Speaking for personal experience, I met a Facebook person at Folsom Street Fair, through a friend of a friend who I had already marked as super fucking creepy. They were remarkably upfront about it, being drunk and apparently I have a good poker face. See also the "Aimee Challenor" affair at Reddit, and the fact that their initial defense was "Highly recommended by other staff" - They never looked further into that, for a fact.
There's a lot more out there. For example, slashdot has a unique moderation mechanism where random users were temporarily promoted to mods and could assign tags rather than just take things down.
Filtering could allow users to choose to block anonymous accounts. Feed algos could prioritize content that presents a quality differing view rather than just reinforce filter bubbles.