I don't think it's just rampant in non-democratic vs democratic societies. A colleagues wife had him sit and take her entire online pharmacy class for her, sit

I don't think it's just rampant in non-democratic vs democratic societies. A colleagues wife had him sit and take her entire online pharmacy class for her, sitting online as her for the entire course. He is a physician and had to actually take the classes themselves because when he tried to sit just for the exam for her he didn't get a high enough score. Other than checking IDs in person for exams, I'm not sure how to prevent someone else sitting behind the computer for you during an online course.