This is a better option in quality, but seems more difficult to handle at any significant scale. Having a wide availability of highly trained, on premise profes

This is a better option in quality, but seems more difficult to handle at any significant scale. Having a wide availability of highly trained, on premise professionals in every single location looks unrealistic to me. What would be your middle-ground proposition for the large swath of doctor cabinets and hospitals who won't win/can't afford enough of the on-staff interpreters lottery and still get patients that need support in different languages ?