon General
Websitewww.SurgeonGeneral.gov

Thesurgeon general of the United States is the operational head of theUnited States Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters ofpublic health in thefederal government of the United States. The surgeon general's office and staff are known as theOffice of the Surgeon General (OSG), which is housed within theOffice of the Assistant Secretary for Health.[1]

The U.S. surgeon general is nominated by thepresident of the United States andconfirmed by theSenate. The surgeon general must be appointed from individuals who are members of theregular corps of theU.S. Public Health Service and have specialized training or significant experience in public health programs.[2] However, there is no time requirement for membership in the Public Health Service before holding the office of the Surgeon General, and nominees traditionally were appointed as members of the Public Health Service and as surgeon general at the same time. The surgeon general serves a four-year term of office and, depending on whether the currentassistant secretary for health is acommissioned corps officer, is either the senior or next-most senior uniformed officer of the commissioned corps,holding the rank ofvice admiral.[3][4]

Responsibilities

[edit]

The surgeon general reports to theassistant secretary for health (ASH). The ASH may be afour-staradmiral in the commissioned corps, and serves as the principal advisor to thesecretary of health and human services on public health andscientific issues. Thesurgeon general is the overall head of the commissioned corps, a 6,500-member cadre of uniformedhealth professionals who are on call 24 hours a day and can be dispatched by the secretary of HHS or by the assistant secretary for health in the event of a public health emergency.[citation needed]

The surgeon general is also the ultimate award authority for several public health awards and decorations, the highest of which that can be directly awarded is theSurgeon General's Medallion (the highest award bestowed by board action is thePublic Health Service Distinguished Service Medal). The surgeon general also has many informal duties, such as educating the American public about health issues and advocating healthy lifestyle choices.[citation needed]

The office also periodically issues health warnings. Perhaps the best known example of this is thesurgeon general's warning label that has been present on all packages of American tobacco cigarettes since 1966.[5] A similar health warning has appeared onalcoholic beverages labels since 1988.[6]

History

[edit]
The landmark 1964 Surgeon General's report onSmoking and Health.

In 1798, Congress established the Marine Hospital Fund, a network of hospitals that cared for sick and disabled seamen. The Marine Hospital Fund was reorganized along military lines in 1870 and became theMarine Hospital Service—the predecessor to today'sUnited States Public Health Service. The service became a separate bureau of the Treasury Department with its own staff, administration, headquarters in Washington, D.C., and the position of supervising surgeon, later surgeon general.[citation needed]

After 141 years under the Treasury Department, the Service came under the Federal Security Agency in 1939, then the Department of Health, Education, and Welfare (HEW) in 1953, and finally theUnited States Department of Health and Human Services (HHS).[citation needed]

Prior to 1970, the surgeon general was traditionally selected from career uniformed officers.[7] Today, the surgeon general is usually selected from the civilian community, who aligns more closely with the president's political party.[7] The office is not a particularly powerful one, and has little direct statutory impact on policy-making, but surgeons general are often vocal advocates of precedent-setting, far-sighted, unconventional, or even unpopular health policies.

  • On January 11, 1964,Luther Terry published a landmarkreport saying that smoking may be hazardous to health,[8] sparking nationwide anti-smoking efforts. Terry and his committee defined cigarette smoking of nicotine asnot anaddiction. The committee itself consisted largely of physicians who themselves smoked. This report went uncorrected for 24 years.[9]
  • In 1986,C. Everett Koop's report on AIDS called for some form of AIDS education in the early grades of elementary school, and gave full support for using condoms for disease prevention.[10] He also resisted pressure from theReagan administration to report thatabortion was psychologically harmful to women, stating he believed it was a moral issue rather than one concerning the public health.
  • In 1994,Joycelyn Elders spoke at a United Nations conference on AIDS. She was asked whether it would be appropriate to promote masturbation as a means of preventing young people from engaging in riskier forms of sexual activity. She replied, "I think that it is part of human sexuality, and perhaps it should be taught."[11] Elders also spoke in favor of studying drug legalization. In a reference to the nationalabortion issue, she said, "We really need to get over this love affair with the fetus and start worrying about children."[12] She was fired by PresidentBill Clinton in December 1994.

