So is trust. You can’t possibly audit the source of every piece of software that touches your life, even if all of it were open source. Hell, things like Heartbleed or Shellshock sat in OpenSSL / Bash for 5-10 years.
If you don't trust an open-source program due to the possibility of e.g. Heartbleed, then it's only reasonable to trust closed-source software (e.g. the majority of macOS, including in all likelihood the parts of it controlling the camera) even less.