I liken Autopilot / FSD more to a horse at its current state. You keep a firm but gentle hand on the rein and let it find its way. Sometime you have to check it.
If you get complacent (which the screen explicitly warns you against), yeah, things could go wrong. That's also 100% true when driving a normal car.
Edit to add: I think a lot of criticism focuses on the term "Full Self-Driving" which implies "Full Self-Driving". That's fair, but I think it misses an important point. ("Autopilot" made a lot more sense to me: real autopilots can't do everything either. They can't even taxi.)
When you're actually IN THE CAR, enabling this functionality for the first time, you have to enable three separate toggle switches. Each one pops up a progressively longer, more dire WARNING dialog, emphasizing the software's primitive state, the importance of paying attention and keeping your hand on the wheel. It also demands your constant attention while engaged.