or activity that receives Federal funds or other Federal financial assistance. Hospital systems and clinics that are funded by federal programs, such as Medicare, are required by this law to take reasonable steps towards ensuring equitable access to health services for limited English proficient patients. Military interpreting Interpreters are often used in a military context, carrying out interpretation usually either during active military combat or during noncombat operations. Interpretation is one the of the main factors in multi-national and multi-lingual cooperation and military cohesion of the military and civilian populations. During inactive military operations, the most common goal of military interpreters is to increase overall cohesion in the military unit, and with the civilian population. One of the primary forces behind the feeling of an occupation is a lack of mutual intelligibility. During the War in Afghanistan, the use of American soldiers that did not speak the languages of Afghanistan, and the primary recruitment from northern Afghanistan, primarily Tajiks, led to a feeling of the United States and Tajik forces as an occupying force. This feeling was most common in majority Pashtun areas of the country, which in turn was one of the main causes of the Taliban's resurgence. If interpreters are not present inside war zones, it becomes extremely common for misunderstandings from the civilian population and a military force to spiral into an open conflict, or to produce animosity and distrust, forming the basis of a conflict or an insurgency. Military interpreters are commonly found in Iraq and have been largely effective, particularly in the Kurdish held regions (Kurdistan Regional Government), during the fighting against ISIS. Military interpreters were the primary drivers in cooperation between the coalition and the Iraqi population and military. Likewise managing to produce stability in areas held by the coalition, Kurdish interpreters were known for being a primary aid in this endeavour. The fundamental act of interpreting during active combat is an extremely stressful and dangerous. It is, however, necessary when different-language battalions are fighting together with no common intermediate language. Misunderstandings in this context are most often fatal, the most common misinterpretations are positioning and attempted break outs. In the chaos of combat, however, it can be very easy to make a mistake in interpreting, particularly with the immense noise and changing locations. Military interpreters are also used within single armies instead of multi-lingual cooperation. In this context, a military interpreter is usually