Women don't win fields medals != women aren't good at math though. Presumably a lot more goes into winning a fields medal than innate ability.
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Elite achievement is complicated. It doesn't seem we know much about it deterministically (otherwise we could replicate it). It seems like there's an element of randomness. For example, picking the right area of study.
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There are certainly very many things which can prevent potential geniuses from achieving greatness.
End of conversation
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