I agree with what you say about these decisions being made as a society, and there being disagreements.
I would like to point out that you may misunderstand anarchists. Anarchists understand disagreement over such trade-offs better than most, and work harder than most for compromise and census. Anarchists are fine with large political structures and rules, as long as they are not forced upon anyone. Anarchists prioritize not forcing anything on others [0].
An anarchist might refer to what they have been doing in Switzerland for the last 150 years as a great example of bottom-up direct democracy in action [1], which is basically what political anarchy is. Currently a country of 8.5 million people, Switzerland is split into 26 cantons (they divide into more when needed). Each canton has its own constitution and parliament (averaging ~330k people each). Cantons are divided into municipalities (some large, like Zurich, and some small, with only 2-3k people). A big part of their political culture and the structure of their government is that what can be done locally is done locally, and the people are in charge. People can petition for a vote to not only create new laws and amendments, but to have laws they don't like removed.
Many of the problems in the U.S. are due to the fact that the federal government was never meant to be as involved in our lives as it is (10th amendment, powers default to the states) and was not designed to be responsive to the people (technically states vote for president, not people). So now there are 330 million of us arguing about more and more stuff. Even worse we allow rich people and corporations to fund politicians (which is illegal in most civilized countries), to the detriment of most people. The U.S. needs less plutocracy (rule by the rich) and more democracy (rule by the people).
Sorry, this has been on my mind lately. I just learned about how much anarchists are into democracy, and about Switzerland's democracy.
[0] https://en.wikipedia.org/wiki/Anarchists (refer to first sentence)
[1] https://wolf-linder.ch/wp-content/uploads/2010/11/Swiss-poli... (page 4 shows how powers are divided)