Medical Survey of Human Trafficking Victims

I’ve been asked to pass this along. The survey looks at medical care recieved by victims of human trafficking in the US during the time they were trafficked. It recognizes both sex and labor trafficking. The survey is available in English, Spanish, and Haitian Creole.

The intro letter:

Hello,

I am an emergency medicine physician (currently at Columbia-NY Presbyterian, but still affiliated with Mount Sinai Medical Center) in NYC, conducting an anonymous survey of human trafficking survivors. The survey was designed with Dr. Susie Baldwin and the aim is learn more about survivors’ experiences with healthcare providers, while they were being trafficked, so that we can educate providers about this patient population in an evidence-based fashion. Participating survivors, so far, are recruited via community based and not-for-profit organizations, and receive a $10 gift card upon completion of the survey.

We hope your organization would like to participate; please reply if you’d like more information on how your organization can get involved!

Thank you for your consideration,

Makini Chisolm-Straker, MD
Department of Emergency Medicine
Columbia – NY Presbyterian Hospital
and
Mount Sinai School of Medicine

If you want to discuss the survey’s language or focus, please talk to Makini Chisolm-Straker.

The survey’s website, HumanTraffickingED and the survey page.

The point is for victims of trafficking to give input. If you know victims of trafficking, pass this along to them. Pass this along to any org you know who works with trafficking victims.

Reaching out and connecting with outdoor (street-based) sex workers.

Hi everyone, myself and a few friends of mine that have a bunch of outdoor (street-based) sex work experience decided to do some training for all of you that are interested in the street-based economy, and how to offer support.

Specifically we drafted two documents, How to be an ally to outdoor(street based) sex workers and how to outreach to outdoor (street based) sex workers, the short version.

My favorite is the how to be an ally document, and it’s short, so I’ll repost that here below.  This is not intended to replace the more general version sex workers put together earlier, but to augment it:

  1. Don’t push yourself on me in the name of help if I don’t want or need it. I have the ability to make decisions for myself. Honor my decisions even if you don’t agree with them.
  2. We have lots of people offering us “help,” but most are NOT actually meeting our needs. Meet my needs, not your desires. If you don’t know what my needs are, it is ok to ask.
  3. If you offer help and I accept, follow through on your promises. Do not lie to us or give us a false sense of hope. Be real about how much you can and will help.
  4. If you offer help, I want it to address my immediate needs! Not something that will help me 5 years from now. For instance, if I don’t have food, a place to sleep or my fix, then scholarships for school have very little relevance in my life.
  5. Some people are happy in this life. Thinking I require help OUT of this life is bad thinking on YOUR part.
  6. Don’t assume I’m strung out and need help kicking. Maybe I’m not strung out or maybe I have no desire to quit.
  7. Don’t pity me or feel sorry for me. Remember, anyone can end up in a rough place in life. When someone pities you, it makes you feel “less than” or ashamed of your lack of ability to get yourself out of the rough situation you found yourself in. Remember, it could be you standing here working next to me later!
  8. If you want to help, make yourself available and perhaps offer options. Let me choose the type of help I want/need, not what you think I need.
  9. Don’t judge me! If you are judging me, you are not in a position to help me.
  10. Don’t tokenize me. Street-based workers come from all different races, genders, religions, socio-economical backgrounds and education levels. Don’t assume that just because “Pretty Women” is your favorite movie, you know me.
  11. Be patient if I need help. Chances are I’m in survival mode, and you need to respect where I am, not where you want me to be.
  12. Respect me. Don’t be afraid to look me in the eye.

Sex Work Issues — SE Asia and China

Here are two videos I found today via Facebook. Compare and contrast:

http://www.lauraagustin.com/migrant-sex-workers-in-china-massage-parlours-hair-salons-hotel-rooms (though this one is from 2007, the scene is still the same)

Adult Services Gone

Craigslist confirmed in the hearing before Congress that it had removed the Adult Services section permanently from US CL (and assuming Adult Gigs will stay down too). Nothing was said about the international Erotic Services section.

