Surgeon General of the United States explained

Post:Surgeon General
Body:the
United States
Insignia:United States Public Health Service (seal).svg
Insigniacaption:Seal of the United States Public Health Service
Flag:Flag of the United States Surgeon General v1.svg
Flagcaption:Flag of the United States surgeon general
Incumbent:Vice Admiral
Vivek Murthy
Acting:n
Incumbentsince:March 25, 2021
Department:U.S. Public Health Service
Commissioned Corps
Style:Surgeon General
Vice Admiral
Abbreviation:SG
VADM
Reports To:United States Assistant Secretary for Health
Seat:Hubert H. Humphrey Building, United States Department of Health and Human Services (HHS), Washington, D.C.
Appointer:President of the United States
Appointer Qualified:with United States Senate advice and consent
Termlength:4 years
Constituting Instrument: and
Formation:March 29, 1871
First:John M. Woodworth (as supervising surgeon)
Deputy:Deputy Surgeon General

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

The U.S. surgeon general is nominated by the president of the United States and confirmed by the Senate. The surgeon general must be appointed from individuals who are members of the regular corps of the U.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 current assistant secretary for health is a commissioned corps officer, is either the senior or next-most senior uniformed officer of the commissioned corps, holding the rank of vice admiral.[3] [4] The current surgeon general is Vice Admiral Vivek Murthy.

Responsibilities

The surgeon general reports to the assistant secretary for health (ASH). The ASH may be a four-star admiral in the commissioned corps, and serves as the principal advisor to the secretary of health and human services on public health and scientific issues. The surgeon general is the overall head of the commissioned corps, a 6,500-member cadre of uniformed health 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.

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 the Surgeon General's Medallion (the highest award bestowed by board action is the Public 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.

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

History

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 the Marine Hospital Service—the predecessor to today's United 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.

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 the United States Department of Health and Human Services (HHS).

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. 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.

The U.S. Army, Navy, and Air Force also have officers overseeing medical matters in their respective services who hold the title Surgeon General, of their respective services, while the surgeon general of the United States is surgeon general of the entire country as a whole.

The insignia of the surgeon general, and the USPHS, use the caduceus as opposed to the Rod of Asclepius.

Service rank

The surgeon general is a commissioned officer in the U.S. Public Health Service Commissioned Corps, one of the eight uniformed services of the United States, and by law holds the rank of vice admiral.[3] Officers of the Public Health Service Commissioned Corps are classified as non-combatants, but can be subjected to the Uniform Code of Military Justice (UCMJ) and the Geneva Conventions when designated by the commander-in-chief as a military force or if they are detailed or assigned to work with the armed forces. Officers of the commissioned corps, including the surgeon general, wear uniforms that are modeled after uniforms of the United States Navy and the United 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-star admiral was David Satcher (born 1941, served 1998–2002). This was because he served simultaneously in the positions of surgeon general (three-star) and assistant 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."

List of surgeons general of the United States

PortraitName
Term of officeAppointed by
Took officeLeft officeTime in office
1John M. Woodworth
March 29, 1871March 14, 1879Ulysses S. Grant
2Commodore
John B. Hamilton
April 3, 1879June 1, 1891Rutherford B. Hayes
3Commodore
Walter Wyman
June 1, 1891November 21, 1911Benjamin Harrison
4Commodore
Rupert Blue
January 13, 1912March 3, 1920William Howard Taft
5Rear Admiral
Hugh S. Cumming
March 3, 1920January 31, 1936Woodrow Wilson
6Rear Admiral
Thomas Parran Jr.
April 6, 1936April 6, 1948Franklin D. Roosevelt
7Rear Admiral
Leonard A. Scheele
April 6, 1948August 8, 1956Harry S. Truman
8Rear Admiral
Leroy E. Burney
(1906–1998)
August 8, 1956January 29, 1961Dwight D. Eisenhower
9Luther Terry
March 2, 1961October 1, 1965John F. Kennedy
10William H. Stewart
October 1, 1965August 1, 1969Lyndon B. Johnson
Rear Admiral
Richard A. Prindle
August 1, 1969December 18, 1969Richard Nixon
[14] [15]
11Jesse L. Steinfeld
December 18, 1969January 30, 1973[16] [17]
Rear Admiral
S. Paul Ehrlich Jr.
January 31, 1973July 13, 1977[18]
12Vice Admiral
Julius B. Richmond
July 13, 1977January 20, 1981Jimmy Carter
[19]
Rear Admiral
John C. Greene
January 21, 1981May 14, 1981Ronald Reagan
Edward Brandt Jr.
May 14, 1981January 21, 1982
13Vice Admiral
C. Everett Koop
January 21, 1982October 1, 1989
Admiral
James O. Mason
October 1, 1989March 9, 1990George H. W. Bush
14Vice Admiral
Antonia Novello
March 9, 1990June 30, 1993
Rear Admiral
Robert A. Whitney
July 1, 1993September 8, 1993Bill Clinton
15Vice Admiral
Joycelyn Elders
September 8, 1993December 31, 1994
Rear Admiral
Audrey F. Manley
January 1, 1995July 1, 1997
Rear Admiral
J. Jarrett Clinton
July 2, 1997February 12, 1998
16Admiral
David Satcher
February 13, 1998February 12, 2002
Rear Admiral
Kenneth P. Moritsugu
February 13, 2002August 4, 2002George W. Bush
17Vice Admiral
Richard Carmona
August 5, 2002July 31, 2006
Rear Admiral
Kenneth P. Moritsugu
August 1, 2006September 30, 2007
Rear Admiral
Steven K. Galson
October 1, 2007October 1, 2009
Rear Admiral
Donald L. Weaver
October 1, 2009November 3, 2009Barack Obama
18Vice Admiral
Regina Benjamin
November 3, 2009July 16, 2013[20] [21]
Rear Admiral
Boris Lushniak
July 17, 2013December 18, 2014
19Vice Admiral
Vivek Murthy
December 18, 2014April 21, 2017
Rear Admiral
Sylvia Trent-Adams
April 21, 2017September 5, 2017Donald Trump
[22]
20Vice Admiral
Jerome Adams
September 5, 2017January 20, 2021
Rear Admiral
Susan Orsega
January 20, 2021March 24, 202162 daysJoe Biden
[23]
21Vice Admiral
Vivek Murthy
March 25, 2021Present

