(1) if the top comment is indignantly rhetorical or generic, downweight it; otherwise go look at another thread;
(2) refresh the page;
(3) goto (1).
If I'm feeling diligent, I might do this for the top few subthreads, but that's about it.
This simple intervention turns out to be the highest-leverage thing we've figured out in recent years:
ttps://hn.algolia.com/?dateRange=all&page=0&prefix=true&query=by%3Adang%20highest%20leverage&sort=byDate&type=comment
I would rather see the highest voted comments, and I'm pretty happy to just scroll down myself if I find the top comment to be useless.