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Wilder discusses how the communication problems with health professional can negatively impact the outcome of medical care for patients with low health literacy skills. Because of the way health information is presented by clinicians, patients have trouble comprehending what is said. Because patients are expected to play an active role in their own medical care and treatment, it is necessary that health information be given in ways that patients and families can understand. Low literacy gets in the way of good health care and leads to more health problems in patients. Wilder makes a good case for the importance of good communication techniques in health matters.

Health literacy is basic reading and numerical skills that allow a person to function in the health care environment. Even though most adults read at an eighth-grade level, and 20 percent of the population reads at or below a fifth-grade level, most health care materials are written at a 10th-grade level. Older patients are particularly affected because their reading and comprehension abilities are influenced by their cognition and their vision and hearing status. Inadequate health literacy can result in difficulty accessing health care, following instructions from a physician, and taking medication properly. Patients with inadequate health literacy are more likely to be hospitalized than patients with adequate skills. Patients understand medical information better when spoken to slowly, simple words are used, and a restricted amount of information is presented. For optimal comprehension and compliance, patient education material should be written at a sixth-grade or lower reading level, preferably including pictures and illustrations. All patients prefer reading medical information written in clear and concise language. Physicians should be alert to this problem because most patients are unwilling to admit that they have literacy problems. (Am Fam Physician 2005;72:463-8. Copyright© 2005 American Academy of Family Physicians.)

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.

The Report discusses how nearly half of all American adults have difficulty understanding and using health information. Many patients do not always understand health information, so they get less preventative health care and use expensive health services such as emergency care more frequently. By incorporating health knowledge into the existing curricula of kindergarten through 12th grades classes, as well as into adult education community programs, confusion in health literacy can be eliminated. The IOM makes valid points and suggestions for ending the confusion with health literacy.

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.

Vernon, lead author of this report, and fellow colleagues, discuss the economic inefficiency in the U.S. healthcare system caused by low health literacy. Annual costs to the U.S. economy are in the billion dollar range. The report shows that low health literacy is associated with lack of stable coverage and reliable health care access, a national health reform to improve health literacy would result in major savings as well as better health care. Vernon and associates make valid points to the cost of low health literacy to the economy.

Nutbeam describes the importance of improving access to health information and the capacity to use it effectively as a public health goal. Because strategies include more personal forms of communication and community-based educational outreach, a reduction in low health literacy would be possible and the end goal would result in individuals being more involved in their health care decisions. This would empower them. Nutbeam makes a reasonable point for health literacy as a public health goal as a means for reducing low health literacy.

Leland discusses how talking down to elderly people, "elderspeak," has a negative effect on their health and outlook of life. These negative effects lead to decreased self-esteem, depression, and even a reduction in life expectancy. Most people actually get infuriated when they are talked to like a child, and say it is an insult to their integrity. Dr. Becca Levy of Yale University says health care workers are some of the worst offenders of elderspeak and are unaware of the negative implication it has on patients, that such patronizing language gives the message that patients are incompetent.

Bryan discusses how practical steps that healthcare providers and executives can implement to enable health literate communities can provide several solutions to solve the health literacy crisis. A team effort, use of standardized communication tools, plain language, and educational materials are suggested. Because the health care providers are instrumental in reducing low health literacy, policies that include solutions that are easy to implement to enable health literate communities are necessary. Bryan makes useful suggestions for providers and policy makers which seems plausible.

This article describes the ways on which to be careful when teaching the Bible in schools. This article however agrees with the teaching of the Bible it is just aware that one must be aware of what one is saying when teaching this sensitive subject.

These article provides information on academic support programs for student athletes. Various athletic-academic scandals have forced universities to provide needed academic support to student athletes. Campus consensus on academic support program must be developed by involving central administration, faculty, and athletic department personnel. Before selling up an athletic support program, a careful self-assessment can also serve as an example of institutional reform. A decision must be made whether the program should operate internally in the athletic department or externally in the campus administration. The first step in beginning an academic support program is assessing athletes through testing and records. The program should emphasize skill development and counseling, preferably in programs already existing for the general student body on campus. Budgets for large programs range between $250,000 to $500,000 a year. The program should be annually evaluated by looking at retention and graduation rates of student athletes. The program's success depends on the commitment of the university and the participation of the community.

The NBA, which cares about higher education only as a source of player development, hypocritically praises the Toronto Raptors star's graduation side trip. An opinion piece, so shallow on facts, but has links to other sites.

This report discusses the affects low health literacy has on a person's health status and why health literacy is important to overall health. Low health literacy affects a person's health status more than any other factor, including education, income, and employment or race. Because people with limited health literacy don't tend to seek preventative care and are less likely to follow prescribed treatments, health is compromised and the possibility of a hospital stay is more likely. The report aptly describes the reasons why health literacy is important.

To describe the home literacy environment and to identify financial, human, and social capital variables associated with the presence or lack of Child Centered Literacy Orientation (CCLO) in families with young children who regularly attend pediatric primary care clinics. Could be helpful for those study literacy and family, especially among single-parent families.

A study found that women still lag far behind men in top political and decision-making roles, though their access to education and health care is nearly equal.

As health-care costs skyrocket, a down-to-earth approach to healing is emerging, complementing high-tech medicine with high-touch arts.

The report discusses how the complexity of medical information affects the health of the patient. The terminology used by doctors and other health professionals contribute to low literacy in patients, and because of the difficulty patients have understanding medical information, health outcomes of patients are jeopardized. The report makes interesting points that expose the unnecessarily complex and confusing language doctors insist on using when talking to patients.

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.

An article about how high school students, most too young to vote, are getting involved in the political process.