Words Matter.

Understanding the language of healthcare can help you feel more confident and actually improve your health.

Research Shows You Can Improve Your Health!

When you understand health information and feel more confident, you have a better chance to improve your health. The data is clear:

36%

Limited Health Literacy

Roughly 80 million American adults struggle to understand health information.

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36% of American adults have limited health literacy — roughly 80 million people

The 36% figure comes from the 2003 National Assessment of Adult Literacy (NAAL), published by the U.S. Department of Education in 2006. It was prominently cited by the Institute of Medicine in their landmark report:

Nielsen-Bohlman, L., Panzer, A.M., & Kindig, D.A. (Eds.). (2004). Health Literacy: A Prescription to End Confusion. Washington, DC: National Academies Press. DOI: https://doi.org/10.17226/10883

The NAAL found that 36% of adult participants had basic or below basic health literacy skills — representing more than one third of the U.S. adult population (Kutner et al., 2006). PubMed Central

8-21%

Higher Cost

Patients least confident navigating their care have significantly higher healthcare costs.

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8–21% Higher healthcare costs among patients least confident navigating their care (Univ. of Oregon)

Hibbard, J.H., Greene, J., & Overton, V. (2013). Patients with lower activation associated with higher costs; delivery systems should know their patients’ ‘scores.’ Health Affairs, 32(2), 216–222. DOI: https://doi.org/10.1377/hlthaff.2012.1063

In an analysis of 33,163 patients of Fairview Health Services in Minnesota, patients with the lowest activation levels had predicted average costs that were 8% higher in the base year and 21% higher in the first half of the following year than costs for the most activated patients. The lead author, Judith H. Hibbard, was based at the University of Oregon’s Health Policy Research Group. PubMed

9 of 13

Better Outcomes

In a 32,000 person study, more activated, confident patients improved on 9 of 13 health indicators.

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9 of 13 health indicators improved among more activated, confident patients — study of 32,000 (Health Affairs)

This comes from a follow-on paper by the same research group:

Greene, J., Hibbard, J.H., Sacks, R., Overton, V., & Parrotta, C.D. (2015). When patient activation levels change, health outcomes and costs change, too. Health Affairs, 34(3), 431–437. DOI: https://doi.org/10.1377/hlthaff.2014.0452

Higher activation in 2010 was associated with 9 out of 13 better health outcomes — including better clinical indicators, more healthy behaviors, and greater use of women’s preventive screening tests — as well as lower costs two years later. The study population was approximately 32,000–33,000 patients at Fairview Health Services. Semantic Scholar

Confidence and the right words change real outcomes. Well Said Health exists to give people both.

How Well Said Health Helps

Three ways to build your confidence to navigate care better:

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Podcast

Well Said Health

Real life stories + expert insight + questions you can ask your own doctor.

Coming soon

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Book

The Secret Language of Health Care

A practical guide to identify questions and resources to help you get the care you deserve.

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Speaking & Workshops

Robin L. Shapiro

Interactive, dynamic workshops, trainings and presentations designed for elder communities, HR conferences, and workplaces that turn health literacy data into everyday conversations.

Robin L. Shapiro

Meet Robin L. Shapiro

Robin L. Shapiro has dedicated her career to helping patients find their voice in navigating the healthcare system. As an author, speaker, and advocate, she empowers people with the language and confidence they need to navigate healthcare more successfully through insights and other people’s stories.

Through her podcast, book, and speaking engagements, Robin helps translate complex medical information into practical information and questions that anyone can actually use.

Coming 2026

Well Said Health Podcast

Each episode combines real life stories with insights to ask exact questions.

WSH Podcast
Secret Language Healthcare

You Have the Power to Ask
For the Care You Deserve.

The Secret Language of Health Care is your practical guide to navigating common health conditions with confidence. Learn the exact words to say when you need them most.

What you’ll learn:

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This book gives you the language you’ve been missing in every doctor’s appointment.

— Praise for The Secret Language of Health Care

Speaking & Events

Robin brings decades of expertise in health literacy and patient advocacy to keynotes, 
workshops, and training programs.

Who Robin speaks to:

Speaking topics:

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Virtual options available: Robin also offers webinars and virtual workshops for remote teams and organizations.

Ready to bring Robin to your event?

Robin brings decades of expertise in health literacy and patient advocacy to keynotes, 
workshops, and training programs.

Contact & Book Robin

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