Matt should read the release before live tweeting FUD. The database is shipped in the iOS image, per the overview, so targeting users is not an issue (roughly).
Lots of content is shipped in the iOS image but can update independently.
In particular, I’m referencing the figure which says that the database of CSAM hashes is “Blinded and embedded” into the client device. That does not sound like an asset the system remotely updates.
Furthermore, if “an easy to change implementation detail” in your threat model is anything which could be changed by iOS update, you should’ve stopped using iPhone about 14 years ago.