In many ways, we as plain language writers serve as translators of scientific and medical information. We must communicate complicated, often-ambiguous, ever-changing health information in a manner that is sufficiently clear and understandable even to those with average reading skills.

Writing this way is more than just replacing long, complicated terms with one- or two-syllable words. It also includes writing in a tone that acknowledges and respects our readers.

“Ethics of simplicity” is a term I came up with that describes common dilemmas that plain language writes often confront.  It can include questions such as:

• Is there is so much information that readers might feel overwhelmed?
• Is there too little information that omits important facts?
• Is the tone appealing and respectful? Or might it seem condescending?
• Are statistics presented simply enough for most readers to understand?
• Do the statistics include enough information to make reasoned choices?
• How to explain uncertain information, especially when experts disagree?

These are hard questions with no easy answers. It can be difficult to decide what to do.  One of the best ways to start figuring this out is by working closely with a writing team. Team members should include:

• One or more subject matter experts. They can determine which information is “need to know” or “nice to know.” Often, the hardest part is deciding what content not to include.
• Plain language writer. This should be someone who not only knows how to write clearly but also is an unceasing advocate for intended readers.
• Readers who represent the audience. Our readers are expert in assessing whether information is relevant, actionable, and understandable. Readers should be active and valued participants throughout the writing process.

When you write in plain language, what ethical issues do you face? How do you resolve these concerns? Please email to let me know.

More ways to learn:

• This How-To Tip is adapted from “Ethics of Simplicity,” a chapter in Helen Osborne’s award-winning book, Health Literacy from A to Z: Practical Ways to Communicate Your Health Message, Third Edition.
• Uncertainty: What It Is and Ways to Help, a Health Literacy Out Loud podcast interview with Paul Han.
• Communicating Complex Health Messages in a Complex World, a Health Literacy Out Loud podcast interview with Glen Nowak.
• Plain Language: It’s About Smartening Up, Not Dumbing Down, a Health Literacy Out Loud podcast interview with Karen Schriver.
• Ethics to Consider When Communicating About Health, a Health Literacy Out Loud podcast interview with Michael Siegel.
• “The Ethics of Simplicity,” an article by Helen Osborne published in On Call magazine, March 2004.