To refuse to vote for any democrat who isn't as far left as Sanders (say, Biden), is to passively condone a large amount of the deaths that will occur should Trump win reelection with a republican majority in both houses. Yes, work outside the fucking system, but if you can't be assed to take that one day to vote (assuming you'll be able to do so), your indifference to electoral politics is a part of the cause for many of the deaths that will result. Harm reduction, people. Use it.