Beats me why anyone would do something that pays 20 times less what they could earn WHILE ALSO getting laid, working whenever they want and being more appreciated than in any other job.
And yes, it's illegal in the U.S. but it's not really enforced and she could anyway move to several European countries where it's legal.
The direct downsides seem to be more psychical than physical, and not necessarily worse than regularly being verbally abused by irate jerks while having to remain calm and polite yourself.
If I'm mistaken, let me know, since it would probably be kind of cool to get money to help ladies (even if possibly old and/or ugly) achieve orgasms.
Yeah, that's not what most male prostitutes do. Can you think of any other demographics that might demand male sexual services?
2. There's a pretty strong social taboo against it and many people will refuse to associate with those who do it. People such as family, friends and potential future employers and mates. You can keep it secret, but that carries its own costs.
3. There's a somewhat increased risk of running into organized crime and/or psychopathic killers.