Saturday, January 31, 2009

Perspective on Vitamin D

I have written a number of articles about vitamin D and health. I have some concerns that for the most part have probably not been considered, but then I am not one that works off of linear thinking models.

There are a variety of opinions on vitamin D, including one that is fairly negative. However, in good science, the best outcomes are achieved if we are open minded enough to look at all possible vectors.

I agree that vitamin D is an important nutrient. I agree that it appears clear that we are experiencing a problem with low levels of vitamin D in most people.

People of color require more. People who do not go out in the sun need more. And people who exclude healthy fats from their diet, such as the philosophy of no fat promulgated on the public over the past several decades, really do need more.

Just look at the rates of osteoporosis and other calcium related health problems for starters.

Look at the history of health as it relates to sun exposure that was established as long ago as 2500 BC.

There must be something to the practice of exposing your skin to the sun, free of sunscreens that contain endocrine disruptors. Sunlight entering your eyes for a short periods of time each day also is known to be part of the vitamin D-calcium-parathyroid interplay.

If I relied on food for vitamin D I would have to look to
Concentrated food sources of vitamin D include salmon, sardines, shrimp, milk, cod, and eggs.

Sockeye salmon are an exceptionally rich source of vitamin D: a 4-ounce serving of baked or broiled sockeye salmon provides 739.37 IU of vitamin D. The same 4-ounce serving of chinook salmon, another excellent source of vitamin D, supplies 411 IU.

Why are sockeye salmon even more richly endowed with vitamin D than other salmon species? Because zooplankton constitute so much of their diet, and zooplankton-along with phytoplankton-are the key sources of vitamin D in the marine food chain. The zooplankton eaten by salmon are tiny marine animals, such as larval-stage crustaceans, while the phytoplankton eaten by salmon are small, plant-like marine organisms.

Both types of minuscule sea life create lots of vitamin D from sunlight, and zooplankton feed on phytoplankton, building up their vitamin D content to even higher levels. Unlike most other fish and salmon species (except chum), sockeye feed largely on zooplankton through all stages of life. Chinook, on the other hand, feast on insects and sideswimmers when young, then consume a variety of fish, especially smelt and ciscoes, a type of lake herring, as they mature. from WH Foods

This might be boring, and if I selected milk I would more likely begetting the synthetic form of vitamin D.

There just is much more to this than relying on supplements and staying out of the sun for fear you will get skin cancer. For my money I'll support Holick.

Also remember that vitamin B1 and a spray of vitamin C make good sunscreens without all the chemicals that might be more harmful in the long run that 15 or 20 minutes of exposure to sunlight, outside of the hottest hours of the day.

Michael Holick's experience also sheds some light on just how lineal and intellectually limiting most ivory towered institutions of "higher learning" really happen to be.
Five years after being fired from one post, sun exposure proponent keeps up the fight

If the name Michael Holick means anything to you, you will recall that he was asked to resign from a post in Boston University’s dermatology department in February 2004 for promoting “sensible sun exposure” in his book The UV Advantage.

Holick’s thesis – which was apparently anathema to Boston University derm department chair Barbara Gilchrest – is that most people who live in the US north of Atlanta are vitamin D deficient because one of the key sources of that vitamin is the sun. (Vitamin D is essential for the absorption of calcium and thus strong, healthy bones.) And even when the sun shines brightest, and for the longest, during the summer, we’re told to shun the sun and slather our bodies in high SPF sunscreens to defend against skin cancer.

But in doing so we might be hiking our risk for a variety of health problems including heart disease, breast cancer, and colon cancer, says Holick. "You have about a 30 to 50 percent decreased risk of developing colon, prostate, and breast cancer if you maintain adequate vitamin D levels throughout your life," Holick said in a 2007 interview with a Canadian television station.

In case you were wondering what happened to him, Holick was unbowed by his firing. (He is still at BU, holding down a professorship in medicine, physiology and biophysics). He has kept up his advocacy of sunlight exposure, so perhaps we shouldn’t have been surprised to see a report of rickets – a disease in which the bones become softened or weakened due to vitamin D deficiency -- he diagnosed in last week’s New England Journal Medicine, almost exactly five years after he left BU’s dermatology department.

The report is of a mysterious case: A nine-month-old baby boy admitted to Mass General with violent seizures. A battery of tests revealed that the boy had abnormally low levels of calcium in his blood, which is known to cause seizures. A blood test then revealed Holick’s specialty: Vitamin D deficiency, which causes rickets.

The vitamin D and calcium deficiencies are related, Holick told us this week. Without enough vitamin D, the body can't absorb calcium properly. Holick says that vitamin D deficiency is very common in American babies and mothers. One of his studies looking at vitamin D levels in 40 mother-baby pairs found that 76 percent of moms and 81 percent of babies are deficient, meaning they had less than 20 nanograms per milliliter of blood. (A nanogram is one billionth of a gram).

To prevent such deficiency, Holick says pregnant women, and all adults for that matter, should be taking at least 1000 units of the sunshine vitamin a day. That means taking vitamin supplements in addition to a normal multivitamin, which typically contains only 400 units. But be advised, you can overdose on vitamin D: Taking 50,000 units per day for a long period of time can be toxic. (Holick wrote a case report about it.)

The American Academy of Dermatology, however, only recommends that kids and adults get at least 200 units of vitamin D per day either from the food or the sun. Holick says the academy's recommendations pretty much ignore research that suggests that these levels put a person at risk for heart disease, infections and various types of cancer. "They continue to have blinders on," Holick says.

A cynic might say those blinders are because the Academy fears the sun. The Academy says that people should get vitamin D from a healthy diet incorporating foods naturally rich in or fortified with it, such as milk and orange juice, and/or vitamin D supplements—but not through unprotected sun exposure, which is linked to skin cancer.

