I think that the answer to both of these statements is the same. I don't think anyone is ignoring the topic because of societal taboo. I also don't think responses have been "disappointingly low". You are simply discussing a topic which affects a very small percentage of the world's population. There are a great many people that simply aren't interested in it as it doesn't affect them. This doesn't mean that it isn't a good topic, or that it shouldn't be discussed. It merely means that most people have no real interest in it. I think you'd run into the same lack of interest in a post about the problems of sword practice for those with diabetes. The percentage of the population is fairly close.