I did some free diving in the middle keys in FL in the early seventies. The corals were amazing. I saw multiple heads of brain corals the size of Volkswagens. The corals were flawless. I also saw enormous barracuda in the 8' class.
Now I rarely see elkhorn coral of staghorn coral. Theses are acrophora corals that are sensitive to water quality. The gorgonians are often in good shape. I do see some good looking hard corals but it is rare to see a coral head that is flawless. Also, everywhere I have gone: Utila, Turneffe Atoll, the Fl keys, the Turks and Caicos, Roatan, the Virgin Islands, the Caymans, and Cozumel show decided coral degradation.
The causes of Reef stress are various.
One is over fishing. It is speculated that the removal of certain fish species can adversely affect corals. The places where I see the best fish populations: the FL keys, Cozumel and the Caymans all have good corals. But Utila is over fished and has decent corals.
The second is pollution of nitrates and phosphates. I have seen places with this pollution that has dead reefs choked with algae.
The third is coral bleaching caused by water that is too hot for too long. I have seen places where this is happening.
The fourth is acidification of the oceans caused by the sea water absorbing CO2 from the air. Hard corals struggle to make calcium carbonate for their skeletons. Acidic water makes them vulnerable to other threats.
In about forty years, I have seen pristine reefs transformed into obviously sick or dead reefs.
It would seem likely that contininf the present trajectory will finish the job.