The cost of being understood

In health care, good communication is essential. However, the discussion regarding who should bear the cost of interpretation services in healthcare settings is complex. And touching upon financial concerns, patient well-being, and societal equity. Should patients foot the bill for interpreters? This is a big debate, especially in countries like Sweden where the government pays for health care.

Patient-funded interpretation

Advocates for patient-funded interpretation believe that this approach gives patients more control over their healthcare interactions and ensures that interpretation services are readily available when needed. 

They also argue that patient-funded interpretation can help alleviate the burden on healthcare systems and institutions that may already be strained for resources. 

The importance of language access

But opponents, including healthcare professionals, stress the critical role of clear communication in delivering quality care. Research consistently underscores the importance of language access in health care: 

• Patients who lack proficiency in the language spoken at medical facilities often face misunderstandings, misdiagnosis, and subpar treatment. 
• Language barriers contribute to disparities in healthcare access and outcomes, disproportionately affecting minority and immigrant communities.
• Effective communication between healthcare providers and patients isn't just desirable; it's crucial for accurate diagnosis, appropriate treatment, and patient safety.

"As we have learned from our customers," Maja Magnusson, CEO of Care to Translate, says "countries have varied strategies for addressing language barriers. Sweden provides free interpreter services, while others use bilingual staff, remote interpretation, or require patients to pay." 

Increased costs leading to sicker patients

The debate over interpreter fees in health care has gained momentum, with Swedish political parties considering following Denmark and Finland's lead in potentially eliminating interpreter support. 

However, Denmark's experience serves as a cautionary tale. The introduction of interpreter fees in Denmark led to a significant decrease in the use of interpreters. Resulting in sicker patients and increased healthcare costs.

This decline underscores the vital role interpreters play in facilitating effective communication between healthcare providers and patients. It also highlights the risks associated with scaling back interpreter and translation support in healthcare settings. 

Patients, often facing financial constraints, may not be able to prioritize or afford their translation and interpretation needs. Consequently, we witness a paradoxical outcome: increased healthcare costs alongside a sicker population.

Digital solutions alongside interpreters

"Amidst this ongoing debate, it's crucial to explore innovative solutions," emphasizes Maja Magnusson. "Digital tools are increasingly recognized as valuable complements to human interpreter services. By seamlessly integrating these tools alongside interpreters, we ensure safe communication throughout the entire patient journey.”

Maja adds, "Perhaps, the question shouldn't focus on who bears the cost, but rather, on how we can enhance current processes and standards to address language barriers in health care better and more efficiently."

As discussions around patient-funded interpreter services persist, we have to prioritize patient safety, quality of care, and equitable access to health care. Balancing fiscal responsibility with the ethical imperative of effective communication requires careful consideration of the diverse needs and perspectives of patients, healthcare professionals, and policymakers.

In conclusion, the cost of being understood in health care is not just financial, it's about reinventing the process. Ensuring that every patient, regardless of language, receives the care and attention they deserve.

Let us remember that effective communication is not just a luxury, it's a fundamental right in health care.