Physicians at the University of arizona and at the University of North Carolina have developed a quick reading test to help assess patients’ individual cognitive levels to help them tailor their teaching accordingly. Patients are asked to read a nutrional label on a product and are then asked six simple questions. This test, which the doctors have called ”the newest vital sign,” can be completed in the span of time in which the patient’s other vital signs such as pulse, temperature, respirations and blood pressure are measured. The February issue of Healthcare Financial Management points out a study indicating on average, that those with a 3rd grade reading level or less cost Medicaid $10,000 annually while patients with more developed skills average only $3000.