From an economics point of view it is a fine example of a disruptive technology affecting an old industry.
Domestic broadband is more than capable of handling live-streaming of HD content, domestic web cams are cheap yet produce good video (even HD), even a relatively cheap laptop can handle the task of recording and live-streaming the video, electronic payment services make it easy for a user to pay for the services of a cam-girl and for her to receive that payment. Young woman who wanted cash in hand easy money a decade back are perfectly happy to deal with electronic payment these days, if anything it is preferred now for many as it doesn't involve pesky trips to the bank or carrying around wodges of notes. As noted for many a young woman whilst I am not saying they would be that keen on their friends or family discovering their cam performing it still doesn't carry the stigma it once did. They can work cam performing around their social lives and studies as it is a global service there will always be punters ready to view them.
There is no really answer, just another mutation in how punting works.