FrontMatter -- Independent Report Reviewers -- Acknowledgments -- Foreword -- Preface -- Contents -- Tables, Figures, and Boxes -- Executive Summary -- 1 Introduction -- 2 What Is Health Literacy? -- 3 The Extent and Associations of Limited Health Literacy -- 4 Culture and Society -- 5 Educational Systems -- 6 Health Systems -- 7 A Vision for a Health-Literate America -- APPENDIXES -- A Data Sources and Methods -- B Commissioned Papers -- The Relationship Between Health Literacy and Medical Costs--David H. Howard, Ph.D. -- Improving Chronic Disease Care for Populations with Limited Health Literacy--Dean Schillinger, M.D. -- Outside the Clinician-Patient Relationship: A Call to Action for Health Literacy--Barry D. Weiss, M.D. -- C Sample Material from Selected Assessments of Literacy and Health Literacy -- D Committee and Staff Biographies -- Index.