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I'm not saying that. People are right to be concerned and he has to address those concerns if he wants to have a chance at being effective in the role.
As I said before, I was very surprised that he was offered the role, and that he accepted it. But given that has happened, what he says next will matter far more than anything he has said in the past, when he was not in government. When a health secretary says something it carries much more weight than when a random lawyer or protest group leader, even if he's from a famous family, says it.
Executive means the government as opposed to the legislature, ie Congress.
Whatever actual responsibility Kennedy had in whatever he did before must have been trivial compared to being health secretary. He might have had a lot of influence, but it's very different when the buck stops at your desk.