pnpm does have some other features to prevent supply chain attacks, so there is still something to learn from other ecosystems. For example pnpm has a cooldown period for new dependencies and can prevent trust policy downgrades (eg new version published without build provenance where older versions did have it). See https://pnpm.io/supply-chain-security
Cargo has `min-publish-age` in nightly, and it's currently heading towards stabilization: https://github.com/rust-lang/cargo/pull/17335
Also, crates.io can defer serving up newly uploaded scripts that have a new build.rs / proc-macro dependency and warn publicly that a version introduces it.
Restricting build scripts 100% will help mitigate the impact, just not if you only deny it once. And they can develop other things like sandboxing for build scripts by default and escaping that to be the exception that has to be explicitly allowed.
`cargo add` is sufficient to compromise you, before you have a chance to even vet the code.