Surely, we still live in a life out of balance. But something about how digital much of human life and industry is now makes it seemingly difficult to create a modern successor to Koyaanisqatsi. I suppose you could just have a panning shot across massive server farms and maybe some footage evoking the sheer amount of carbon and water requires for these operations, but not sure it translates to film in the same powerful way as other footage in films like Koyaanisqatsi, Baraka, and the most recent film along these lines that I have seen, Anthropocene (2018).
Hundreds of people in public spaces all sliding their fingers on algorithmically controlled touch screens (and oblivious of each other) would make another shot. A scene of a roomful of people all wearing VR goggles while some "coordinator" walks around would be the climactic transition scene.
What is incredible is that in the four decades since Koyaanisqatsi the imbalance has only gotten worse and there is no evidence that some equilibrium will ever be reached.