Growing up in a Spanish-speaking household in Truckee, California, Marcos Cota watched families struggle to navigate a healthcare system that didn't speak their language. Now a bilingual Physicians Assistant serving kids and families at Community Health Alliance, a federally qualified health center in Reno, Nevada, Marcos talks candidly about what changes when a provider can meet a patient in their own language and culture. There is less friction, more trust, and better follow-through on care. He also gets real about the gaps that still exist in pediatric mental health access, and why primary care providers are increasingly the ones holding the line for kids who can't get to a specialist. He is now training in Child and Adolescent Psychiatry through UC Irvine's TNT program to build the capacity to address the mental health needs that primary care providers are being left to manage alone.
Interview Recorded on: Jan 17, 2026
Growing up in a Spanish-speaking household in Truckee, California, Marcos Cota watched families struggle to navigate a healthcare system that didn't speak their language. Now a bilingual Physicians Assistant serving kids and families at Community Health Alliance, a federally qualified health center in Reno, Nevada, Marcos talks candidly about what changes when a provider can meet a patient in their own language and culture. There is less friction, more trust, and better follow-through on care. He also gets real about the gaps that still exist in pediatric mental health access, and why primary care providers are increasingly the ones holding the line for kids who can't get to a specialist. He is now training in Child and Adolescent Psychiatry through UC Irvine's TNT program to build the capacity to address the mental health needs that primary care providers are being left to manage alone.
Marcos Cota, PA-C is a 2026 TNT PC-CAP fellow and bilingual physician assistant at Community Health Alliance in Reno, Nevada. Born and raised in Truckee, California, Marcos chose medicine to break down the language and cultural barriers he witnessed firsthand growing up in a Spanish-speaking household. Now focused exclusively on pediatric care, he brings both clinical expertise and lived cultural understanding to Latino families across Northern Nevada. By speaking Spanish and English with his patients he is creating the trust and safety that leads to better outcomes. Outside the clinic, he teaches Pilates and hikes with his dogs.