The secret sauce is that there isn't such a torrent of awful content in need of moderation that we need more than a handful of moderators, despite a pretty big userbase.
Some stuff is illegal in some countries and will get your platform sued or taken down completely. Sometimes competitors and malicious users will spam undesirable content to smear your brand identity, get you blacklisted by search engines, or simply eat up your time and money. Sadly, not everything can be approved.