Prostitution Paradox: Regulating Brothels Can Spread Disease

In countries that regulate prostitution, more sex trade workers end up on the street and disease rates rise. 

Prostitution, very narrowly defined, is not a criminal act in my country, Canada. If we are in a private home and I want to charge you for sex and no one is else is profiting, the state has nothing to say on that.

Most acts of prostitution are, however, criminal acts. We have an ongoing national debate on the subject. Whenever this topic arises the argument is invariably that if prostitution is legalized, it can be regulated. That sounds like a good thing; taxes collected, STI’s controlled, minors taken off the street. I don’t want to talk about morality or politics, now or ever, since Dollars and Sex is blissfully free of such shackles. But I want to take a moment and ask the question: would legalization with regulation have the effect that we think it will?

Imagine we pass laws making it legal to run a brothel and that, in order to keep a license, condom use is enforced and workers need to be regularly tested for STI’s. Presumably, this gets the workers off the streets and makes the selling of sex safer for everyone, including the spouses and partners of the clients. So far that sounds like it achieves some of society’s objectives, right?

Let me ask you this: what happens to the sex trade worker who can’t find a place in a brothel? Specifically, what about the worker who can’t work in a brothel because she has an STI? In this regulated utopia, do these would-be sex-trade workers shrug their shoulders and apply for a job at Tim Hortons instead? Of course not. These workers are still out on the street, as are the minors and other workers who don’t want to pay taxes. And what happens to the client who doesn’t want to buy sex with a condom? Well those guys are not in the brothel either. They are out on the streets buying services from the most risky sellers, those who because of the regulations can’t work in a brothel. Add to this the fact that regulations drive up brothel prices. So now, the street sector is comparatively cheaper, and many men are buying there regardless.

This isn’t just speculation on my part. Evidence* from countries with a regulated brothel sector shows that more enforcement of licensing and STI testing actually increases the number of sex trade workers on the streets. In addition, it increases STI rates and makes working in the sex trades more dangerous, not less. I suspect that those working in the sex trades in Canada know this, which is why the call is out for decriminalization, not legalization. No one in that sector is using the regulation argument to justify a changing of the laws. If it is safety we are looking for, and if that means taking the sex trade off the streets, then regulation is not going to get us there.

Maybe we need to have a future conversation about who really benefits from decriminalization.

* Gertler, Paul and Manisha Shah (2009) “SexWork and Infection: What’s Law Enforcement Got to DoWith it?”

Image by © Karen Kasmauski/Corbis.  A prostitute at work in the Santurce area of San Juan Puerto Rico. 

'Upstreamism': Your zip code affects your health as much as genetics

Upstreamism advocate Rishi Manchanda calls us to understand health not as a "personal responsibility" but a "common good."

Sponsored by Northwell Health
  • Upstreamism tasks health care professionals to combat unhealthy social and cultural influences that exist outside — or upstream — of medical facilities.
  • Patients from low-income neighborhoods are most at risk of negative health impacts.
  • Thankfully, health care professionals are not alone. Upstreamism is increasingly part of our cultural consciousness.
Keep reading Show less

Meet the Bajau sea nomads — they can reportedly hold their breath for 13 minutes

The Bajau people's nomadic lifestyle has given them remarkable adaptions, enabling them to stay underwater for unbelievable periods of time. Their lifestyle, however, is quickly disappearing.

Wikimedia Commons
Culture & Religion
  • The Bajau people travel in small flotillas throughout the Phillipines, Malaysia, and Indonesia, hunting fish underwater for food.
  • Over the years, practicing this lifestyle has given the Bajau unique adaptations to swimming underwater. Many find it straightforward to dive up to 13 minutes 200 feet below the surface of the ocean.
  • Unfortunately, many disparate factors are erasing the traditional Bajau way of life.
Keep reading Show less

Golden blood: The rarest blood in the world

We explore the history of blood types and how they are classified to find out what makes the Rh-null type important to science and dangerous for those who live with it.

Abid Katib/Getty Images
Surprising Science
  • Fewer than 50 people worldwide have 'golden blood' — or Rh-null.
  • Blood is considered Rh-null if it lacks all of the 61 possible antigens in the Rh system.
  • It's also very dangerous to live with this blood type, as so few people have it.
Keep reading Show less

Scientists create a "lifelike" material that has metabolism and can self-reproduce

An innovation may lead to lifelike evolving machines.

Shogo Hamada/Cornell University
Surprising Science
  • Scientists at Cornell University devise a material with 3 key traits of life.
  • The goal for the researchers is not to create life but lifelike machines.
  • The researchers were able to program metabolism into the material's DNA.
Keep reading Show less