OP/ED by XXXMed
There is a very crucial part of Mr. Marcus’ explanation of these events that seems to be getting lost amid all the speculation,gossip and rumor. In his explanation Marcus says that he has never told his private physician what he does for a living. How can any doctor give proper treatment when his patient fails to reveal crucial information, especially about STD’s from a person who works in the sex industry.
Marcus tells us that he tested positive for syphilis on July 11. We know that he must have contracted the disease some time before then, and how long is another crucial question. You must go back to his last negative syphilis test to establish any timeline. His infection occurred sometime between his last negative test and July 11. Possibly even up to ninety days before that negative test, as he may have been in the window period before the infection was detectable. He could have had this disease for months without knowing it, and fellow performers in the industry should be demanding this information. Marcus could have worked with many people in the months before he was diagnosed with the disease. Syphilis is an easy disease to spread, even skin to skin contact can transmit the disease.
Marcus’ private physician administered a shot of penicillin. Under normal circumstances this would usually cure the disease. But Marcus’ physician did not have all the facts about his patient, crucial facts. Unprotected sex with multiple sex workers is not something you should keep secret from your doctor, especially when you are talking with him about STD’s. Depending on the length of time you have had the disease, syphilis can require more than one treatment to be cured. CDC guidelines call for up to three shots for someone who has been infected for more than a year, but these are just guidelines. Every individuals body may react differently to the disease, and to the treatment. I can’t help but think that if Marcus’ physician had known what he did for a living he would have recommended a different course of action. It is entirely possible that Marcus was infected for quite some time before being diagnosed, and as such, one treatment was not enough.
The fault for all of this is at the feet of Mr. Marcus. The attempts by some entities within the adult industry to use this as a political bargaining chip, and to try to assign some level of blame to the testing facility is disgusting. TTS has been providing services in California for years, and they have been doing so right out in the open. If they were violating any laws they would have been closed down long ago. For some reason, a faction of the adult industry doesn’t think that any of these medical laws apply to them, and that too is a major part of the problem. TTS is merely the messenger, and you don’t shoot the messenger because you don’t like the message. Anyone who thinks that a privately owned medical facility has some duty to the porn industry as a whole, over their duty to the individual patients they serve, is just simply wrong. Do not put the failure of the porn industry to adequately address the issue of performer safety, on the messenger who delivers the message that your system is inadequate. A message that has been delivered time and time again. Mr. Pacheco of TTS is absolutely correct when he says that the testing should be handled by an entity completely free of any association within the porn industry. Having the FSC, an organization that represents producers, not performers, involved is like having the fox guard the henhouse.
One company that Marcus worked for has announced that they are notifying everyone who worked with him, and is offering testing and treatment, paid for by them. While this is certainly a good thing, they are actually doing nothing more that the law requires them to do. And since they have made this public, I hope that they have filed the proper notifications to OSHA. While offering the testing and treatment is one thing, they must also keep these records in compliance with HIPPA regulations, and that means they must have a written protocol plan that addressed specifically how they handle any HIPPA protected material, and for some reason I doubt they do. But lets not downplay what they are doing, it is a good thing, but by making this public they have sent an engraved invitation to OSHA to come knocking on their door.
There are no rules and regulations in the industry regarding STD’s. Everything is voluntary, and that too is part of the problem. While many, in fact most in the industry, performers, agents, directors and producers adhere strictly to the agreed upon protocols, the sad fact is it only takes one single individual to cause a complete breakdown of the system, and the current situation is proof positive of that. This system relies solely,100% on the integrity of all of those who participate in it. If you feel comfortable with the level of integrity of everyone in the system I think you are only fooling yourself. If someone with the stellar reputation that Marcus had could do something like this, just imagine what a less scrupulous individual could be capable of. Sometimes an individual may unknowingly bring disease into the industry, and that is bad enough. A thirty day period between tests makes this a very likely occurrence. A shorter window period would certainly help, but it would not solve the problem. But when someone, knowingly brings in disease, that is a completely different story. Only time will tell how the industry reacts to this, and if past performance is an indicator, the industry will fail again. Lets not forget that Evil Angel a few years back dropped a person from their company after being caught three times altering tests. That person still works in the industry today.
And as a side note. There is always the comparison of untested civilians,versus tested porn stars, and who puts who at more risk. But the fact is, many porn stars also have sex with untested civilians, so porn performers get the worst of both worlds. Not only are they taking risks when performing in unprotected scenes, but the amount of sex with untested civilians also finds its way into the circle of porn performers. I’ve seen it said before that the porn industry should weed out escorts, but did you ever think that the escort business should weed out porn performers?
This is a good opinion piece. Who is XXXMed?
