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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.