I get the sentiment, but this is the reason we have airplanes, MRI machines, and computers that fit in our pockets. Advanced technology simply isn't possible in an economy of only ~100 person organizations. And I say this as someone with a deep sense of unease with modernity and all of the diseases of civilization. We somehow have managed to create systems that support literally billions of humans and allow many of them to have a quality of life undreamed of even a few hundred years ago. I dislike big orgs as much as they next guy but we need to understand why they exist if we want to criticize and reform them.