See also

External links

Notes and References

  1. News: OASH Organization Chart. (ASPA). Digital Communications Division (DCD), Assistant Secretary for Public Affairs. 2008-10-24. HHS.gov. 2018-11-19. en.
  2. - Appointment and tenure of office of Surgeon General; reversion in rank.
  3. - Grades, ranks, and titles of commissioned corps.
  4. Web site: Public Health, Commissioned Corps Uniforms and Ranks. dead. https://web.archive.org/web/20080513175033/http://www.usphs.gov/AboutUs/uniforms.aspx. 2008-05-13.
  5. News: Public Health Information R.J. Reynolds Tobacco Company. R.J. Reynolds Tobacco Company. 2017-08-16. en-US. 2017-08-16. https://web.archive.org/web/20170816194242/http://www.rjrt.com/tobacco-use-health/public-health-information/. dead.
  6. Web site: Legislation. depts.washington.edu. 2017-08-16.
  7. Web site: Carmona . Richard . 2014-11-09 . Take politics out of selecting surgeon general: Column . live . https://web.archive.org/web/20211125173540/https://www.usatoday.com/story/opinion/2014/11/09/take-politics-out-of-selecting-surgeon-general-column/18772529/ . 2021-11-25 . 2021-11-25 . USA Today . en-US.
  8. http://www.americanheritage.com/articles/magazine/ah/2006/5/2006_5_62.shtml Julie M. Fenster
  9. Joel Spitzer. The Surgeon General says... . WhyQuit.com . May 22, 2010.
  10. News: The Legacy of Dr. Koop. The New York Times. Mari. Winn. October 9, 1988.
  11. Leon Dash, "Joycelyn Elders: From Sharecropper's Daughter to Surgeon General of the United States of America", Washington Monthly, January–February 1997
  12. News: Joycelyn Elders. Claudia. Dreifus. The New York Times. 9 March 1994.
  13. Web site: David Satcher (1998–2002) . U.S. Department of Health and Human Services . January 4, 2007 . January 22, 2009 . January 6, 2009 . https://web.archive.org/web/20090106032351/http://www.surgeongeneral.gov/about/previous/biosatcher.htm . dead .
  14. News: House Panel Bids U.S. Study Marijuana's Use and Effects. 22 April 2017. The New York Times. Associated Press. September 7, 1969. 62.
  15. News: Zielinski. Graeme. Public Health Researcher Richard Prindle Dies. 22 April 2017. The Washington Post. September 15, 2001.
  16. News: Washington: For the Record – December 18, 1969. 22 April 2017. The New York Times. December 19, 1969. 7.
  17. Web site: Jesse Leonard Steinfeld (1969–1973) . SurgeonGeneral.gov . 2007-01-04 . 2014-04-29 . 2017-12-01 . https://web.archive.org/web/20171201191745/https://www.surgeongeneral.gov/about/previous/biosteinfeld.html . dead .
  18. Need for More Effective Management of Community Mental Health Centers Program: National Institute of Mental Health; Department of Health, Education, and Welfare . U.S. Government Accountability Office . 27 August 1974 . B-164031(5) . Government Accountability Office . https://web.archive.org/web/20221006194536/https://www.gao.gov/assets/b-164031%285%29-094195.pdf . 6 October 2022.
  19. Web site: HHS Secretaries . https://web.archive.org/web/20080924145912/http://www.nih.gov/about/almanac/archive/2003/historical/dhhs.htm . dead . 2008-09-24 . National Institutes of Health . 2014-04-29.
  20. News: Obama picks Regina Benjamin as surgeon general. Reuters . July 13, 2009.
  21. News: Surgeon general: More minority doctors needed. WTOP. Mike. Stobbe. December 3, 2009. December 5, 2009.
  22. Web site: Collier. Andrea King. 2017-05-04. 5 things to know about acting Surgeon General, Sylvia Trent-Adams. 2021-01-26. NBC News. en.
  23. News: Diamond. Dan. 2021-01-25. Biden to tap nurse as acting surgeon general. en-US. Washington Post. 2021-01-26. 0190-8286.