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Loretta in Action

Real Stories from the Frontlines of Health Equity

Anja's Story: Trust and Fairness in Digital Care


Anja is 52, queer, and has lived in Germany for 20 years since migrating from Poland. She’s a translator and part-time caregiver for her mother.

She’s also living with high blood pressure and early-stage kidney disease conditions that have gone under-managed because her clinic visits often clash with her caregiving duties.

For years, Anja has felt invisible in the healthcare system.

She rarely sees her experiences as a migrant woman or member of the LGBTQ+ community reflected in how care is delivered. When her new doctor invites her to try Loretta, she’s sceptical but curious.

The app greets her in German and Polish, and immediately asks about her living situation, work hours, and caregiving responsibilities.

It even asks about psychosocial stress and social support networks—questions she’s never been asked before.

Loretta calculates her Health Score, combining clinical data with social and environmental factors.

Because she experiences both minority stress and caregiver strain, her Equity Modifier places her in the “moderate equity concern” tier.

Her doctor’s dashboard view shows her risk tier clearly.

The Equity KPI Heatmap reveals that queer migrant women aged 45–60 in her district experience higher rates of unmanaged hypertension and lower rates of preventive screening.

Loretta highlights these gaps not to label patients, but to help the practice plan fairer outreach.

During her next visit, Anja’s doctor uses the Value-based Care Advisor to walk her through what’s driving her score.

Together, they set small goals she can actually manage: checking her blood pressure twice a week, setting reminders for medication, and taking short breaks during translation work.

Loretta’s Patient Agent messages her a week later.

“Your readings are improving. Would you like information about local LGBTQ+ wellbeing groups or caregiver support circles nearby?”

For the first time, Anja feels that a digital tool recognizes who she really is, not just her symptoms.

Over time, Anja's blood pressure stabilizes, and she feels less anxious.

But what she values most is trust: knowing that her data is protected, her identity respected, and her story finally counted in the system.