Trump picks Dr Oz to lead Medicare and Medicaid
Donald Trump has chosen TV host Dr Oz to lead the Centers for Medicare and Medicaid Services (CMS).
Celebrity heart surgeon Dr Mehmet Oz rose to prominence working on Oprah Winfrey’s leading daytime television show before getting his own long-running series.
But how has he gone from TV personality to Donald Trump’s choice for overseeing a massive government agency?
The 64-year-old, who started out as Professor of Surgery at Columbia University, became a household name during 13 seasons of The Dr Oz Show, which ran from 2009 to 2022.
Dr Oz during a TV appearance in 2012. Pic: AP
He was popular, though his promotion of alternative medicine, faith healing and various paranormal beliefs earned him criticism from a number of medical publications and physicians.
The critics accused him of blurring the lines between medical advice and advertising, failing to make clear to his audience just how closely he worked with the companies he pitched.
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Despite the controversy, Dr Oz’s show was a hit and his net worth sat between $100m (£79m) and $315m (£249m) in 2022, according to a federal financial disclosure he filed that year.
Beyond being an Emmy-winning TV show host, he is also an author of New York Times bestsellers, radio talk show host, founder of a national nonprofit to educate teens about healthy habits, and self-styled ambassador for wellness.
He was also a regular Fox News commentator, and a champion of unproven treatments for COVID including hydroxychloroquine, an antimalarial drug whose use against the disease was also backed by Trump.
Dr Oz holding his Emmy for outstanding talk show host in 2016. Pic: Richard Shotwell/Invision/AP
He became a fierce critic of Joe Biden’s government during the COVID pandemic, challenging its policies on social media.
Moving into politics
Dr Oz played a lesser part in the first Trump administration from 2016, when he was appointed to the President’s Council on Sports, Fitness and Nutrition.
But it was in 2022, after his show concluded, when Dr Oz really transitioned into politics by running for US Senate as a Republican in Pennsylvania.
The campaign leaned heavily into his celebrity status, with his campaign logo almost identical to his TV show logo.
Mehmet Oz campaigning for Senate in 2022. Pic: AP
During his campaign rallies, he would talk up his “number one health show in the world,” give the odd piece of medical advice to supporters and spend a lengthy amount of time signing autographs and posing for photos.
Following a court battle that went all the way to the US Supreme Court, Dr Oz narrowly won the primary over Dave McCormick by 951 votes, becoming the Republican candidate, but lost to Democrat John Fetterman in the general election.
His relationship with Trump
Donald Trump stands behind Dr Oz during rally in 2022. Pic: Reuters
The surgeon has had a long, personal relationship with the president-elect spanning back to the early 2000s.
He said in an interview during his Senate campaign that the pair first met in 2004 or 2005, when Dr Oz asked Mr Trump to use his golf course for an event for his children’s charity.
Mr Trump agreed and, after that, they saw each other intermittently at social events before Dr Oz interviewed him about his health during the 2016 presidential campaign.
Mr Trump appeared on his show, where he also said his wife Melania was “a big fan” of the doctor.
The pair then worked together when Mr Trump won the election and put Dr Oz on the President’s Council.
Then in 2022, Mr Trump was integral to Dr Oz’s push for Senate, giving him his eagerly sought-after endorsement.
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“Women, in particular, are drawn to Dr Oz for his advice and counsel. I have seen this many times over the years. They know him, believe in him, and trust him,” Mr Trump said when he first backed him.
“You know when you’re in television for 18 years, that’s like a poll,” added the billionaire, who himself starred on 14 seasons of The Apprentice US.
“That means people like you.”
What will his role be?
If confirmed by the Senate to take the role, Dr Oz would oversee Medicare, Medicaid, children’s health insurance and the Affordable Care Act, better known as “Obamacare”.
The programmes cover more than 160 million people, from new-borns to nursing home residents.
CMS also plays a central role in the nation’s $4.5trn health care economy, setting payment rates for hospitals, doctors, labs and other service providers.
“Dr Oz will be a leader in incentivising disease prevention, so we get the best results in the world for every dollar we spend on healthcare in our great country,” the president-elect said in a statement.
“He will also cut waste and fraud within our country’s most expensive government agency, which is a third of our nation’s healthcare spend, and a quarter of our entire national budget.”
Dr Oz said he was “honoured” to be nominated for the role and looked forward to “serving my country to Make America Healthy Again”.
He, like all of Mr Trump’s picks, must be questioned by members of the Senate before it votes on his appointment. Even with the Republicans in control, some of the picks could be blocked.
Venezuela’s President Nicolas Maduro has accused the US of a coup attempt after Donald Trump approved CIA operations in the country to tackle alleged drug trafficking.
Mr Trump confirmed his decision, first revealed by The New York Times, as he said large amounts of drugs were entering the US from Venezuela – much of it trafficked by sea.
“We are looking at land now, because we’ve got the sea very well under control,” he said.
When asked why the coastguard wasn’t asked to intercept suspected drug trafficking boats, which has been a longstanding US practice, Mr Trump said the approach had been ineffective.
“I think Venezuela is feeling heat,” he said.
Donald Trump at the White House on Wednesday evening. Pic: Reuters
Maduro hits back
He declined to answer whether the CIA has the authority to execute Mr Maduro, who denies accusations from Washington that he has connections to drug trafficking and organised crime.
