Any evidence that "most people" are given a voice into actual systemic change? I haven't been given an opportunity to vote for a candidate that actually wants t

Any evidence that "most people" are given a voice into actual systemic change? I haven't been given an opportunity to vote for a candidate that actually wants to change our healthcare system, personally. Obama helped many people, but his moves did not really attempt to solve the problems of insurer inefficiency and grift, and instead codified their position as gatekeepers.