Will greed win over quality medical interpreting in the middle of a pandemic?

Dear colleagues:

On May 15, 2021 the Certification Commission for Healthcare Interpreters (CCHI) released a study suggesting that an English-to-English exam might solve the shortage of healthcare interpreters in what they call “languages of lesser diffusion,” meaning languages other than Spanish, Arabic or Mandarin. The reason for this “sui-generis” affirmation is very simple: developing actual interpretation exams to test candidates on simultaneous and consecutive interpreting, and sight translation in both: source and target languages would be too expensive and therefore not profitable. Interesting solution: examine candidates’ English language skills (reading comprehension, medical concepts, fill-in the blanks, and what they consider can show the candidate’s “potential correlation with overall interpreting ability”: “listening comprehension.”) An English only exam will catapult an individual into an E.R. to perform as an interpreter without ever testing on interpretation!

What about native English speakers, who in the study scored an average of 87.9% compared to non-native speakers, who scored an average of 76.6%? No problem, says CCHI; passing score is 60% and Spanish language interpreters will continue to take the interpretation exam already in existence. I suppose the expectation might be that people who speak other “languages of lesser diffusion” in the United States have a higher academic background and their English proficiency is higher. Another point that makes this “solution” attractive is that most interpreter encounters in hospitals, offices and emergency rooms involve Spanish speakers, which brings the possibility of lawsuits for interpreter malpractice to a low, manageable incidence. I would add that many people needing interpreting services will not even consider a lawsuit because of ignorance, fear or immigration status. The good news: CCHI concluded that although this English-to-English exam option “is a promising measure…(it)…requires additional revision and piloting prior to use for high-stakes testing.” (https://slator.com/can-a-monolingual-oral-exam-level-the-playing-field-for-certifying-us-interpreters/)

Reading of this report and the article on Slator got me thinking about the current status of healthcare interpreting in the Covid-19 pandemic. How long will the American healthcare system ignore that the country is everyday more diverse and in need of professional, well-prepared healthcare interpreters in all languages? The answer is difficult and easy at the same time.

A difficult answer.

It is difficult because we live in a reality where every day, American patients face a system with very few capable healthcare interpreters, most in a handful of language combinations, and practically all of them in large and middle-sized cities. The two healthcare certification programs have poor exams. One of them does not even test simultaneous interpreting, and the other tests a candidates’ simultaneous skills with two 2-minute-long vignettes (one in English and the other in the second language). Consecutive skills are also tested at a very basic level with four vignettes of twenty-four 35 or fewer-words “utterances” each. It is impossible to assess somebody interpreting skills with such an exam after just 40 hours of interpreter training. (https://cchicertification.org/uploads/CHI_Exam_Structure-Interface-2020.pdf).

Except for those interpreters with an academic background or prepared on their own because they care about the service they provide, the current system provides a warm body, or a face on a screen, not a healthcare interpreter. Because the motivation is a robust profit, it is conceived and designed to protect the interests of insurance companies, hospital shareholders, and language services agencies. It has been structured to project the false impression these entities are complying with the spirit of the law; It is not designed to protect the physician or the patient.  

In 1974 the United States Supreme Court ruled that failing to provide language support for someone with limited English proficiency is a form of discrimination on the basis of national origin (https://www.federalregister.gov/documents/2000/08/30/00-22140/title-vi-of-the-civil-rights-act-of-1964-policy-guidance-on-the-prohibition-against-national-origin).  The ruling was later broadened and implemented by the Americans with Disabilities Act (ADA) (https://www.ada.gov/effective-comm.htm) and the Affordable Care Act (ACA) commonly known as “Obamacare.” (https://www.hhs.gov/sites/default/files/1557-fs-lep-508.pdf) This legislation specify that healthcare organizations must offer qualified medical interpreters for patients of limited English proficiency and those who are deaf or hard of hearing.

An easy answer.

Despite the reality we face, the answer to the question above is easily attainable because the healthcare industry has immense financial resources and a system that lets them capture money at a scale no other industry can.

The healthcare sector deals with the lives and quality of living of all individuals present in the United States. Their reason to exist is to save lives, not to produce ever-growing dividends to its shareholders every year. This is an industry that spends unimaginable amounts of money in medical equipment, state-of-the-art technology, physicians, surgeons, nurses, therapists, researchers, attorneys, and managerial staff salaries. New expensive hospitals, medical office buildings, clinics, laboratories, and rehab centers are built all the time. This industry can spend top money in those sectors because it is good for business. It is an investment that produces a profit. I am not even scratching the surface of these expenses, but even if we ignore the money spent in food, gear, vehicles (land and air), utilities, clerical staff, janitorial staff, and medical aide positions, we can safely conclude this is an industry that knows how to spend money when an expense is viewed as an investment that will produce a financial benefit.

