With this fake democracy at least the leaders can restrict some wishes of the irrational sheeple. If it were a real democracy then the wishes would be infinite, and hyperinflation would be imminent to pay down those wishes.
Why do the wishes of the 'irrational sheeple' need to be 'restricted'? Your healthcare example was about irrational needs (e.g. smoking) being restricted by leaders.
What makes you think those wishes will be 'payed down' in a real democracy.
Politicians get elected because they're granting 'wishes' they can't afford, like me paying 30 a month for full coverage health insurance. 'Hyperinflation' wont pay down for anything.
A vote will never matter much, it's how people live and act that matters.