The U.S.Army,Navy, andAir Force also have officers overseeing medical matters in their respective services who hold the titleSurgeon General, of their respective services, while the surgeon general of the United States is surgeon general of the entire nation.[citation needed]

The insignia of the surgeon general, and the USPHS, use thecaduceus as opposed to theRod of Asclepius.[citation needed]

Service rank

[edit]

The surgeon general is acommissioned officer in theU.S. Public Health Service Commissioned Corps, one of the eightuniformed services of the United States, and by law holds the rank ofvice admiral.[3] Officers of the Public Health Service Commissioned Corps are classified as non-combatants, but can be subjected to theUniform Code of Military Justice (UCMJ) and theGeneva Conventions when designated by thecommander-in-chief as a military force or if they are detailed or assigned to work with thearmed forces. Officers of the commissioned corps, including the surgeon general, wear uniforms that are modeled after uniforms of theUnited States Navy and theUnited States Coast Guard, except that the commissioning devices, buttons, and insignia are unique. Officers in the U.S. Public Health Service wear unique devices that are similar to U.S. Navy staff corps officers (e.g.,Navy Medical Service Corps,Supply Corps, etc.).

The only surgeon general to actually hold the rank of a four-staradmiral wasDavid Satcher (born 1941, served 1998–2002). This was because he served simultaneously in the positions of surgeon general (three-star) andassistant secretary for health (which is a four-star office).[13]John Maynard Woodworth (1837–1879, served 1871–1879), was the first holder of the office as "supervising surgeon."

  • Insignia
  • US Public Health Service Collar Device
    US Public Health Service Collar Device
  • US Public Health Service Cap Device
    US Public Health Service Cap Device
  • The stars, shoulder boards, and sleeve stripes of the surgeon general
    The stars, shoulder boards, and sleeve stripes of the surgeon general

