Most of the “bad” microplastic pollution comes from clothes and disposable bags and utensils. Bags are clearly on their way out, being replaced by cardboard bags.
Clothes are trickier. Polyester is extremely versatile and durable. But newer formulations of nylon (which is biodegradable) or PTFE (aka "teflon") treated fabrics are comparable.
Disposable bags in the west contaminating the water? I would be immensely surprised if that's even 1% of clothes and shampoos/beauty products. We don't normally put plastic backs in running water for ages.
Thin plastic bags in the west have a very short lifecycle that goes mostly shop->home->bin->landfill (segregated from water table). There is almost no opportunity for it to actually contaminate the water.
Clothes are trickier. Polyester is extremely versatile and durable. But newer formulations of nylon (which is biodegradable) or PTFE (aka "teflon") treated fabrics are comparable.