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I'm currently writing a formal letter in which I'm complaining about the dangers of the process of tanning leather in Bangladesh.

But the ugly truth is that this price difference is actually being paid in Bangladesh; in/ with/ by human lives.

Which preposition should I use here?

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    Normally in to refer to the mode of payment, or currency, that which is tendered in payment. It's being paid for in gold... in Canadian Dollars... in Euros.... in human lives... Why price difference? google.com/… – Tᴚoɯɐuo Oct 23 '17 at 19:47
  • @Tᴚoɯɐuo I presume the cost of production is lower in Bangladesh than elsewhere, with the difference compensated by the "cost" in human lives. – user3169 Oct 23 '17 at 22:20
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But the ugly truth is that this price difference is actually being paid by Bangladesh in human lives.

Since the "human lives" are people in Bangladesh, you can say that the cost is borne by the people in general. So, "by Bangladesh".

And as @Tᴚoɯɐuo commented, in is usually used for tendering payment.

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