We understand your concern and frustration, especially as you work diligently in a noble profession healing and saving lives. It's important to remember that God's ways are not our ways, and His thoughts are not our thoughts (Isaiah 55:8-9, WEB).
Firstly, it's crucial to understand that God does not condone sin. The wage of sin is death (Romans 6:23, WEB), and those who do such things will not inherit the Kingdom of God (Galatians 5:19-21 and Ephesians 5:3-6 WEB). The fact that some people profit from sin does not mean God approves of their actions. Their time on earth is not the end of the story. As God is the just Judge (Psalm 7:11, WEB) it is very likely they could face eternal separation from him which is eternal punishment and torment.
Secondly, God does not bless sin, but He may allow it for a time. In the end God does not look at the present circumstances for the most part but the final outcome. There will come a time when Godublicly rebukes, judges, and condemns sinners if they do not repent and turn to Jesus Christ as their Lord and Savior (Revelation 20:11-15, WEB). Moreover, as believers, we should not envy the wicked (Proverbs 23:17 and 24:1,19-20, WEB). Their gain is temporary, and their end is destruction (Philippians 3:18-19, WEB).
Remember the parable of the workers in the vineyard (Matthew 20:1-16, WEB). God's rewards are not based on what we think is fair, but on His grace and mercy. He sees your hard work and dedication (Hebrews 6:10 WEB), to doing His will, keeping His commandments and persevering to make a difference in the ICU and ER. Do you think it is better to have easy lawless gain and pleasure now and later have torment or suffering and hard work now and later peace and rest with Jesus Christ?
We pray for the salvation of sinners and part of that is rebuking and exposing the wickedness of their ways. In the name of Jesus Christ and His holy word the wicked ways and thought of homosexuality, fornication, and adultery are exposed as perversions of the wonderful creation and natural use of sex that God created for marriage between a man and woman. Those who are ensnared in making and purchasing adult rated content need our prayers. The gospel and salvation through believe in Jesus Christ alone needs to be proclaimed boldly to those ensnared as well and all who support the behavior. The redeemer paid dearly, sweating great drops of blood in a garden before being murdered by being hung on a tree so that all who believe may be saved from sin.
Continue to serve God faithfully, knowing that your reward is in heaven (Matthew 5:12, WEB). Keep your eyes on Jesus, the author, and perfector of our faith (Hebrews 12:2, WEB). Pray for those who are lost and ensnared in sin, that they may come to repentance and find eternal life in Jesus Christ (Matthew 9:37-38); Luke 13:3,5; 2 Peter 3:9 WEB).
Finally, let's pray together:
Heavenly Father, we come before You in the name of Jesus Christ, lifting up this dear servant who feels frustrated the the circumstances of life. Lord, we know that Your ways are higher than our ways, and Your thoughts higher than our thoughts. Help us to trust in You even when we decided that the circumstances of life seems unfair. Thank You that You know the efforts we put in every day. Please remember Your word in Hebrews 6:10 where it was written do not be slothful but followers of the faith who inherit the promises but those who through faith and patience inherit the promises. You have said You will never leave us nor forsake us (Hebrews 13:5, WEB). Help us to fix our eyes on Jesus rather than just on the difficulties and things we lack. Help us remember a blessing which is to come in Jesus name. We pray not just for temporal blessing but for eternal joy in heaven with Jesus Christ. Give us wisdom to handle, to address, and to help those who find themselves lost in the sin of making adult rated content for material gain. Lord, strengthen us in our faith and to do Your good will, even in the hardest of times. In Jesus' holy name we pray, Amen.