The reasons are frustratingly simple:Interpreter shortages: Few hospitals have 24/7 professional interpreters available. Some solutions are straightforward:Rapid interpreter access: Hospitals must make professional interpreters instantly available, whether in person or via secure video. Hospitals must make professional interpreters instantly available, whether in person or via secure video. Cultural competence training: Language is one layer, but understanding health beliefs and fears makes communication far more effective. Until language access is treated as a matter of patient safety, not convenience, too many patients will continue to pay the price.