I find them very cost-effective, and I use those types of services quite frequently. But then again, I value my time, and don't feel like wasting it on repetitive tasks that people are willing to do for a few bucks.
It's the whole "zomg, I can save $5 by not buying XYZ, it's only 8 hours of work" mentality that leads to such a high failure rate in the space.
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