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I feel like even though it focuses on why it works in Japan I could see this working anywhere in the world. A friend of mine used to do fetish sex work so basically she would get paid to let guys touch her feet, or just sit there and watch her smoke. She said most of the time they just wanted to talk to someone they knew wouldn't judge them. I guess it's easy to open up to and connect with somebody you don't really care about keeping around. I think that's why this rent-a-friend thing works as well; you get social interaction without all the pressure.