In my time working in the UK universities and National Health Service - these functions were brought under managerial control, and integrated into The System which (since early 2020) is now global.
The almost complete surrender of power by academics and doctors happened almost entirely without coercion. Why?
Essentially, deeply, due to the lack of motivation and courage from living as godless-expedient hedonists (i.e. regarding mortal life as wholly about 'utility'), on the basic of incoherent (increasingly inverted) Leftist values.
Lacking any positive transcendent values (truth, beauty, virtue, coherence...); modern people, especially Westerners, are easier to control than any group I have heard of throughout history.
But how did this control operate proximately? The answer could be termed pre-emptive compliance.
The management (whether national or local) would announce what was going to happen - some new scheme to strip autonomy from academics and subordinate teaching, research, scholarship under administrative control; or some new, extra, unpaid and harmful bureaucratic tasks...
And always the mass reaction was 1. to assume that this was inevitable and that 'resistance is futile'; and 2. therefore to comply instantly and with feigned enthusiasm.
There was essentially zero mass resistance, yet those individuals who did refuse to comply were - for many years - left alone; showing that mass resistance would likely have been effective.
In other words - the mass of people responded pre-emptively to threats: threats were made, and people obeyed... Obeyed even before threats were implemented, obeyed even when threats were not implemented!
Scaled-up this has been the story of The West over the past several generations. Coercion to enforce totalitarian tyranny was very seldom needed or used, because compliance was automatic and instant - despite that there has been very widespread cynicism concerning the motivations of the bureaucracy and politicians whose instructions were being so slavishly obeyed.
This is a measure of our spiritual malaise - the West has quietly, obediently and pre-emptively complied with each step of a now System which covers all nations and regions, and claims authority over all aspects of human existence including family, church, and a Man's private thoughts - i.e. a global totalitarianism.
And there has been extremely little need for coercion, because the world has complied automatically and instantly; which is evidence of an extreme level of human demotivation due to gross insufficiency of any inner and positive convictions that might provide a basis for, even conceptualized a need for, resistance.
That is the point. We are not seeing merely a global 'failure' of resistance; but a global failure to recognize any need for resistance: that is, a failure to have any reason for resistance of a totalitarianism which is evil both intrinsically (in that universal control is of-itself evil) and also evil explicitly, in its agenda.
Our spiritual malaise is therefore much, much worse than most people seem to realize. People talk as if what was lacking is means to resist evil (they usually mean some kind of organization); but the much deeper problem is a lack even of the basic desire to resist evil.
And this stems from a false basic understanding of the nature of reality - false metaphysical assumptions about the world - consequence of generations of apostasy from Christianity combined with a pervasive 'materialism' that by-now permeates traditional Christianity.
If, on the other hand; you are personally motivated Not to comply - because you have strong positive motivations with which compliance interferes and/or because you regard totalitarianism as evil by nature and/or intent - then you do not need a plan for non-compliance.
One simply does not comply - and wait to see what (if anything) happens. Sometimes nothing happens.
If there are threats (and there will be) they are ignored. Often they lead to nothing. So one waits to see if the threats really are going to be implemented - sometimes they are not.
If the threats are implemented - which is relatively rare, because resource-consuming; one may still refuse to comply.
Or one may delay complaince: comply as late as possible (to make Them make extra effort - sometimes they will not)
One may continue to disobey except when specifically told to obey - that is: refuse to self-police... make Them do it (so They must expend effort); behaviour is adjusted reactively, not pre-emptively.
Evil plans and threats are cheap hence innumerable - an accurate response is that each will only happen when it has happened.
And even then evil will only continue happening either due to continued effort and resource expenditure from those who want it to happen - or else because of the chosen surrender to evil of pre-emptive compliance and self-policing.
In sum - resistance to evil has many levels and degrees - most are 'passive' (a matter of non-compliance); most are about delaying in hope of unforeseen providential assistance, not all require heroism and some at least are possible even to the most timid.
Enough delay, from enough people, for the right motivations; will provide God with everything He needs to make a cohesive, positive, alternative, better future.
God helps those who help themselves is both true, and exclusive: God helps only those who help themselves.
If individual people do not make choices, for good and against evil - then God cannot pursue good ends in this mortal world. But when some people do know and choose the side of God; then by the invisible working of providence (possible to The Creator) then an unknowably great deal can be achieved by combining and sequencing these individual acts.
Any individual who is motivated to do good or resist evil, will find sufficient discernment and some courage. And then each such act can be woven-with other such acts, by God, into a divine plan of scope far beyond the wit of Man.
But what all require is motivation - and motivation is based on an understanding of reality that identifies and distinguishes between good and evil, and the capacity to discern this for oneself (not relying on 'authority' to inform you) - it requires a perspective that we are each responsible for our own choices, and that individual choice is of genuine significance, and makes-a-difference.
In other words, resistance needs a transcendental perspective - one that is larger than this mortal life; and it also needs a personal perspective - that regards an individual's as able to make choices and those choices as having cosmic significance.
I don't know of anything other than Christianity - and even then only some kinds of Christianity - that can (even in principle) lead to such a combination of personal and transcendental motivations; and therefore sustain even the desire to resist totalitarian evil.