The fact that educated Americans in general no longer share understandable background knowledge is a chief cause of their inability to communicate effectively.
去る者は日々に疎しだな。お互いに離ればなれになると、自然と疎遠になるよね。
Out of sight out of mind. When you're separated you lose touch.
去るもの日々に疎し。
Out of sight, out of mind.
一般に、医者と患者との間の意思の疎通は治療の最も大切な部分である。
In general, communication between doctors and their patients is the most important part of medical treatment.