The state runs the inspection process in Delaware. The quality and level of corruption have fluctuated throughout my lifetime, but there’s never been a built-in economic incentive to shake people down for unnecessary repairs. Right now the facilities are all pretty new and work pretty well to purpose.*
When I was 18 you’d stand** in line in a smelly, dirty building for hours to be verbally abused by an attendant who was a relative of a state senator and thus untouchable, but just providing adequate staffing and facilities seems to have fixed the attitude problem the state’s appointees used to be famous for.
* live video feeds.
** there were some chairs, stained and stale with ancient bodily fluids, that occasionally people got desperate enough to use.