My SO had to seek medical attention in rural southern France (we were visiting Carcassone) - she initially sought care at the local emerg where there was not a translator available, she speaks high-school french but most of the conversation was carried out through miming and charades. A few days later, as instructed, she followed up with a local clinic where she prepared a written version of her condition and brought it in to show the doctor, they consulted that and again went through a song and dance to try and mime out the response.

I think it'd probably be nice if there was an english fluent person on staff at the emerg but I think it's unreasonable to expect local clinics to have support for translating especially when English is a rather unlikely language to be spoken in that area - having someone German and Italian literate would be nice and having someone Spanish literate (and, ideally, Basque literate) would be much more important.

If you're running a hospital in Vancouver you better have a French[1], Punjabi and Mandarin translator on staff - outside of those I think it's reasonable to rely on tools like Google Translate, it sucks but full language coverage isn't reasonable.

1. I think a French translator might be legally required due to the bilingual nature of Canada but it's honestly much less common on the west coast compared to Punjabi and Mandarin.