“I’ve seen it said before that the porn industry should weed out escorts, but did you ever think that the escort business should weed out porn performers?”
There need to be strong safety protocols in both industries. Since prostitution is illegal in the US, escorts are in a tougher position to implement strong universal safety controls, making them more unlikely to do so.
The porn industry has no excuse.
You bring up a good point, origen. Today, porn and escorting—OK, let’s call it what it is, prostitution—are parallel industries. You can’t address one without addressing the other in terms of health issues. These two have been closely melded since the early ’90s and even before that, so these recent issues are not a new phenomenon. Consider that the population numbers for all porn performers in the entire U.S. today is probably under 10,000, both male and female, but the prostie demo is maybe close to 100,000, male and female. How may cross over? A fairly small percentage I’d say, but it takes just one to have a major health impact. When you get into numbers like what’s occurring in eastern Europe right now, things can blow up very quickly.
From what I’ve been reading about the pathology of syphilis, going back to early 19th century outbreaks up to today, it’s always been contained rapidly. With modern medicine and quick treatment, this infection is practically a blip on the health radar screen. I think more than anything it has the ugly stigma of the past attached to it still, when people died slowly festering or went insane. Al Capone, gone crazy then dead. Syphilis has always been a great tool to scare overseas G.I.s and horny teenagers. I think we need to reign in the hysteria and hyperbole a bit and keep some perspective on what by any standard is a minor STI outbreak—but when we definitely didn’t need any.
One partial solution I suggest, and it won’t be a popular one among porn fans, is to halt all anal penetration on-set, and discourage it in private if you’re a sex worker. Butt sex is a major contributor to most of the worst infections, and especially HIV. Of course the financial impacts of that idea will never let it take hold. Greed is a powerful force, baby.
I have a better solution: demand that our public health institutions actually DO SOMETHING about the increase in STIs in the public at large! We pay those fuckers, and they are failing us.
Educate people about STIs, get them tested, and the numbers will decrease across the board.
XXXMed writes,
“TTS has been providing services in California for years, and they have been doing so right out in the open. If they were violating any laws they would have been closed down long ago…. Mr. Pacheco of TTS is absolutely correct when he says that the testing should be handled by an entity completely free of any association within the porn industry. Having the FSC, an organization that represents producers, not performers, involved is like having the fox guard the henhouse.”
There are three problems with this apologia for TTS:
1) No one has accused TTS of violating “the law.” This is a red herring to distract from TTS’ failings. I don’t care if they pay their business license fees and their taxes — they still allowed untold numbers of performers to work with possibly infected performers because they have refused — and continue to refuse — to participate in a centralized database system and to have a medical professional on staff to provide consultation, counseling and aftercare.
2) TTS, because it has no association with the adult industry (other than as a parasite that profits from it), has NO accountability. It’s not part of the community and has no interest in the community except to the extent that it follows the letter of the law. TTS has made ZERO effort to play any role in safeguarding performer health — as mentioned above, it has no doctor on staff, provides no aftercare and –most relevant to this current situation — has NO protocols in place for industry notification OR to assist in the documenting of the genealogy of this outbreak in order to ensure that the FEWEST performers are infected as possible. TTS has refused to provide information to the industry because it is butt-hurt over Manwin’s snub. I call that selfishness and malfeasance.
3) FSC and APHSS DO have performers in their ranks — the APHSS board has Bobbi Starr, Danny Wylde and Jessica Drake, and the FSC board has performer Kara Price. Kara took an interest, decided to run for the board, and was elected. NO OTHER CURRENT PERFORMERS have taken such an interest. Whose fault is that? Producers? The FSC?
TTS is NOT merely the messenger — TTS, is the embodiment of nearly everything that was wrong with performer health management prior to AIM’s creation and acceptance in 1997-98.
The funny thing is, XXXMed lays out the problem with great precision early in his piece before seeking to distract us with politics:
“[Marcus] could have had this disease for months without knowing it, and fellow performers in the industry should be demanding this information.”
Under the TTS system that XXXMed applauds, this is IMPOSSIBLE to mandate. The TTS model relies on not only the willing cooperation, but the aggressive dedication, of the individual infected performer. The TTS model provides NO MECHANISM by which performers can timely demand ANYTHING.
XXXMed acknowledges, “it only takes one single individual to cause a complete breakdown of the system.” AGREED! And under the TTS system any performer who chooses to not inform others in a timely manner can cause (or worsen) chaos. If we can’t rely on a performer to do that which is in his own best interest (e.g. inform his doctor that he works in the sex business) then how can we possibly support a model that relies on his forthrightness and dedication to preventing additional infections?
Performers deserve better than TTS.