Not good enough to protect against the kinds of attacks that OP is warning against. Chrome extensions update automatically and there have been many cases of extensions being purchased by malicious actors who modify the code to be spyware or adware.
You can download the current version and install it manually to get around that. If you do that and read the code you're probably safe.
Seems to me fine grained access controls would go a long way. The extension gets access to specific capabilities. Such as network connectivity. Local extensions have a much smaller blast radius.