I have a second income, business, job, whatever and 1/2 my clients are Mexican, it's great, for me, but not for the patients residents. Hell, they're old old old and they're not about learning a second language. I'm 57 and I'm not about learning a second language. As for the government reforms it's about $$$$$$$$$ and who's who in government. Wait a minute...maybe English speaking CNA's may be up for pay raise. Perhaps we should think this over.