Older individuals in Hong Kong, Beijing, Harbin, and Suzhou completed a questionnaire (Smith, Cunningham, & Hale, 1994) previously used in the United States about their communication about medicines. Like their U.S. counterparts, they reported only moderately frequent talk about medicines with their doctors and that they introduced the topic more often than their doctors. They also relied heavily on Western-trained doctors for information about medicines, wanted most to know about side effects, and found print on Rx labels too small. Individuals in mainland China rated their doctors' communication, asking for information, explaining, encouraging patient talk, and sharing decisions higher than those in either Hong Kong or the United States. Doctors and patients in China, like those in the United States, apparently need more communication about medicines.