Let me try to wrap my head around this: certain parties in the U.S government don't like the idea of assisting the poor, of the county they serve, with health care expense, because of the cost.
Their "solution" to this is to shut down the government (something which isn't possible in any other nation on the planet), which will cost more, decrease public spending, lower the demand for imports, damage global economy and generally tarnish the U.S's international reputation even further?
The rich making others suffer in an effort to get their own way.
I believe that's called "tyranny".