The East only has a winning record vs. the West one time since the 1999-2000 season. Ten years ago, the East went 232 - 219 vs. the West. Last season, they were 213 - 237 (47.3%) vs. the West. That's actually better than their 19-year average winning percentage of 43.3% vs. the West. The Eastern Conference has had multiple seasons where they won less than 40% of their games against the West. The worst being 2003-04 when the East only won 36.7% of their games against the West.
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It's even worse at the top. If you just compare the playoff teams from both conferences, the East has had 19 straight losing seasons vs. the West. A 19-year average winning percentage of just 40.8%, with a low of 33.6% in 201-02.
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The East being horrible is just business as usual.
BNM