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Engagement is critical but it is not enough; unlocking empathy is essential for decreasing the mistrust and violence and building the kind of relationship that is at the core of understanding and connected communities.
Many are not aware that socio-cultural tension and misunderstanding between patients and providers can lead to patient mistrust, dissatisfaction, decreased confidence in the medical system, and ultimately, poor health outcomes [ 2, 3, 8- 10].
Further, lack of cultural awareness between patient and healthcare provider can lead to mistrust, perceived discrimination, and decreased likelihood of adherence [ 22].
Possible mechanisms include medical mistrust, poor patient-provider communication and decreased satisfaction with care (Hausmann et al. 2011; LaVeist et al. 2000).
After relating our empirical data to theory, we conclude that the biggest challenge lies in decreasing the level of mistrust and communication deficits revealed between plan owners and CBA calculators and their respective frames of thinking when assessing complex integrated land use and transportation plans.
Mistrust towards health workers and the health system in general become an outcome, and with continued blames received from the community, health worker morale decreased further.
We have all the resources in this country to do all of the above and I think it would significantly decrease the anger, the acrimony, the deep seated mistrust of the "other" in this country and all that should significantly decrease violent outbursts towards our communities thereby lowering gun deaths.
Mistrust remained.
Mistrust is widespread.
The mistrust is mutual.
Fear and mistrust.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com