I think you have to believe in reincarnation to embrace the concept of karma otherwise you end up blaming cancer patients for negativity and negative thinking which is unfortunately what is happening now in the west...this does not lead to compassion for yourself and others but smells of judgemental pilgrimism. In fact it just puts more pressure on people to be pro-active in strengthening the ego's hold on life, the opposite of eastern philosophy of wu-wei.
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