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The 2003 World Cup series started with [[Milan–San Remo]]. Attacking twice in the last hills leading down to the Primavera, Bettini had the help of [[Luca Paolini]], who attacked down the tricky descent towards the finish.
However, injury in the [[Gent–Wevelgem]] forced Bettini to miss several races until the Tour de France in July.<ref>{{cite web |url=http://www.bike-zone.com/news/?id=2003/apr03/apr15news |title=www.cyclingnews.com – the world centre of cycling |publisher=Bike-zone.com |
Bettini failed to win the [[UCI Road Cycling World Championship]] despite being favorite due to a mistake at the end of the race. Having established himself in the winning breakaway, hesitation allowed the Spaniard [[Igor Astarloa]] to break away to win. Astarloa claimed that Bettini had offered him money to relinquish the win, which Astarloa said he refused. A feud ensued, and Astarloa attributed his comment to a misunderstanding of Bettini's Italian.<ref>{{cite web |url=http://www.dailypeloton.com/displayarticle.asp?pk=5050 |title=Pro Cycling News |publisher=Daily Peloton |date=2003-10-13 |
===2004 World Cup and race season===
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===2008 season===
[[File:Paolo Bettini - Giro d'Italia 2008.jpg|180px|right|thumb|Paolo Bettini at the 2008 Giro d'Italia.]]
Bettini's start was plagued by injuries, including a fall at the [[Kuurne–Brussels–Kuurne]] and a rib broken when he fell on a wet descent in the [[Tour of the Basque Country]].<ref>{{cite web |url=http://www.velonews.com/article/74576/paulo-bettini-breaks-a-rib-in-pais-vasco-crash |title=Paulo Bettini breaks a rib in Pais Vasco crash |publisher=Velonews.com |date=2008-04-12 |
On September 27 he announced his retirement.<ref>{{cite web |url=http://www.bicycle.net/2008/italian-cycling-legend-paolo-bettini-announces-his-retirement-after-title-defence |title=Italian Cycling Legend Paolo Bettini Announces His Retirement After Title Defence |publisher=Bicycle.net |date=2008-09-27 |
On 4 November, he fell during the Milan six-day and was taken to hospital unconscious.<ref>{{cite web |author=Door: redactie 4/11/08 – 16u34 |url=http://hln.be/hln/nl/952/Wielrennen/article/detail/476201/2008/11/04/Bettini-buiten-bewustzijn-na-zware-val-in-Zesdaagse-Milaan.dhtml |title=Geen breuken voor Bettini na zware val in Zesdaagse Milaan |language=nl |publisher=HLN.be |date=2009-11-08 |
===Coaching career===
On 17 June 2010, Bettini was named as the new Italian national coach, following the death of [[Franco Ballerini]] in a car accident earlier that year.<ref>{{cite web |author=Stephen Farrand |url=http://www.cyclingnews.com/news/bettini-confirmed-as-italian-national-coach |title=Bettini Confirmed As Italian National Coach |publisher=Cyclingnews.com |
==Track racing==
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