Any place anyone can add any user content has this problem.
Anything with an input box and a file upload would qualify as your not existing solution.
[edit] thought experiment: how many of the people making tons of money off Facebook—c-suite, major shareholders—would find some other way to make money if continuing to make Facebook mega bucks meant they had to do this 5 days a week? What would we think of any of them who chose “bring on the trauma, I want those sweet greenbacks” and kept it up for years?
I think the problems that Facebook, Youtube, etc are seeing stem from the fact that the content is much more public, thus in much more need of moderation.