Rheanon, so right to put in context
...realization that the change will impact everyone in a positive way
In the everyday efforts of everyone in the designated catagory of "health" I believe or aspire that we all know deeply what you are saying, although it doesn't get said out loud very often.
I think this also is linked to another category of help called "work place mental health," where for example really... the local pizza shop people/workers have their version of care for each other. This "Sociological Imagination" I am suggesting comes from an 70's/80's lefty idealized vision of people, community, society which can get me into personal troubles with public issues - to steal and reform from 
http://www.faculty.rsu.edu/use...ts/Essays/Mills3.htm (Super Summary by Frank W. Elwell)
For me, my version of anger/frustration about system change that you are talking about is the disappointment of the promise embedded in the rhetoric and the efforts to implement it. So your last paragraph of keep chipping makes sense to me, grounded in our individual efforts, and Betty Lou's post https://www.eenetconnect.ca/top...-is-not-good-opioids too, while keeping our sociological imagination.