For Corina Fratila, a 53-year-old endocrinologist, the thought of swapping her stethoscope for the world of OnlyFans isn’t a mere fleeting notion. Despite being past her 'hot years' and well aware of her menopausal status, Fratila paints a raw picture of the crumbling American healthcare system – and why, under different circumstances, she'd consider a career in sex work.
Her frustrations are palpable. "If sex work was a viable option for me, I would drop my stethoscope faster than Big Pharma drops accountability," she quips with biting humor. The depiction of her medical career is far from romanticized: years of grueling training, crushing debt, and a system that seems more interested in metrics than medicine take center stage in her critique.
Fratila contrasts this with the autonomy she perceives in sex work. Clients pay directly, hours are flexible, and there’s a level of consent and control starkly absent from her medical experiences. For Fratila, the idea of spending another day "explaining to a middle manager why saving someone’s life doesn’t 'meet metrics'" is emblematic of a profession that’s lost its way.
“We are not burned out. We have been gaslit. Burnout implies we could not hack it. Oh honey, we hacked it. This is moral injury.”
The stark comparison she draws underscores a longing for a profession where integrity and humanity are still valued currencies. Despite acknowledging the risks and stigmas associated with sex work, Fratila cherishes the notion of a job where "when someone screws you, it is consensual."
In concluding her blistering critique, Fratila reflects on the systemic issues that plague her career. "The system isn’t broken. It is working exactly as designed. For profit. Not for people." She acknowledges the toll on her spirit and the moral injury inflicted by a deeply flawed system. With a touch of irony, Fratila confesses that if she had the youthful allure of a dominatrix, she’d be in leather rather than grappling with crash-prone software.
Ultimately, she finds solace in writing and advocacy, hoping to rebuild a system that doesn’t make healers long for a different calling. Her candid reflection is not just a personal lament, but a rallying cry for change in a world where the healers themselves feel increasingly helpless.