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Twenty years ago I might've agreed with you but not any more. I don't know how the truth is determined in every case, but I do know the internet is useless when lies outnumber truth 10:1. Ideally such arbiters would be folks who can be held financially or criminally liable for lying. Maybe through a professional certification such as lawyers and engineers have. If someone doesn't have any skin in telling the truth, why believe them?
I'd argue it's always been 10:1, we just have access to all of it at the click of a button, and it's all now recorded - remember how many old wives tales used to get shared around back then?
"Bubblegum stays in your stomach for YEARS!" "Shaving makes your hair come back thicker" "Don't crack your knuckles, it'll give you arthritis!"
And now we have the ability to cast these claims against their opposers, where as before it would've been much more difficult to uncover.
But to your point about believing people with skin in the game, I'd say that's a great idea - if we can keep it decentralized and as open to the public as possible, all at the same time. Pharmaceutical companies have a lot of exemptions from this kind of thing though, we'd need a method for them as well