Since the basic economy runs on so little currency, favors are a means to give and receive what is needed. Therefore, doing business requires an exchange in favors or gifts. For example, the average North Korean doctor is paid a salary of less than one U.S. dollar a week. No one can actually thrive on that income, yet doctors are highly educated and respected in North Korea, as they are everywhere in the world. Although the health care system is free of charge, it is understood that a patient should bring a “Thank You” gift or tip to the doctor each time he or she is treated. This ensures that
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