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I dont understand the low reviews. As a doctor I use this app everyday to listen to my manuscripts that I am writing. I also write many letters to legislators and some are about 20 pages and I listen to them before i send them. Its an extra way to find errors. I listen to this.
The Voices are better than Siri, and the American woman has a pretty voice... I listen to journals articles and book chapters on this.

PathMax about Speak it! Text to Speech, v2.6