Fascism is on the rise because Russian intelligence has been pushing it into the mainstream media of the West for decades since the fall of the USSR. As one of my professors who was ex-KGB put it in 1998 "lots of my former colleagues are still very angry that their society was just destroyed and want revenge onthose nations celebrating that fall".
The wealthy in the USA at least have never not had a fascination with fascism on some level so it was easy to push them towards accepting it.
I have yet to discover any way in which for profit investments in health care provide better results.