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The Powell House Press

No, She Doesn't Wear Prada: The Devil Wears a Lab Coat.

Casey Means built a wellness empire on undisclosed deals and unfinished credentials. Now she wants to be America’s doctor.

Joshua Powell's avatar
Joshua Powell
Feb 27, 2026
∙ Paid

If you follow me, you know I’ve been watching RFK Jr. like a hawk for years. I know about his checkered work history (he’s not the clean river guy you might think), his womanizing, his ex-wife’s suicide, his chaotic childhood and of course his crank healthcare ideology. In a nutshell I think he has serious mental health challenges and no moral compass.

To be clear there are real issues in healthcare. In no small measure these are caused by the loud voice of pharmaceutical companies and health insurance. In recent times, the opioid epidemic is a clear example of big money influencing physicians. I worked on this epidemic for three years as a project manager for the HEALing Communities Study, an NIH-funded project at Columbia University. The damage was and is real. Of course health insurance companies that until Richard Nixon’s intervention were never allowed to be operational for profit, but now it is all about providing huge dividends to shareholders – this process keeps people away fr…

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