Direct or indirect, a vote is still a "say".

And how many millions, have their medical reocrds are on some form of Medicare, Medicaid, or some equivalent?
And that number is growing.

With all the leaks in government,  & access to personal records, how confident are you unauthorized people cannot read your records. If your records are in a computer system, it can be found. Look at all the government breaches in the past 2 years.