for the fediverse to live up to its potential, you do have to report accts that violate rules. when you hit block you have the option of sending a report to the user’s admins, which is what it takes to remove abusive accts.
if someone is invoking systems of oppression in their posts or replies, it’s not just words, it’s harm that causes real stress, anxiety, ptsd etc, all of which are physically unhealthy and/or change a person’s ability to express themselves or seek and find community here