Designing good medical interpreter exams in many languages is expensive, paying professional-level fees to healthcare interpreters will cost money, managing a continuing education program will not be cheap, but the healthcare sector cannot cry poverty. They have the funds to do it. It is incomprehensible how a business that bankrupts its patients after one surgery or a chronic disease can argue with a straight face, they can only pay 30 to 50 dollars an hour to a medical interpreter. This is an industry that charges you fifty dollars for a plastic pitcher of water or twenty dollars for a box of tissue they replace every day.

Quality interpreting, and living up to the spirit of the law, cannot happen when an organization spends money to look for shortcuts such as testing English-to-English in an interpreting program. Only the promise of a professional income will attract the best minds to healthcare interpreting. Current conditions, including low pay, an agency-run system, and searching for shortcuts to go around the law will never produce quality interpreters.

If those deciding understand good professional healthcare interpreters are an investment as valuable as good physicians, surgeons and nurses, the solution can begin immediately. Designing and administering a quality interpretation exam will take time, getting colleges and universities to start interpreting programs that include medical interpreting will not be easy, but there are steps that can improve the level of interpreting services right away.   

A higher pay, comparable to that of conference interpreters will immediately attract top interpreters in all languages, at least temporarily or part-time to the field. Many top interpreters see the need for quality services during the pandemic, and they feel a need to help, but they have to make a living and healthcare interpreter fees do not meet the mark.

Instead of thinking of English-to-English exams to create an illusion they are forming interpreters, stakeholders should recruit native speakers of languages where interpreters are hard to find, but they must stop looking for “ad-hoc” interpreters in restaurant kitchens and hotel cleaning crews, and start talking to college students and professors, to scientists and physicians from those countries who now practice in the United States. With current technology, hospitals should look for their interpreters among the interpreter community in the country where a language is spoken and retain their services to interpret remotely, instead of opening massive call centers in developing countries, using the technology to generate a higher profit instead of better quality.  

Hospital Boards must find the money and allocate it to interpreting services. In these cases, such as Medicaid and others, the cost of interpreter services should be considered an operating expense. Insurers do not reimburse for nursing and ancillary staff. Hospitals and practices pay their salaries.

Payers may also benefit by covering interpreter services. Although data are limited according to the Journal of the American Medical Association Forum, studies suggest that when physicians struggle to communicate with patients, they are more likely to order unnecessary tests and treatments. This not only puts patients at increased risk, but also directly increases payer spending. Limited English proficiency patients may need care more frequently or seek treatment in more expensive settings, such as the emergency room, when they cannot communicate with primary care providers. Similar to insurers in fee-for-service arrangements, risk-bearing provider groups in alternative payment models face a similar incentive to curtail unnecessary or wasteful utilization. Poor interpreting services will also result in malpractice lawsuits against hospitals, language service providers, insurance companies and medical staff. In the long run, by far, this makes investing in quality interpreter services and interpreting education/certification programs a smaller expense. “Paying for interpreter services, from cost-based reimbursement, to their inclusion in prospective payment models, to insurer-led contracting of remote interpreters, would not only address the disparities exposed by the pandemic, but also help support practices facing financial peril due to the pandemic.” (https://jamanetwork.com/journals/jama-health-forum/fullarticle/2771859) It is time to grow up and stand up to the stakeholders in the healthcare sector; it is time to unmask the real intentions of language service providers who take advantage of often-poorly prepared interpreters to get a profit. It is time to have a serious healthcare interpreter certification exam that really tests the candidate’s interpreting skills. We need university and college programs, and a different recruitment system led by hospitals and insurance companies not multinational interpreting agencies, or ill-prepared small local players. Interpreters cannot be made in 40 hours and we can’t have newly trained interpreters learning at the cost of real patients’ safety. The pandemic showed us the importance of healthcare interpreting, let’s seize the opportunity to professionalize it.

In tough times: Raise your fees!

Dear colleagues:

Globalization has created a world market where we all compete, regardless of our location. Although this has raised professional fees for some colleagues in places with small economies, it has hurt most interpreters to a different degree, depending on whether they stuck to their local economy and clients, or they went to the international market and taking advantage of new technology acquired clients they would have never even considered before globalization. In a market like the United States, with very high speed internet, thousands of airports and flights to every corner of the planet, and a very reliable infrastructure, many of us felt no downturn in our business; in fact, we benefited from the change.

Unfortunately, and without getting into politics, some recent U.S. government decisions, and later changes to the way we did business and conducted our international relations, have created a state of uncertainty, and sometimes resentment, which have affected our profession.

Some of the conferences and international events we had interpreted for many years have been cancelled; others have been moved to other countries due to the uncertainty on the admission of visitors to the United States, as the organizers avoided the risk of investing on a project that a significant segment of attendees could not attend because of their country of origin. For the same reason, many international programs at universities, non-for-profit organizations, and government agencies have been considerably downsized or postponed. The situation for community interpreters is not any better, because less foreigners in the country means less litigation and less foreign investment, which impacts court and legal interpreters; and when foreigners visit the United States less frequently, they use hospital and medical services at a lower rate. This hurts healthcare interpreters.

