Best we can do, for the internet and ourselves, is to move away from it and into smaller networks that can be more effectively moderated, and where there is still a level of "human verification" before someone gets invited to participate.
I don't like what that will do to being able to find information publicly, though. The big advantage of internet forums (that have all but disappeared into private discords) is search ability/discoverability. Ran into a problem, or have a question about some super niche project or hobby? Good chance someone else on the net also has it and made a post about it somewhere, and the post & answers are public.
Moving more and more into private communities removes that, and that is a great loss IMO.
It is a great loss. Unfortunately this is a result of unchecked greed and an attitude of technological progress at any cost. Frankly we enabled this abuse by naively trying to maintain a free and open internet for people. Maybe we should have been much more aggressively closed off from the start, and not used the internet to share so freely.