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Self-Determination Theory (SDT) represents a broad framework for the study of human motivation and personality.

SDT articulates a meta-theory for framing motivational studies, a formal theory that defines intrinsic and varied extrinsic sources of motivation, and a description of the respective roles of intrinsic and types of extrinsic motivation in cognitive and social development and in individual differences.

Other developed countries have had some form of social insurance (that later evolved into national insurance) for nearly as long as the has been trying to get it.

Some European countries started with compulsory sickness insurance, one of the first systems, for workers beginning in Germany in 1883; other countries including Austria, Hungary, Norway, Britain, Russia, and the Netherlands followed all the way through 1912.

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So for a very long time, other countries have had some form of universal health care or at least the beginnings of it.

People are often moved by external factors such as reward systems, grades, evaluations, or the opinions they fear others might have of them.

Yet, just as frequently, people are motivated from within, by interests, curiosity, care or abiding values.

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