Faced with this reality, it was time for me to decide how I was to continue to enjoy the same income level despite the new reality we are living; and turn this poison into medicine and even generate more income than before.

Many freelancers get scared when they find themselves in this position, and their first impulse is to lower their fees to keep the clients they have, and to advertise their services at a lower fee than before. They operate under the false idea that money is the main motivator in a client decision making process.

Fortunately, my professional experience has showed me that quality trumps price in everything a client values. That is why people spend more money on a better doctor, a safer airline, and a renowned university. All have cheaper alternatives, but with the things people value the most, there is always a thought that crosses their mind: “It is more expensive but, if not for this, what is money for?” At that point I decided to raise my professional fees.

With this in mind, I carefully studied my client portfolio and classified my clients according to their business value, considering the income they produce me, how frequently they require of my services, the affinity of the type of work I do for them to my personal interests, and the prestige a certain client brings to you in the professional world. I considered a separate category for difficult clients, but to my surprise these were very few, and I needed them for my plan to work.

I immediately realized there were clients on that list I wanted to keep no matter what, and there were others that I would lose regardless of my best efforts. They were in a category where my work was not one of those services that they value the most.

I approached my clients according to how badly I wanted to keep them. If I really wanted them, I would explain this change in person when possible, or by phone or Skype if they were abroad or if their schedule could not fit me within a reasonable period of time. Next, I decided to contact the rest by e-mail on a carefully worded communication that was clear, not too long, and that ended with an open invitation to discuss this raise in more depth in person or by phone if they wanted to do so.

It would be a conciliatory email. No ultimatums, or “take it, or leave it” type of notice. I was out to make friends, not to fight with my clients. I knew that I had two things working in my favor: They already knew my work, and I already knew how they like their interpreting.

For my strategy to succeed, I needed to present my proposal to somebody with the authority to decide. Talking to somebody down the totem pole would be a waste of my time. I decided that I would only talk or write to owners of small companies or agencies, and to senior management in larger corporations, organizations, and government agencies. (There is a video on this subject on my YouTube Channel).

I drafted a talking points memo to be used with my “A” list clients when I told them I was raising my fees. The points I would make to the client had nothing to do with globalization, current American politics, or the uncertain future interpreters were facing in the United States. I recapped the successes we had in the past, and I listed some of the professional things I do for them that are not always found in other interpreting services, but I was not heavy about it. I figured that if they had agreed to talk in person or by phone, it was because they already considered me an asset to their company. It was all about the quality of my professional service and the time and effort I would devote to the success of their conferences, projects, and other events.

I lost some clients, none from the “A” list, all those who stayed with me are now happily paying the new higher fees as they are now getting a more personalized service, and because of this new practice, I have acquired new clients, who were in part, referred by my old clients who stayed with me despite the raise. We now have a better working relationship because they know more about what I do, and their internal decision making process to continue working with me made them realize my true value for their organization.

The lesson learned, dear friends and colleagues, is to face adversity with a cool mind, refuse to give in to fears and peer pressure, and with confidence and self-assurance face the problem and win. It is always better to make more money when appreciated, and an added benefit is that instead of contributing to an even bigger depression of our market, you will do your part to pull it out of the shadows of uncertainty. I now invite you to share with the rest of us what you are doing to win as a professional interpreter in this new reality of globalization and political uncertainty.

How a conference for interpreters and translators should be.

Dear colleagues:

On March 16-18 I attended the “Spring into Action” conference, a joint venture of the Association of Translators and Interpreters of Florida (ATIF), the Spanish Language Division (SPD) of the American Translators Association (ATA), and Florida International University (FIU).

ATA’s Spanish Language Division had been involved in other high-quality conferences: A “Spring into Action” joint venture with the Delaware Valley Translators Association (DVTA) in Philadelphia in 2015, and a collaboration with the Portuguese Language Division of ATA in Las Vegas many years earlier. Because of such good memories and references, when the administration of the SPD approached me with presenting in Miami I said yes immediately, I enjoyed the conference tremendously, and I learned very important lessons that motivated me to write this post.

For those of you who do not have Spanish as one of your working languages, please read the post until the end. The lessons learned at this conference apply to all languages and fields of interpreting and translation, and will benefit all colleagues who put them into action.

First, the event was held at a conveniently located college campus: Florida International University in the Miami metropolitan area. This made it possible to have a professional activity in a learning environment, with a college infrastructure (smart units, college classrooms, university environment) instead of a hotel ballroom with banquet chairs where those attending a lecture must master note-taking on their knees and must settle for a partial view of the presenter and a panoramic view of the bald head of some colleague who got there earlier and took the front row seat. Miami’s location is perfect for a gathering of Spanish language interpreters and translators because it has two major airports (Miami International and Ft. Lauderdale) and it is accessible to colleagues from all over the Americas, Europe, and the United States. The weather was another plus; I left Chicago in a snow storm and landed in balmy and sunny Miami.