Two articles:
briefly on CNET

slightly longer article

There are other articles but none that I’ve found have looked at the hearings in any sincere or deeply-informed manner.

Also odd: I placed a new ad in a new international city and had to give my email address to create an account. This is not SOP for international ads. Worrisome.

For the General Public: When does sex work become rape?

This post is intended far more for the general public than for those who usually read it.  It is not a post seeking sympathy.  I”m using personal experience to illustrate a point.

Recently I went to work for an outcall escort agency.  The agency does the screening of the clients with the idea being a date is supposed to be safe and not with a police officer.  I drive to meet the client, get there, get the money everything seems fine.  The session is 1 hour or 1 climax whichever comes first.  Rules are preset about how far I am willing to go.  First he want’s a massage.  Then oral sex.   Only he isn’t able to get the response from his body that he is hoping for.  This goes on, and on, until my jaw is literally locking.  Finally he pulled away and I made the comment that maybe this just wasn’t working.  He disagreed said he knew it could work and said he just needed a drink to relax.  Asked me if I wanted one?  No, thank you I’m fine………  I give him the speech about not drinking and driving as a personal policy.  While he is getting his drink I notice framed on the wall is his graduation from training as a FAM.  Federal Air Marshall.  I think, great, this guy is quasi law enforcement.  But until this point it was still sex work.  I still owed him a few more minutes and had no issue with trying again.  He drank his drink and in one quick move had me down, handcuffed and had a trashbag over my head.  When he first handcuffed me, I thought shit, he’s a cop.  The trash bag told me different.

He hit me over and over in the head telling me to stop fighting and to give in and let him have what he paid for.  He didn’t pay for what he took.  While oral sex didn’t arouse him anal did.  He made repeated points about his hatred of condoms and that I was going to see what it felt like to have plastic over my head.  Which was an odd twist of words given we were talking about different “heads”.   He hit me in the head a bunch more times until I agreed to swallow the condom.  I was too disoriented from what was diagnosed at the ER as a moderate concussion/post concussion syndrome.   I went to the Desiree Alliance conference in Vegas a few days after this incident.  For those who spent any time with me it was likely apparent I was suffering the effects of concussion.  Along with re-activated Post Traumatic Stress Disorder.

When did it become rape rather than sex work.  When he forced me to do something I hadn’t agreed to.  People have argued with me that prostitutes can’t be raped, and that this kind of thing is an occupational hazard.  I say that totally wrong.  I don’t give blanket permission by virtue of being paid.  Certainly I didn’t agree to the trashbag, to the 10 plus blows to the head, or the anal sex which was never supposed to be part of the deal.  Without a doubt, swallowing the condom wasn’t.

Now that I’ve give the background.  Yes, prostitutes can be raped, we do get raped and we need full decriminalization so that we can go to the police rather than fear them.  Or be raped by them and their law enforcement colleagues.  The prohibitionists who allegedly want to end human trafficking by virtue of making it as illegal and hard as possible to do sex work.  The method doesn’t work.  How many trafficking victims are rescued vs. the number of prostitutes that are arrested, that are raped, assaulted.  Not to mention, in my case, facing another set of worries with the swallowed condom.  Although first HIV test was negative.

So general public, think before you sign documents like this one We need to move in the other direction.  Bring full decriminalization which brings it above the surface.  We need sex work to be regarded as work and abuses tackled like abuses in any other industry.  There are many of us who need the money we make in sex work and don’t have other choices.  This client gave me my eighth concussion in my life time.  He should have been arrested for multiple infractions.  If I went to the police, the likely arrestee would be me.

As soon as I no longer consented, it became rape.  That I’m a prostitute doesn’t matter.  Please don’t support things that make it harder for sex workers and trafficking victims.  Obscurity doesn’t solve the problem it only makes it occult.

We can and do get raped and it hurts us just as much as it hurts anyone else.  Rape should never be an occupational hazard.

