There's no formal mechanism of accountability for members of Congress. Representatives hold a few town halls a year where they might be subject to social shaming by their constituents, but there's no legal obligation to do so and even when they're publicly embarrassed they often dismiss public opposition as 'a few paid agitators' or the like.
This is doubly and triply true for complex policy issues which require a lot of explaining, making it virtually impossible to build grassroots support. So you just end up with a nonprofit industrial complex that needs to constantly raise funds for lobbying and publishes slates of endorsements at election time that relatively few people have the time or inclination to read.
Terrance McKenna once said that the worst president was the one in power, regardless of when it is. It is because for the most part, they just keep building on the existing frame work, standing on the shoulders of those before them.
Now one could argue that Trump is doing the opposite this term, but depending on were you stand, this might not have been a great out come.