It’s not surprising that Akin has topped National Journal’sannual list of the most conservative representatives in the House. In the 111th Congress, he was one of the first legislators to join the Tea Party Caucus. Earlier in that term, he opposed the stimulus, health care reform, and the Lilly Ledbetter Fair Pay Act. He has been consistently outspoken against abortion under any circumstance and has maintained an “A” rating from the National Rifle Association. In one of his final acts in Congress, he voted against the last-minute fiscal cliff compromise.