The most important article on health care I've read this week

is this.

Seriously, I am very excited to see the idea of a fruit/veggie dominant diet gaining traction in American culture. Yeah, I know, I know, it's the New York Times. But still...

Mark Bittman, a food writer with a big bully pulpit, lately has been changing his diet (and thus, his column recipes). Gone are the heavy meat and fish entrees, he's using far less fat and carbs, and substituting lots and lots of delicious fresh veggies and fruits in their places. That he can come up with a hundred cool ways to make vegetables, fruits and nuts into dinner without any compromise on flavor or variety endears him to me.

I like the fact that Bittman's presented these recipes with no lectures or apologies, just as beautiful, hedonistic, delicious food. I also like the fact that he's not obsessed (as so many foodies are these days) with how local, artesanal, organic, pristine etc. the ingredients are. We can't always get such perfection in real life (not to mention that we can't always afford all this super-pricey artesanal shit).

Eating well is our best revenge--for me, it is a small, but satisfying thumb in the nose of big pharma and the bloated healthcare industry. Yes, I want to be able to get the care I need when I need it, but what I really want is NOT to need to interface with a medical-techno-economic complex I basically distrust. And I believe the way to keep my distance from that is via my kitchen.

I'm heading to the farmer's market tomorrow morning for ingredients to make Bittman's "astonishing" salad #2-- peaches/red onion/fresh tomatoes. Mmmm.

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Damn, that sounds good

Maybe I'll head on over to the farmer's market myself.

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

yes, those look yummy!

i'm planning to work my way through them all. and i really like his hedonistic approach too.

good nutrition is important, and will go a long way [i take pollan's eat food, not too much, mostly plants to heart], but avedon's got a point here:

... when people who invented the Deep-Fried Mars Bar (and deep-fried pizza) are in better health than you are, it certainly isn't just because of your individual slovenly and immoral lifestyle choices.

Printing out that article and keeping it in the kitchen.

Maybe I'll do the Julia and Julia thing, but instead of cooking my way through Julia Child's Mastering the Art of French Cooking, I'll make one of those salads every day.

Mmmmm...

Oh, man what a

delicious idea!

I'm totally against the idea

that people who make so-called "slovenly lifestyle choices" should be denied care. I mean that's outrageous, and probably unconstitutional. Health care shouldn't have punitive strings attached, or be conditional, like public assistance has become.

But I also have a deeply held belief that real health is not to be found inside the contemporary American medical system. It's an old saw but it bears repeating: American health care is set up for acute conditions, but not for wellness. We throw pills at people instead of helping them heal themselves. We wait until something is broken before we fix it.

Yes, it's incredibly important to fight for healthcare for everybody, and to wrest the system from the hands of the bloodsucking insurers. But even if we can do that, it still doesn't change what for me is the central problem of American health care: that for the vast majority of us, it doesn't heal.

i've come to hate that framing

the one that goes we don't have health care, we have sick care!

i'm not sure that making doctors the keepers of wellness, along with their traditional role as the healers of sickness, is necessarily a good thing. it strikes me as being about as useful as requiring electricians to also be piano tuners. no reason to keep them from doing both, but no reason to require them to do both either.

not sure that i quite agree with this either:

the central problem of American health care: that for the vast majority of us, it doesn't heal.

since the vast majority of us, as dr richter points out, generally aren't in much need of healing at any given time.

I respectfully disagree

Because I think that "healing" is something we need almost all the time, at all stages of life. I don't think of health as a simple absence of disease. Health is a state of being in-tune physically and mentally, having a balance of energy and harmony that allows you to move through life at maximum capacity.

I believe that all human beings deserve access to this kind of health, and to health care that begins with the notion of wellness. And yes, some of the care needs to come from doctors, but it also must include a range of practitioners who are now considered "extra-medical"--body workers, TCM, chiropractors, nutritionists, acupuncturists, etc.

I agree with you that the issues surrounding American-style health "care" are being used as an excuse to deny care to people. Still, that doesn't make the argument any less valid. There has got to be some way for our side to take back the issue of wellness, to be able to critique the deficiencies of our current medical-pharma complex, and put wellness care for all on the table as a right, not a frill.

Mencken said it best.

