There was a discussion on MRFE6VP61K25H a while ago. Lots of doubts including the reliability.
Looks like the device is used now commercially for 2m: 2 W in 1 KW out. This is key down not pulse mode
Were the "doubts" about that video where the device is putting out almost no average power while running off a current limited power supply and it's shorted out with a screwdriver proving how "rugged" it is?
I think many transistor modules will be very, very reliable if you supply them with the appropriate high VSWR shutdown and other monitoring and protection circuitry.
But you still have to do that protection stuff, even for the devices that have Youtube videos showing some dude shorting the output with a screwdriver.