“If they live in an alternate reality how can they rightfully judge accurately?”
Szasz’s analysis (many decades ago) applies very well to our current situation.
The lunatics are running the asylum—so they get to decide who is “sane”.
If you don’t kowtow to 666 genders these days then you are “insane”.
;-)
It is like the mass insanity caused by ergotism during the middle ages...