"I'm totally against the idea that people who make so-called 'slovenly lifestyle choices' should be denied care." Unfortunately, I can't find the quote on line, so this is a paraphrase, as I recall it from Jacob Sullum's For Your Own Good: Doctors are not there to lecture us on our bad habits, but to save us from them.

well, in the spirit of not losing costly groceries

let me just put in a good word for this site, then.
http://www.stilltasty.com/ has six pages on fruits alone; there's another half-dozen on vegetables. Plus sections on dairy, eggs, meat, condiments, and so on.

Do let me just ask, though, about the costs of some of those luscious-looking salads and the ingredients. Mirin? Balsamic vinegar? Extra virgin olive oil? Those $4.99 a pound bite-size red potatoes, and those Jerusalem artichokes, fennel and asparagus yumminesses made of, on a single mom's budget, unobtainium? If your kitchen garden (provided yours is producing anything) isn't giving you tricolor bell peppers, where do you get them? Going farther down the page, where do you find Tuscan kale? Don't let me harsh your buzz -- designer food is beautiful. Just be aware that it's exactly that: designer food.

This is the best quote in the thread:

I'm totally against the idea
By MsExPat on Sat, 07/25/2009 - 12:46am

that people who make so-called "slovenly lifestyle choices" should be denied care. I mean that's outrageous, and probably unconstitutional. Health care shouldn't have punitive strings attached, or be conditional, like public assistance has become.

Schooling, housing, jobs in safe workplaces with decent wages for reasonable hours -- none of those things, let alone health care, free speech, the right to go to any church you please including none -- ought to come with strings attached.

This nation sent guys to the moon: this whole week's been about the anniversary of that, and we did that forty years ago. After that, with Medicare and Social Security in place beforehand, universal coverage for health care and disability pensions should've been a snap.

Full disclosure? I bookmarked the article on the salads...


We can admit that we’re killers … but we’re not going to kill today. That’s all it takes! ~ Captain James T. Kirk, Stardate 3193.0

1 John 4:18

The Costs Are High

because of our ridiculous food policy. How in the hell should it ever be cheaper to buy a hamburger than to buy produce? Because we subsidize the hamburger.

Much as with the rents on healthcare, we're paying them our money to kill us.*

Unlike healthcare, however, I think food policy is something that individuals can help shape by our choices, particularly those of us with a decent income (an admittedly shrinking pool). My husband and I have recently shifted a lot of our food purchases to local farmers. It's more expensive, but the food tastes better. There's also the hope that by supporting these suppliers, we'll also be helping them grow their local businesses and lower their costs and prices for others.

But also, because food is something a lot of people can grow (as opposed to say, performing heart surgery), even where people don't have a lot of money, things can be done (check out the East New York Farmers' Market). States, like New York, have moved to allow food stamps to be used at farmers markets. In addition, there's a growing movement on getting local produce into schools. Texas, believe it or not, just passed a promising bill in this regard.

Childhood obesity is no joke, it's a growing terrible problem, and for once it would be nice to do something "for the children" that isn't about limiting what television adults can watch or what contraception they can get.

The power in food policy changes is that it has the ability to help not only the eaters, which is everybody, it also has the ability to potentially help rural America which has been struggling for generations. This country stopped having very many real family farms and we were told that's the way it had to be because of economics. But the economics are skewed by our subsidies. We could skew 'em back if we wanted.

Natasha Chart's website has a helpful article on ten things to do to help affect food policy.

One of the more positive things I've seen recently is rumors that the soft drink companies are considering going back to selling at least some products with real sugar and not HFCS. Corn has gotten more expensive thanks to the ethanol bubble and when they release products with sugar (such as for passover), they can't keep 'em in stock. Also, I heard that some bottlers were angry at losing business to Mexican imports of Coke (which Costco was importing in LA). Now, we haven't seen that yet, and I know studies linking obesity to HFCS are iffy, but I'm all for getting back to sugar. For starters, healthier or not, it tastes so much better.

And, yes, I know Coca-cola isn't a health food (although Coke syrup is a miracle drug for stomach ailments).

* Which is not to say that I don't love me some Mickey D's french fries occasionally. Just that the economics should not be that it's cheaper to buy an order of fries - which had to be processed, shipped and then cooked - than it is to buy potatoes.

