But the program has never been funded in the state budget, so none of the services promised under the law have ever been delivered.
#Dr pecunia before and after professional
In 2007 the state extended coverage for face-to-face professional interpreters for all Medicaid patients and estimated its cost at $4.7 million yearly, half of which would be reimbursed by the federal government. Quality health care relies on patients and doctors communicating well, but in Connecticut medical interpretation is not covered by public or private insurance. “Everything,” she finally adds with a smile. “I want to know … ” Pecunia says, then pauses for the right word. But she does not trust her language skills for conversations as exacting and important as those between patient and doctor. Since emigrating from Argentina, Pecunia has learned a fair bit of English. That back and forth doubles the length of the appointment, but it doesn’t increase the amount Medicare pays the physician.
Each word LaVorgna says is translated into Spanish by Pecunia’s daughter, Glenda Wagner, who then translates her mother’s answers into English for LaVorgna. LaVorgna quizzes Pecunia about a battery of symptoms. Kathleen LaVorgna, a Norwalk surgeon who performed a double mastectomy on her five years ago. Juana Pecunia, (at left) speaks through her interpreter, Glenda Wagner, as her doctor listens.Īt 81, Juana Pecunia is an impeccably manicured and coiffed woman who still drives herself to the market, but she can’t go to the doctor without her daughter’s help.
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