geek anachronism: My preference would be the Vorkosigan Saga-esque Betan LPSTs (Licensed Practical Sex Therapists). People with some grounding in medicine/physiotherapy, psychotherapy, disability awareness and with their own governing body and regulatory systems. Some sex workers do this on their own, but without that overarching body you have no recourse when things go wrong (abuse etc) and no means of actually enacting governmental/regulatory change. And no real way of helping the disabled and their carers to choose someone who is going to actually help.
Snarl Furillo: I feel most certain about my second objection to this article, which is that we should be fighting prejudice against people with disabilities and integrating them more fully into society as people with sexualities and romantic desires just like non-disabled people.
jb: But is sex work more like marijuana, or like heroin?
Grangousier: Actually, it's the other way round: Heroin - under the name diamorphine - is widely used and even injected into pregnant women during labour. It appears to be preferable to morphine, on account of having fewer side effects.
As with other things under discussion here, it's not the thing itself that's the problem, but rather the culture and mythology that surrounds it.
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