The Surgeons General have been in the news recently, complaining that they are forced to follow the policies of the Presidents who give them their appointments (gee, what a radical notion). But the real question is why this national-nanny position still exists. As argued in a column for National Review Online, the office of Surgeon General should be retired:
When the position of surgeon general, then called supervising surgeon, was first created in 1781, the appointee actually had something tangible to do. ... Since then, the duties of the surgeon general have been demoted so many times he’d barely be a buck private if his title kept up with the changes. In 1968 President Lyndon Johnson took away the responsibility of overseeing the PHS and made the position of surgeon general into one of a glorified adviser who is answerable to the assistant secretary to the secretary of Health and Human Services. ... The position of surgeon general today has become mostly one of a bully pulpit to serve as a federally funded advocate for various health causes... Today, the office has a budget of $3 million and the surgeon general is paid close to $200,000 annually. However they have little or no authority to coordinate the federal government’s public health activities. This coordination is already being done by more than 50 different federal offices. ...to save the taxpayers’ money, to eliminate yet another unneeded voice in the health-care cacophony, to free up a uniform for the local high school’s Pirates of Penzance performance and to save C-SPAN viewers from any more surgeon-general alumni reunion tours like last week’s hearings — eliminate the Office of Surgeon General today.