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"No firsthand knowledge is necessary".
Knowledge is necessary for power, but clearly insufficient.
Knowledge is necessary but not sufficient.
What distinguishes classical foundationalism (or at least a prominent version of classical foundationalism) about knowledge is the insistence that all foundational knowledge is knowledge by acquaintance.
In other words, the encounter with patients needing medical care becomes the context within which 'true questions' arise and foundational knowledge is learnt and interrogated.
What is the back, foundational layer that is necessary to what you are working on, if your initiative is to take on any enduring life?
Sometimes, getting the necessary knowledge is not necessary to even attend an event.
No prior knowledge or reading is necessary.
A working knowledge of Portuguese is necessary.
No prior knowledge of genomics is necessary.
Ipseity conveys a foundational, immutable core that is necessary for our sense of existing as a self-present, bodily, demarcated, and persisting subject of awareness.
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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