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The authors discuss the serious consequences of low health literacy for individual health and the added demands it places on the health care system. Problems resulting from low literacy cause increased health complications and increased hospitalization for patients. Because of the inability for patients to understand medical instructions and directives by health professionals, many patients experience more health problems which lead to additional health care expenditures, translating to billions of dollars for the nation. The authors make important points, but much research is based on studies from a single public hospital. However, the facts presented provide valid information.

Wanjek discusses how low health literacy negatively affects the nation. Health complications and possible death are the most deleterious problems affecting people with low health literacy. Unnecessary spending by the health industry is another problem causing inpatient spending to increase by approximately $1000. Because of the effects of low literacy, the nation's health is compromised and the cost of healthcare thus escalates to billions of dollars annually. Wanjek makes intriguing points, but most of his information is taken from another study.

Weiss discusses the scope of the health literacy problem, the barriers faced by patients with low literacy, and methods to foster verbal and written communication in low literacy patients. Low literacy is pervasive in the U.S. and causes an unnecessary financial and health burden. Because of the complicated health literature, most patients have inadequate understanding of what is said, and simple strategies can alleviate low health literacy problems. Weiss makes interesting and provocative points, but much of his observations are based on his medical practice.