Yeah this just feels like a really apt metaphor for hell. For both of them. The constant pursuit of power and wealth and what do you get to show for it? A woman who looks way worse and no happier after lots of plastic surgery going down on a man whose mind has been consumed by anger and can't control his bowels.

He's got the kind of attitude of "if you can't see it, it doesn't need to be cleaned"

I would wonder... I know plenty of very nasty individuals who were, by all guesstimates, still engaging in sexual activities. There is an incredible ability of humans to do nasty things for later reward.

Either she made 'cleaning' part of the pre-warm up phase, or the whole 'disgust sense is lowered when sexually aroused' thing kicked in AND she was just imagining the dollar signs to get her over the hump. Perhaps both. Add in some drugs and I'm sure she could get herself to a place where it was possible.