The organization was great, and I applaud all those involved in organizing the conference. I have been in their position and I know how difficult and time-consuming it is. Congratulations to all organizers, administrators and volunteers.

The conference program was impeccable. It was a perfect balance of interpreting and translation workshops and presentations with something of quality for everyone, regardless of their specialty field or experience level. Unlike many conferences where you find a mix of good workshops and many fillers that make you question your decision of paying for the event, all presentations were top quality. We had universally known names who shared their knowledge with the rest: Antonio Martín and his Dr. Macro; Alberto Gómez Font and his lecture on toponomy; Xosé Castro’s talk on communicators and translators productivity; Jorge de Buen and the signs and symbols we should translate; Daniel Tamayo’s sight translation workshop; Karen Borgenheimer and her consecutive interpreting advanced skill building workshop.

We also could see how some already renowned colleagues and presenters elsewhere were officially introduced to the international Spanish interpreter and translator community. We had the pleasure to hear from Darinka Mangino who shared with us the use of an ethnographic analysis of communicative setting as a preparation tool for an assignment; and most of the country learned what I already knew: Javier Castillo is an excellent presenter and interpreter trainer who showed the audience how to improve their memory to improve their outcomes.  I could not attend all the other presentations and workshops, but I talked to many colleagues and I heard only praise for all presenters and presentations.

Everything I have shared with you should convince you of the success of this conference, but the most important factor, and what sets it apart from most of what we see in the United States was that there were no corporate sponsors pushing sales of their products until an exhausted translator agrees to buy something she may not even need, and there were no unscrupulous agencies chasing interpreters to convince them that working for rock bottom fees is fine if you are “learning and practicing” while you work, or as long as they offer you consistent volume (so you can work more consistently for a laughable pay). That there were no “presentations” where agencies could convince interpreters of the benefits of telephone interpreting from home (conveniently leaving out of the sales pitch they will be paid by the minute of work to where by the end of the month the interpreter cannot pay the rent of her place or the food of her kids) made us all feel more comfortable as we knew we were among our peers and nobody else.

This model can be copied by interpreters and translators elsewhere. Some countries or languages may not have enough colleagues to put together an event like this. That is fine. You can always hold a joint event with other professional interpreters and translators from your region, from other languages, and helped by a local institution of higher education.  You will soon see the results: more quality presentations, more attendance because the conference will not cost your colleagues an arm and a leg like some of the huge conferences, and you can talk to your peers without being harassed by salespeople or agency representatives. In my opinion, this is the right formula as far as size, content, format, and organization.

For those of you who may argue that big conferences offer certain things smaller ones do not, I give you this Miami conference as an example you need nothing else. Some people have argued that you would be missing networking when the conference is smaller or restricted to a few languages. I would argue this is not true. When I need a colleague from a specific language combination, for some specialized field, or from a particular region of the world, I always bring on board people who I know, colleagues who I have seen working in the booth during other assignments, or interpreters recommended by a trusted colleague. I would not recruit somebody I know nothing about just because he gave me a business card during a big conference. Finally, to those who may argue that unlike Spanish language interpreters and translators, their language combination would not allow them to experience a truly international event if all they attend is a smaller conference, I suggest they attend the annual conference of the International Association of Translators and Interpreters (IAPTI). This association holds conferences once a year in different parts of the world (not the U.S.) attended by interpreters and translators from all continents. The conference is top-quality, the size is not too big and not too small, the cost is very affordable, and there are no corporate sponsors or agencies keeping you from enjoying the event. I am not saying you should never attend a big conference, they also include some great presentations as part of their extensive programs, these humongous events must be experienced by everybody at least once in a lifetime; all I am saying is that you will find more value on a smaller event like “Spring into Action”, and you will not have to break the bank to attend. I now ask you to please share with us your opinions and your experiences at the Miami conference or at any other translators and interpreters conference.

What we learned as Interpreters in 2017.

Dear Colleagues,

Now that 2017 is ending and we are working towards a fruitful and meaningful 2018, it is time to assess what we learned during the past 12 months.  As interpreters we are constantly learning, and from talking to many of my colleagues, 2017 was packed with learning opportunities.  The year that ends gave me once again the opportunity to work with magnificent interpreters and many of my dearest colleagues.

