Just that we had unleashed models for a while now and the only popular use case for them has been deep fakes. Otherwise it's just boring, generic content that is no different to what you find on X or 4chan. It's 2024 not 1924 - the world has already seen every horror imaginable many times over.
And not sure why you think if they were mass scale it would change anything. Most of the world prefers moderated products and services.