Had Mussolini, like Franco in Spain, maintained Italian neutrality during the Second World War it is likely that Fascism would not have been a perjorative term. Mussolini described his rule in Italy as "corporatism". The goal was to have the largest corporations, the trade unions, and the government planners to sit down at a common table and to direct the national economy. That is exactly what has increasingly happened in American economics. Obamacare ended up simply being a list of directives created by medical insurance corporations and the big pharmaceuticals turned into a mandated must buy medical plan which is then thrust on people whether they wish to participate or not. That is increasingly the way business is done in America.