The Democratic Party Wall Street, Big Pharma and Big Insurance decides what Democratic Party policies are. If you don't like their policy position on X, Y, Z, then get involved in the party befriend a billionaire or become one yourself and try to dictate the changes to them. Only people who get involved make gigantic campaign donations get a say. Purity ponies who throw their vote away or sit the election out don't change party policies. Pragmatists who continue to vote for these clowns will never change party policies, let alone government policies.