Altcoin section literally has only one mod appointed to it. Kudos to mrprep for moderating that board for years, but there won't be another mod in that board, unless one or more users start reporting aggressively. So the problem is both.

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About the full member status:

The restriction is a tad too much. For those who don't read the rules/terms of bounties, put them in SMAS/delete their replies and don't pay them. Enforce a new rule/term: If any post is made with twitter and facebook links, that user shall be banned from further bounties/campaigns and he shall not be paid.

A few lazy managers caused this spam, and now legitimate people shouldn't pay for this. And the likeliness of theymos implementing this is almost zero. He did say that this would be his last resort(banning signatures overall if merit system fails). But he is apparently swamped with things and is currently looking to start a company with the same intent as a forum,and to hire a CEO for that.

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About the alt account issue:

If there were a way for theymos to limit the number of alt accounts a person can have, that could solve a huge problem. Bots could be controlled and so could be shitposting. I don't see any legitimate reason for a person to have more than 3 alt accounts other than just to shitpost. Accessing hundreds of accounts using TOR would be almost impossible, for TOR takes a few minutes just to bypass recaptcha. So most shitposters won't likely use TOR. It'd take a lot of time.

So only the VPN issue exists, blacklist the most common VPN IPs? I have heard that there are numerous websites that have huge lists of common IPs.

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Another issue:

Autoreply bot. There is a software that has been especially made for users to post in bitcointalk without logging in. This just made things much worse. I really can't think of a solution for this, but if somehow theymos stops the forum from using cloudfare and if he hires someone or if he himself does something to replace cloudfare, he could make a lot of custom restrictions. Allowing only specific type of bots to access the forum(scrappers/crawlers) and not allow posting bots.

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If people want to clean the bounty section and the shitposters:

Limit any random person from starting bounties. Only like a few managers should host campaigns. This is a hard blow, but it might just work in the long run. And for anybody to be a campaign manager, he should be qualified for that. Qualified as in, he should have knowledge of this forum, know how to select participants, be a trustworthy individual et al.

Why I say only qualified personnel should manage campaigns is  because: Think like a real life person. People only get jobs after they are qualified for it. Campaign Management is becoming a big business and random kids shouldn't be managing campaigns, when they should be studying in school.

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Overall, I don't like above suggestions myself, but something needs to be done. A lot of legit users would be hurt by this, but that's what happens when you leave the fate of the forum at a few lazy ass managers.