Our profession had positive developments this year:  The International Federation of Translators (FIT) held a very successful conference in Brisbane, Australia where those of us in attendance could see many friends and colleagues advancing our professions throughout the world. It was personally very instructive, and inspiring, to see how interpreting services in Aboriginal languages and Sign Language interpreting in many languages have grown and developed In many countries. I witnessed how the interpreting profession has moved forward in Mexico, as evidenced by the Organización Mexicana de Traductores’ (Mexican Translators Association, OMT) very successful conference in Guadalajara, The Autonomous University of Hidalgo’s University Book Fair and content-rich conference in Pachuca, and the very inspiring second court interpreter workshop and conference for Mexican Sign Language (LSM) that took place in Mexico City with the tremendous backing of the Mexican judiciary.  The International Association of Professional Translators and Interpreters brought its world congress to the Americas for the first time, and the decision could not be better: An unprecedented number of colleagues from North and South America attended the event and benefited from IAPTI’s philosophy and the quality of the presentations in beautiful Buenos Aires. This, and the workshops and talks I gave in Mexico to colleagues and students, including a very special invitation to the Autonomous University of Guadalajara (UAG) have helped me understand why the profession is growing south of the border, successfully taking the challenge by their government’s total revamp of their judicial process.  I also could participate in other professional conferences and seminars of tremendous level where I was honored to share experiences and exchange ideas with many professional colleagues. Thank you to all my colleagues who attended my presentations, workshops and seminars in Querétaro, Mexico City, Charlotte, San Antonio, Buenos Aires, Washington, D.C., Brisbane, Pachuca, Montevideo, Guadalajara, Seattle, Chicago, La Paz, and Baltimore. It was a pleasure to spend time with all of you in 2017.

The year that ends in a few days saw the growth of our profession in the healthcare field.  Remote Simultaneous Interpreting (RSI) had a landmark year as it listened to the professional conference interpreters and treated them with respect in both, labor conditions and professional fees. It also defined itself and marked an important distinction between the quality of Remote simultaneous interpreting (RSI) and video remote interpreting (VRI) the “industry’s” option.  Once again, I noticed the growth of our profession in Africa where our friends and colleagues held several professional events.

Unfortunately, not everything was good.  Our court and healthcare interpreter colleagues in the United States continued their fight against “peer” mediocrity, government ignorance, and agency greed. 2017 saw the biggest shift in American foreign policy in decades and this affected our profession. Events held in the United States for many straight years left for other countries because of the uncertainty of American immigration policy. It is very difficult to plan a big conference and invest a lot of money, without the certainty that attendees from certain countries will be admitted to the United States for the event.  International government programs that require of interpreting services was at an unprecedented low, and changes of personnel in the administration, at all levels, impacted the work available to interpreters in the diplomatic and international trade arena.

Apparently some bad situations remain alive, like the one suffered by the state-level court interpreters in New Mexico, and other court interpreters in some American east coast states. These colleagues continue to fight against low pay, deplorable working conditions, favoritism, ignorant government program administrators, and other problems. Some European countries, like Spain and the United Kingdom, continue to fight low quality translation and interpreting services in the legal arena.

Once again, interpreters around the world faced attempts from special interest groups to erode our profession by lowering professional standards and creating questionable certification programs, the multi-national language agencies continued to push telephone interpreting whenever, and wherever they can, offering rock-bottom per minute fees to the interpreters. Some board members in one professional translator and interpreter association maneuvered to oust two of the most valuable and recognized members of our professional community, and this jury (me) is still out on the question of the future of the association.

On a personal positive note, 2017 was the year when a long-time goal was reached: with my distinguished friends and colleagues, María del Carmen Carreón and Daniel Maya, we published the first ever text on court interpreting in Mexico within the new legal system the country recently adopted. The publication: “Manual del Intérprete Judicial en México” has been embraced by interpreters, judges, and attorneys throughout Mexico, and so far, the sales are handsome in many Spanish-speaking countries.

Of course, no year can be one hundred percent pariah-safe, so we had our “regulars” just like every single year: 2017 was full of para-interpreters trying to “take over” the market by charging laughable fees under shameful working conditions in exchange for miserable services.

As you can see, dear friends and colleagues, much changed and much stayed the same. I think that there were more good things than bad ones, but I continue to be aware of the awesome problems we still face as a profession from threats that come from without and within. I now invite you to share with the rest of us your learned lessons (good and bad) of 2017.

I wish a Happy and Productive New Year to all my friends and colleagues!

Is being a capable, good individual enough to lead a professional association?

Dear Colleagues:

I have written about the benefits of belonging to professional interpreter and translator associations in the past. Sometimes I have praised and criticized some, but I have never questioned the need to have them around, ready to defend and advance the profession through professional development of their members, advocacy, lobbying, education, forging alliances, and so on.

Today we need them more than ever before. In a globalized economy, where we are the constant target of greedy agencies, ignorant government officials, shrinking budgets and growing intolerance, solid professional associations are essential to our profession. Because we are not all equal nor we live in the same environment, in my opinion, interpreters and translators should belong to at least one international, one regional, one local, and one specialized association.

Unlike other posts, today I will not question the intentions of some associations’ disturbing agenda centered on corporate memberships, I will not talk about the good or bad practices of some others regarding public relations, advocacy, or the planning of a conference. My concern in such matters remains unchanged.

My motivation behind this post comes from deep concern and historically supported fear about the immediate future of one of the largest and most popular professional association in the United States. Even though this entry centers on issues that happened in America, many of this association’s members live in other countries, and this situation could easily happen somewhere else.   I encourage all readers to continue to the end, even if you live somewhere else.

