WASHINGTON (AP) — The Senate on Thursday confirmed Robert F. Kennedy Jr. as President Donald Trump’s health secretary, putting the prominent vaccine skeptic in control of $1.7 trillion in federal spending, vaccine recommendations, and food safety as well as health insurance programs for roughly half the country.

Nearly all Republicans fell in line behind Trump despite hesitancy over Kennedy's views on vaccines, voting 52-48 to elevate the scion of one of America’s most storied political — and Democratic — families to secretary of the Health and Human Services Department. Democrats unanimously opposed Kennedy.

Kentucky Sen. Mitch McConnell, who had polio as a child, was the only “no” vote among Republicans, mirroring his stands against Trump’s picks for the Pentagon chief and director of national intelligence.

“I’m a survivor of childhood polio. In my lifetime, I’ve watched vaccines save millions of lives from devastating diseases across America and around the world,” McConnell said in a statement afterward. “I will not condone the re-litigation of proven cures, and neither will millions of Americans who credit their survival and quality of life to scientific miracles.”

“We’ve got to get into the business of making America healthy again,” said Sen. Mike Crapo, R-Idaho, adding that Kennedy will bring a “fresh perspective” to the office.

Kennedy, 71, whose name and family tragedies have put him in the national spotlight since he was a child, has earned a formidable following with his populist and sometimes extreme views on food, chemicals and vaccines.

His audience only grew during the COVID-19 pandemic, when Kennedy devoted much of his time to a nonprofit that sued vaccine makers and harnessed social media campaigns to erode trust in vaccines as well as the government agencies that promote them.