Consent is conditional by design, it requires specific circumstances and/or conditions to be maintained continuously. The introduction of money or some material good as a requisite condition does not negate this basic fact.
It’s not all about wheelchairs - chronic pain, neurodiversity, and mental health are all relevant too, and learning to talk with clients about what they need and how they experience pleasure is essential.
On top of the standard emotional labor that comes with sex work, as a fat sex worker I’m often put in a position to help clients sort through their fatphobia as it relates to my own body.
Herbal care has been passed down through communities for generations - before the professionalization of medicine, women, witches, midwives and family members were the keepers of herbal knowledge.