It may be that you don't see the illness/infections unless you are looking for them or until the trees die off in sufficient numbers. I look for interesting things growing near me while walking or hiking and around here I see galls from various insects like wasps and aceria, leaves covered in bright gymnosporangium rusts, and colonies of wooly adelgids. In the summer the deciduous trees tend to get powdery mildew, and I know there are some more harmful fungi in the region which seem to be damaging living trees in a way that is not common, but also not new.
Sometimes you can see tress dripping sap from cuts or other damage, which I understand to be part of how they defend against disease. My parents had a tree that I remember dripped for many years before falling over in a storm. They also had a cherry tree that had a ring of dried sap bubbles on the stump of a large pruned branch.
I found this which discusses the compartmentalization model of tree immune systems: https://botany.one/2019/09/trees-fight-infections-by-buildin...