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
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San Diego, California, United States
Editors:
Maria Liakata, Viviane P. Moreira, Jiajun Zhang, David Jurgens
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ACL
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Publisher:
Association for Computational Linguistics
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Pages:
24868–24888
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https://preview.aclanthology.org/ingest-acl/2026.acl-long.1140/
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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.
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MED-COREASONER: Reducing Language Disparities in Medical Reasoning via Language-Informed Co-Reasoning (Gao et al., ACL 2026)
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https://preview.aclanthology.org/ingest-acl/2026.acl-long.1140.pdf
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