For the first time in modern American history, a skeptic of medical research could be responsible for safeguarding public health.

RFK Jr. claimed he is not “anti-vaccine” and appeared unfamiliar with key aspects of healthcare insurance programs in his confirmation hearing.

If approved, Kennedy will control a $1.7 trillion agency that oversees food and hospital inspections, hundreds of health clinics, vaccine recommendations and health insurance for roughly half the country.

Robert F. Kennedy Jr., a former presidential candidate and environmental activist, endorsed Donald Trump last year and threw his weight behind a campaign to “Make America Healthy Again.” For the past two decades he has been best known for airing skeptical views on vaccines.