For sure, things like npn, gems, cpan, pear, pip, etc... is basically back to square one with Joe Random. Each of those things can be pulled into a code repo, built internally and turned into RPM packages. I agree that the effort to code diff review these things is quite large. It is likely still a smaller effort than rewriting all of this code from scratch.
That said even at less effort there it seems extremely unlikely that anyone is doing actual code reviews on the software being packaged up into all the Linux repo's out there. Even automated static analysis over that volume of code (as error ridden as that would be) just isn't practical.
That's not to say they're not more trusted than npm et al, as the developer can't push directly to the repo., so an attackers life is more complex.
Although that said it does introduce a new possibility, that of the malicious/compromised package maintainer...