Cute. We do not have a Surgeon General. The position has been blocked and not voted on in Congress, but you knew that. That is one reason why this is a mess. Not that I am all the concerned about this but it really doesn’t look good on Congress.
Congress does not have to rubber stamp every idiot Obama appoints. That’s why many require approval. It’s up to Obama to put forth an acceptable, qualified candidate.
There are plenty of existing other bureaucrats who could be charged with this role, despite that.