Still just saying it's not Patreons fault that people search for ways to abuse it... it's their lack of actions against such movements.
The most famous case for this is probably "Breading Season" and that happened when Patreon was still young.
Currently the best you can do is "report" a creator but than again the game would be canceled and the site taken down, since in ICStors case he is violating their rules in regards of content.
Also each creator is the Admin to his Subforum/Page allowing them to delete comments they don't fancy.
You can't even "rate" a creator only the game... Milfy City can draw in a high rateing from the previous builds but him personally would have an incredible low rateing as his lacks of communication and constant questionable delays would probably be known by now.
Creators of Porn probably won't be able to grow up anymore, your morale compass had to align itself through puperty I assume, but I doubt you'll find any successful creators still caught up with that (or atleast I hope so).