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RE: A closer look at EPO-era performances
There a risk and reward difference that is often overlooked. In poor African countries, the cost of living is much, much lower than in Europe and Americas. Winning races can mean life changing money in Africa. This is not the case in 1st world countries where winning $100k would be a good year, but by no means set someone up for life. The 1st world equivalent of $100k in Africa might be close to $2M. There is also a stigma about cheating in 1st world countries that may not be as strong in 3rd world countries. Once an American is caught for cheating, they are branded for life and will always have a hard time shaking that image no matter what their job later in life. And the1st world person will have to work later, unlike the 2nd/3rd world runner.

In other words: There is a greater incentive to cheat when they money has life changing consequences.

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