What meaningful changes have people affected in democratic republics in the recent past? Companies that don't keep up with customers' desires go out of business all the time.
Political power shifts happen all the time in democratic republics as the populace gets fed up with the party/parties in power.
> "all large organizations", "democratic republics", "the developed world"
Someone else also pointed out (https://news.ycombinator.com/item?id=22909123) that even the US has plenty of "safety net" policies, despite some glaring holes in it.