There is no “and” in Cause-and-Effect. Cause and Effect are one and the same uninterrupted flow of reality. Mind breaks up the flow of this reality into Cause and Effect b/c of its information-processing limitations, essentially, dropping out of the flow of “What Is” to deal with reality (by categorizing it, by breaking it up into moments and ideas). So, when you choose a Cause, you choose an Effect. That’s Karma: karma is not fate, karma is self-determinism. Karma, as a form of voluntary self-determinism bridges the classic dichotomy of free will and determinism. In my interpretation, karma (as a psychological term) is a free act of self-determination.
Somov, P. (2013). Self-Determinism. Psych Central. Retrieved on May 28, 2015, from http://blogs.psychcentral.com/mindful-living/2013/05/self-determinism/