I think it says something quite dark about our society as a whole that we have basically commoditised distress and are encouraging some people often themselves in dire circumstances to prey on others to the benefits of the middle men. I find these new pimps scarier than the old sort in that they pretend to have clean hands.
Almost everyone I know thinks that things like OnlyFans are embarrassing at best, and disgusting at worst. Sure, most of us look at porn, but admitting that you've paid for it and _especially_ admitting that you have a "favourite camgirl" or whatever would be properly cringe.