After many years of struggle, and a long fight for its survival, this association reestablished itself. It grew and the quality of its membership improved. For the past two years it has grown tremendously and has held its two most successful conferences in history, not just because of the people attending the events, but due to the quality of its content.  As a veteran member of the association who experienced the good old days, the horrible years of decay, and this rebirth, I can confidently say this historical recovery happened because of the experience, prestige, knowledge, honesty and vision of two of its Board members, the hard work of all five people part of the Board, and the professionalism, skills, and work of the two individuals who have been in charge of the administration for the last couple of years.  Sadly, the members of the association learned last week these two Board members resigned to their positions.

By looking at the composition of the Board, anybody interested in joining the organization, learning about the profession, or denouncing a professional or ethical transgression, would see a well-respected professor from one of the more renowned interpreting and translation institutions worldwide, a pioneer and innovator on a note-taking technique for consecutive interpreting, a trainer and conference presenter in all continents, a United States Department of State interpreter, one of the most respected (beloved by the interpreters who worked with him) and capable managing interpreter for one of the busiest federal district courts in the United States, including courthouses in four cities, and perhaps the one of the few districts to have staff certified interpreters in a language other than Spanish, one very experienced federally certified court interpreter from the state with the largest non-English speaking population in the United States, one very experienced federally certified court interpreter from one of the busiest federal judicial districts in the country due to its proximity to Mexico, a well-known and widely respected authority on legal transcriptions and translations, a promising somewhat recently federally certified court interpreter from a small city in the Midwest, one of the newest trainers of interpreters and conference presenter, a State-level certified court interpreter for one local court in the New York City metropolitan area, and a PhD in Linguistics, experienced university professor who does not live in the United States.  These credentials explain the reason many of the most capable and better known court interpreters who left the association during the dark era came back. It also gave many of us an important tool to promote the association and encourage new interpreters to join.

Unfortunately, after last week’s resignations, anybody interested in joining the organization, learning about the profession, or denouncing a professional or ethical transgression, will see a promising somewhat recently federally certified court interpreter from a small city in the Midwest, one of the newest trainers of interpreters and conference presenter, a State-level certified court interpreter for one local court in the New York City metropolitan area, and a PhD in Linguistics, experienced university professor who does not live in the United States.

I have no intention to criticize, offend, or disrespect the colleagues who remain as Board members. I have no reason to doubt their skills and dedication; I am not questioning their honesty or integrity either. They appear to be capable, and many of you trusted them when you voted for them.

I think it is important for me to mention that the two Board members who resigned, and the two individuals in charge of the administration, are all good friends of mine whom I have known for many years. I have had very limited contact with the current directors. I have dealt with one of them more than the others because of the conference in the Washington, D.C. area, but we have no relationship beyond saying hi at the conferences or being Facebook friends.

This post is not about those directors who stayed, but about the ones who left; the missed opportunities due to their absence, the uncertain future of the organization, and my concerns about the reasons that pushed courageous, capable veterans of the profession, full of ideas and plans for the association’s future, to resign.  Every time that a non-quitter quits we must worry and find out what happened.

Dear friends and colleagues, for a professional association to thrive it must gain access to many places, many inaccessible to the common folk. Effectively arguing for the interests of the profession before government authorities, establishing professional practice positions before clients, and protecting our profession from the predators of the “industry”, are difficult. Many of those we must talk to will only listen when the voice addressing them has the credibility backed by name recognition, reputation, professional trajectory, and personal network that the now missing directors have.

Many of you reading this post, members of this association or not, are too new to remember the dark years.  They started with a Board lacking experienced federally certified court interpreters, world-renowned freelance practitioners admired and respected by other veterans who trusted them, and could be role models to the new interpreters.  The Board of those years had good intentions, I think they wanted to make the association better, but a Board of university professors and non-certified interpreters shrank the organization. For years our conferences were poorly attended, made no money, and could make no decisions because with so few members attending the conferences we did not have quorum to vote for or against anything.  On that occasion, just like today, capable, experienced, well-known and respected Board members left; some just came back in the last couple of years when they recognized a Board like the ones in the past. Many of our most valuable members never came back. Many of my colleagues and I do not want to go back to the dark years.

I understand that many of you are friends of the current members of the Board, I get that many of you voted for them. Nothing is wrong with that. What troubles me is the emotional part. There is no reason to be offended or angry when people question the credentials of the current Board compared to the ones of the Board we just lost last week. I have seen how some of you are wishing good luck to the remaining Board. I wish them a long and happy life, but I am not on the well-wisher column. I prefer to remain on the skeptical, scrutinizing every move and decision.  I want to know what caused the two resignations. Not the light version or the excuses. I know the ones who resign and they could not possibly resign over one decision. It had to include other issues, perhaps even the way the Board members interacted.

