Limited English proficiency (LEP) patients in the U.S. face systemic barriers to healthcare beyond language and interpreter access, encompassing procedural and institutional constraints. AI advances may support communication and care through on-demand translation and visit preparation, but also risk exacerbating existing inequalities. We conducted storyboard-driven interviews with 14 patient navigators to explore how AI could shape care experiences for Spanish-speaking LEP individuals. We identified tensions around linguistic and cultural misunderstandings, privacy concerns, and opportunities and risks for AI to augment care workflows. Participants highlighted structural factors that can undermine trust in AI systems, including sensitive information disclosure, unstable technology access, and low literacy. While AI tools can potentially alleviate social barriers and institutional constraints, there are risks of misinformation and reducing human-to-human interactions. Our findings contribute AI design considerations that support LEP patients and care teams via rapport-building, educational and language support, and minimizing disruptions to existing practices.1

Commonly used speech corpora inadequately challenge academic and commercial ASR systems. In particular, speech corpora lack metadata needed for detailed analysis and WER measurement. In response, we present Earnings-21, a 39-hour corpus of earnings calls containing entity-dense speech from nine different financial sectors. This corpus is intended to benchmark ASR systems in the wild with special attention towards named entity recognition. We benchmark four commercial ASR models, two internal models built with open-source tools, and an open-source LibriSpeech model and discuss their differences in performance on Earnings-21. Using our recently released fstalign tool, we provide a candid analysis of each model's recognition capabilities under different partitions. Our analysis finds that ASR accuracy for certain NER categories is poor, presenting a significant impediment to transcript comprehension and usage. Earnings-21 bridges academic and commercial ASR system evaluation and enables further research on entity modeling and WER on real world audio.