No individual upholds systemic racism, by definition. However I have spoken to numerous people who were openly or subtly racist.

I don't consider myself a psychotherapist either, but if I want one less racist in the world, then it's not good enough to shrug my shoulders and hope somebody else handles it. I have to at least try to change their mind. And I have done, as have many others.

I have found, without a single exception, that it's better to talk to the people I disagree with as if it's possible to understand them and change their minds. I've had a lot of success doing that. I've also learned a lot.

As to your point about healthcare social security, I don't know what you're trying to say. I agree with you. It's ludicrous that America doesn't have a functioning national healthcrae system and bizarre that it's in any way a controversial topic. As i wasn't part of that conversation I can't really help you, but I'm sure I'd have been on your side.