GAW, the problem is that they CHOOSE not to seek treatment for this disease and act on their impulses instead. If you have crave chazar would you not speak to someone? If you crave milk after meat would you not seek help? If you keep turning on lights on Shabbos would you not find out what is wrong with you? But this terrible machlah where you hurt others you don’t seek treatment? NO! they CHOOSE to give in to their teivos instead of seeking help to stop them. This is the huge issue. Everyone has and had a choice in this situation for decades.
Choice one was not to give in to the impulse and seek help.
Choice two was not to cover up for those who hurt innocent kids and stop them either by forcing them into therapy and getting them away from kids, or by turning them into the authorities.
And those two choices are still on the table today.