Under fascism, the government does not overtly take over an industry ("seizing the means of production," in Marxist terms). Rather it leaves ostensibly private institutions in place, at least for the time being, and then subjects those "private" institutions to top-down regulation that turns them into agents of state power. No meaningful competition will be permitted. The federal government runs the system, but will do so behind a facade of private enterprise.
This is exactly what the Democrats plan is for health care.
Fascism Healthcare
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