List of surgeons general of the United States

[edit]
  Denotes acting capacity.
No.PortraitName
(Birth–Death)
Term of officeAppointed by
(term)
Ref.
Took officeLeft officeTime in office
1John M. Woodworth
(1837–1879)
March 29, 1871March 14, 18797 years, 350 daysUlysses S. Grant
(1869–1877)
[14]
2Commodore
John B. Hamilton
(1847–1898)
April 3, 1879June 1, 189112 years, 59 daysRutherford B. Hayes
(1877–1881)
[15][16]
3Commodore
Walter Wyman
(1848–1911)
June 1, 1891November 21, 191120 years, 173 daysBenjamin Harrison
(1889–1893)
[16][17]
4Commodore
Rupert Blue
(1868–1948)
January 13, 1912March 3, 19208 years, 50 daysWilliam Howard Taft
(1909–1913)
[18]
5Rear Admiral
Hugh S. Cumming
(1869–1948)
March 3, 1920January 31, 193615 years, 334 daysWoodrow Wilson
(1913–1921)
[19]
6Rear Admiral
Thomas Parran Jr.
(1892–1968)
April 6, 1936April 6, 194812 years, 0 daysFranklin D. Roosevelt
(1933–1945)
[20]
7Rear Admiral
Leonard A. Scheele
(1907–1993)
April 6, 1948August 8, 19568 years, 124 daysHarry S. Truman
(1945–1953)
[21]
8Rear Admiral
Leroy E. Burney
(1906–1998)
August 8, 1956January 29, 19614 years, 174 daysDwight D. Eisenhower
(1953–1961)
[22]
9Luther Terry
(1911–1985)
March 2, 1961October 1, 19654 years, 213 daysJohn F. Kennedy
(1961–1963)
10William H. Stewart
(1921–2008)
October 1, 1965August 1, 19693 years, 304 daysLyndon B. Johnson
(1963–1969)
[23][24]
Rear Admiral
Richard A. Prindle
(c. 1926–2001)
Acting
August 1, 1969December 18, 1969139 daysRichard Nixon
(1969–1974)
[25][26]
11Jesse L. Steinfeld
(1927–2014)
December 18, 1969January 30, 19733 years, 43 days[27][28]
Rear Admiral
S. Paul Ehrlich Jr.
(1932–2005)
Acting
January 31, 1973July 13, 19774 years, 163 days[29]
12Vice Admiral
Julius B. Richmond
(1916–2008)
July 13, 1977January 20, 19813 years, 191 daysJimmy Carter
(1977–1981)
[30]
Rear Admiral
John C. Greene
(1936–2016)
Acting
January 21, 1981May 14, 1981113 daysRonald Reagan
(1981–1989)
Edward Brandt Jr.
(1933–2007)
Acting
May 14, 1981January 21, 1982252 days
13Vice Admiral
C. Everett Koop
(1916–2013)
January 21, 1982October 1, 19897 years, 253 days[31][32]
Admiral
James O. Mason
(1930–2019)
Acting
October 1, 1989March 9, 1990159 daysGeorge H. W. Bush
(1989–1993)
14Vice Admiral
Antonia Novello
(born 1944)
March 9, 1990June 30, 19933 years, 113 days[33]
Rear Admiral
Robert A. Whitney
(born 1935)
Acting
July 1, 1993September 8, 199369 daysBill Clinton
(1993–2001)
15Vice Admiral
Joycelyn Elders
(born 1933)
September 8, 1993December 31, 19941 year, 114 days[34][35]
Rear Admiral
Audrey F. Manley
(born 1934)
Acting
January 1, 1995July 1, 19972 years, 180 days
Rear Admiral
J. Jarrett Clinton
(1938–2023)
Acting
July 2, 1997February 12, 1998226 days
16Admiral[a]
David Satcher
(born 1941)
February 13, 1998February 12, 20023 years, 364 days[13][36][37]
Rear Admiral
Kenneth P. Moritsugu
(born 1945)
Acting
February 13, 2002August 4, 2002172 daysGeorge W. Bush
(2001–2009)
[38]
17Vice Admiral
Richard Carmona
(born 1949)
August 5, 2002July 31, 20063 years, 360 days[39][40]
Rear Admiral
Kenneth P. Moritsugu
(born 1945)
Acting
August 1, 2006September 30, 20071 year, 60 days[38]
Rear Admiral
Steven K. Galson
(born 1956)
Acting
October 1, 2007October 1, 20092 years, 0 days[41]
Rear Admiral
Donald L. Weaver
Acting
October 1, 2009November 3, 200933 daysBarack Obama
(2009–2017)
[42]
18Vice Admiral
Regina Benjamin
(born 1956)
November 3, 2009July 16, 20133 years, 255 days[43][42][44][45]
Rear Admiral
Boris Lushniak
Acting
July 17, 2013December 18, 20141 year, 154 days[46]
19Vice Admiral
Vivek Murthy
(born 1977)
April 22, 2015April 21, 20171 year, 364 days[47][48]
Rear Admiral
Sylvia Trent-Adams
(born 1965)
Acting
April 21, 2017September 5, 2017137 daysDonald Trump
(2017–2021)
[49]
20Vice Admiral
Jerome Adams
(born 1974)
September 5, 2017January 20, 20213 years, 137 days[50][51]
Rear Admiral
Susan Orsega
Acting
January 20, 2021March 24, 202162 daysJoe Biden
(2021–2025)
[52]
21Vice Admiral
Vivek Murthy
(born 1977)
March 25, 2021January 20, 20253 years, 301 days[53][54]
Rear Admiral
Denise Hinton
Acting
January 20, 2025September 29, 2025252 daysDonald Trump
(2025)
[55]

See also

[edit]

Notes

[edit]
  1. ^Reverted to the rank of vice admiral in 2001, for the remainder of his term as surgeon general, when he no longer held the office ofAssistant Secretary for Health.

