I assume this has to do with the U.S. Public Health Service. I understand why it is a uniformed service and has a military structure, but I don’t see how this political appointment equates to a real general or flag officer who has spent a career working up to that grade. What real general or admiral starts off with nothing and then suddenly has four stars on his or her shoulders?
A fake president
Made a fake woman; a fake 4 star Admiral
Or to paraphrase Lincoln “how many legs does a dog have, if you count the tail as a leg?”
Four. Just because some idiot says a tail is a leg; doesn’t make it so
Think of it as a Salvation Army rank.
A lib queer?