He had been experiencing discomfort in an embarrassing place for awhile, but he didn’t dare talk to anyone about it. He did not want to discuss his bottom, or admit the ways he liked to play back there. Eventually the discomfort progressed to pain, and he realized he would have to visit a doctor. On his meager income he could not afford health insurance, and was nervous about how much a visit like this would cost. While searching online for prices, he found recommendations for a free clinic. It was not exactly free, but he would not have to pay. The name of the clinic was long and unusual, but most people in the discussion threads just referred to it as the Pay-Per-View Clinic.

Like many aspects of life in the modern, capitalist, gig-based economy, there were people who needed medical care but couldn’t afford it, and people with plenty of money who wanted to observe medical care. This clinic had created a system to match patients in need with “generous benefactors” willing to pay. The clinic navigated the legal entanglements by temporarily assigning the benefactor as a caregiver and patient advocate under the National Tele-health Accessibility Act. Potential benefactors would sign up with areas of interest, and what level of payment they were willing to contribute. Prospective patients would fill out an anonymous form explaining why they needed a medical visit. When the software had matched up enough spectators to cover the expenses, the patient received the healthcare they needed.

The exam rooms each had multiple video cameras that would live stream the exam to the benefactor(s). The camera on the ceiling looking down was the least expensive. While it covered the whole room, some details were hard to see from above. Cameras on the walls were in the middle price range, and from there one could better see faces and bodies as if the observer was right there in the room. The top tier package included a camera worn by the doctor, and provided their up close POV of the entire interaction. Based on the average price of an exam, there could be anywhere from a few people watching the POV cam, to a dozen or more watching a combination of other cameras. Personal information, like names and addresses, were handled privately by the receptionist beforehand, but the exam itself was fully broadcasted.

He thought about it for awhile, and decided it was a reasonable compromise. Some unknown people, somewhere in the world, would watch the exam, maybe learn a little something, and he would get a free visit. He signed up and waited for a reply.

The next day he received a notice that his appointment had been fully funded thanks to the donations of four generous sponsors. Eleven additional observers would be providing more credits which could be used towards lab testing fees or fulfilling any prescriptions. He was both relieved at having the financial aspect covered, and a little puzzled as to why fifteen anonymous people had offered to help. He scheduled the appointment for the next available time slot, and tried to forget about the spectators.

On the day of his appointment he spent extra time in the shower to make sure his bottom was clean. It was going to be embarrassing enough to involve a doctor with all this, he did not want anything else unpleasant to be part of the discussion. He arrived at the clinic and took care of all the personal paperwork with the receptionist. After everything was complete he was led to an exam room and told to wait.

“The doctor will be with you shortly” the receptionist said while closing the door.

He sat there, nervous about what this exam might involve. Looking around he could see the cameras. They were small, discreetly blended into the surroundings, but identifiable if you knew what you were looking for. He wondered if they were already on and if people were watching him wait. It felt a little bit weird to be the center of so much attention.

There was a knock on the door and the doctor walked in. It was rather surprising that the doctor was a woman. He had assumed that a male patient with private problems would have been assigned a male doctor. Now, in addition to the embarrassment of discussing his bottom and his bottom related play habits, he would have to go through it all with a woman. She was a few years older than him, and carried herself in a very formal and proper manner. She was wearing a white coat over dark green scrubs, and had a simple headband with a small camera mounted in front. Her movements were specific, and it was clear her authority would not be questioned.

Then a nurse followed the doctor in and closed the door behind her. She was much younger, petite, and rather cute, in a hot librarian sort of way. She wore light pink scrubs, delicate eye glasses, and a warm smile.

His anxious imagination knew he would have to get naked in front of them. The doctor was the strict motherly type, who wouldn’t hesitate to push him out of his comfort zone. She knew what was best, and would not take no for an answer. On the other hand, he found the nurse quite attractive, and in a shy way, almost wanted her to see him naked. The more he thought about it, he really wanted to see her naked too.

“Are we ready to begin?” The doctor asked, implying there was only one right answer.

“Yes.” He replied hesitantly. His heart was racing, thinking about what he was about to admit, and how he would have to expose himself to these two women.

“Very good.” The doctor replied. She turned and pressed a button on the wall. A small red light came on next to the wall camera. He glanced up and saw a similar indicator light next to the ceiling camera as well. The doctor turned to face him, and the red light on her head band was illuminated. He glanced at the nurse, and now noticed she was wearing a small video camera on her chest, clipped to the v-neck collar of her scrubs, and its red light was showing. The nurse's camera point of view was closer to her hand level, while the doctor’s camera showed her true POV. There were likely a dozen or more other people watching his every move, but the most pressure came from the two women in the room. Their presence, their reactions, their inquisitive eyes were right in front of him. He felt their judging stare. It was all much more audience than he had expected.

The doctor spoke first. “Tell me, what brings you in here today?”