"How do I fuck my partner-caregiver while stuck in this ableist classist cisheteropatriarachal colonialist racist capitalist system?" That is the question. In a non-ableist non-classist non-cisheteropatriarachal non-colonialist non-racist non-capitalist system many of the constraints you describe would or at least should fall away.
Fucking While Being Fucked Over
"How do I fuck my partner-caregiver while stuck in this ableist classist cisheteropatriarachal colonialist racist capitalist system?" That is the question. In a non-ableist non-classist non-cisheteropatriarachal non-colonialist non-racist non-capitalist system many of the constraints you describe would or at least should fall away.