"Solving" content moderation is a losing battle -- there is no way to humanly moderate anything at the rate it can be produced, and Elon knows this. It's insane, so he probably won't do it.
But, allowing content to be produced, but making sure no real person ever sees it, until the content producer earns their way into "your" group -- now that can be automated. Also, then the police and FBI could use all the evil content to "do their job" (but, I'm not holding my breath).
Elon has access to Exascale hardware, so K-means Clusters with arbitrarily large dimensionality is at his disposal. The algorithms are linear in complexity, so should be parallelizable.
I figure he might have thought this through...