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The Surgeon General of the United States Navy holds the title of Admiral (specifically Rear Admiral or Vice Admiral) because the position is the most senior commissioned officer of the Navy Medical Corps and serves as the principal advisor on medical and health matters to the Secretary of the Navy, Chief of Naval Operations, and Commandant of the Marine Corps. This rank reflects the high level of responsibility and leadership required to manage Navy and Marine Corps healthcare policy, biomedical research, and medical personnel. It seems the term “General” does not refer to military rank.
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The title of Surgeon General originated in 1871 when Congress granted Navy medical officers "relative rank" equivalent to line officers, with the Chief of the Bureau of Medicine and Surgery also receiving the title "Surgeon General" and the relative rank of Commodore. Over time, the Surgeon General's rank was elevated to Vice Admiral (three-star) from 1965 until 2019, reflecting the importance of the role. However, recent legislative changes removed the statutory three-star rank, making the current Surgeon General a Rear Admiral (two-star), although there have been ongoing efforts to restore the three-star rank.
The Wiki entry adds this, “The rank of Admiral is conferred to the Surgeon General because the position requires the authority and status commensurate with senior leadership in the Navy, enabling effective oversight of medical operations and policy at the highest levels. Appointment to this rank is made by the President with Senate confirmation, and the Surgeon General serves a four-year term as Chief of the Bureau of Medicine and Surgery, the central administrative body for Navy Medicine “
So my current thesis would be that nobody wants Casey Means, a tree hugger, to be an Admiral.
It’s an embarrassment to miss this in haste.
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John C.
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