A big way to deter them is to keep remote log files which, if analyzed, will reveal any attack.
For example, if both ssh-client and ssh-server kept a fingerprint of the session key in some append-only logfile, then a later administrator could compare the logfiles to know if an MITM happened.
Suddenly, nation state attackers won't be interested in MITM-ing at all.
Unfortunately it appears openssh doesn't even have an option to create such a logfile!! Why not??