Interesting post brazen. You are right that I speak from a point of no experience and my views are academic.
I guess where I struggle is with the fact that there must be so many women in the positions you describe of your clients - but they either just get on with their lives or don't have the means to pay for intimacy or it is not a service worth providing.
I mean, taking sex out of it, if your body is not the issue, you seem to be talking about people with emotional needs not being met. So why are clients mostly men and those providing the service mostly women?
I am not suggesting evening the playing field by more male sex workers or whatever; but if you are selling a service which is not about access to your body, but about meeting emotional needs for intimacy then what does this tell us about the layers of people who are being failed by other social attitudes and provision (where is the respite care for your male carer to have a social life?; where are the inclusive social attitudes to allow your disabled client to have a girlfriend - etc). It is almost like you are saying 'I see these people because there is no other way for them to be close to another person'. So - as a campaigner for social justice - the issue is why is the answer here an individual and gendered one; why is it not about social responsibility and care more generally?
That is taking sex out of the equation - but sex is not out of the equation. It is central to it. There is something deeply unsettling to me with a culture that suggests that access to women's bodies is a commodity. It is not. I believe that men in your private life may be more entitled. But it is a continuum - they are entitled because socially, in media, in advertising, women's bodies are seen as accessible, they are used as a means of sale.
I am not writing in a secure financial middle class bubble. I provide what I can myself. I guess I just think social justice is about more than what it is being portrayed as here.