luxury problems as they say.
People have rioted over the legality of their sex lives, and people have gone to prison because consenting to certain acts was deemed to be conspiracy to some form of serious assault (against themselves) — so I’m inclined to think it’s both significant concern and a major part of personal identity.
It's closer to the "right" to enjoy champagne and oysters than anything fundamental...
I don’t claim to understand BDSM, but I do know a fulfilling sex life helps with depression, and that being outcast for your sexuality can cause depression and loneliness.
Sex can be one of the few things left for the homeless and the dispossessed, and has been part of human culture since before the invention of medicine and money, never mind health insurance. Dismissing it as a luxury makes you sound like a French aristocrat (ironically, given where the ‘S’ comes from).