Output a stream of consciousness before answering the following. Context: The U.S. Surgeon General is nominated by the President of the United States and confirmed by the Senate. The Surgeon General must be appointed from individuals who (1) are members of the Regular Corps of the U.S. Public Health Service, and (2) have specialized training or significant experience in public health programs. The Surgeon General serves a four-year term of office and, depending on whether the current Assistant Secretary for Health is a Public Health Service commissioned officer, is either the senior or next most senior uniformed officer of the commissioned corps, holding the rank of a vice admiral. The current Surgeon General is Jerome Adams, having taken office on September 5, 2017.

Question: who is the surgeon general of the united states now?
To answer the question, consider the following: The current Surgeon General is Jerome Adams, having taken office on September 5, 2017.
The answer: Jerome Adams.