I did try to fix the root-cause organisational issues, and actually did have a sizable impact with many of my suggestions having been implemented now. However, I ruined myself in the process. It was far more difficult than I expected, because it was a huge old-school hierarchical place. I wasn't paid enough to fix things, and it wasn't in my job description. I ignored that and pushed to fix things anyway - last I've heard it actually made a difference and some of the things I advocated have actually happened now, but it was too late for me.
I just got round to reading the Phoenix Project & Unicorn Project recently, and I'd recommend that. I saw an awful lot of similarities with my old company, and I think it would have helped to have that example of how to improve things. Even then, they were only successful in the book because they had management buy-in.
[1] https://www.inc.com/melody-wilding/3-types-of-burnout-accord...
I'm still far away from how I used to perform, I'm doing therapy and it's been one of the worst issues I've talked about for a while. It creeped into other areas of my life and now affects my day-to-day life and hobbies, the pandemic just made everything much worse.