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The article discusses what health literacy is and what constitutes good health literacy. Cultural, language and communication barriers have great potential to lead to mutual misunderstandings between patients and their health care providers. Because these barriers lead to communication breakdowns, patient safety is jeopardized, so changes that will permit patients to receive more time, attention, education and understanding of their conditions and their care will help alleviate these obstacles.

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.