First, in a philosophical sense: pointers and x86 CPUs are real, ultimately any safe abstraction must be built on unsafe primitives. The ability and need to do that aren't specific to memory unsafety, we do that all over software engineering.
Second, empirically, my experience has been that the design of these abstractions can be safe, but moreover that the cordoning off of unsafe blocks makes 3p auditing for memory unsafety _much_ easier to do. It can be orders of magnitude faster than reviewing an entire C or C++ codebase.