Hmm, both natural and man-made stones have price/quality trade-offs. I am no expert in the field, but I think both kinds are post-sorted into quality grades based on what flaws are found. And I guess labs can also tune their growth parameters for different trade-offs.
So yes, for a given price and size, the artificial stone will have better quality -- but that is just another way of saying they are cheaper.
What may fool your intuition is that the process is not about refining, it is about growing a crystal. IIRC, the vaporize carbon in a very controlled atmosphere and let it grow.
Natural processes are much more messy and are made in the presence of a lot of other chemicals that need to be artificially introduced in the crystal growing atmosphere for it to be integrated.
Some processes have actually started introducing "fake" occlusions just to make them impossible to distinguish from the natural variety.
If you want a natural stone that is "forever", look into the nature shop, they have tons of beautiful solid stones. If you want a shiny, pure gem stone, lab-grown is going to give the best quality.
Natural diamonds are hopefully becoming a commodity for wealthy and misguided hipsters. It is a good thing that the bloodstained business is failing.