Communication Access Realtime Translation (CART) is a word-for-word speech-to-text interpreting service for people who need communication access. Unlike computerized note taking or abbreviation systems, which summarize information for consumers, CART provides a complete translation of all spoken words and environmental sounds versus a summary of information, empowering consumers to decide what information is important to them. CART benefits a large audience of people. Consumers include Deaf and Hard-of-Hearing people, people who are late-deafened, oral deaf people, people who use cochlear implants, individuals with cognitive or motor challenges, anyone desiring to improve reading/language skills, those with other communication barriers, and as a general use at conferences.