I'd differentiate between names or callsigns which can be anything vs. the content that the user is publishing, especially if there is deception in trying to eWhore for upvotes. Look at the example I showed above - the people who voted followed their (likely male) instinct and voted for what they (likely) thought was a real person.
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That is what happens. It is deception. The world has deception. But it is also part of free speech. Freedom means being allowed to do bad things. They do bad things. If you stop them from doing bad things, then you take freedom from them.