It’s radically different than on by default.
Having a service that automatically starts and listens on the network is radically different from having a module that a local administrator can load.
If you want to block module loads, you’re one sysctl flag away.
This is "a service that automatically starts". That's what automatic kernel module loading is for!
It's not any different from putting an always-running network service behind socket activation instead. The security boundary/risk is nearly identical between the two.
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> having a module that a local administrator can load
This is a successful local privilege escalation, so local administrator privs were not needed. In default configuration of all distros, apparently.
> If you want to block module loads, you’re one sysctl flag away.
The modules aren't really the point, it's that unnecessary features (to 99% of us?) were accessible by default without privs.