The culture and environment that we are raised in instill general and specific expectations of how our world works and how we should interact with it. Relating to physical pain, our culture influences our beliefs on how to prevent/treat an illness, what constitutes good care, and outlines how and when one should ask for treatment. Just by reflecting on the way in which we were brought up (whether cross-culturally or not) highlights the differences in how we were expected to deal with our pain. Cultures that value stoicism avoid vocalization when experiencing pain for fear that they will be perceived as weak, they keep their faces "masked," deny having pain, prefer to be alone, and eventually learn to cope without attention or care. On the other hand, cultures who value expressivity teach their people that the appropriate response to pain is to be vocal and expressive. People of these cultures are encouraged to seek attention and support and prefer not to be alone. Is physical pain an expected part of life? A serious health problem? A deserved punishment? A character building opportunity? It all depends on what you believe. Through socialization, we learn what is the "right" way to respond to pain. With so many varying perspectives, pain management is not always easy. Factors such as language interpretation, non-verbal communication, under-reporting, reluctance to pain medications, access to pain medications, providers fear of drug abuse, prejudice and discrimination and culturally sensitive pain assessments all have their own respective effects on the way pain is managed around the world.