In Oswalds case he is referring to his love, a fellow pre-war ghoul named Rachel. She was an organic chemist who couldn't stand the thought of her friends, the ghouls in Kiddie kingdom, going feral from their affliction. Unable to find a 'cure' she went out into the world in hopes of finding some way to help her friends and any one else similarly afflicted. Unfortunately, she did not. You can find her, and a holotape meant for Oswald, in a wrecked house at the edge of Bradberton town, just outside of the Nuka World park.
As for a 'cure' in general for ghoulism, the reversal of radiation damage to the body and the reversal of damage to the brain causing the degradation into the feral state, I doubt that there is. Possibilities exist, sciences that could be adapted, maybe, But a full, 'cure'?, I would have to say no, IMO.
As to why some go feral and some do not, don't know. Why do some people get cancer after years of smoking and some do not? Some tweak in the bodies immunity system is better that others..., and or some people, or ghouls, just get lucky like that.