Looking at the Schapiro Group “Scientific” Survey

This survey was done in the fall of 2009, several months after CraigsList changed the Erotic Services section to Adult Services so that it could begin charging for ads and handing over the information to authorities if requested. Remember, this was in response to a huge national campaign accusing CraigsList of being a haven for underage prostitutes. It stands to reason that men who want the simplicity of paying for sex with an underage girl would look to CraigsList. The media did all the advertising work necessary for both sides of the possible exploitation equation (pimps and clients). Not to mention that since CraigsList was getting a lot of media attention, lots of people were perusing the Adult Services section, regardless of age preferences.

Their study finds that 23% of men in Georgia have tried to buy sex in one month. This is probably true. The usual self-reporting surveys in the US yield numbers of 6-15%, which any sex worker can tell you is artificially low. Quite honestly, the vast majority of clients are not on CraigsList, which means the percentage of clients could be even higher than 23%. They have to be to support the number of sex workers out there. The vast majority of these unnoticed interactions are between adults, not teens.

Continue reading

Prohibitionists’ comparing sex work and straight work: they are dead wrong.

Authorization to repost granted, except if material is used to replace an actual interview with one sourced by this.

Prohibitionists’ comparing sex work and straight work: they are dead wrong.

There are people who believe ending sex work (abolishing prostitution, pornography, and other forms of erotic labor) will end harm being done to women in these fields. These sex work prohibitionists coolly assume that jobs in the “straight world” are safe, protected, equitable—all the things they believe sex work is not.

They are wrong. Many of these people are a certain breed of feminist academic elite, comfortably ensconced in their Ivory towers. They may be well intentioned. As I know some of them like Donna M. Hughes myself, I’d even say they are genuine in their desire to advance constructive social change.

But reality can shatter even the best of intentions.

My journey into and out of sex work is unique. My first experience in sex work lasted 3 years. I was (literally) a sex slave: no safe words were needed, and I didn’t even know safe words existed. I was coerced.

The coercion was the true injustice I endured, as millions of Americans suffer the injustice of coercive workplaces that have nothing to do with sex work. That’s the reality “end the sex industry and get a real job activists” routinely and tragically dismiss.

10 years after I was trafficked, I returned to sex work as a stripper. While I worked occasionally at clubs, I mostly did outcall bachelor’s parties. The agent got 40 percent, I got 60 percent. That’s 60 percent more than when I was a sex trafficking victim.

Later still, I gave up on stripping and went to work on my own as an independent escort. I was my own boss and there were no comparable problems. No one hurt me, I set my own boundaries, I got paid what I asked for—all 100 percent of it.

While it wasn’t the greatest job in the world, it was work; it was nothing like my coerced experience. Anti-trafficking activists like Donna M. Hughes, anti-pornography activists like Gail Dines and Shelly Lubben, anti-prostitution activists like Melissa Farley willfully ignore this fact: there is a world of difference between being a sex trafficking victim and being a sex worker.

Make no mistake: ending sexual slavery is a great thing. Ending sex work is not. The two are entirely distinct. Conflating them is deadly for trafficking victims and for sex workers.

Now, let’s talk about the reality of “straight jobs.” I’ve worked a bunch of them in many different industries, usually as an entry-level employee. A lot of my experience is in the air travel industry.

I’ve been assaulted by airline customers more times than I can count. I’ve been kicked in the face while trying to screen a passenger’s leg while working for the TSA. I’ve been spit on. The list goes on.

The result is always the same: the company sends the customer on their way without reprimand because they don’t want to lose business or risk the bad press. In other words, I get told: let it go, or get fired.

I’ve had 6 surgeries from injuries suffered at work. In my State of the Union (North Carolina), workers comp is highly regulated in favor of the employer. That means you can’t pick your doctor, and so you have to see the doctor the carrier chooses. Needless to say, you get biased doctors. You also get a “nurse case manager” (appointed by the carrier) who joins you at every appointment and diligently argues with your already-biased doctor to avoid any expensive diagnostics, medicines, and other treatments, and also reminds the doctor that you are to be returned to work immediately.

When I was working as a valet parking attendant, I was sent back to work for 10 days with a fractured knee, torn MCL, and two torn menisci (one in each knee). The job required running three-tenths of a mile. Three-tenths of a mile for each customer. Three-tenths of a mile for each customer in the 95 degree heat of North Carolina’s Summer.

