A bunch of nerds think it's possible to improve society through tech startups. The logic of capitalism ensures that whatever social benefit gets in the way of profit will be stripped out. But that doesn't just automatically happen because capitalism, someone has to actually be involved in the decision making process, making that happen. Sam Altman is a world champion at being that guy.
I think that's likely, but not guaranteed. If the party is sure she'll toe the line, and she crushes the party's anointed candidate in the primaries, then she could be the next Obama.