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 think you should step back and look at it with a bit of distance. Is the content they're paying for really the same as you think is available for free, and do they even get it under the same conditions, in morality and circumstance.
Not knowing your life, it feels like you could have said the same towards people buying pricy concert tickets when there's royalty free music abundantly available.
> commoditised distress [...] often in dire situations
The first step to alleviate these specific situations could be to stop marginalizing this kind of content and give them a regular professional status, instead of systematicly pigeon hole it.
That's just any customer business.
When you go buy a house it feels like the agent is really looking at your personal circumstances and trying hard to be your friend. When you go cut your hair the staff will remember your name and ask about your day. Your dentist will keep track of your operations, personalize your care and make sure you're in trust and as comfortable as possible.
There's really nothing special about having people you pay be friendly with you.