"The recommendation that you should never be exposed to the sun is putting many people at risk for vitamin D deficiency," Holick says. While in the sun, it's important to cover the face but okay to expose the arms and legs for 10 minutes or so without sunscreen, he adds. "If you're going to be out in the sun for five, ten or 15 minutes, don't be paranoid."

http://www.sciam.com/blog/60-second-science/post.cfm?id=five-years-after-being-fired-sun-ex-2009-01-30

Other opinions:
http://www.vitamindcouncil.org/
http://grassrootshealth.org/
Major Lab Discloses Problem With Vitamin D Testing

Friday, January 30, 2009

Not in the business of saving lives

Following on Pfizer's record another Big Pharma member admits its the DO RE MI
Roche: “Saving Lives Is Not Our Business”

The Swiss company Roche makes a range of HIV-related drugs. One of them is enfuvirtide, sold under the brandname Fuzeon. Fuzeon brought in $266 million to Roche in 2007, though sales are declining.

Roche charges $25,000 a year for Fuzeon. It does not offer a discount price for developing countries.

Like most industrialized countries, South Korea maintains a form of price controls. The national health insurance program sets prices for medicines, and the Ministry of Health, Welfare and Family Affairs listed Fuzeon at $18,000 a year. South Korea’s per capita income is roughly half that of the United States. Instead of providing Fuzeon at South Korea’s listed level—and still turning a profit—Roche refuses to make the drug available in South Korea.

South Korean activists report that the head of Roche Korea told them, “We are not in business to save lives, but to make money. Saving lives is not our business.”

Read complete article -
and you might enjoy this article as well -

English Muffin Strata with Ham and Cheese: Breakfast for Dinner

When spaghetti isn’t cutting it and pork chops have been done to death, hungry citizens all across our fine nation turn to a beloved American tradition: breakfast for dinner (or BFD for short). Truly, there are few treats more glorious than eating bacon at 7pm, eggs after work, and hash browns during reruns of “Murphy Brown.” And if you can sneak in a cup of coffee without giving yourself a raging case of insomnia, bonus.

At its core, the most fabulous aspect of BFD isn’t the infinite possibility or the low expense. It’s not even the potential for a much healthier meal than you would have eaten otherwise. Nope – it’s the ability to feel like you’re nine-years-old again. Because BFD makes you feel a little naughty - like you’re doing something you’re not supposed to. Like you’re going against the natural progression of your day. Like you’re flipping time, space, and convention the bird. That may sound like a lot of responsibility to assign a piece of toast, but I assure you, it’s all true.

Which brings me to English Muffin Strata with Ham and Cheese from Cooking Light. It’s a breakfast casserole no doubt, but it’s hearty enough to make your whole evening, especially with a nice salad on the side. Personally, I loved the bits and pieces of Canadian bacon, along with the general eggy, custardy goodness. The Boyfriend loved that there were five more pieces when I was finished taking my share.

If you decide to go forth, there are a few things to know:

1) This is an egg strata subtly flavored with ham and Swiss, not a ham and Swiss strata subtly flavored with egg. Don’t go in expecting a Philly cheesesteak.

2) It's very good, but it's not going to smack you across the face with outrageous flavor. Sprinkle it with kosher salt and freshly grounded pepper before you eat it.

3) Don’t fret about serving size. While an 8x8 pan makes six portions, each is almost three inches high. It’s a decent amount of food.

4) Canadian bacon is a pricey ingredient ($3.99 for ten pieces at my local supermarket). BUT the leftovers can be used to make wonderful things like EGG MCMUFFINS, which will be Monday’s featured recipe. Don’t forget to check back.

5) Nutritional information was provided by Cooking Light, so only the price calculations are posted below.

So, go forth, lovelies. Have a sweet weekend, and if you get the chance, try a BFD. You’ll stick it to The Man, and it might just be the best part of your day.

English Muffin Strata with Ham and Cheese
Makes 6 nice-sized servings
Adapted from Cooking Light.

6 English muffins, split
Cooking spray
3/4 cup chopped Canadian bacon (about 3 ounces)
1/2 cup (2 ounces) shredded Swiss cheese
2 1/2 cups unsweetened soy milk
2 tablespoons Dijon mustard
1/4 teaspoon salt
1/8 teaspoon freshly ground black pepper
Dash of ground red pepper
2 large eggs
2 large egg whites

1) Coat an 8x8 baking dish with cooking spray.

2) Slice each English muffin half into 6 equal pieces, like a pie. Place half of them in the baking dish. Layer as follows: all the bacon, half the cheese, remaining muffin pieces, remaining cheese.

3) In a small bowl or large Pyrex measuring cup, combine milk, mustard, salt, pepper, red pepper, eggs, and egg whites. Whisk together until smooth. Pour egg mixture over baking dish contents. Cover and stick in the fridge overnight (or at least 8 hours) to let everything soak in.

4) Preheat oven to 325°F.

5) Remove dish from fridge and uncover it. Bake for 60 minutes, or until "a knife inserted in center comes out clean." Remove from oven. Cool 15 minutes. Serve.

Approximate Calories, Fat, Fiber, and Price Per Serving
253 calories, 8.3 g fat, 3.4 g fiber, $1.01

Calculations
6 English muffins: $1.13
Cooking spray: $0.03
3/4 cup chopped Canadian bacon (about 3 ounces): $1.99
1/2 cup (2 ounces) shredded Swiss cheese: $0.62
2 1/2 cups unsweetened soy milk: $1.25
2 tablespoons Dijon mustard: $0.27
1/4 teaspoon salt: $0.01
1/8 teaspoon freshly ground black pepper: $0.01
Dash of ground red pepper: $0.01
2 large eggs: $0.38
2 large egg whites: $0.38
TOTAL: $6.08
PER SERVING (TOTAL/6): $1.01

Cookbook Giveaway Winner!

Thanks to everyone who entered the cookbook contest. There were so many great scene suggestions (Under the Tuscan Sun, Chocolat, etc.), and you can expect to see quite a few on this site over the coming weeks. Alas, there could only be one giveaway winner, and Random.org has chosen:

#49: Mindy!
She says: “It was in a hallmark movie I saw the other night where a man is trying to make a good impression on his mother in law who is very orthodox and he is not and he asks for butter with a meat meal.”


Congratulations, Mindy! If you could shoot me an e-mail (Cheaphealthygood@gmail.com) with your home address, I can send the cookbook out early next week. Thank you!

Thursday, January 29, 2009

Veggie Might: Abashed Broccoli Soup

Penned by the effervescent Leigh, Veggie Might is a weekly Thursday column about the wide world of Vegetarianism.

