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Just like his ambassadorial appointments of political cronies, yes men, and those willing to seel their souls to advance his agenda. Ambassors that can't find the country on a map, don't know the form of government of the country or that hire "Ladies of the evening" probably using taxpayer money,

Let's see, a 36 year old Doctor....normal time line, graduate undergrad at 22, graduate med school at 26, just about the shortest residency is 3 years so finish residency at 29 and 7 years later you are Surgeon General. Hmmmmmmm, obviously no other, more qualified Doctors in this country or at least none that are Obamacare advocates.