This study is a qualitative case study about how the effects of New Public Management affect sign language interpreters and their industry. There is a shortage of sign language interpreters and many have left the profession. The purpose of the study is to highlight how the effects of New Public Management have affected the profession of sign language interpreters and why they choose to leave the profession. The first question concerns how sign language interpreters experience the effects of New Public Management and the purpose of the second question is to see if there is a connection between New Public Management's effects and why sign language interpreters leave the profession. A total of seven former sign language interpreters as interview respondents were interviewed using a semi-structured interview guide that examines respondent character together with a thematic analysis approach so their experience and thoughts were in focus. The processed material resulted in sign language interpreters being affected by various systemic factors in the interpreting industry, including privatization of high competition in the profession and how the procurement system depresses their profession, as the lowest price is prioritized. Political shifts have also affected their working conditions and an organizational efficiency with a strong focus on the outcome, which leads to very few people being able to survive in the profession and is consequently a likely explanation to why sign language interpreters leave their profession.