In this year's analysis it points to some positives; that the internet — and our relationship with it — is getting healthier.
It notes that demands for privacy are increasingly common, thanks both to high-profile incidents like the Cambridge Analytica scandal, but also the introduction of usable frameworks for digital privacy and security like Europe's GDPR which has made privacy real and enforceable. It's quite possible we'll see privacy legislation like that spread further in the not-to-distant future.
There are also – some – small steps towards making sure that the use of artificial intelligence is responsible and broadly understood. Questions about the role and responsibility of 'big tech' are continuing to grow, too.
There is an increasing understanding that when we use apparently free internet services, whether that's search or email or social media, that we are entering into a bargain and we may not like the price, in terms of our own privacy, that we are being asked to pay.
Mozilla also points to some reasons to be less optimistic about the future. It notes that governments worldwide continue to restrict internet access in a multitude of ways, including 188 internet shutdowns around the world last year, plus internet slowdowns that make services all but impossible to use. It point to the increasingly heavy-handed use of biometrics and digital identities to monitor people and warns that AI is being used to "amplify injustice" when it discriminates against groups based on flawed data or false assumptions.
To me this shows that deciding whether the internet is healthy or not depends both on where you are and who you are. The most positive aspect maybe is that at least we now have an understanding of the symptoms, and maybe even a rough diagnosis, at least for the problems of the internet in the West. But as the business models of the largest companies are based on gathering as much personal information as possible, coming up with a viable fix may be very hard.
Some of the injury done to the internet -- to drive profit for big tech -- may have been accidental but increasingly there are signs of deliberate harm. The internet isn't just ill, it has been poisoned.
The trouble is there are too many governments and regimes that rely on censorship, pervasive surveillance, and the absence of privacy and see these as the benefits of new technology, not failures. They have already seized the opportunity to use technology to stifle dissent and to enforce their own particular world view. Tearing these tools from their hands – and stopping others from taking them up – will be a huge challenge.