We heard all the promises during the confirmation hearing for Robert F Kennedy Jr. He was not anti-vax. He was not promoting conspiracy theories. He was not going to be messing around with immunisations schedules for children. Well, that didn't last long. Right now, fundamental changes are being made that remove actual vaccine expertise and replace it with pseudoscience and quackery. It's early days, but the first steps could not be less clear about the direction of travel. Let's discuss.