Sunday, July 26, 2009

Rising Cost or Rising Quality?

Every single day, the media is consumed with the question concerning how we as a nation plan to go forward in a world where the healthcare system is reformed, revamped, and reconstructed. You cannot turn on CNBC, read the New York Times, or even just show up at work without being faced with some sort of opinion. A couple things that most people seem to take as fact:

  • The current system is too expensive
  • Healthcare costs rise way too quickly
  • The government has to do something
  • Everyone deserves to be covered


The end goal is more noble than what it costs to get there...
I can't solve all of these problems. Actually, I don't think I can solve any of these problems. I did, however, read an interesting perspective the other day that took the discussion and thought process beyond a simple restatement of fact or a political analysis as to the timing and scorecard in the current Congress. I want to focus on the issue of cost, and specifically, how we measure rising cost.

Rising costs. Sometimes this is known as inflation. Inflation would be too few dollars chasing too few goods. It is easy to remember the last time you heard that healthcare costs rise faster than basically any other costs in this country. Health expenditures make up somewhere in the neighborhood of 16% of GDP. So, through time, the article that I read thought it important to ask one thing. Why? Why is healthcare so expensive? Why does the cost rise?

The assumption seems to be that costs are rising and this is unequivocally a horrible thing. Think of cars. Movie tickets. Almost anything. Have costs risen over time because these goods are exactly the same as they were? Have costs risen because of an overall rising of prices? Has it been a little bit of both? Examine the following argument.

I pose the following question:
Has healthcare improved in the last 20 years? The last 10 Years? The last few years? Does this justify a higher cost? I mean, why do things improve in the first place? True, some people just believe in healthcare and in improving medicine for its own sake, and that's a nice ideal. But, that isn't going to keep drug companies making better drugs. It also isn't going to keep attracting the best doctors who want to push the envelope with new research and new procedures. At the end of the day, there has to be some type of economic motivation to keep a system improving itself. No one will keep improving a system to the maximum degree if they don't have an monetary gain at stake.

So, is healthcare and the cost of healthcare, rising too quickly? Maybe it is, maybe it isn't. But, the thing is, I think it's important to think of
why costs rise. I think it's important to make the connection to how rising costs yield resources entering industries and attempting to find ways to make them better. The next time you or a relative gets sick...think about it. Do you want to take it on faith that your team of doctors is completely selfless and all about medicine for its own sake? Or, would you feel a little more comfortable if you knew that your team of doctors was just like any one else...trying to be the best that they can be all the time because they always have something to also gain for themselves and their own families? Socialism is a nice idea. But, can it work?

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Friday, July 24, 2009

Jitlada Hollywood: The Real Taste of Thai





Earlier this week a friend of mine sent me an LA Times review of Jitlada, a small little restaurant off of Sunset- nestled into a strip mall (oh Hollywood, how I love you). Though I consider myself a semi-sophisticated epicurean, I confess that I have never tasted "Southern Thai" food before. Southern Thai cuisine is known for its use of turmeric (the fresh kind) and just overall pungent, spicy, dishes unlike anything I have ever tasted.

First order of business: read that review. It has every directive you will want to know before you enter that restaurant.

Three things we want to reiterate:
-DO NOT ORDER from ANY part of the menu besides the very back, the "specials" menu.
-If you like spice (and not just that 'hits you immediately' pepper spice but the kind of spice that creeps up on you after a few bites, the spicy that makes you feel like you may be on hallucinogenics), you will LOVE Jitlada's vast array of southern thai dishes- so try a few! .
-Make sure you enter knowing you will be spending the better part of your evening
there. Yes, service can be a little spotty...but it is well worth the wait. Here's why...

Our first dish was a perfect summery salad: deep fried catfish (though very light and airy to taste, despite the way it was cooked) over a bed of julienned mango and greens. This was actually my least favorite dish of the night- a testament to how amazing the meal carried on.

The simple glass table tops are those you will find in many Chinese restaurants all over the area; for Jitlada, they serve as free publicity. Among the four magazine excerpts underneath our table top was one from LA Weekly voting the steamed muscles as one of the Top 10 dishes in LA in 2007. That was our next dish- duh. Though simply cooked, the broth the muscles were served in was absolutely deep, rich, and divine. That broth took my breath away by combining the savoriness of the broth in a good bowl of Pho, with a spicy kick I've only tasted before in Indian cooking.

Finally, the pièce de résistance: Sator Bean with Lamb (No. 121). If you have a tolerance for a bit of pain, this dish is quite possibly on my list of Top 5 dishes I've ever had. In my life. The lamb: cooked to perfection. The sator beans and that spicy sauce is what made it, though. Upon first taste, both my friend and I thought it was one of the most flavorful mouthfuls we had ever come across. Three bites later, both our eyes were watering in gleeful pain, our bodies not knowing if we wanted more or if it this reaction was our bodies telling us to stop eating.

Oh, one more thing: beer, water (lots of it), and some brown rice make this meal much more pleasant. Go with friends, be ready to sweat (think of it as a culinary form of detox), and engage with Jazz (the owner) to make sure you are getting the best Jitlada has to offer.

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Sunday, July 5, 2009

An exquisite experience...

We have always seen the meal as a center of the human experience. -ChezPanisse Commitment to Sustainability

Thursday night we had the pleasure of dining at Alice Waters' famed Chez Panisse in Berkeley. We had made the reservations two months in advance, studied up on Alice Waters' philosophy on food, and had the tasting menu up on our screens the entire week leading up to this night: we were ready to rock. What was to follow was an evening of epic proportions (to be taken both figuratively and literally); an experience that changed the way I view, eat, and enjoy food.
Chez Panisse's core philosophy lies in the underlying belief that every segment of a meal- from the choosing of locally grown ingredients to our waiter capping the night off with hot mint tea- is inextricably linked to the human experience. I can say with absolute certainty that every individual we met who worked that evening personified these firmly held beliefs.

The wait staff: impeccable in execution. From the moment we stepped into the dining room, Gianni welcomed us with open arms. I am an incredibly curious person (especially when it comes to subjects of intense interest), and I peppered him with every question that came to mind. He answered them all, with no hesitation, in a way that conveyed the utmost passion for what he does. Even better yet, he dug our inquiries and gave us a personal tour of the kitchen in addition to giving us tastes of wines he felt went really well with our dishes. I would go back to Chez Panisse simply for the service I received from Gianni.

The food: fresh, seasonal, local DOES make a difference. Home made ravioli, squab liver, perfectly prepared duck, every dish appeared refreshingly simple while tasting absolutely divine. After meeting the chef and cooks in the back, you could tell the care used in the preparation contributed to how well these plates worked together.

In conclusion (and even though my fave Tony Bourdain despises the woman) we loved Alice Waters, Chez Panisse and the entire experience surrounding this little Berkeley eutopia. Go there...as fast as you can...and savor every minute!!

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