Quote Originally Posted by 59caddy View Post
that statement is elitist to say the least.
Actually it is not at all, unless you are able to demonstrate in what way it is by using Dictionary and Thesaurus - Merriam-Webster Online as the source for your definitions.

Quote Originally Posted by 59caddy View Post
there are many words and phrases that mean vastly different things to people depending on the area of the country they may be from or nuances to that particular persons upbringing and socioeconomic status(I.E. education)
being born, raised and living in a country with a "mother" language does not mean everyone has the same definition of words and phrases within that country.
this should be more proof that being fluent in the language of the country that a doctor resides in, is of utmost importance.
The part in red actually means that fluency is an amorphous term, and has no bearing whatsoever on any importance of it.
Come on, logic is logic, just constructing a paragraph doesn't make it an argument.