Why did I take that job? Why did I run three-tenths of a mile on a fractured knee for 10 days at the behest of my “nurse case manager” in my mid 40’s? Because, thanks to the emphasis misguided activist academics like Donna M. Hughes have placed on “rescuing” trafficking victims, the police are so indiscriminately arresting sex workers in my area that running on fractured knees as a valet parking attendant was actually safer than working as an independent escort. Safer, perhaps—I don’t need a jail sentence—but not better.

By the way, it took 6 months for the workers comp carrier to approve surgery to repair the fracture. Oh, and given the recession, it took me 10 weeks just to find that valet job.

When I worked for the TSA, my job entailed lifting 100 pound bags all day because it was more cost effective to have employees do it than to have a conveyor put in. Unsurprisingly, I was struck with repetitive injuries. Surgery was ultimately needed for these injuries, too. The TSA paid nothing as they didn’t feel it was “work-related.” I could appeal that decision, of course, in which case my motion would be decided by the TSA’s appeal board. The TSA’s appeal board, in case it isn’t clear, works for the TSA and, naturally, sides with their employer.

So after working the straight jobs, many times I’ve ended up just like the worst experiences in sex work: no rights, no food, and in a lot of pain.

Go beyond the economic coercion embedded in this capitalist system, however, and you’ll find that straight jobs are not, in and of themselves, safer for women sexually, either.

Back at the TSA, I was sexually assaulted on a federal checkpoint by a male co worker. The assault was filmed by a security camera tape and there were 6 witnesses (5 male and 1 female). They all went to court with me to support my restraining order efforts against my workplace harasser. Now, it isn’t often that men will side with a woman in situations like this, but these 5 men did. The harasser plead no contest—all but an admission of guilt.

However, the TSA management were buddies with the Greensboro Police Department and Guilford County Sheriffs Department, the agencies that would enforce the restraining order. The same day the restraining order was issued, a Greensboro PD officer told me he didn’t believe my claims, and that filing a false police report was a crime. He threatened me with arrest if he or the department could find any proof I was lying. (They never found any.)

Neither the Greensboro PD or Guilford County Sheriffs department enforced the restraining order, the TSA management assigned me to the same work station with my harasser and when I attempted to transfer, that motion was blocked. The manager that supported me was terminated. Same with the supervisor that supported me in court. My other supporters were moved to other stations or had their careers stalled—passed up for promotion time and again.

I went to DC and filed a formal complaint with Equal Employment Opportunity Commission (EEOC). However, the TSA has its own EEOC. Needless to say, they sided with the TSA. I pressed on, eventually speaking to Internal Affairs, but I quickly learned their role is risk management (damage control), not justice. My harasser, who I learned had confessed to Human Resources was terminated a month later for sexually assaulting a third woman; I was the second. And his confession? The audio tape failed because the HR investigator “failed to push the record button,” and the video tapes of the assaults “could not be located” by the airport police.

Now I work at a job in which I have no breaks regardless of the length of my shift (no lunches either), and an expectation that I will never be sick, injured or need personal days or I may be terminated. Yes, this is all legal in North Carolina. I could go on, but I think this makes my point.

To anyone who believes that ending the sex industry and forcing sex workers to take on straight jobs is some great achievement, please look at the reality. The devil is in the details. Ask those of us who have gone from sex work to straight jobs what really transpired.

Please, do continue to rescue trafficking victims but stop conflating sex trafficking with sex work. Start focusing on realities rather than just mass-rescues that do us real harm, that hurts and kills sex workers, and often has no real basis in the reality of the lives of those involved.

I have been far more harmed by “straight jobs” than I ever was as either a stripper or an independent escort.

Who feeds me when injuries knock me out for weeks and I have no more income? Does Melissa Farley’s Prostitution Research Education provide these services? Does Donna M. Hughes’ Citizens Against Trafficking? Does Gail Dines’ Stop Porn Culture? Does Shelly Lubben’s Pink Cross?

Melissa Farley, Donna M. Hughes: where is the justice you promise to bring us trafficking victims? Do you even care about us?