Hitler also had a mandate for how long he was supposed to be Chancellor, and that didn't stop him from staying in power for 12 years. Fascists tend not to abide by democratic mandates. Do you have any legitimate reasons why a fascist America would only last 4 years?
"Providers are pushed to spend less time caring for each patient as health systems move to reduce costs and increase revenue under the technological principle of maximal efficiency and output. But medicine was never intended to be another industrial complex."
This essay is beautiful and powerful.