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I somehow doubt the people in rural Africa struggle because they just aren't working hard enough or aren't committed enough to reaching the "American dream". Though I do agree that some people miss out on opportunities as a result of not taking advantage of those qualities.

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The gist still stands. There are likely many succesful people from the poorest countries who only achieved success because they believed and worked harder than anyone else. The threshold is just much higher.

So is this extreme hard work a sufficient condition, or just a necessary one?

I am by no means implying it takes "extreme" hard work. I'm merely stating that on average it takes more work then people realize.

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