All of this is the reason that pilots in those places earn a little more than those of us in civilized locations. You are not paid extra for your flying skills but to be in a bad location.
There is never a shortage of pilots who will work these places. Competition and correspondingly poor remuneration rules in the nice spots of the world. Dangerous spots can provide that little extra to get ahead, financially or experience wise.
Helicopter pilots pay and conditions are just an example of capitilism and market forces at work.
I know we'd like it to be different but should it be otherwise?