Robert F Kennedy Jr sworn in as health secretary after Senate confirmation

Robert F Kennedy Jr has taken control of America’s vast healthcare apparatus, after the Senate voted on Thursday to confirm the controversial anti-vaccine campaigner’s nomination as health secretary.

The Senate voted 52 to 48, with all Republicans other than the veteran Kentucky senator and former majority leader, Mitch McConnell, backing the former environmental lawyer.

Kennedy was sworn in later on Thursday by US supreme court justice Neil Gorsuch.

Kennedy abandoned his independent presidential bid last year after a weak campaign and endorsed Donald Trump.

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The vote installs one of America’s most prominent vaccine skeptics to run its federal health infrastructure, granting oversight of the very agencies – including the Centers for Disease Control and Prevention and the Food and Drug Administration – that he has spent years battling through lawsuits and public campaigns. Kennedy will wield sweeping authority over the nation’s $2tn health system, including drug approvals for Medicare, the government health insurance scheme for older Americans.

His path to the top crystallized after securing backing from the Republican senator Bill Cassidy, a physician who extracted what he called “unprecedented” commitments for collaboration from both Kennedy and the Trump campaign. The key moderate Senate Republicans Susan Collins and Lisa Murkowski also fell in line this week, having previously expressed doubts over Trump’s nomination.

McConnell, the lone Republican defection, cited his own experience battling childhood polio as a primary reason for his vote against Kennedy.

“I’m a survivor of childhood polio,” McConnell said. “In my lifetime, I’ve watched vaccines save millions of lives from devastating diseases across America and around the world. I will not condone the re-litigation of proven cures.”

At his confirmation hearing, Kennedy equivocated and said he just wanted to ensure vaccine safety and would not stop vaccines from being available. But he has long peddled conspiracy theories and debunked claims, including that vaccinating babies against measles, mumps and rubella is linked to autism, and had previously said that “no vaccine is safe and effective”.

He also tried to persuade the US government to rescind authorization for the newly developed coronavirus vaccine in 2021, despite the world having desperately waited for the shots to be developed while millions died during the pandemic. At the hearing he said “I don’t think anybody can say that” the Covid-19 vaccines saved millions of lives.

McConnell said: “Individuals, parents, and families have a right to push for a healthier nation and demand the best possible scientific guidance on preventing and treating illness. But a record of trafficking in dangerous conspiracy theories and eroding trust in public health institutions does not entitle Mr Kennedy to lead these important efforts.”

This was the second time in as many days that McConnell has opposed one of Trump’s nominees. On Wednesday, he voted against confirming Tulsi Gabbard as director of national intelligence, again the sole Republican to do so.

Democrats – the party historically aligned with the Kennedy family legacy – have, on the other hand, totally disavowed RFK Jr as a nominee, chiefly based on his lack of subject area expertise.

“Robert F Kennedy Jr is not remotely qualified to become the next secretary of health and human services,” the Senate minority leader, Chuck Schumer, said on the floor on Wednesday. “In fact, I might go further. Robert F Kennedy Jr might be one of the least qualified people the president could have chosen for the job.”

Most of the wider Kennedy political clan disowned RFK Jr, the son of the former US attorney general Robert F Kennedy and the nephew of US president John F Kennedy, during his presidential campaign last year.

JFK’s daughter Caroline Kennedy, the former US ambassador to Australia, wrote to lawmakers ahead of the confirmation process and called her cousin a predator, saying he had enriched himself through his anti-vaccine “crusade”, while making victims of sick children and their families. She also noted that he had vaccinated his own children, something Kennedy says he now regrets having done.

Kennedy has been at the center of numerous other controversies, including being accused of sexual misconduct, staging pranks with roadkill, including a dead bear cub, and claiming a previous illness was caused by having a worm in his brain, which prompted some opponents to call him a laughing stock. Kennedy has talked about his own recovery from heroin addiction. Through it all, Trump stuck with his nomination and on Thursday the Republican-controlled Senate acquiesced.

Kennedy has in the past, however, been admired by Democratic leaders for his environmental advocacy. He has pledged to take on the big food manufacturers to try to loosen their grip on America’s over-processed diet and has become the face of the Trump administration’s offshoot motto “Maha”, or Make American Healthy Again.

During the Senate finance committee hearing, Elizabeth Warren had raised alarm over Kennedy’s financial ties to anti-vaccine litigation, including a fee-sharing arrangement with the law firm Wisner Baum that earned him $2.5m over three years – an arrangement he initially planned to maintain while serving as secretary before amending his ethics agreement under pressure.

Post-confirmation, the Democratic senator from Massachusetts, who had her own run for president in 2020, reiterated her dismay, calling the vote in favor of the incoming secretary of health and human services “a huge mistake”.

“When dangerous diseases resurface and people can’t access lifesaving vaccines, all Americans will suffer,” Warren said in a statement. “And thanks to his serious, unresolved conflicts of interest, RFK Jr’s family could continue getting richer from his anti-vaccine crusade while he’s in office.”

The Republican senator Lindsey Graham of South Carolina, defended his vote for Kennedy. “Every president deserves their team,” Graham said, adding: “I look forward to working with RFK Jr to improve our quality of life and health in America.”