MED-COREASONER: Reducing Language Disparities in Medical Reasoning via Language-Informed Co-Reasoning
Fan Gao, Sherry T. Tong, Jiwoong Sohn, Jiahao Huang, Junfeng Jiang, Ding Xia, Piyalitt Ittichaiwong, Kanyakorn Veerakanjana, Hyunjae Kim, Qingyu Chen, Edison Marrese-Taylor, Kazuma Kobayashi, Akiko Aizawa, Irene Li
Abstract
While reasoning-enhanced large language models perform strongly on English medical tasks, a persistent multilingual gap remains, with substantially weaker reasoning in local languages, limiting equitable global medical deployment. To bridge this gap, we introduce Med-CoReasoner, a language-informed co-reasoning framework that elicits parallel English and local-language reasoning, abstracts them into structured concepts, and integrates local clinical knowledge into an English logical scaffold via concept-level alignment and retrieval. This design combines the structural robustness of English reasoning with the practice-grounded expertise encoded in local languages. To evaluate multilingual medical reasoning beyond multiple-choice settings, we construct MultiMed-X, a benchmark covering seven languages with expert-annotated long-form question answering and natural language inference tasks, comprising 350 instances per language. Experiments across three benchmarks show that Med-CoReasoner improves multilingual reasoning performance by an average of 5%, with particularly substantial gains in low-resource languages. Moreover, model distillation and expert evaluation analysis further confirm that Med-CoReasoner produces clinically sound and culturally grounded reasoning traces.- Anthology ID:
- 2026.acl-long.1140
- Volume:
- Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)
- Month:
- July
- Year:
- 2026
- Address:
- San Diego, California, United States
- Editors:
- Maria Liakata, Viviane P. Moreira, Jiajun Zhang, David Jurgens
- Venue:
- ACL
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 24868–24888
- Language:
- URL:
- https://preview.aclanthology.org/ingest-acl/2026.acl-long.1140/
- DOI:
- Cite (ACL):
- Fan Gao, Sherry T. Tong, Jiwoong Sohn, Jiahao Huang, Junfeng Jiang, Ding Xia, Piyalitt Ittichaiwong, Kanyakorn Veerakanjana, Hyunjae Kim, Qingyu Chen, Edison Marrese-Taylor, Kazuma Kobayashi, Akiko Aizawa, and Irene Li. 2026. MED-COREASONER: Reducing Language Disparities in Medical Reasoning via Language-Informed Co-Reasoning. In Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers), pages 24868–24888, San Diego, California, United States. Association for Computational Linguistics.
- Cite (Informal):
- MED-COREASONER: Reducing Language Disparities in Medical Reasoning via Language-Informed Co-Reasoning (Gao et al., ACL 2026)
- PDF:
- https://preview.aclanthology.org/ingest-acl/2026.acl-long.1140.pdf