I presumed that the "Yikes!" had to do with the author (Jacoby) saying that he is not voting for Trump, or Carson - and he also didn't mention Cruz...
Is he backing some other RINO? If so - Yikes!
Well, I have no intention to vote for Trump or Dr Ben Carson, but instead of Surgeon General I think Dr Ben Carson would be
perfect as Secretary off Health and Human Services. Besides he would be over the Surgeon General. Check it out