Worse yet, a backdoor or legitimate bug in any of these module could leave huge exploits in the entire Node.js ecosystem.
My point is OSS is a collaborative effort by often times anonymous contributors. Therefore there will always be a risk of bugs or back doors - regardless of the distribution mechanism.
In my opinion any criticism against micro packages is equally valid against large packages. There's no guarantee that a pull request would receive any more scrutiny than a external dependency. I mean look at heart bleed. Surely this doesn't mean that OSS is broken, but rather stricter security protocols should be in place. My 2 cents.