I am a woman who can admit when she’s wrong (most of the time). Last week, I admonished anyone who would consider making vegetable stock with “a floppy rib of celery” or any other old vegetables. You were quick to tell me that I was being silly and wasteful.

Well, I’m here to eat my words—and a bunch of borderline broccoli.

While I was in Baltimore last week, I left a beautiful, deep green head of broccoli in the vegetable crisper to wilt and yellow. When I discovered it upon my return, it almost killed my nearly week-old post-inaugural buzz. Oh, the waste!

I had a week’s worth of lunches to make, and with all the vegetable stock in my fridge and freezer, I had soup on my mind. The broccoli smelled fine, and I couldn’t bear to throw it out. There were no bad spots; it had just lost its color. I swallowed my fear of salmonella and began chopping.

The stems were tougher than usual, so I peeled off the thick outer layer. Otherwise, the whole yellowed mess of it went into the pot. Once it hit the boiling broth, it magically began to turn green again. And with the shallots and garlic, it smelled so good.

The proof was in the puree, and the puree was delicious. The little bit of soy milk gave it just a touch of creaminess without being heavy. The parsley and thyme added a fresh flavor and, of course, you can’t miss with shallots and garlic. There is nothing showy about broccoli soup. It is just simple, light, and delicious:

So far, I’ve served it over quinoa and solo to great success. (I was happy both times I ate it, and no food poisoning to report.) My roommate is out of town, or I would have made him be my royal taster. He’s got a nose (and stomach) for these things.

Thank you, Dear Readers, for the lesson in humility. Because of you, I took a chance on a peaked bunch of broccoli that would have otherwise gone in the garbage. I am richer for your comments. Plus, you saved me a $1.50; and in These Trying Economic Times, every little bit counts.

Puree of Broccoli Soup
Yields approximate 4 1-cup servings

1 1/2 tsp olive oil
5 1/2 cups vegetable stock
1/2 cup unsweetened soy milk
l large head broccoli, chopped florets and stems (peeled)
3 cloves garlic, crushed and minced
2 shallots (4 cloves), diced
6 sprigs fresh thyme
15 sprigs fresh parsley
1 tsp salt
40 grinds black pepper

1) In a large sauce pan, sauté shallots and garlic in oil for 2–3 minutes.

2) Add the broth and bring to a boil.

3) Add chopped broccoli, thyme, salt, and pepper. Bring to a boil once again. Reduce heat and simmer over medium heat for 20–30 minutes or until broccoli is tender.

4) Stir in soy milk and parsley.

5) Remove from heat and allow to cool.

6) Puree the soup until smooth with an immersion blender or traditional blender/food processor.

7) Serve hot with crusty bread or over quinoa/rice/grain of your choice.

8) Seriously, so good over quinoa. Or just by itself. Mmm...

Approximate Calories, Fat, and Price per Serving
124.2 calories, 2.9g fat, $.98

Calculations
1 1/2 tsp olive oil: 60 calories, 7g fat, $0.04
5 1/2 cups vegetable stock: 110 calories, .5g fat, $1.04
1/2 cup unsweetened soy milk: 35 calories, 2g fat, $.20
1 large head broccoli: 207 calories, 2g fat, $1.50
3 cloves garlic: 12.6 calories, 0g fat, $.036
2 shallots: 60 calories, 0g fat, $.40
6 sprigs fresh thyme: 5 calories, 0g fat, $.09
15 sprigs fresh parsley: 7 calories, 0g fat, $.26
1 tsp salt: negligible calories and fat, $.02
40 grinds black pepper: negligible calories and fat, $.02
Total: 496.6 calories, 11.5g fat, $3.93
Per serving: 124.2 calories, 2.9g fat, $.98

Reader Comments

From time to time I like to add reader comments to posts rather than to the comments section.

Several people have taken the time to send their comments and these few seem to have read Dr. Dean's 2006 article I have posted below.

I'd also like to add that because of this effort on my part, having been on the net as a health care professional, health educator and health freedom advocate since 1991, some frivolous attacks have also been submitted.

Ad hominem attacks are like those that go with elective office, something I was involved in for about seven years, so my skin is pretty thick. The difference for me is that I do very in depth fact checking before I comment on another person, and I don't make a lot of noise that would limit that person's right of free speech.

Christine said
"Thanks so much publishing this fascinating article by Dr. Dean. The situation reminds me of Dr. Benjamin Rush's comments that we needed an amendment to the Bill of Rights guaranteeing medical freedom. Dr. Rush said his colleagues would form an undercover dictatorship if we didn't have this amendment. How right he was."
Someone stating his name to be Jason thought I read another web site that throws a lot of stuff at visitors, however he was incorrect. He did say he was somewhat suspicious of that site. He also wanted to know about a product called peri-gum.

I'll add a new post on natural dental care to respond to his query.

This reader sent an anonymous comment that included some commercial links. Here is his comment without the commercial links, which are a violation of our policy.
Being in health insurance. This article is right on target. People's health insurance claims are usually denied if the claim is not coded properly. They blame the insurance company when it's usually the negligence of the doctor's office. Another pet peeve of mine, Dr's are charging insurance companies anywhere from $50 to $150 dollars to make photocopies of a patients medical records. LOL, photocopies that take a few minutes to produce and cost a few cents to make. And people wonder why health insurance premiums are so high.

The next anonymous reader said "The AMA is comprised of thieves who should be banned from practicing medicine in the USA."

And the next said "god bless amerika--lol", as another anonymous commenter.

So you can see we get several varieties of comments, but the insurance comment is quite relevant.

CHG Favorites of the Week

Food Blog of the Week
Simple Mom
Another entry for the “How have I not seen this yet?” file. Expatriate mom Tsh takes cues from both Real Simple and Zen Habits to create the ultimate easygoing parenting guide. The blog design is outstanding, the recipes are fun, and the organizational tips are through the roof. Suggested.

Food Comedy of the Week
Epicurious: Salted Water for Boiling
Come for the recipe (“When salting water for cooking, use 1 tablespoon of salt for every 4 quarts of water.”), but stay for 808 hilarious reviews (“Yeah, like everyone has all that stuff in their pantry,” and “My husband hated it and refuses to eat it. He says it's too salty and watery. Thanks for nothing, Epicurious.”) (Thanks to Serious Eats for the link.)

