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McCain ran and got elected to his seat on a lie, so no...he's not representing his constituents.
But yeah, since he's no longer worried about reelection, he doesn't give a rat's ass.
Haven't seen polling on the latest healthcare bill, but a whopping SIX (6) percent of people in Arizona, his constituents, favored the "skinny repeal" which was the last one. This time nationwide, the bill that hasn't been scored and so no one knows the effects, a whopping 20 percent approve.
So there's a difference between representing the right wing of the GOP and "his constituents." After his first vote against repeal, he had a 58% approval rating in Arizona, where his constituents live. Estimates had the state of Arizona losing over a $billion per year in funding for Medicaid, and they're an expansion state. So, yeah, there's a good possibility he IS representing his constituents. That you don't like what that means is not his problem.
Poll after 'Obamacare' vote: McCain is more popular with Dems than GOP