The most generous interpretation of Larry Kissell's vote on the Affordable Care Act is his "I am a representative" defense. Having had his district gerrymandered to become even more white and Republican, he seems to be saying that his vote reflects the wishes of the majority of uninformed bigots he will have to represent if he's re-elected. The same applies to his unwillingness to say that Barack Obama is a better president than Mitt Romney would be.
The more ominous interpretation, that Kissell's moral compass points in the direction of more uninsured poor people and more corporate greed, is hard to stomach, but may nonetheless be true.
In either case, it's a sad state of affairs. Going along with selfishness and bigotry in service of racist constituents is unconscionable. Actually embracing that philosophy is nothing less than evil.
More on the subject at Progressive Pulse.