“The State” is thought to have a kind of special moral status that sets it apart from and above other agents. This special moral status explains why States are entitled to coerce people in a wide range of circumstances while no other agent would be permitted to coerce people. That part, that is, the entitlement to coerce other people is known as political legitimacy. While the other part of authority is generally thought as people being obligated to obey States’ commands even when people would not be obligated to obey similar commands if issued by anyone else.
The ACA is a transitional tool to lead to Single Payer. Single Payer is a transitional tool to lead to a fascist economy; CEO’s, brokers, and politicians guaranteed stronger economic and political power for the wealthy or for the connected, by way of implementing law that ‘We the People’ guarantee funds be allocated to those controlling Healthcare Insurance programs.