They are predatory on poor people, and they trick people into accepting something when they don't really understand the consequences or "believe" them.
A person may incorrectly accept a loan like this, while being under the mistaken assumption that they aren't at risk of the consequences. Sometimes people just make bad decisions.
It is really immoral to take advantage of someone like that.
Debilitating your debtor IMHO seems counterproductive for getting a loan repaid. But is the harm it would cause even an unforeseen coincidence - the guy might have heard some of the studies on how crucial social connections are in poverty and gone "aha! Here's something that truly matters to them, it could be wielded as a cheap big stick in loan repayments"