Food Quote of the Week
“Tomatoes and oregano make it Italian; wine and tarragon make it French. Sour cream makes it Russian; lemon and cinnamon make it Greek. Soy sauce makes it Chinese; garlic makes it good.” - Alice May Brock

Food Video of the Week
“Les Poissons” from The Little Mermaid
This suggestion came from Liza’s entry in the CHG Cookbook Giveaway (still happening!). Hurry and watch before Disney sues our pants off!



Totally Unrelated Extra-Special Bonus of the Week
War City
Someone took old war photos of (what I think is) Russia, and photoshopped them over pictures of the same city today. Talk about rebuilding. Brief and incredibly interesting.

Wednesday, January 28, 2009

FAQ

1. What is Cheap Healthy Good?
Cheap Healthy Good is a blog dedicated to the advancement of frugal, nutritious, ethically-minded food in everyday life. All of our recipes, links, and articles go back to that main subject matter. Occasionally, we throw in some pop culture references for fun. (Like these 40 inspirational speeches in two minutes.) Our work has been featured in/on Lifehacker, BoingBoing, CNN.com, Time.com, the Chicago Sun-Times, and the CBS Early Show, among other exciting media outlets.

2. Who writes for the site?
Currently, three or four lovely people:

Kristen Swensson Sturt is the proprietor of Cheap Healthy Good, posting almost daily Monday through Friday. A Brooklyn-based writer with an MA in Media Studies, she currently works as Associate Editor at Grandparents.com. She'd like to become a better cook, eradicate mayonnaise from the face of the earth, and maybe meet Bono. Sometimes, when no one is looking, she talks to eggplant. E-mail her at cheaphealthygood@gmail.com.

Leigh Angel writes Veggie Might, a regular Thursday feature about all things Vegetarian. Like James Beard, Leigh is a former opera singer/musical theater performer. Unlike James Beard, she is not a 300+ pound culinary genius, but she tries. Leigh is a writer and editor who has met Bono, likes to ride bikes, and enjoys a good craft night. Give her a shout at leigh.angel@gmail.com.

Jaime Green's feature, Green Kitchen, shows up every other Tuesday and focuses on dishes that are as friendly to the environment as they are to your wallet and mouth. Jaime lives in the far reaches of Northern Manhattan with a cat named Meg and not enough light for an herb garden. She loves vegetables, science, Liz Lemon, and checking her email, which is jaime.green@yahoo.com.

Rachel writes the occasional recipe column and fills in for Kris and Leigh when they're away. She's an actor, writer, and aspiring cook. Given the opportunity, she will charmingly talk your face off about food.

3. What does CHG stand for?
Cheap Healthy Good. Also, California Historical Group (unaffiliated).

4. Why do you call it that?
Insouciance.

5. What kind of recipes do you post?
Our recipes cover a wide swath of cuisines and preparation methods, but they’re mostly simple, delicious dishes made of whole foods. And love. But mostly whole foods.

6. Do you write your own recipes?
Occasionally. The majority of the food comes from other sources, which we always credit, often profusely. We hate plagiarism almost more than we hate anise.

7. What makes a recipe cheap and healthy?
Nutrition-wise, we concentrate mainly on recipes with lower calories and fat, and often find those dishes naturally contain more fiber, vitamins, and minerals than most others. (We do a LOT of fruits and vegetables around here.) The cost aspect is somewhat subjective, but with few exceptions, most dishes fall between $1 and $8.

8. Why do you concentrate on supermarket shopping? Aren’t farmers markets, CSAs, and gardens the way to go these days?
Alas, CHG reflects our cooking and shopping experiences, which are limited by location and budget. However, we make it a point to emphasize fresh, whole foods, and avoid most packaged and convenience products. Our current goal is to move toward more environmentally sustainable, ethically mindful foods. In the meantime, we’re making do with what we have.

9. But you’re not above using Stove Top, canned beans, and store-bought broth. What’s that all about?
We do what works for us, and occasionally, our schedules necessitate shortcuts. Also, try as she might, Kris is perpetually unable to rehydrate dried chickpeas. It’s becoming a self-esteem issue.

10. How do you determine the cost of a recipe?
We price food according to what we paid at the time we prepared it, and only calculate for the amount USED, as opposed to the amount BOUGHT. In other words, if we purchase a five-pound bag of flour, and only use a cup for a muffin recipe, the numbers reflect the price of the cup. It’s assumed we’ll use the rest of the flour for other dishes. Make sense?

11. How do you determine the calorie and fat content of a recipe?
If we’re calculating ourselves, we use Calorie King, Nutrition Data, and Fresh Direct as sources of nutrition information. If a major publication lists the numbers, as Cooking Light often does, we take it directly from them.

12. What’s your readership like?
Right now, we’re pulling about 15000 readers per day. They tend to be men and women of all ages, hailing from all demographics, and most have an abiding love of cornbread and George Clooney.

13. Your pictures suck. You should invest in a lighting kit or a decent camera.
Oh yeah? Well, you should invest in your FACE. (Zing!)

14. That’s not nice.
Sorry. We’re working on our photography, for real. Someday, we hope to rise to the level of Use Real Butter or The Pioneer Woman Cooks, but we’d be just fine with All Recipes, too.

15. Can I offer some recipe, article, or layout suggestions?
OH, PLEASE YES. Our e-mail is cheaphealthygood@gmail.com.

16. What is that beautiful house? Where does that highway go to? Am I right, or am I wrong? My god, what have I done?
You’re on the wrong site, David Byrne. You probably want to go here.

Julia Child Cookbook Giveaway!

Hey everybody! Wednesday’s article will be posted in a bit, but in the meantime, I have a hardcover copy of Julia Child’s Mastering the Art of French Cooking to give away to a lucky reader. (Butter not included.)

To be eligible for this fabulously Gallic gift:
  1. Leave a 15-50 word comment about your favorite food-based movie scene. (Please don’t use the pie-eating contest from Stand By Me.)
  2. Sign your first name for I.D. purposes.
  3. Check back early Friday afternoon for the victor.
  4. Dance!
Using Random.org, the winner will be chosen on FRIDAY AT NOON, so please get your entries in before then.

One submission per customer, please.