"Do what you feel in your heart to be right -- for you'll be criticized anyway. You'll be damned if you do, and damned if you don't. " - Eleanor Roosevelt

Oh, And For Gawd's Sake, Avoid Whole Foods

That place is anti-union (unlike a lot of other supermarket chains, which are unionized), no cheaper than your farmers market for produce, and a lot of their products aren't any healthier than what you get at your unionized supermarket, they're just more expensive. And that's true even though Whole Foods does all the same business crap your supermarket does in terms of squeezing suppliers.

For more on Whole Foods, see here and here.

"Do what you feel in your heart to be right -- for you'll be criticized anyway. You'll be damned if you do, and damned if you don't. " - Eleanor Roosevelt

Eating beautifully doesn't necessarily mean "designer food"

I bought a huge, lush bouquet of deep green organic kale a few days ago for $2.99 at my local food coop here in Brooklyn (it's open to anybody, not just members). (I cut it up in frissee bits, massaged it by hand with olive oil, salt and lemon, added shaved red pepper, garlic, and crumbled feta: main course lunch, side dish dinner!)

Stuff like balsamic vinegar, mirin, fresh miso--all can be had at reasonable prices by trolling places like Trader Joe's, or shops in Chinatown. There's a fantastic Little India in Queens, great for less-expensive (and fresher) spices, rice, condiments. I recognize that I'm lucky to live in a place where all this is accessible to me (on foot and public transport, since I've never owned a car). OTOH, I pick my living situations based on their proximity to food shopping.

You can get healthy, gorgeous foodstuffs on a budget. I spend a good amount of time in southeast Asia, where the vegetable markets outshine ours by magnitudes (and the prices are far lower). I can't accept the idea the excellent food is only for the well to do when I know that working class Laotians, Thai and Hong Kongers eat better food than a lot of suburban Americans.

I look at Bittman's recipes as templates--I take the ideas, and then improvise my own versions according to what's on hand, and what I find on sale at the various markets and shops I visit.

BDBlue is right about the economics of this--crap food is largely subsidized, as Pollan's book points out. If the stranglehold of our agri-business (and the dominance of processed corn products) was broken, "cheap" food wouldn't be so cheap anymore. And maybe "good" food wouldn't be considered elitist, either.

This is fine for the mobile middle class, perhaps even mobile

poor, but in neighborhoods with limited public transit (and that does cost a pretty penny nowadays, of course) how do people get to Trader Joe's? Or even a regular grocery story with wide selection of veggies and fruits?

It's very time consuming being poor and, also, very expensive.

Yes, eat more veggies and fruits. But raspberries? Extremely expensive at most stores, if they're even carried.

For those limited to the dollar menu, this is like going to the moon, alas.

BDBlue's point that our federal ag policies are affecting the nation's overall health are extremely important. The effect of the corn and its products on our diets, even on the quality and nutritional content of animal proteins, is affecting almost every person who eats food in America. There's a book or two on that, right? Movie?

It's not just middle class nabes

that have access to "real" food in NYC. We've got a farmer's market program that operates at neighborhoods in every income level, and accepts foodstamps.

And there's a lot of healthy food awareness coming from the grassroots up in the African American and West Indian communities. When I lived in a majority West Indian working class neighborhood, there were three locally run health food stores nearby (and a lot of vegetable markets, too) . Some of them were linked to assorted religious groups (Rastafarians, Muslims, Jehovah's Witnesses), but so what?

I'm just saying that good food doesn't need to be synonymous with expensive, time-consuming, inaccessible. Local initiatives and education--and also cultural practice-- make a huge difference.

Hey, raspberries are out of my budget, too. Then again, if you buy them in season and freeze 'em....

everybody has access to everything in nyc

yes, that's an over-simplification on my part, but i can tell you that as a tourist eating on a budget in nyc, i ate much better than i can here in my home town, where access to affordable fresh food is limited. if you want affordable fresh food, you need to have your own car [or know someone] so you can drive out into the countryside. if you want accessible [in town] fresh food, you frequently have to pay hefty prices for it.

and yet ... there is no Trader Joe's in my State, no HEB

within 75 miles of me. I can go three miles to a small-chain outlet if I want spices. There are two outlets of a big local chain that are closer, but neither of these three stores has outstanding produce. Fresh kale? Nope. Organic vegetables? Go to the same big local chain's pricier outlet four miles away. But there's always Wally World. Um, well ... y'know how the stuff they sell is mostly crap? The produce they sell is mostly not as good as the produce at the local chain, and despite the "rollback!" signs, it's pricier (tomatoes or potatoes or oranges or apples or plums or limes sold by the each). I do buy coffee there (mea culpa) and King Arthur Flour when they have it. There's really, really good produce at HEB -- it buries the pricey stuff at the local chain, and the prices are great. Except it's 75 miles away.

