Is empathy actually learned or you're born with it, I hate seeing people agonizing in pain?

It doesn't matter if the person is 6'2 himself, it feels bad. I hate seeing a person on the ground, agonizing in pain.

Many years ago, I was watching an episode about funny videos caught on camera. It was about falling accidents. One of them was about a guy (probably in his early 20's at the time), skating and he fell on a ramp, then to make matters worse he ended up in a scissor like position, legs wide open. I felt horrible. This might sound silly but part of me wanted to reach the TV screen and teletransport myself, then comfort him in any way possible.

I actually didn't find that one funny. I was thinking maybe he needs medical assistance or something. In this case, even though I was still a minor at the time (probably in my early teens), I emphasized with that young guy. Is empathy learned or natural?

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I hate seeing babies and toddlers getting hurt when they bump their little heads or fall down, then start crying. That also makes me feel terrible.
Is empathy actually learned or you're born with it, I hate seeing people agonizing in pain?
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