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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.

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.

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.