Proper tuning.
In the sled world we're used to tuners just telling us we need 100+ octane because it makes their lives easier. Detonation kills pistons, so they don't want to take a chance.
10lbs with a proper tune at elevation is just fine on 91, with 9-10:1 compression. Remember boost is only a restriction to airflow. Change any part of the system and that number will change. It's simply a reference. 10lbs at 10000' may be 180hp, but 3lbs at 2000' is also 180hp. Either way, your power output and fuel consumption should remain relatively constant while the boost pressure is varying to maintain enough oxygen for a proper burn.
It's the power level that is responsible for a majority of engine damage, along with improper tuning. I would call them idiots either for running a better fuel like avgas, those are ones who don't want to risk detonation.
I'd bet you see more issues with idiots running leaded av gas than those that use 91. If you need more octane vp racing fuel is where you should be looking, but it's not nearly as cheap or available. Lead wrecks the O2 sensors and plugs.
One day hopefully they'll make the damn fuel system e85 compatible, so we can run dirt cheap 100+ octane fuel. This would require some sort of system integrated to flush the injectors for storage, so I can see why they haven't.