Tuesday, January 27, 2009

One Thing You Need to Know About How Health Care Works

There are, and always have been, people who seem to have a knack, like folks selling things at the fair, of getting you to believe they know just about everything there is to know about a subject. It is more of a concern when the people involved have no background in health care or related fields.

Recently I was provided with a promo piece pushing a spendy program alleging to be the one source you need to purchase at $125 - after your $70 discount - that includes a 243 page digital publish-on-demand book and a set of CDs.

Having been in the health care industry for too long of a time there is not much that has really changed over the decades and not much I don't know about what's happening now.

If you are gullible enough to buy in to this website promotion, along with their other very superficial material, then I feel sad for you.

While I am a staunch supporter of health care freedom and have been for the majority of my life, I'm not for the Barnum & Bailey approach to educating people about it.

I'll openly recommend that you skip the fluff and forget to buy the $125 deal after your $70 discount.

I'll also openly recommend that you start here with an article written by a medical professional who knows a lot more about the facts. Certainly much more than a self-proclaimed "expert" who claims to have a 1200 digital book library.

Posted with permission of the author -
The Healthcare Codes Monopoly
Dr. Carolyn Dean MD ND
Originally Published in Total Health for Longevity, June 2006

Most people have no idea that there is a healthcare codes monopoly and don’t even know what it means. It’s time we did.

Billing Codes
The billing system of American healthcare is based on a complex coding system called Current Procedural Terminology (CPT codes). Established in 1966 by the American Medical Association (AMA), the codes garner the AMA hefty annual licensing fees. Each time a CPT code is used, the AMA gets paid.

There has never been a law against including codes to cover all healthcare practitioners but the AMA has developed very few codes for non-medical practitioners. This keeps other practitioners from becoming equal business partners in the world of insurance reimbursement for services rendered.

CPT codes are designed to document what a medical doctor does for a patient. Think of a department or grocery store where every item has a bar code, and if it doesn’t, the item can’t be sold without a clerk running back to the aisle to find the price. Swiping a bar code across the cashier’s scanner not only calculates the price, but also automates inventory control and financial management. It’s the same for healthcare, without a code there is no way to calculate appropriate payment and no itemization of what has transpired. It’s that simple.

The current coding systems cover only a fraction of what is happening in healthcare—coded interventions are the only transactions that are tracked, marketed, and reimbursed. This is why so little is known about what transpires in the marketplace with regard to healthcare practitioners who are paid cash.

Without codes for all types of healthcare practitioners we can’t document the effectiveness of their care or the potential money that is saved by including them in insurance reimbursement. It’s a lose-lose situation. Patients lose, practitioners lose, and the nation keeps losing millions of dollars paid out to ineffective and costly drug-based medicine. For example, healthcare trends are tracked by data obtained from insurance companies. Since insurance companies can’t measure data they don’t have, they have no way of knowing, for example, that patients who see midwives have a much lower rate of cesarean section, about 10-15%, compared to patients who are delivered by obstetricians with over twice the rate –of about 30%.

Lack of relevant data is also why we can only depend on small samples and surveys to tell us what forms of natural healing arts people are using because we have no other way of gathering the data.

It’s Getting Worse, Not Better
There used to be state codes (HCPCS III) that individual states created to meet their needs. The state codes were abolished in 2003, costing many states’ Medicaid programs millions of dollars.

Square Pegs in Round Holes
Being required to fit everything a practitioner does into an allopathic/medical code leads to a high degree of inexactness. Because CPT codes include very few non-medical modalities, many doctors must limit their practice to allopathic medicine—so they can get paid by insurance, which, in turn, limits the type of care available to the public. Practitioners who use non-allopathic modalities have to fit their care into a CPT code—square pegs into round holes. For example, all states allow nurse practitioners to bill directly for their care, but they lack appropriate codes. So, while insurance companies may direct them to bill using CPT codes, the American Nurses Association has determined that CPT codes do not describe or document that the care is from a nurse. ABC codes solve this problem, for all practitioners by giving each practitioner their own set of codes.

State of Exclusion
Due to discrepancies in state “scope of practice laws”, insurance companies don’t know the scope of practice for each type of practitioner in each state, and because of potential legal liabilities, they just don’t pay for these services. To be fair, they don’t want to pay a claim illegally, but it suits them just as well to not pay –it saves them the hassle of processing claims without codes.

This graph shows practitioners left out by the medical monopoly in coding:

ABC Codes
Knowing the limitations of the CPT codes, a unique company called ABC Coding Solutions developed “ABC Codes” that describe services, remedies, and equipment items used by all healthcare practitioners, not just medical doctors. And, they include codes for most aspects of alternative medicine as well including homeopathic remedies.

Ms. Giannini, the CEO of ABC Coding Solutions knew the healthcare system was unhealthy. But it wasn’t until she experienced a chronic illness that she became a victim of it herself. She struggled with her illness for two years, going to medical doctors who billed her insurance company a total of $15,000 -all legally coded and absolutely ineffective. After none of the medical treatments worked, it only took a few visits and with a doctor who provided care that was not in the CPT codes, and $500 in out of pocket expenses, to get her well.

Ms. Giannini found it incredible that an insurance company would gladly pay $15,000 for treatments that didn’t work and refuse to pay $500 for treatments that did. The doctor that helped her get well is one of millions of practitioners forced to operate outside the “system”, which also forces millions of patients like Ms. Giannini outside as well.

Playing Monopoly
The AMA was told by the federal government in 1993 to create codes for non-MDs, but they haven’t complied. It’s like asking Ford to create service and supply codes for Chrysler! Nobody is going to willingly stop something that works in their favor. Nurses have tried for decades to get nursing codes by participating on a coding panel with the AMA without much luck. And, as of 2006, out of over 8,000 CPT codes for medical care, there are only four CPT codes for chiropractors and acupuncturists, and massage therapists have one code.

Cut the Bureaucracy
ABC Coding Solutions keeps current on the legal scope of practice of all practitioners in all 50 states and ABC codes legally reflect the practices of more than 3 million underserved healthcare practitioners. But they are not meant to supercede the current codes; when used together with CPT and government codes, ABC codes support a complete, accurate, and precise documentation of patient encounters and a common language for comparing the economic and health outcomes of competing approaches to care. The fact that ABC Coding Solutions can determine if a code is legal or not saves billions in administrative costs spent haggling over inappropriate codes.

