If M$ supplied tiny.. 512 or less byte un-installable patches I might be inclined to trust them.
512 byte patches? Name one current OS that has 512 byte patches.
Uninstalling patches is easy: Go to the "Add/Remove Programs" control panel and check the box labelled "Show Updates". Then select the update you want to remove and click the "Remove" button that appears.
As for trust Microsoft is no worse than other vendors when it comes to patch reliability. I have no qualms installing patches on my workstation systems. For servers, especially critical ones, I recommend patches be tested first. And this applies to any OS.
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