This past 2 weeks, the patients i have opened up cases for in HH speak not a work of English. They have social security numbers, Medicare benefits, and Medicaid benefits. Live in the U.S. But do not speak a word of English. Getting a family member who does or a translator at a certain time, or even to make a simple phone call and to get someone to answer the door is an utmost challenge.I know this topic is controversial, but why am I struggling to hard to understand some Spanish so I can do my job in America?Most are quite lovely patients. Some are just shocked that I don't speak Spanish!My rant of the day. And these days, there are a lot of rants for me in this field, I admit it.