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The course of karma is not rigidly predetermined. It may have alternative patterns. If an evil deed does not find retribution in some other way, then it will always find retribution in the form of disease. This must not be foolishly misinterpreted to mean that all disease is the result of evil karma. If we live in an unhealthy manner, the disease which is thereby generated is the karma of our present ignorance or bodily imprudence, not necessarily the expiation of moral faults committed in other lives.

-- Notebooks Category 9: From Birth to Rebirth > Chapter 3 : Laws and Patterns of Experience > # 219