Perhaps because sexual services are arguably purely hedonic.
Whereas plumbing and janitorial services are for your health, if your toilet doesn’t flush or your apartment or workplace gets full of crap, that’s not healthy.
It is possible to be a member of a society, earning a living by providing services and not having a vote, just as it is possible for a producer of goods to have a side company of services.
No, what takes balls is accepting that the truth in regard to things like the covid pandemic does not necessarily revolve only around what you insist is the truth.
And, what really takes balls, is running your own value judgments past the arguments that I make.
Come on, what have you got to lose here but damn near everything.