I look for independent artists and craftspeople. I recent bought a pack of sci-fi posters for my apartment from an artists who designs it herself and who has an independent reputation.
My goal has now shifted to identify the thinnest intermediary between my dollars and the person doing the labor for the product/service I'm paying for.
Etsy suffers from the same review astroturfing and product category crowding that Amazon does, but the product categories tend to be narrower so it's never quite as bad.
Etsy is certainly _bad_, but getting to Amazon levels is a whole other animal.
The person you responded to has a good point though. It does take some diligence on Etsy to avoid people reselling or drop shipping mass produced items.
Some of the prices are crazy too. I wanted 4 tenting legs for my keyboard, found some on Etsy for £100 total (no joke). 4 of the exact same item from AliExpress cost me about £4 including shipping.