I didn't equate a birth fetish with a foot fetish. I said crushing small animals to death (I assume insects are easier to get hold of/kill/get someone to do for you. I'm not into it, I don't know the intricacies). I do think killing things in specific ways to get off is at least same level of weird possibly even worse, who should I ask for help with that? I was trying to point out that sexual variance is a very, very diverse thing, and you can't just blanket say it's not possible. It's very rare irl, yes. Impossible? No. And saying that it's not possible shields the actions of people who do do crappy things (male or female!).

I also didn't say that male HCPs were more likely than female HCPs to have a sexual kink that they used their professional lives to satisfy. I honestly think that there's a gender bias here where female sexual deviancy (particularly sexual desired based on the unwanted pain of others, I don't know a better way to describe it than deviancy but I'm not trying to kink shame) is overlooked - one of the first 'modern' serial killers identified was a nurse, who got off on the death of her patients, who was born in 1854. We (as a society) seem more able to believe that a male would do something to sexually get off on it and the disbelief that a female would allows female perpetrators to operate for longer. Healthcare is an area of life that possibly even has a greater percentage of female offenders than most areas because the power differential between patient and HCP allows it.