A change to the policy of what kinds of images are scanned is opaque by law, since none of the Apple employees involved can even have any access to the database of hashes they are using. There is also no realistic way for the consumer to understand the true false positive rate, no ability for a third party organization to distinguish false positives from true positives on non-csam images leaving the device.
Additionally, these are just problems in the US. Other governments can and will mandate the use of this tool for other kinds of media they find objectionable in their borders.
And there will be bugs that expose people to the results of these other governments, like the Taiwan flag emoji crashing case. https://www.wired.com/story/apple-china-censorship-bug-iphon...
The large investment from this system is almost certainly the infrastructure to get it on phones, report the results, and run it in scenarios where it will minimize battery impact. What photos on device it is run on does not strike me as a technical challenge once the tool is built, only one with policy implications. And the easy answer to that will be just to check some flag if the phone is in a country that requires all pictures to be scanned.