I kinda think all those frozen burgers and convenience-store burritos don't sell as well as they do because they're good food, but because they're *available* food...
insofar as the subsidies for meat, yeah, I'm right there with you. If the BLM / USDA charged "grazing fees" that were remotely close to price it costs to own your land (or rent it off anybody else) to run livestock on ... in the long run it'd be worse because nobody could afford to run stock except even bigger ag than Monsanto/ADM, and they're already doing feedlot/dairy CAFOs 'cause they're "cheaper" in the short run, never mind how bad they are for the animals, meat, milk, consumers, or environment in the long run, let alone the laborers they hire (and sometimes turn in to ICE instead of paying).

I'm trying to make a point here and it's getting lost in "lifestyle", I'm afraid, and somebody's going to claim I'm pointing fingers because of race. I am, but not where it looks like: the problem is the poor people don't own any of the grocery stores. The people who do own the grocery stores here can't make enough money by catering to "low-income" clientele. We don't have mercados or carnicerias or panaderias here like South Texas, or bodegas like New York City; there's two farmer's markets, one open every other Saturday and one open every other Thursday. There's a famous orchard that lets you pick your own apples (and other things) in a small town 30 minutes from here, by the bushel. Great! Unless you don't have a car... 'cause there's no public transportation that goes that far.


We can admit that we’re killers … but we’re not going to kill today. That’s all it takes! ~ Captain James T. Kirk, Stardate 3193.0

1 John 4:18

With really good condiments...

... I find I eat less of them.

So good tasting food is a form of portion control.

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

Please follow up with the salad!

The whole story -- how you shopped, made it, ate it... All of it! If for no other reason than vicarious satisfaction...

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

Please follow up with the salad!

The whole story -- how you shopped, made it, ate it... All of it! If for no other reason than vicarious satisfaction...

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

The kale salad?

To be sure, it's a long story, this kale salad. But you asked, so I'm going to start at the beginning.

Last March I went to Thailand, and ended up spending nearly two weeks at an American-run health camp in the mountains of Ko Samui. They run a supervised fasting program (not for weight loss but for, ahem, "cleaning out") I fasted for 8 days--and they teach you how to follow up the fast by eating, mainly, raw foods.

I'm not disciplined or good at following food "programs." I shudder at the thought of vegetarianism, or any -ism. (I live much of the year in Hong Kong, where roast pork is a food group) But the raw food meals at this camp were amazingly good. The counselors there told me that if I could just keep 40 to 50 percent of my daily diet "raw" that I'd continue to feel as great as I did coming off the fast.

So I started researching the "raw" world, and figuring out how I could adapt it to my own desires.

One of the challenges of raw food is making it more digestible. The point of eating raw is that the food holds onto more nutritional value (and so you get the most bang for your dear organic buck). But sometimes nutrients are "locked" in food, and not accessible to our bodies. A lot of vegetables--like kale--contain acids and enzymes that are difficult to digest without cooking, or at least blanching, them first.

But raw foodists have thought up some interesting techniques to get around that. One is to cut the veggies in extremely sliver-y pieces with a mandoline or with a terrific little gadget like this, which I bought a few months ago.

So, the kale. It came from this cool food coop located a few subway stops from my house. Like I said, it isn't a yuppie place, it's a community venture. When I got home I washed it, and then peeled the leaves away the tough stems. Then I rolled up the leaves into tight bunches, and sliced them into cole-slaw like frizz with a chef's knife.

Now here comes the fun part. You put all this kale frizz in a bowl. Then you add olive oil, lemon juice garlic and salt and massage it into the kale with your hands. This helps break down the enzymes, and makes the kale less bitter, soft and edible.

Then you just let it sit and mellow for a while. (Meanwhile, wash your hands.)

