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.
I have a friend who produces a few successful OF models and makes about 5-10x a good SF tech salary. He has a whole army of sexters who impersonate models and DM with fans. Vast majority of his income comes not from subscriptions, but from content sold in these DMs, content which is presented as "exclusive" to the buyer.