Mine is a lot worse than yours. I've been looking for a replaceent hatch but mine is black onyx w gold trim, so pretty hard to find. The new part is NLA from Toyota.here's some pictures of the rust btw
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as you can see it's pretty bad, and i'm sure it's a lot worse underneath. i'd honestly prefer to replace it with something cleaner that i could just do an easy touchup on if needed than doing a full on cut and weld.
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AFAIK it's not structural, but you may have exhaust fumes entering the cabin if it gets bad enough, and/or possibly mold forming in between the cabin trim and weather stripping.
All that said, I'm not too sure on when, if ever, it might become a safety issue, as opposed to merely cosmetic.