I have also read how many of you are demanding an audit of the performance by the company retained to manage the financial and day-to-day operations. I think that should not be necessary as I trust the professionalism of the two individuals who run said company (and as I said, they are my friends) but I welcome the suggestion as a needed step to erase the uneasiness of many members. I know the administrators will not like this, I know it will hurt their feelings, but I also know that they have nothing to hide and will understand the need for this audit which should be expanded to go beyond a mere examination of the books. Like I said, the real cause of the resignations came not from the accounting books, it came from some repeated interaction among Board members.

I also believe that to avoid going back to the failed years of the past, we must let people speak up. If the members want to vent their frustration with the way things turned starting last week, they should be allowed to post anything on the Facebook group (as far as I know there are no complains about censoring it so far) and also to use the List Serve. At this point it is irrelevant what the guidelines say about who or what can be expressed there. It is absurd to defend a decision splitting hairs because somebody was censored, banned, moderated of whatever. These are extraordinary times and they require of flexibility and total freedom of expression to all members. We all know that everybody will say what they must say, if not through the association’s official outlets, then through another social media vehicle.

This is a time to listen to the members, have an independent auditor and perhaps a committee to investigate what happened so we can have transparent and complete information we can trust. Self-serving statements by Board members, and providing some financial and corporate information on line will not be enough.

Finally, we all must understand that it will be difficult to fill the two vacancies on the Board with colleagues of similar caliber to the ones who left. Serving in any professional association is not an easy task, it takes a lot of time, requires of many personal and professional sacrifices, and it does not make you any money.  Getting anybody to serve is hard, I for one would not do it, but getting somebody with the same characteristics as the ones of our two dear colleagues who quit will be a titanic effort.  Hints by the current Board indicating that they will move fast worry me.  It will take some time to get people that can take the Board’s collective resume back to where it was last week. Other decisions can be postponed if needed, there are no contracts or deadlines that justify a rushed decision. Many of us are serious about it. We will be watching closely this nomination process, because this time it will be even more complicated to get the ideal people on the Board. These two new members must have another characteristic: They must be independent, they must be of a different persuasion from the one of the three members left. You may think this does not matter, that regardless of their ideology they will be in the minority 3-2. This is true, but having such diversity of ideas and opinions will assure us as members that even in losing a vote, they will let us know why the majority voted the way they did.  As you can clearly see, we will need two extraordinary professionals who can play the role of the extraordinary professionals who just left, people not close friends of the current Board members so we can be sure the Board is not marching in lockstep without anyone questioning their decisions.

As those of you who assiduously read my blog know, my only interest is the betterment of the profession and protecting my colleagues; I contribute to the profession as much as I can, and I do it all over the world. I have many ideas and projects in mind; I have recently discussed many with one colleague who left the Board. I am not a teenager anymore and I will not sit and wait to see how a Board that looks different from what I proposed above turns out. I will take my projects somewhere else, and work with others who think like me, perhaps even the Board members who quit. I want to be clear: I am not quitting the association at this time. I am going to be vigilant and question every move and decision by this and future Boards; I will continue to demand transparency and diversity of opinions in Boards that are not elected by the membership (like in this case) and I withhold judgement until I am satisfied one way or another. In the meantime I will behave just like I did during the dark years: I will not praise or attack the association and I will not encourage anybody to leave or join the organization until I see what the Board does.  I now ask you to please share your thoughts on the composition of the Board, be brief and concise, and please do not write emotional comments attacking or defending past or present Board members.

A despicable practice in healthcare interpreting.

Dear Colleagues:

For several months I have received phone calls and emails from some of our healthcare interpreter colleagues in the United States complaining about the same situation: Unscrupulous interpreting agencies asking them to work for laughable fees. I know this is not breaking news to you; we all run from time to time into these glorious representatives of the “industry”.  What makes this situation different, and motivated me to write this post, are the shameless tactics used by these agencies’ recruiters. They have decided that giving the interpreter a guilt trip will soften us up enough to work for a miserable fee that will not even pay for gas and parking, or for the babysitter.

Oftentimes when interpreters provide their fee schedule for healthcare interpreting services, these programmers, recruiters, project managers, or whatever may be their official title in that particular agency, throw the ball right back in the interpreter’s court, not to negotiate a professional fee that is fair considering the complexity of the service requested, but for the interpreter to feel awful about turning down an assignment. The argument goes like this: “…but the patient does not speak English and he is really sick… we cannot afford the fee you requested; his condition will get worse unless you help him… the patient really needs you…”  Another version they use brings up the issue of all patients’ right to an interpreter derived from Title VI of the Civil Rights Act.  In that case, the agency representative would add something like: “…but you know these people must have an interpreter if they don’t speak English, and you are the only one in town. We all need to comply with the law. It is your duty as a healthcare interpreter. You cannot use the fee as an excuse…”  To make a long story short, these agencies are passing the ball to the interpreter through guilt trips and fear.

