if you cant get access to paypal or a pre-payed card, the only alternative is cash, which will never happen anyway... so steam is perfect
Paypal isn't perfect, despite what you might think. A country like Japan has only two recognized services that Paypal will work with. My girlfriend had a huge hassle trying to send money from Japan to America because of this, and she's tried a few things including paypal.
I only hope it's not this bad everywhere else. Perhaps if people actually asked, we could help them?
Some people will pirate things just for the sake of pirating them, others won't pay for anything regardless of how cheap it is.
That, and the fact that people aren't willing to buy into content they don't know much about. That's pretty much the music industry full stop.