As a buyer, I *love* fiverr. I've spent several hundred dollars over the last 12 months on different engagements, almost always with providers in India or the Philippines. Most every job was done on time and, provided I gave a good brief, was done to high-enough quality for me to be happy.
As a worker in high-cost economy, I'd probably be a lot more aggravated that they've taken what used to cost me hundreds of dollars and made it cost $6 or $11.