The good thing, dear colleagues, is that interpreters are not obligated to provide professional services under Title VI of the Civil Rights Act.  The fact that there may not be an interpreter to assist the patient may be something awful, but it is not your problem. Let me explain:

Title VI of the Civil Rights Act of 1964, 42 USC Section 200d et seq. prohibits discrimination on the basis of race, color, or national origin (including language, according to President Clinton’s Executive Order No. 13166, Aug. 11, 2000, 65 F.R. 50121) in any program or activity that receives federal funds or other form of federal financial assistance. The term “program or activity” and the term “program” mean all of the operations of a department, agency, special purpose district, or other instrumentality of a State or of a local government; or the entity of such State or local government that distributes such assistance and each such department or agency (and each other State or local government entity) to which the assistance is extended, in the case of assistance to a State or local government. It also includes colleges, universities, or a public system of higher education; and a corporation, partnership, or other private organization, or an entire sole proprietorship if assistance is extended to such corporation, partnership, private organization, or sole proprietorship as a whole, or if it is principally engaged in the business of providing health care, or social services.

Therefore, it is the hospital who has the obligation to provide the interpreter. Not you. In fact it is not the interpreting agency’s legal obligation either. Federal funds and other types of assistance are very important to hospitals and universities for research and other purposes. It is extremely unlikely that one of these institutions would risk losing those resources just because they are unwilling to pay the healthcare interpreter’s professional fee.

If the interpreter is contacted by an agency, it means that said company has a contractual relationship with the hospital or medical institution to provide interpreters in order to comply with the mandate of Title VI. The agency is getting paid by the hospital, but they now want to profit a little more at the expense of the interpreter. When an agency has this plan of action to be more profitable, they direct their agents to generate the highest profit possible. This is when they resort to despicable practices like the ones described above.

It is important that we as interpreters understand the law, and recognize these horrible practices. It is also essential that we take action in two different ways: (1) Always turn down these agencies, and (2) Let the hospital know that their contractor agency is jeopardizing the hospital’s Title VI compliance by scaring away the professional interpreters because of low interpreting fees and disgusting practices such as these guilt trips. I am sure that hospital administrators will put an end to this “activities” very quickly.

I now invite you to share with the rest of us any experiences like the ones above that you, or another colleague had with an agency, and what action you took to stop this from happening again.

School and Grade System in Mexico. For all Interpreters who struggle with this issue.

Dear Colleagues,

During my years as an interpreter I have been asked many things about Mexican Spanish, culture, way of living, etcetera; but by far, the most popular questions have consistently been about the Mexican educational system and its equivalency with the American system.  I have seen very capable colleagues from countries other than Mexico struggle with the interpretation of a simple phrase like: “Solo terminé la secundaria,” so today, I decided to put in writing, once and for all, the Mexican educational system.

The educational system in Mexico starts at the age of two, however, education is not compulsory before the child turns 6.  Also, the educational system ends with the 12^th. Grade, but compulsory education ends after the 9^th. Grade.

These are the equivalencies between Mexico and the United States:

School System:

Preschool = Kinder o Jardín de Niños, sometimes: Educación Preescolar   (2 to 4 years of age)

Kindergarten (last year before elementary school) = Pre-primaria.

Elementary School = Primaria (1^st. to 6^th. Grade. Children from 6 to 12 years old) Compulsory.

Middle School or Junior High = Secundaria (7^th. to 9^th. Grade. Children from 12 to 15) Compulsory.

High School = Preparatoria (10^th. To 12^th. Grade. Children from 15 to 18).

Community College =  Carrera Corta (2 years degree)

College = Universidad (4 to 6 years depending on the degree)

Master’s = Maestría

Doctorate – Doctorado

 

Diplomas or Degrees:

Elementary School Certificate = Certificado de Primaria (Compulsory)

Junior High or Middle School Diploma = Certificado de Secundaria (Compulsory)

High School Diploma = Certificado de Preparatoria (Also called “Prepa”)

A student who finished High School completed the Bachillerato and is called Bachiller.

A student who has an Associate’s Degree completed a Carrera Corta and he gets a Diploma.

A student who gets a Bachelors Degree completed the Universidad and has a Licenciatura

A student who gets a Master’s Degree finished a Maestría and is a Maestro.

A student who gets a Ph.D. finished a Doctorado and is a Doctor, or a Doctor en Filosofía.

A Colegio is not a college. It is a private school even if it is an elementary school. (a public school is a escuela)

A College where they do not offer Master’s and Ph.D. programs is called a Escuela. Escuela de Arquitectura (School of Architecture)

A College where they offer post-graduate education is called a Facultad. Facultad de Medicina (Medical School)

In Mexico, schools grade their students with the following scale (Some schools use different systems but this is the prevailing scale):

MB or Muy Bien = A

B or Bien = B

S or Suficiente = C, D

NA o No Apto = F

A student’s grade average is calculated on a scale from 1-10

A Promedio de 10 would be the equivalent to a 4.0 GPA

On the other hand, to refer to a 10 as a 4.0 in Spanish would be disastrous. Be careful!

I hope this will help the next time a Mexican client says: “Solo terminé la secundaria,”  and you interpret it as: “I just finished middle school.”