The US has offered a $50m (£37m) reward for information leading to his arrest.
“How long will the CIA continue to carry on with its coups?” he asked after Mr Trump’s comments on Wednesday evening, saying calls for regime change harkened back to “failed eternal wars” in Afghanistan and Iraq.
In a message to the American people, he said in English: “Not war, yes peace. The people of the US, please.”
President Nicolas Maduro. Pic: Reuters
US targets ‘drug boats’
Mr Trump also alleged Venezuela had sent a significant number of prisoners, including individuals from mental health facilities, into the US, though he did not specify the border through which they reportedly entered.
On Tuesday, he announced America had targeted a small boat suspected of drug trafficking in waters off the Venezuelan coast, resulting in the deaths of six people.
According to the president’s post on social media, all those killed were aboard the vessel.
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Footage of the strike was released by Donald Trump on social media. Pic: Truth Social
The incident marked the fifth such fatal strike in the Caribbean, as the Trump administration continues to classify suspected drug traffickers as unlawful combatants to be confronted with military force.
War secretary Pete Hegseth authorised the strike, according to Mr Trump, who released a video of the operation.
The black-and-white footage showed a small boat seemingly stationary on the water. It is struck by a projectile from above and explodes, then drifts while burning for several seconds.
Mr Trump said the “lethal kinetic strike” was in international waters and targeted a boat travelling along a well-known smuggling route.
There has also been a significant increase in US military presence in the southern Caribbean, with at least eight warships, a submarine, and F-35 jets stationed in Puerto Rico.
A 39-year-old man died in hospital alone, miles from his family, after being detained by US immigration officials.
Ismael Ayala-Uribe, who had lived in the US since he was four, fell ill while in an immigration detention centre in California.
Ismael Ayala-Uribe was well known in the local Latino community
He complained of a fever and had a persistent cough in the weeks before he died, according to his mother Lucia.
She said he was initially treated by medical staff inside the detention centre but was returned to his cell.
He was eventually taken to hospital for a scheduled surgery to remove an abscess on his buttocks, but died before he was able to have the operation.
His family were never told he was in hospital, learning of his death via a knock on the door from police.
“They’re the ones that notified us that he had passed,” his brother, Jose Ayala, told Sky News.
“We were not even aware that he was in the hospital or even had a scheduled surgery. Then we got a knock on our door a little after 5.30 one morning.
“I believe he would still be alive today if he was never detained. He got sick while in detention, and they did not seem to take care of him.”
Ismael’s brother Jose speaks to Sky News
Why was he detained?
Mr Ayala-Uribe’s death raises questions about the conditions inside the centre he was held in, and if a sudden surge of immigrants being detained by this administration has left the system stretched beyond breaking point.
He had moved to the US from Mexico with his family as a child.
He did have DACA – deferred action for childhood arrivals – status, granted to those who have arrived while under the age of 18. But this was removed in 2016, after he was convicted of drink-driving.
In August, he was arrested by immigration agents at a car wash in California where he had worked for 15 years.
He was held for five weeks at Adelanto, a privately owned, run-for-profit, immigrant detention centre. A lawyer for his family said he was, as far as they are aware, a healthy man before he was detained and had no medical need.
But Mr Ayala-Uribe’s mother, who was visiting him every eight days and speaking to him on the phone a couple of times a day, said she noticed him getting progressively unwell.
Ismael’s brother and mother, Lucia
“He started with lots of fever,” Ms Ayala said. “He said they weren’t listening to him. The last time I saw him his face was drained, he told me he was not OK, he told me he couldn’t take it any more.”
Beginning to cry, wiping away tears, she added: “I feel powerless that I couldn’t do anything to help my son.
“I never imagined I was going to bury one of my sons. It feels terrible, they took a piece of my heart away.
“I would like something to change. If we cannot save him, at least we can save others that are still inside.”
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Inside Trump’s immigration raids
ICE defends detention treatment
The cause of Mr Ayala-Uribe’s death is still under investigation.
Sky News requested comment from the company which owns the detention centre where he was held, and they deferred to ICE, the US immigration and customs enforcement agency.
In a statement, ICE said: “Comprehensive medical care is provided from the moment individuals arrive and throughout the entirety of their stay.
“At no time during detention is a detained illegal alien denied emergency care.”
The Trump administration says it’s targeting criminals and people in the US illegally. But campaigners say Mr Ayala-Uribe’s death should not be viewed in isolation.
Images from Ismael’s funeral service
Since Donald Trump took office, at least 15 people have died in immigration detention.
Democrat senators Jon Ossoff and Raphael Warnock wrote a letter to the homeland security secretary, Kristi Noem, asking for more information about these deaths.
The senators claimed 10 people had died between January and June, and that it was the highest rate in the first six months of any year publicly available.
Sarah Houston, a lawyer for the Immigrant Defenders Law Centre, claims immigrants are being mistreated in custody.
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“This administration’s main goal is to harm, to torture individuals and to try to force them out,” she said.
“The great increase we see in human rights abuses, in deaths, is a direct result of the administration’s decision to pack these detention centres as much as they can.”
Mr Ayala-Uribe’s funeral was held this week. Dozens of extended family and friends wore t-shirts bearing his face. A mariachi band played as his casket was lowered into the ground and his mother heaved with sobs.
As they absorb their loss, the effort to carry out the biggest mass deportation operation in US history continues.
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