Right now universities have all the trappings of science with none of the substance.
Do I particularly care than they are going to be bent to the ends of those in power?
Kind of.
The same way I'm a bit upset if someone pisses in the holy water at a church.
Peer review isn't perfect, but it has gotten us incredibly far, and it's way better than political appointees who don't believe that AIDS is caused by HIV making decisions based on culture war considerations.
The basic research that leads to these treatments is all selected and evaluated using peer review. Even the results of the clinical trials are analyzed using peer review.
You're happy to send us back to the Middle Ages, when people actually did think leeches were the solution to everything, because you've got some weird chip on your shoulder.
Science is a self correcting mechanism, monarchism is not.
If the cure for it is to wait till the researchers die so new better ones take their place you just reinvented feudalism with tenure.
There comes a point at which an institution is unsalvageable and the only solution is to burn it down.
Universities are far past that point.
If you want to improve that system, relying on people like RFK Jr. (a crackpot who rejects basically all of modern medical science, right down to the germ theory of disease) and Trump (the most corrupt president in US history) is crazy.