ABC Coding Solutions estimates that using ABC codes will save more than $51 billion per year in U.S. healthcare costs when implemented across the healthcare industry.

Using the example of the Medicaid Behavioral Health Department in Alaska, by using ABC codes in place of state codes that were retired in 2003, this department saved $2 million in one year. This department has thus far used ABC codes to process more than 500,000 health claim and payment transactions. A Medicare Advantage plan in New Mexico has paid claims on ABC codes for over five years with similar outstanding results.

Having ABC codes will not change healthcare overnight—but ABC codes are a big step in the right direction. Unlike technologies that cost millions and take years to return a profit, ABC codes are a turn-key operation and begin saving everyone money immediately.

With ABC codes, insurance companies, government and the public will have information to make informed decisions on healthcare spending and reimbursement.

Consumer Directed Healthcare (CDHC)
CDHC and Health Savings Accounts (HSAs) are an attempt to “solve” the problem of rising healthcare costs. They raise consumer awareness about the real costs of healthcare and help people make better decisions about how to spend their healthcare dollars. However, they are currently set up using only the medical model of care and AMA CPT codes. They do not currently address the demands of millions of people who want alternate options to prescription drugs and surgery.

ABC codes, however, allow all practitioners to effectively document their care and thereby potentially participate in insurance reimbursement and HSAs. Thus ABC codes will help maximize the benefits of HSAs by providing consumer access to a wider variety of caregivers.

What You Can Do
ABC codes have been in use since 2003. However, ABC codes need to leap over one more hurdle. They need to be named a permanent government standard so that insurance reimbursement will be also become standard for all types of health care.

ABC codes are authorized for use through October of 2006. We have until then to lobby our elected officials to have ABC codes made a government standard. Please visit www.ABCcodes.com for information on how you can urge your elected officials to break the healthcare codes monopoly. From there you can send your elected officials an email urging them to support naming ABC codes a permanent government code-set. You may also contact ABC Coding Solutions at 1-877-621-5465.

We don’t need more caregivers in America, instead we need to rethink coding. Coding is creating an artificial bottleneck for direct consumer access to quality healthcare. Consumers are demanding choice in healthcare. You can help create choice by demanding that ABC codes are available to document the care that consumers are already using.

Carolyn Dean M.D., N.D. is a medical doctor, naturopathic physician, researcher, educator, and wellness consultant. She has written eleven highly-acclaimed books, the most widely read is The Miracle of Magnesium along with her most recent, The Yeast Connection and Women’s Health, IBS for DUMMIES, and Hormone Balance: A Woman’s Guide to Restoring Health and Vitality. Dr. Dean disseminates the message of health and self-responsibility in both private Wellness Telephone Consultations and at public seminars. You can find her at www.drcarolyndean.com.

Tuesday Megalinks

Great googly moogly, it’s just a faboo lineup this week, with a huge number of posts from an enormous variety of blogs. Of special quality: Tony Bourdain’s DCist interview, an advice powerhouse from Zen Habits, Simple Mom’s menu-planning ideas, and a GREAT piece on corn syrup from David Lebovitz. Enjoy!

Carrie and Danielle: Tips and Tricks to Eat Healthy on a Budget
Quick rundown of well-known tips – a good read if you need ‘em all in one place.

Consumerist: Snapple's Acai Drink Just Pear Juice And Corn Syrup
WHAT? Wendy the Snapple Lady, how could you steer us so wrong?

David Lebovitz: Why and When to Use (or Not Use) Corn Syrup
Post of the week, folks. Fantastic FAQ explains the difference between regular corn syrup and the high fructose version, AND gets into how, when, and why you should put Karo in your baked goods. (Thanks to Culinate for the link.)

DCist: Chewing the Fat with Anthony Bourdain
In which my beloved Tony goes to town on Alice Waters, then waxes philosophical on eating in America: “Alice Waters annoys the living s**t out of me. We're all in the middle of a recession, like we're all going to start buying expensive organic food and running to the green market. There's something very Khmer Rouge about Alice Waters that has become unrealistic. I mean I'm not crazy about our obsession with corn or ethanol and all that, but I'm a little uncomfortable with legislating good eating habits. I'm suspicious of orthodoxy, the kind of orthodoxy when it comes to what you put in your mouth. I'm a little reluctant to admit that maybe Americans are too stupid to figure out that the food we're eating is killing us. But I don't know if it's time to send out special squads to close all the McDonald's. My libertarian side is at odds with my revulsion at what we as a country have done to ourselves physically with what we've chosen to eat and our fast food culture. I'm really divided on that issue.”

Epicurious: Top 10 Money-Saving Ingredients
I was pretty surprised at this, because 50% of the list is comprised of foods I eat most: cheese, chicken, legumes, potatoes, pasta, apples, etc. Beef’s inclusion is suspect, but it passes for now. (Thanks to Slashfood for the link.)

Gather Little By Little: Festival of Frugality #162
This week’s festival includes CHG’s The Argument for Spending More on Food, plus 60+ other quality entries.

Get Fit Slowly: Ideas for Losing Those Last Pounds
Have you plateaued? Are those final ten impossible to take off? Will you ram your head into a wall if you go another week without a discernible loss? MacDaddy has the answers.

Globe and Mail: How Mark Bittman saved the world and lost his belly
The How to Cook Everything author credits his weight loss to heightened awareness, less meat, and part-time veganism. Good times. (Thanks to Slashfood for the link.)

Happy to be @ Home: Raising Good Eaters
Amy raises her kids like my mom did: she doesn’t cajole, insists they try a bite of everything, and establishes early and often that she’s not a short order cook. Hardcore!

House Beautiful: An Inside Look at Barefoot Contessa’s New Barn
I realize this post is akin to torture during these economic times, but the beautiful slideshow will make you gawk in awe. I WANT THAT HOUSE. Ina fans: please note the prominent stand mixer nook. That’s my girl. (Thanks to The Kitchn for the link.)

