Is there a Corporate Sclerosis caused by ETF's tenuous shareholder relationship?

Index Funds Unused Clout: Their Votes is a tree instead of the forest view that utterly fails to answer how the clout is to be used. How is an ETF to survey its individual holders of its individual positions so as to vote their interest? It can't, and so it votes with the Board of Directors.  Which brings up another issue which could use some scholarly research, what is the effect of stock ownership multiple times removed?