The presentation describes a proposal for computer-based support for patients with limited or no English. The paper describes the barriers to health-care experienced due to linguistic problems, then suggests some computer-based remedies incorporating a multi-engine machine translation system based on a corpus of doctor-patient interviews which provides a dialogue model for the system. The doctor's and patient's interfaces are described. Ideas from Augmentative and Alternative Communication and in particular picture-based communication are incorporated. The initial proposal will focus on Urdu- and Somali-speaking patients with respiratory problems.