Maybe I can offer a viewpoint that'll really drive this message home. I work at a hospital full of the most brilliant foreign doctors, but many of them have ac

Maybe I can offer a viewpoint that'll really drive this message home. I work at a hospital full of the most brilliant foreign doctors, but many of them have accents too, too thick to accurately relay and discuss very complex and critical medical information. That is not in any way a reflection of their intelligence or work ethic in the least. They are smart, and they've proven that with numerous tests and years of training. But when effective communication is hindered, there is damage to confidence, mutual understanding, and progress. Confusion amongst doctors and nurses hurt patient management. Families who don't understand what they're being told feel less confident in the physician caring for their loved one because no clear direction or assessment is articulated. And PG here is saying no different. Communication is just as essential in running a startup as it is in managing a patient. Your investors rely on your communication abilities to accurately assess the state of your company. Cofounders need to understand you for decisions to be made. Employees need to feel confident in their leader and the direction they're moving in. This isn't xenophobic at all. Foreign accents, here in America, probably make up the majority of communication issues. I'm sure PG would've mentioned stammering and stuttering if it were significant in his data, but it likely wasn't. How many people do you know with thick foreign accents and how many with other communication hindrances?