That limitation has nothing to do with MV3. Adguard does not suffer from this problem. Making it opt-in is a specific design consideration that gorhill took with this version of uBlock to reduce its permission scope.
I wish people were not so quick to share misinformation like this.
The amount of misinformation in these comments is absolutely wild.
For some reason people are just itching to spread FUD about this topic and Google in general. I don't understand where it comes from or why it happens but it's really annoying.
From the blog post on how adguard built their v3 extension the ads themselves are blocked but aren't removed from the page if the cosmetic filters aren't run
I wish people were not so quick to share misinformation like this.