References

[edit]
  1. ^"OASH Organization Chart".HHS.gov. October 24, 2008. RetrievedApril 8, 2025.
  2. ^42 U.S.C. § 205 - Appointment and tenure of office of Surgeon General; reversion in rank.
  3. ^ab42 U.S.C. § 207 - Grades, ranks, and titles of commissioned corps.
  4. ^"Public Health, Commissioned Corps Uniforms and Ranks". Archived fromthe original on May 13, 2008.
  5. ^"Public Health Information | R.J. Reynolds Tobacco Company".R.J. Reynolds Tobacco Company. Archived fromthe original on August 16, 2017. RetrievedAugust 16, 2017.
  6. ^"Legislation".depts.washington.edu. RetrievedAugust 16, 2017.
  7. ^abCarmona, Richard (November 9, 2014)."Take politics out of selecting surgeon general: Column".USA Today.Archived from the original on November 25, 2021. RetrievedNovember 25, 2021.
  8. ^Julie M. FensterArchived 2008-08-28 at theWayback Machine "Hazardous to Your Health"American Heritage, Oct. 2006.
  9. ^Joel Spitzer.The Surgeon General says... WhyQuit.com. RetrievedMay 22, 2010.
  10. ^Winn, Mari (October 9, 1988)."The Legacy of Dr. Koop".The New York Times.
  11. ^Leon Dash,"Joycelyn Elders: From Sharecropper's Daughter to Surgeon General of the United States of America",Washington Monthly, January–February 1997
  12. ^Dreifus, Claudia (March 9, 1994)."Joycelyn Elders".The New York Times.
  13. ^ab"David Satcher (1998–2002)". U.S. Department of Health and Human Services. January 4, 2007. Archived fromthe original on January 6, 2009. RetrievedJanuary 22, 2009.
  14. ^"OBITUARY. Surgeon-General John M. Woodworth".The Philadelphia Inquirer. March 15, 1879. p. 8.John M. Woodworth, the Supervising Surgeon-General Marine Hospital Service, who has been ill with erysipelas and pneumonia for several days past, died at four o'clock this morning.
  15. ^"An Appointment".The Philadelphia Inquirer. March 20, 1879. p. 6.Dr. Hamilton, in charge of the marine hospital at Boston, will be appointed supervising surgeon-general of the marine hospital service.
  16. ^ab"TELEGRAPHIC SUMMARY. ETC".The Baltimore Sun. May 30, 1891. p. 1.Surgeon-General John B. Hamilton, of the Marine Hospital, has resigned to accept a professorship in Rush Medical College, Chicago, and will be succeeded as surgeon-general by Dr. Walter Wyman, of the marine hospital service.
  17. ^"DR. WALTER WYMAN DEAD".The Baltimore Sun. November 21, 1911. p. 1.Walter Wyman, Surgeon-General of the United States Public Health and Marine Hospital Service, died at Providence Hospital at 12.20 o'clock this morning. Dr. Wyman had been ill about a month, and his case was a most baffling one.
  18. ^"DR. RUPERT BLUE TAKES OATH".The Baltimore Sun. January 14, 1912. p. 11.Rupert Blue today was inaugurated Surgeon-General of the Public Health and Marine Hospital Service, succeeding the late Dr. Walter Wyman. He took the oath of office in the preeence of Secretary of the Treasury MacVeagh, Assistant Secretary Bailey and all the chiefs of divisions of the Treasury Department.
  19. ^"HOUSTON GOES TO TREASURY".The Baltimore Sun. January 28, 1920. p. 1.Dr. Hugh S. Cumming, of Hampton, was nominated surgeon-general of the Public Health Service. He succeeds Dr. Rupert Blue, whose term expired on January 15. Dr. Cumming for a number of years was quarantine officer at Hampton Roads and is at present in Europe studying typhus conditions there. General Blue has served two terms as surgeon-general. He was first appointed during the administration of President Taft and reappointed by President Wilson. During the Taft administration the regulations were changed to make the of the surgeon-general four years instead of serving indefinitely, and it was said today that this was the reason why Dr. Blue was not reappointed.
  20. ^"DR. PARRAN NAMED SURGEON".The Baltimore Sun. March 24, 1936. p. 3.Dr. Thomas Parran, 43-year-old New York health officer, who today was made surgeon-general of the Public Health Service, will find two important tasks confronting him when he takes over on April 1. His most immediate problem will be sanitary rehabilitation in the Eastern United States flood area.
  21. ^"Surgeon General Scheele Confirmed".The Baltimore Sun. February 26, 1948. p. 11.The Senate confirmed today Leonard A. Scheele Michigan as Surgeon General of the United States Public Health Service.
