I think this is a fascinating area of research. As a fetal cardiologist, I often counsel families about prenatal testing options. It is very difficult to adequately explain everything in a short visit. In addition, I have noticed that the use of an in-person interpreter versus being a language proficient physician makes a big difference in terms of whether the patient has confidence in you. I agree with our ideas about possible solutions to minimize this health disparity. Increasing the number health care advocates in these communities would be very beneficial.