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View Diary: The Tom Coburn school of medicine: Tell your mommy she has a yeast infection (28 comments)

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  •  Technical correction here: (0+ / 0-)

    what the federal law requires is that they provide interpreters and translated documents.

    Sorry to nit pick, but it's a big part of what I do for a living.

    ;-).

    "...found ways to communicate with them..."

    where communication means I say what I need to say and what anyone else has to say or how they understand it is irrelevant.

    Reminds me of the couple who was getting a divorce because the wife explained that she was no longer satisfied with their sex life.  "What do you mean?", the husband asks, "I think we have a great sex life".

    Words can sometimes, in moments of grace, attain the quality of deeds. --Elie Wiesel

    by a gilas girl on Wed Mar 27, 2013 at 03:14:08 PM PDT

    •  a gilas girl - who pays for the translators? (0+ / 0-)

      Is it the patient, the physician or the third party payer? If the patient has no insurance who pays?

      "let's talk about that"

      by VClib on Wed Mar 27, 2013 at 04:38:11 PM PDT

      [ Parent ]

      •  providers pay for all language assistance (1+ / 0-)
        Recommended by:
        VClib

        very few payers include costs for language assistance in reimbursements, though that is changing with ACA...health plans increasingly are including it these days.

        Words can sometimes, in moments of grace, attain the quality of deeds. --Elie Wiesel

        by a gilas girl on Wed Mar 27, 2013 at 06:10:55 PM PDT

        [ Parent ]

        •  Thanks gilas girl (1+ / 0-)
          Recommended by:
          a gilas girl

          If I understand your answer correctly historically the physician paid for the translator, which was an un-reimbursed out of pocket expense for the clinician.

          "let's talk about that"

          by VClib on Wed Mar 27, 2013 at 08:13:52 PM PDT

          [ Parent ]

          •  Exactly (1+ / 0-)
            Recommended by:
            VClib

            But to be more accurate, the use of interpreters and translators by clinicians who are in private practice is much rarer than by large health care systems (or safety net systems like community health clinics or safety net hospitals), precisely because of this cost.  Larger health care systems can absorb the costs and take advantage of economies of scale through various options like using bilingual staff who are trained, hiring a few professional interpreters to their staff, or joining health care interpreting cooperatives, as many providers in California have done.

            We very rarely provide language access services to an individual clinician -- it's all approached from a systems-level or organization-level perspective.

            Words can sometimes, in moments of grace, attain the quality of deeds. --Elie Wiesel

            by a gilas girl on Thu Mar 28, 2013 at 09:04:10 AM PDT

            [ Parent ]

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