No you have to decenter yourself from your pay to achieve it. People accept things like cutting of medicaid because they see their job success as a moral success. There's a lot you can do to start being the good in the world that doesn't require Washington's permission.
I can't parse what distinction you're trying to draw here. When I say "collective action" I mean exactly things like exerting political pressure toward objectives like expanding rather than reducing healthcare coverage provided by governments, such as medicaid. The notion that solutions that involve changing the policy of governments "require[s] Washington's permission" seems to reject the notion that we exert power collectively via democracy, but your proposed example of what someone shouldn't accept suggests that this is an issue of how people fail to see the value in exerting said power, for which the prescription would presumably be doing so? I don't understand what you're driving at or even why you think we're in disagreement
Much of the AI antipathy reminds me of Wikipedia in the early-mid 2000s. I remember feeling amazed with it, but also remember a lot of ranting by skeptics about how anyone could put anything on there, and therefore it was unreliable, not to be used, and doomed to fail.
20 years later and everyone understands that Wikipedia may have its shortcomings, and yet it is still the most impressive, useful advancement in human knowledge transfer in a generation.
I think LLMs as a technology are pretty cool, much like crowdsourcing is. We finally have pretty good automatic natural language processing that scales to large corpora. That's big. Also, I think the state of the software industry that is mostly driving the development, deployment, and ownership of this technology is mostly doing uninspired and shitty things with it. I have some hope that better orgs and distributed communities will accomplish some cool and maybe even monumental things with them over time, but right now the field is bleak, not because the technology isn't impressive (although somehow despite how impressive it is it's still being oversold) but because silicon valley is full of rotten institutions with broken incentives, the same ones that brought us social media and subscriptions to software. My hope for the new world a technology will bring about will never rest with corporate aristocracy, but with the more thoughtful institutions and the distributed open source communities that actually build good shit for humanity, time and time again