Look… in the interest of not fighting, all I was trying to say is that the uniforms of the PHS are (more than likely) chosen at the sole discretion of whoever the highest ranking PHS officer is. I thought it was the Surgeon General, which is who I was describing when I said that he could wear whatever uniform he so chose.
Apparently the Surgeon General isn’t the highest commissioned rank in the PHS, so I was wrong. However, the Assistant Secretary for Health is the highest commissioned officer in the PHS, so that person could unilaterally choose to wear some crazy uniform (or not wear them at all) if they so chose.
The cites you’ve given refer to grades, titles, and ranks. I’m not certain these terms are interchangeable. You may be right but I don’t feel you’ve documented it. So I wrote to the service to ask them.
Steering the conversation adroitly away from Surgeons General and their vices admiral (;)), let me point out some British uses: The present occupant of the throne and Queen Victoria are queens regnant, as opposed to E2R’s late mother and Victoria’s grandmother, who were queens consort. The queen’s daughter Anne is, and her aunt Alexandra was, the last two instances of Princesses Royal, a title apparently given the eldest daughter of a monarch with sons. Heraldic language is replete with postpositional adjectives: A lion or other animal may be depicted statant (standing on all fours), sejant (sitting as a dog might), passant (depicted walking across the shield, looking in the direction it is going, passant gardant (walking but looking ‘out’ at the observer), passant regardant (walking with head turned to look ‘behind’ himself), rampant (rearing up, with one hind paw on the ground and forepaws extanded to attack), naiant (swimming, though this is more common of aquatic creatures), etc. All these technical adjectives are used postpositionally. Line and abstract ‘charges’ like the pale, fess, saltire, etc., may be unduly (wavy), fleury (with borders rising to repeated fleurs-de-lys), castellate (in the shape of castle battlements), etc. In all these cases it is the leading noun, not the following adjective, which is pluralized.