You can just boil it yourself... we used to drink it when i was little after buying it straight from the cowherds when they where bringing it down from "mountain-farming-place" (no idea what you'd call that in englilsh) and we never got sick.
Of course, i guess it doesn't last that way, which is the real issue.
The average American can just barely figure out how to competently wash their own hands; boiling milk successfully may well be out of their skill set!
In reality, the bigger issue is how to ensure food safety on the national scale. I know people who keep chickens/goats/dairy and beef cows, and I typically plant a vegetable garden, so in theory I personally could get my hands on a lot of perishable foods, but I also know how to handle/treat these supplies to protect myself, and I don't live in a city. People with passing familiarity to farming practices already know how to do these things (even if they may need specific guidance, e.g. that milk should be heated to a minimum of 145F for 30 minutes to pasteurize), but a large swath of people have no such basis for knowledge. There's no way that the US government would promote sales of raw milk or other products on a national scale, trusting that average Americans would be able/willing/understand how to process it to consume it safely. Some poll that is periodically trotted out indicated that some non-zero percentage of adult Americans believe that chocolate milk comes from brown cows, and while that is likely in part due to people choosing that as a funny answer, the average non-science-affiliated person I speak to truly has little to no understanding about where milk comes from (other than "the grocery store,") much less the food safety issues that arise due to pathogens potentially present in said milk.
And all that also ignores the larger issue of still getting (potentially less stable/untreated) goods to locations that require it, as major cities with higher consumption demands tend to be rather far removed from agricultural properties!