https://gimletmedia.com/episode/112-the-prophet/
After Andrea is attacked by a stranger in Mexico City, she just wants to figure out who the guy was. Investigating this question drops her right into the middle of one of Mexico’s biggest conspiracies.
These things are much easier to orchestrate than bots, especially if your specialization is not CS but scamming / manipulating opinions, and in many cases, especially with scale, human labor can actually be more expensive.
Of course, subsidizing the labor to impoverished countries definitely helps; these networks tend to lack the sophistication used in more sensitive political or industrial topics.
Sometimes for national or global campaigns you'll find a mix of both cheap labor, a small team of experienced astroturfers with a good grip on their persona acquisition and management, and bot networks, each targeting a different set of demographics. If your target demo is sufficiently ignorant or radicalized in their beliefs, it doesn't take much to convince them and bots will do just fine.