Communication is the largest tool that should be required in healthcare. 

Communication is the most important device that is used day to day. Being able to understand each other is important in any work environment but in Healthcare it is one of the most necessary. Having an increase in communication can cause better behaviors and even outcomes in patients' health. Being able to communicate and understand each other in their language is extremely important. 

The monolingual elderly are largely at a disadvantage in this situation. There are often times where messages do not come across because the patient does not understand what the caregiver or medical staff is saying. It is easier to create a miscommunication that could lead to something detrimental. An example of this would be in the Health Literacy: A Prescription to End Confusion. Where they explain how the Hmong language does not have a direct translation for cancer and due to this there was a miscommunication to the point that the patient refused treatment because they didn’t fully understand what the doctor was saying.

I propose the U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion to advocate for bilingual caregivers for monolingual patients. Being able to provide help to those who are often mistreated or misunderstood in the healthcare system is greatly needed. 

The U.S Department of Health and Human Services needs to implement health literacy cultural competence into doctor’s offices as well as caregiving facilities. Cultural competence explains the importance of creating a more effective way to train listeners. Being able to improve translations in a way that can increase precision will allow for better patients' understanding. 

As someone that has been in the position of a caregiver, it is extremely important to be able to communicate, be patient, and be able to say the correct words to comfort the patient.To achieve this goal, we must urge the U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion to advocate for bilingual caregivers to be provided to monolingual patients.