In practice we have Certificate Transparency Logs that let us check whether a CA has issued a certificate for a domain you control without you asking them to.

This really reduces how much we need to trust the CAs, because we can detect any untrustworthy actions after the fact. Now detecting after it happened is too late. But it does mean that mistakes or malicious actions are much more expensive to a CA. In practice this has really reduced the risk, especially to those whom aren't interesting enough to burn a valuable capacity on. Which is the vast majority of people. Though perhaps if you count TLS traffic weighted by importance that count is different.