Earlier quoted context omitted.
Many states (or all the ones I have lived in anyway) have regular, mandatory inspections.
A lot are only checking emissions and lights.
Virginia: https://vsp.virginia.gov/safety-and-enforcement/vehicle-safe...
Massachusetts: https://www.mavehiclecheck.com/motorists-basicinfo#Safety
Those are the only two states I've lived in. I don't get why so much of the country doesn't do these; it seems the Northeast of the US almost all require periodic safety inspections and the western US does not.