I am amazed someone at last respectfully said his opinion without spreading hate, I wish more like you exist in this thread, I will not go a head and debate about if money coming from porn games are foul or not, this is a very controversial point, because saying that porn causes addiction for small amount of people so it's fine, is like saying small amount of people get addicted to weed so selling it is fine, what cases small harm is still harmful.
But the dev mentioned in his discord before that he hides the fact he developing this game from everyone around him, and in taxes, he registered it as remote office job, and he says the same to anyone asking him about his job, which means he maybe seeing it shameful, and yah you got a very good point here, not having insurance is a big pain in the butt, and will cause him to pay a lot for any medical condition he have.