Fraud is always a problem, but can't be truly stopped. I think Google has come a long way on this however (more so than others). What I have been reading is to try all the keywords and focus on the one outside the mainstream. Make sure that you can convert enough of the visitors to make the expense worthwhile.
Keyword research is a science and I am not an expert
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"You cannot escape the responsibility of tomorrow by evading it today." Abraham Lincoln
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