Jezebel: Why We Shouldn’t Be Afraid of the Word “Fat”
Writer Kate Harding is fat. But people don’t call her fat, because she argues it carries such loaded meanings, “includ(ing) ugly, unhealthy, smelly, lazy, ignorant, undisciplined, unlovable, and just plain icky.” She goes on to explain, “I want to be called fat because it's the simple truth … I am a kindhearted, intelligent, attractive, person, and I am fat. There is no paradox there.” Interesting discussion.

The Kitchn: Organize Your Fridge With Sixpacks
K.I.S.S. (the acronym, not the glam rock band) in action.

Men’s Health: The 20 Worst Foods in America 2009
I’m in sugar shock, so I’m just going to list the nutritional facts for the worst food and then go vomit:
Baskin Robbins Large Chocolate Oreo Shake
2,600 calories
135 g fat (59 g saturated fat, 2.5 g trans fats)
263 g sugars
1,700 mg sodium


My Open Wallet: Details on the Food Budget
If you ever wondered how a single woman in New York could spend $8000 on food in a year, this is a good explanation. I totally empathize.

New York Times: Flush Those Toxins! Eh, Not So Fast
Doctors generally agree that detoxes and colonics are a load of hooey. Here, the Gray Lady explains why.

The Non-Consumer Advocate: Food Waste
I really like the post (about preventing too much dinner from being chucked in the garbage), but I liked the blog banner even more. It merits a rating of four out of four adorable kitties. (Thanks to Slashfood for the link.)

Serious Eats: Store-Bought Chicken Stocks, Reviewed: Which Are the Best?
The winners: Swanson’s Chicken Cooking Stock, Kitchen Basics, and Glace de Poulet Gold.
The losers: chickens everywhere.

Serious Eats NY: Fast Food Oatmeal Taste Test – The Good, the Bland, and the Goopy
The winners: Jamba Juice and Au Bon Pain
The losers: bizarrely, still chickens everywhere.

The Simple Dollar: Treasures in the Cupboard – Eight Tactics We Use to Maximize the Value of Our Pantry
The definitive post on why stocking a pantry is important, plus extra tips on how to get the most out of yours. Related story: my office manager sent out an e-mail last year asking everyone to clean out the panty. He meant pantry, of course, but the image was fun.

Simple Mom: How to Menu Plan AND Money Saving Mom: How I Save Money by Planning a Menu
If you didn’t know the hows and whys of menu planning, you do now. Simple Mom has a particularly organized approach. She uses charts! CHARTS, people!

Wise Bread: 6 Ways That Dieting and Budgeting are Exactly the Same
#7: They both end in the letters “ing.” (Hey-yo! I'm here all week, folks.)

Zen Habits: The Zen of Real Food – Keeping Eating Simple
Read it. Live it. Love it:
“It’s as simple as ‘Eat Real Food.’ So what do I mean by Real Food? Simple…
Food grows and dies. It isn’t created.
Food rots, wilts, and becomes generally unappetizing, typically rather quickly.
Food doesn’t need an ingredient label (and probably isn’t in a package either).
Food doesn’t have celebrity endorsements.
Food doesn’t make health claims."

(Photos courtesy of USA Today, The New York Times, and I Can Has Cheezburger.)

Monday, January 26, 2009

What money buys

Perhaps Pfizer growth is not best for your health -

US drug maker Pfizer, the world's largest pharmaceutical firm, is to buy rival Wyeth in a deal worth $68bn (£50bn), the two companies have announced.

At the same time it announces at least 240 layoffs.

Its third quarter earnings show total revenues of 12 billion.

Pfizer manufactures Lipitor and Viagra. One-fourth of its profits come from Lipitor, but patent protection will be disappearing soon.

Legal settlements have shown that the firm needs to protect itself from downturn and losses.

However, Pfizer has infiltrated the natural health market place (and supplement companies) through many subsidiaries, placing key corporate personnel in these related venues.

Autumn Apple Salad, My Middle Eastern Grocer, and Me

Beyond decent coffee and lots of easily obtainable heroin, the nicest things about my area of Brooklyn are the Middle Eastern grocery stores around the corner. There’s a small row of them, two of which have bulk grains, nuts, and dried fruits stretching from here to eternity. Their foods are about a billion times cheaper than my supermarket, and one of the places is even pretty clean, which is an unexpected bonus.

I bring this up is because this past weekend, I found the brain-meltingly tasty Autumn Apple Salad II on AllRecipes. It’s a simple, easy-to-make, totally delicious Waldorf-esque concoction flavored by yogurt, tart apples, toasted almonds, cranberries, and cherries instead of heavy cream and/or mayonnaise (my most hated food-like item). And since most of that stuff costs a bundle around here, the whole scrumptious shebang would have gone unmade had it not been for my aforementioned Middle Eastern grocer.

(And that, my friends, would have been tragedy. Because this salad, if I haven’t mentioned, is good.)

I popped in on Saturday, and among the trays of baklava and tins of Turkish Delight were jars and jars of every wrinkled delicacy in existence: figs, raisins, pineapples, ginger, prunes, apricots, and of course, cranberries and cherries. The almonds were located just a few urns down, hidden in a menagerie of pistachios, walnuts, pecans, and every other nut you could imagine. I could have stayed for hours, just browsing (and occasionally picking), but instead, paid my $1.77 and left.

Fortunately, within ten minutes of arriving home, I had Autumn Apple Salad II to comfort me. (Not to belabor the point, but: good.) The Boyfriend loved it, too, and I’ll be making it muchly next Fall, when Granny Smiths are actually in season.

Anyway, enjoy. And get grocer-in’.

Autumn Apple Salad
Makes about 4.5 cups of salad, or 6 servings of ¾ cups each
Adapted from All Recipes.

4 tart green apples
1/4 cup toasted blanched slivered almonds
1/4 cup dried cranberries
1/4 cup chopped dried cherries
1 (8 ounce) container light vanilla yogurt

1) In a medium bowl, combine all ingredients. Stir until thoroughly mixed and apples are coated.

