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"See this also: http://www.ada.gov/hospcombr.htm from the ADA, it's the law. Communicating with your physician or any healthcare provider is always vital, and sometimes also a matter of life and death. Could there be a better reason for full verbatim real time text (CART) for those who require it? Even if it's a "routine" check-up, one "usual" follow-up visit, a first meeting with a new provider, a conference to help care for a loved one, an emergency room visit, or a health education video handed to you for cancer treatment, CART or captions will serve thousands if not millions. Why? 37 million is the current estimate of people with deafness or hearing loss in the USA alone. Not all need CART. Some use hearing aids or other listening devices for full speech comprehension. (Keep in mind many hearing aids wind up in drawers, never to be seen again, because hearing aids do not cure hearing loss, and are uncomfortable for many; the result is that some deny any hearing loss and learn to "bluff" extremely well). CART is a universally appropriate language (in whatever language you use) for all who can read. It is used by people who are deaf also (though some prefer sign language). CART provides an easy record (transcript) of what is said for best health and for proper treatments. While talking with your provider, while you or the nation is paying for the best healthcare one hopes to find, it's essential not to miss a word."