How to reform [fill-in the Western social system] are all a waste of time, a distraction, and make matters worse -- by implying that the economy/ science/ the legal system/ health care/ education or whatever actually Can be reformed.
But they cannot be reformed.
They cannot be reformed because there are No people of sufficient power, wealth and influence that want to reform them; nor is there a sufficient constituency of 'the masses' who are motivated actively to desire genuine reform (i.e. at the cost of that immediate physical suffering which is the inevitable price of genuine reform in a corrupted system).
Ultimately nothing specific can be reformed because The System itself is corrupt - all its leadership class and controlling institutions are either activists for evil or evil-compliant.
Purposive evil is written-into the minds and rules by which our civilization operates.
And the leaders cannot cease from their evil because they are atheist materialists; whose world view (metaphysical assumptions) exclude even the possibility of purpose, meaning, the divine and real values (truth, beauty, virtue - and coherence).
Nothing significantly positive and good can be done at the Systemic level in our civilization until after we have changed our beliefs concerning the basic nature of reality - because our beliefs concerning the basic nature of reality exclude all that is positive and good.
Nothing can be reformed in this world, until we have a perspective that stands-outside this world, and therefore includes this world.
Only then can we know and strive for coherence of goodness; only then will change be good.
Until such a time; all efforts to Do Good in this-world will be subverted, corrupted, and inverted to evil purposes.
Until such a time; we can and must work on our-selves, at the personal level, and by spiritual means.
Note: Therefore, if we wait for a lead coming from an external initiative from some powerful person or institution, if we wait to follow-a-leader or join-a-group, or we insist on creating-a-group before acting -- then we will wait until the day of our doom without knowing, thinking or acting.