In the past, every idea had to go through a filtering process in order to spread. I am not talking about some truth filter, but that the idea needs to meet some virality threshold since the medium of communication is very low bandwidth and slow. (Ex: scholars writing to letters to each other, or housewives gossiping about the latest folk remedy)
The greatest change that happened in the 21st century is that ideas spread at the speed of light, and any bullshit can be broadcast to billions of eyeballs very quickly.
Rather than a couple housewives laughing off how the neighbor tried the squeezing lemon juice into eyeball trick last week and found that it didn't work, you have some X% of people trying it immediately after seeing it on twitter.