The United States Public Health Service Commissioned Corps (PHSCC),[9] also referred to as the Commissioned Corps of the United States Public Health Service,[10] is the federal uniformed service of the U.S. Public Health Service (PHS) and one of the eight uniformed services of the United States. The commissioned corps' primary mission is the protection, promotion, and advancement of health and safety of the general public.

Along with the NOAA Commissioned Officer Corps, the Public Health Service Commissioned Corps is one of two uniformed services that consist only of commissioned officers and has no enlisted or warrant officer ranks, although warrant officers have been authorized for use within the service.[11] Officers of the commissioned corps are classified as noncombatants, unless directed to serve as part of the military by the president or detailed to a service branch of the military.[12] Members of the commissioned corps wear uniforms modeled after the United States Navy and the United States Coast Guard, with special PHS Commissioned Corps insignia, and hold naval ranks equivalent to officers of the Navy and Coast Guard, along with corresponding in-service medical titles. Commissioned corps officers typically receive their commissions through the commissioned corps's direct commissioning program.

As with its parent division, the Public Health Service, the commissioned corps is under the direction of the United States Department of Health and Human Services. The commissioned corps is led by the surgeon general, who holds the rank of vice admiral.[13] The surgeon general reports directly to the Department of Health and Human Services assistant secretary for health. The assistant secretary for health may be appointed to the rank of admiral if he or she is also a serving uniformed officer of the commissioned corps.[13]

https://en.wikipedia.org/wiki/United_States_Public_Health_Service_Commissioned_Corps

On February 13, 2021, President Joe Biden formally nominated Levine to serve as Assistant Secretary for Health.[21] Her confirmation hearing with the Senate HELP Committee took place on February 25. On March 17, the committee voted 13–9 to advance her nomination for a full Senate vote.[22] On March 24, the Senate voted 52–48, with two Republicans joining all members of the Senate Democratic Caucus to confirm her nomination.[23] Levine is the first openly transgender person to hold an office that requires Senate confirmation.[24] On October 19, 2021, Levine was commissioned as a four-star admiral in the U.S. Public Health Service Commissioned Corps, becoming the first openly transgender four-star officer in any of the United States uniformed services. She is also the first female four-star admiral in the Commissioned Corps.[25]

https://en.wikipedia.org/wiki/Rachel_Levine#Awards_and_decorations

I know purp and the refs won't do anything about SB and his none stop fake news posting, so i will.

SB is out here intentionally spreading misinformation. Her uniform is REAL based on the REAL uniformed service department created in 1889. a city in france also ELECTED a transgender person in 2020 to mayor, which means the only losers whining about this are transphobic right wing A holes projecting their own biases and insecurities onto others.

and anybody who has a problem with this - refs included - can kiss my black ass.