> I feel like as a society we've swung so far away from institutional trust that now nothing good can actually emerge. The anti-vax movement is a perfect example where the collective work of thousands of people over decades to save millions of lives just gets tossed aside because some celebrity 'feels' like there's a connection that isn't there, and in the process, the level of public harm becomes severe

This is not an accident. A great deal of work has gone into destroying public trust and the capacity of institutions to make impartial decisions based on data. Partly from the profit motive, partly for destructive political purposes. And a lot of people in the tech industry and on here actively support the right to destroy that work by posting the most thoroughly debunked and dangerous lies on popular tech platforms - again for their own ideological purposes.