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.
But while there are successful people on only fans with either more or less clothes on, the vast majority of creators probably sell their dignity for a few dollars.
Agreed that there is something fishy about these new pimps. I guess there are still the conventional pimps too, but they now call themselves manager.
I don't see it as any less dignified than any other work. You sell your labor to someone who pays you less than the value it produces.
Now, if you want to argue that median creators get payed only a tiny fraction of their time, and like Twitch/YouTube it's a losing game for most, then we're on the same page.
You do not, and that is your moral judgement. Rationalizing earning money by any means necessary is a very slippery slope, and the discussion is much more nuanced than popular media would lead you to believe.