Medicine and English

Those who write about science pay the price of thinking in another language; AI could change everything

For decades, Italian science has paid a price that has never been taken into account: not the quality of the ideas, but the struggle of having to articulate them in a language other than one’s own

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4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

For almost forty years, I have been writing about science in a language that is not my own. Every article, every funding application, every reply to a reviewer, every letter to an editor, is first conceived in Italian and then translated, sentence by sentence, into English – a language I have a good command of but which I do not feel as at home in as I do in my own language. This is not a complaint about English as the common language of science: a shared language is, on the whole, a good thing, and I do not believe that European research would be better served by a return to national languages. It is a more specific observation, one that very few non-native English-speaking researchers in medicine have ever expressed with such clarity: writing about science in English does not merely mean it takes longer. It changes what is argued, how forcefully it is argued, and sometimes whether an idea is put on the table at all or not.

This is not a subjective impression. A 2023 survey of 908 environmental scientists across eight countries found that non-native English-speaking researchers face a systematic disadvantage at every stage of scientific work — reading, writing, publishing, presenting at conferences, participation in scientific debate — with the effort required to prepare an article estimated to be several times greater than that of a native speaker, and a much higher likelihood of having a paper rejected on purely linguistic grounds, or of deciding not to speak at a conference due to language-related anxiety.

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Another analysis, also from 2023, estimated that non-native-speaking researchers spend around two and a half weeks a year on writing alone — time taken away from actual research. These are not minor obstacles. They constitute a structural burden on the participation of the majority of the world’s scientists — including a significant proportion of Europe’s own scientific workforce — in the language that determines whether their work is read or not.

The problem isn’t the translation

The debate on language and science has focused almost entirely on one aspect of the issue: access to scientific literature. Machine translation has made real progress in this area, and this should be acknowledged. But this approach treats non-native-speaking researchers as consumers of science who need help to understand it, rather than as authors of science who need to be understood with equal clarity when putting forward an argument. These are two different problems, and the second is the more costly one. A clinical researcher who is able to read a translated article but cannot, in English and in real time, construct an equally incisive counter-response, an equally persuasive project narrative, or an equally confident reply to a sceptical reviewer, is not competing on a level playing field — regardless of how sound the underlying science may be.

Conversational artificial intelligence changes this imbalance in a way that machine translation alone had never done. Used effectively, it allows a researcher to think and argue first in their own language — building the logic, weighing up the evidence, honing the counter-argument — and then produce an English version that carries the same persuasive force, rather than a flat, approximate rendering. I have done this myself: constructing the structure of an argument in Italian, and checking that the English version conveyed the same angle. The difference compared to translating a paragraph that has already been written is not merely cosmetic: it is the difference between exporting a thought and bringing that thought to life, without weakening it, in both languages right from the start.

An issue that also affects Italia

This is not an Italian problem disguised as a European one, but a European problem that originates precisely in Italia. The European Research Area is, by definition, built on researchers who have studied and think in Italian, German, Polish, Greek or Finnish, competing for the same Horizon Europe funding, in the same journals, on the same evaluation committees, alongside researchers who have studied and think in English. A funding and publication system that quietly rewards fluency in academic English, in addition to scientific merit, is not neutral with regard to that audience — and the European scientific workforce, with Italia at the forefront, is overwhelmingly non-native English speakers. If conversational artificial intelligence can reduce this gap in the production of scientific discourse – not just in its consumption – it is a tool with a direct bearing on how equitably the European research system distributes attention and funding amongst its member states – not merely a convenience for the individual author.

Let us be clear: this is not a call to lower the bar. The standard of scientific argumentation must not be compromised simply because English is, for some, a second, third or fourth language. Rather, it is a call to distinguish between two things that the current system conflates: the quality of an idea, and the fluency of the person who has to present it in English, under time pressure, to a reviewer who has spoken English since birth. Conversational artificial intelligence does not replace scientific judgement, and every statement, citation and interpretation in an article remains entirely the responsibility of the author. What it can do is prevent linguistic fluency from quietly taking the place of scientific quality, when the two are, in fact, separable.

I do not think it is an exaggeration to say that a significant proportion of the ideas that should have guided European medicine in recent decades were never argued with the force they deserved, simply because those who advocated them were thinking in a language that the peer-review process was not designed to accommodate. This is a cost that the European research system has never attempted to measure, and which a tool now widely available can, for the first time, reduce in a tangible way — not by translating the science of non-native speakers, but by enabling them to present their arguments with their full force.

* Scientific Director, Gemelli University Polyclinic Foundation (IRCCS) and Full Professor of Internal Medicine, Catholic University of the Sacred Heart

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