I'm being quoted out of context. Transplanting the arguments don't quite work. Why? 1. There are other diseases besides HIV. While I agree the odds of catching HIV orally is mathematically low, there are others like Herpes, Hepatitis, TB, etc... The totality of the risk means that to be cautious is wise, particularly when there is no accountability. A long time mistress, girlfriend, or wife is more likely to have a vested interest in your well being, while random P4P providers may not give a damn. With that stated, a girlfriend or wife can betray your trust and unprotectedly cheat on you, where a P4P provider could actually be safer, more upfront, and more honest. So it depends. 2. Trust and reputation have just as much to do with it, as playing the odds. You are putting your safety in the hands of someone else. We don't usually hitchhike and ask just anybody to pick us up, but rather we go to licensed and well known taxi companies. If we get injured in the taxi, we can contact them and sue. We hold the taxi companies accountable for their drivers, and consequently, taxi companies try to uphold their reputations and get the public's trust. If a person has unprotected sex with unknown P4P providers, whose reputation and history is unknown, then they can possibly be at greater risk. The P4P has no vested interest to protect their safety and could possibly pass on a disease, then turn their back on the customer(s). Keep in mind, that I think P4P who are known in the industry, care about their reputation, and are out to give a high level of service are different. It's the difference of getting picked up by a licensed taxi driver of a well known company versus a random unknown driver. 3. Sex with anybody presents a risk, so it's a matter of what level of risk is acceptable to the person. In a worse case scenario, a P4P provider with an STD doesn't want everybody to know their name and having customers trying to hold them accountable. There are many low quality and seedy places and people that clearly don't give a damn about the health of the customer. If a guy is going to take the risk of unprotected sex, it should arguably be with those that he feels the level of risk is acceptable. Would you have unprotected oral sex with a dirty street lady that smelled bad? If no, then why not? Most likely because the risk was considered unacceptable. Usually, if people take a risk, it's going to be with those they trust or those that have a reputation for being trustworthy.