Former Veterans Affairs Secretary David Shulkin speaks at a news conference in Washington, D.C., on March 7.
Former Veterans Affairs Secretary David Shulkin speaks at a news conference in Washington, D.C., on March 7. Credit: AP File Photo

WASHINGTON — President Donald Trump fired Veterans Affairs Secretary David Shulkin on Wednesday and nominated White House doctor Ronny Jackson to replace him in the wake of a bruising ethics scandal and a mounting rebellion within the agency.

A Navy rear admiral, Jackson is a surprise choice to succeed Shulkin, a former Obama administration official and the first non-veteran ever to head the VA. Trump had been considering replacements for Shulkin for weeks, but had not been known to be considering Jackson for the role.

In a statement, Trump praised Jackson as “highly trained and qualified.” It was a decision that signaled Trump chose to go with someone he knows and trusts, rather than the candidate with the longest resume, to run a massive agency facing huge bureaucratic challenges.

Jackson has served since 2013 as the physician to the president, one of the people in closest proximity to Trump day in and day out.

His profile rose after he conducted a sweeping press conference about the president’s medical exam in January in which he impressed Trump with his camera-ready demeanor and deft navigation of reporters’ questions as he delivered a rosy depiction of the president’s health, according to a person familiar with the president’s thinking but not authorized to discuss private conversations.

Jackson eagerly embraced the idea of moving to the VA, according to a White House official who spoke on condition of anonymity to discuss personnel matters. Ironically, it was Shulkin who had recommended Jackson for an undersecretary position at the agency in fall. Jackson was vetted during that time on his policy positions and other issues, the official said.

The promotion of Jackson marks the latest Trump hire to be driven at least as much by personal familiarity with the president as by his vision for the role.

Brigadier General Dr. Richard Tubb, who trained Jackson, said in a letter read at Jackson’s briefing that the doctor had been attached like “Velcro” to Trump since Inauguration Day.