I can hand out a million vaccinations
Or let 'em all die in exasperation
Have all healed from their lacerations
Or have 'em all killed by assassinations
I can make anybody go to prison
Just because I don't like 'em~!

from Flobots – Handlebars Lyrics on Rap Genius

Meaning

He can be a great leader that helps all in need or let them die or have them killed as a dictator. As the dictator he is above the law and can frame people to put them in jail just because they are his enemy.

The leader in the music video.

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