Elder immigrants living in the United States, especially those with limited English proficiency, experience many difficulties in obtaining healthcare. While the sources of health disparities are complex, cultural and linguistic barriers for patients with limited English proficiency have been identified as primary factors. One study found that over 60% of patients who were non-native speakers of English lacked the literacy skills adequate to function in healthcare settings. At SHINE, students from a range of disciplines engage in tutoring

I tried to call (to make a doctor's appointment) but it is all automated. Nobody is there. ‘If you want . . . press 1 . . . press 2.' I do not understand and get frustrated. I don't understand. I'm sorry; I should go back to my country. It is very difficult to live here even with the amount of English I understand. What about those who do not understand at all? -- Chinese elder

activities to improve the health communication skills of older immigrants, while health professions students and faculty develop health education workshops customized to fit the needs of older immigrants. Bilingual/bicultural students play a particularly important role, utilizing their cultural and linguistic resources as part of the initiative in order to translate health information into the native language of older immigrants and help them to access healthcare services.