Normally I do this salad with black olives and some cherry tomatoes. But the tomatoes I had in the fridge that day had strange brown spots all over them (was it blight?!) So I took a red pepper that was nearing its "sell by" date and "spiralized" it with my Benriner gadget. Then I blended that into the kale mix, again with my hands. The pepper juice added a nice sweetness and zing that worked well against the dry, oily and crunchy kale.

I thought it needed something else, so I threw in a small handful of leftover feta I found in the back of the fridge, and mixed that in, too. Oh, yeah, a tablespoon of pine nuts for crunch (really, any nuts or seeds would work). I was too lazy to toast the nuts, but you can do that.

Now, the raw foodists would probably object to the feta cheese. But I am a raw hedonist, and so I say, screw that.

The end product made a great visual, too--the green kale made almost green-black by the oil rub, with the bright orange-red pepper, and the snow white bits of feta and white pine nuts scattered throughout. (When I throw things together, I often instinctively reach for ingredients based on color as well as flavor). Sorry, I ate it all, so there's no picture.

I believe I mentioned this before, but

for preventive medicine par excellence look no further than Ayurveda.

Ayurveda is the first medical system in the world to have attained the status of a complete science. It has strong philosophical foundations, unquestionable scientific veracity, ever lasting practical methodology and eternally vibrant innovativeness for modifications into allied systems. Ayurveda has a proven track record of success through the ages and we consider it our duty to bring this science into global focus, so as to make available the richness of its expertise to a larger population. We dream of a disease - free society and a healthcare mechanism which is self-reliant, self sustainable, autonomous, accessible and affordable. Read more

I have studied Ayurveda extensively. I have given Ayurvedic cooking workshops. Ayurveda is not some esoteric, obscure, foreign "healing through food" system but a solid theory of health that is grounded in the principles of planet Earth itself. In fact, to keep Ayurveda hidden or suppressed because of the West's arrogant and ethnocentric attitude is to deny the world a truly beneficial and inexpensive system of health.

Let me give you a few examples of Ayurvedic principles.

1. Ayurveda recognizes three different body types. We can be one type or the other or a combination of two, and rarely three. Foods can be balancing or aggravating for your type. Although you can consume all kinds of food, you should eat more of one and less of the other depending on what type you are. For example, I am a Pitta which means I should not consume too many tomatoes, but if I do, they should preferably be a: local, b: in season, and c: neutralized with a herb or spice that's beneficial to me, like cilantro. This principle is based on the fact that foods have properties which are either heating or cooling and have unique tastes. Since Pitta is the hot type, cooling foods are balancing for Pitta as well as foods that taste bitter or sweet.

2. The digestive system is the gateway to the rest of the body. If this system is healthy and functions at its optimum, you will keep diseases at bay. For foods to be absorped you need to consider this: when your stomach is trying to build a fire to enable the breakdown of food why would you want to pour ice cold water on it? And isn't this what we do in the West? The first thing you receive in a restaurant is a glass of ice water. How dumb is that? Ideally you should drink small sips of warm (or room temperature) water throughout the meal. Drinking a cup of tea during the meal is also good.

The 2nd, but equally important, function of the digestive system is to eliminate waste products. Regular bowel movements are crucial to a healthy body. A healthy stool floats in the toilet and is in one piece. A stool that is in too many pieces indicates poor absorption of food. Another way to find out if you are absorbing the food you eat is by looking at your tongue first thing in the morning, prior to brushing your teeth. Indentations on the edge of the tongue are indicative of poor nutrient absorption. A yellow tongue suggests that you have too many toxins in your body (A tongue that shows marked cracks in many areas is found in those who have psychological problems - depression, excessive anxiety etc).

I can give you more examples if you are interested including a list of foods that are beneficial for those who spend too much time in front of a computer screen.

For more information, I highly recommend the following three texts:

"Essential Ayurveda: What it is and what it can do for you", by Shubhra Krishan, an Indian journalist who lives in the West. It is one of the best introductions to Ayurveda - an easy and quick read.

The last two books are cook books that explain Ayurvedic principles in cooking with recommendations for all body types.

"Ayurvedic Cooking for Westerners" and "The Ayurvedic Cookbook", both by Amadea Morningstar.

Cheers!

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