The worse the economy, not only do the hookers get better looking, but they get cheaper.
Some postulate that additionally, hookers get more business during a worse economy, however Dvorak himself attributes this to supply and demand which often leads to an increase in business (i.e. tricks) which is driven by the need to compensate for loss of revenue caused by the same reduction in cost stated in Dvorak'slaw.
This describes a medical provider who cannot find land employment due to incompetence, personality or addiction, so they must seek work in a less desirable location in shipping or remote prisons.
The pill popping doctor working in a Mississippi prison is suffering from ship's doctor syndrome.