Much of the time, when a tweet says that it's 'in reply to' someone else, the specific tweet it was meant as a reply to is not displayed to third parties.
If you extend this experience to the Trump scenario, it's a total fantasy to think his followers on Twitter are being exposed to rebuttals of his statements.
You see counter-opinions if you follow the person who expresses them. It's the inverse of discourse, and I agree it's cancerous to civil society.