  22. ^"Burney Assumes Position".The Baltimore Sun. August 9, 1956. p. 5.Leroy E. Burney, 49, today became the eighth Surgeon General of the 158-year-old United States Public Health Service.
  23. ^Martin, Douglas (April 29, 2008)."William H. Stewart Is Dead at 86; Put First Warnings on Cigarette Packs".The New York Times.
  24. ^"Remarks on Announcing Intention To Nominate Dr. William H. Stewart as Surgeon General, Public Health Service".The Johnson White House. September 24, 1965 – viaThe American Presidency Project.
  25. ^"House Panel Bids U.S. Study Marijuana's Use and Effects".The New York Times. Associated Press. September 7, 1969. p. 62. RetrievedApril 22, 2017.
  26. ^Zielinski, Graeme (September 15, 2001)."Public Health Researcher Richard Prindle Dies".The Washington Post. RetrievedApril 22, 2017.
  27. ^"Washington: For the Record – December 18, 1969".The New York Times. December 19, 1969. p. 7. RetrievedApril 22, 2017.
  28. ^"Jesse Leonard Steinfeld (1969–1973)". SurgeonGeneral.gov. January 4, 2007. Archived fromthe original on December 1, 2017. RetrievedApril 29, 2014.
  29. ^U.S. Government Accountability Office (August 27, 1974).Need for More Effective Management of Community Mental Health Centers Program: National Institute of Mental Health; Department of Health, Education, and Welfare(PDF) (Report). Archived fromthe original on October 6, 2022.
  30. ^"HHS Secretaries". National Institutes of Health. Archived fromthe original on September 24, 2008. RetrievedApril 29, 2014.
  31. ^Markel, Howard (November 15, 2013)."One man's rise from 'Dr. Unqualified' to surgeon-in-chief".PBS.
  32. ^"Biographical Overview". NIH. Archived fromthe original on October 17, 2020.
  33. ^"Swearing-in of U.S. Surgeon General Antonia C. Novello". NIH. March 9, 1990.
  34. ^Cimons, Marlene (September 8, 1993)."Senate Confirms Elders as New Surgeon General".Los Angeles Times.
  35. ^Richter, Paul; Cimons, Marlene (December 10, 1994)."Clinton Fires Surgeon General Over New Flap".Los Angeles Times.
  36. ^"Satcher Sworn In As Surgeon General".CNN. February 12, 1998.
  37. ^Barry, Colleen L.; Frank, Richard G. (April 1, 2002)."Economic Grand Rounds: Economics and the Surgeon General's Report on Mental Health".Psychiatric Services.53 (4):409–411.doi:10.1176/appi.ps.53.4.409.PMID 11919352.
  38. ^ab"Kenneth P. Moritsugu, MD, MPH, FACPM, Rear Admiral, USPHS".Physician Assistant History Society.
  39. ^"Vice Admiral Richard H. Carmona, M.D., M.P.H., F.A.C.S."The White House.
  40. ^"U.S. Surgeon General Says He Is Resigning".The Washington Post. July 31, 2006.
  41. ^"Steven Galson Appointed Acting Surgeon General".BioPharm International. October 9, 2007.
  42. ^abPhillips, Kate (October 29, 2009)."Senate Confirms Surgeon General".The New York Times.
  43. ^"Obama picks Regina Benjamin as surgeon general".Reuters. July 13, 2009.
  44. ^Stobbe, Mike (December 3, 2009)."Surgeon general: More minority doctors needed".WTOP. RetrievedDecember 5, 2009.[dead link]
  45. ^Coleman, Korva (June 13, 2013)."U.S. Surgeon General Regina Benjamin To Step Down".NPR.
  46. ^Anderson, Roger (July 19, 2013)."Lushniak Named Acting Surgeon General".Northwestern University.
  47. ^Callahan, Guv (April 30, 2015)."New surgeon general sworn in at Conmy Hall".U.S. Army.
  48. ^"Vivek Murthy dismissed as U.S. Surgeon".Yale Medicine Magazine. Winter 2017.
  49. ^Collier, Andrea King (May 4, 2017)."5 things to know about acting Surgeon General, Sylvia Trent-Adams".NBC News. RetrievedJanuary 26, 2021.
  50. ^"Dr. Jerome Adams sworn in as U.S. Surgeon General".WTHR. September 5, 2017.
  51. ^Cancryn, Adam; Ollstein, Alice Miranda (January 20, 2021)."Surgeon general to step down as Biden requested".Politico. RetrievedJune 27, 2025.
  52. ^Diamond, Dan (January 25, 2021)."Biden to tap nurse as acting surgeon general".Washington Post.ISSN 0190-8286. RetrievedJanuary 26, 2021.
  53. ^"Raising the Bar - April 2021".South Asian Bar Association of Washington, D.C. April 5, 2021.
  54. ^"Parting Prescription from US Surgeon General Dr. Vivek Murthy".American College of Osteopathic Family Physicians. February 21, 2025.
  55. ^"Commissioned Officers Association of the U.S. Public Health Service (COA)'s Post".Facebook - Commissioned Officers Association of the U.S. Public Health Service (COA). September 29, 2025. RetrievedNovember 20, 2025.

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