if you are in doubt, propublica has done a huge expose in the major, deliberate lapses of FDA regulation for foreign manufactured drugs

https://www.propublica.org/article/fda-drug-loophole-sun-pha...

How is that relevant to my point?

Despite its failures (however many you want to point out), our regulatory regime converts a pipeline of almost universally ineffective and/or dangerous compounds into a marketplace of almost universally safe and/or effective compounds. This is a fact.

Unless you think no one is trying to, would try to, or would deceive themselves into accidentally releasing a dangerous or ineffective compound to consumers?