It is objectively true (is, not ought) that in the world we currently live in, large orgs enable scale which enables modern living.
It does not follow that I think that's the way things ought to be. That's how I interpret the "better" in EGreg's comment, because this conversation is about how we can live a better lives, not how to maximize efficiency. But we can only talk about oughts in the context of what can be.
What I'd like - as I've mentioned in another comment here - is some kind of organizational technology which enables the same efficiencies as large orgs, but without the alienation of labour.