Approximate Calories, Fat, and Price Per Serving
150 calories, 3.3 g fat, 4.5 g fiber, $0.89

Calculations
4 tart green apples: 320 calories, 0 g fat, 20 g fiber, $2.97
1/4 cup blanched slivered almonds: 167 calories, 15.9 g fat, 3.3 g fiber, $0.73
1/4 cup dried cranberries: 103 calories, 0.4 g fat, 2.2 g fiber, $0.48
1/4 cup chopped dried cherries: 100 calories, 1 g fat, 2 g fiber, $0.56
1 (8 ounce) container vanilla yogurt: 210 calories, 2.5 g fat, 0 g fiber, $0.57
TOTAL: 900 calories, 19.8 g fat, 27.2 g fiber, $5.31
PER SERVING (TOTAL/6): 150 calories, 3.3 g fat, 4.5 g fiber, $0.89

Saturday, January 24, 2009

Focus on Bone Health Naturally

UPDATE and REPOST: 24 Jan., 2009
There are many articles I've posted here at Natural Health News in the past five years. Bone health is not a lineal process as mainstream medicine pundits would have you believe. It isn't even properly evaluated with the bone density testing offered around the country; the ones that allegedly do the testing by using your heel in a machine (DEXA) that emits radiation. Ultrasound isn't completely revealing either.

You might want to know of a test approved in 2000 at the FDA called the Access Ostase blood test. This test determines bone metabolism by measuring the level of a certain enzyme in the blood called bone-specific alkaline phosphatase (BAP). If a particular osteoporosis therapy is not working, physicians may be able to tell within a matter of months.

Information on lab tests for bone health concerns

"Osteoporosis is a degenerative bone disease affecting roughly 25 million Americans, mostly post-menopausal women. Osteoporosis is currently one of the most under-diagnosed and under-treated disorders in medicine. It is estimated that one-third of women over age 50 have osteoporosis. Osteoporosis is characterized by a decrease in normal bone density due to the loss of calcium and collagen. ***A loss of bone density causes bones to become brittle, and in turn, leads to frequent fractures and other serious effects. Osteoporosis accounts for more than 2.3 million fractures per year in the United States and Europe."


***Just remember that as bone density leads to brittle bones and fracture, so do the prescription osteoporosis drugs.

It isn't as simple as taking a very risky drug your doctor tells you you need to take. Bone health, just like all health is a complex process involving numerous factors, and especially many nutrients.

Nutrient Supports Bone Health Over Time
By Rosalie Marion Bliss, January 14, 2009

Findings from a new study suggest that natural pigments found in plants may help protect against bone loss in older men and women. Researchers funded by the Agricultural Research Service (ARS) reported the findings in a paper published online by The American Journal of Clinical Nutrition.

The study was led by epidemiologist Katherine Tucker with the Jean Mayer USDA Human Nutrition Research Center on Aging (HNRCA) at Tufts University in Boston, Mass. Tucker directs the HNRCA's Dietary Assessment and Epidemiology Research Program.

Other studies have consistently shown that fruit and vegetable intake is good for bones. Biological antioxidants in fruits and vegetables, such as carotenoids, protect cells and tissues from damage caused by naturally occurring oxygen free radicals in the body. Such plant nutrients may help protect the skeleton by reducing oxidative stress and thereby inhibiting bone breakdown or resorption.

The researchers examined potential effects on bone mineral density of overall and individual intake of several carotenoid compounds, including alpha-carotene, beta-carotene, beta-cryptoxanthin, lycopene and lutein+zeaxanthin.

For the observational study, the researchers tracked changes in bone mineral density at two areas of the hip and lumbar spine of male and female volunteers, aged 75 years on average, participating in the Framingham Osteoporosis Study. Among these volunteers, 213 men and 390 women were measured at the beginning of the study and four years later.

Over the course of the four years of the study, carotenoids were associated with some level of protection against losses in bone mineral density at the hip in men and at the lumbar spine in women. No significant associations were observed at the other bone sites.

The results suggest there is a protective effect of carotenoids, particularly of lycopene, against bone loss in older adults. The researchers concluded that carotenoids may explain, in part, the previously observed protective effects of fruit and vegetable consumption on bone mineral density.

To look up the levels of individual carotenoids in selected foods, go to "Reports By Single Nutrients," provided by the ARS Nutrient Data Laboratory at:
http://www.ars.usda.gov/Main/docs.htm?docid=15869

ARS is a scientific research agency of the U.S. Department of Agriculture.


The above report is heartening however much of the information in the report was made known well over a decade ago in the work of Susan Brown, PhD., and many researchers before her.

Other information you may not know. Part of this missing link is the bone-damaging impact from many non-osteoporosis drugs. Another is that there are very effective natural approaches to insure and improve bone health that are not based on bone destroying fluoride drugs.

Please contact us for more information.
________________________________________

While Dr. Karsenty's research may lead to a shift in mainstream medicine I would call for a totally different approach.

We do not need another new drug and we certainly do not need the current fluoride and bisphosphonate type drugs that are replete with a plethora of side effects that can cause cancer and fracture.

I'd like to see a totally different approach like the one I developed for clients that is showing positive benefits of healthy new bone growth and strengthening. Or as an option you might find help with an herbal formula proven at Harvard's Dana Farber I have used with others as their choice.

Not only do we need new health care, we need new ideas and new approaches with out fear of going outside the controlling and repressive "standards of care" controls to keep providers in line with Big Insurance and Big Pharma dictates.

And we need to move from the "study" model to the application model.

It Takes Guts To Build Bone, Scientists Discover

ScienceDaily (2008-12-01) -- Bone growth is controlled in the gut through serotonin, the same naturally present chemical used by the brain to influence mood, appetite and sleep, according to a new discovery. Until now, the skeleton was thought to control bone growth and serotonin was known as a neurotransmitter acting in the brain. This insight could transform how osteoporosis is treated by giving doctors a way to increase bone mass, not just slow its loss. ... > read full article

Friday, January 23, 2009

Molasses Whipped Sweet Potatoes: Obama for Your Mama

We’ve largely shied away from expressing our views on the government here, because it doesn't seem like the appropriate forum. Sure, food is inherently political (and social and economical and mystical and lots of other things ending in “al”), but I’m of the mind that recipes for light cornbread should be uniters, not dividers.

Still, it was hard not to get totally, over-the-moon excited about the inauguration on Tuesday. Whether you dig Obama or not, there was a little something for everyone: cultural milestones, meaningful speeches, Michelle’s dress(es), Sasha and Malia’s general adorability, Reverend Lowery’s racial rhymes, Dick Cheney’s impression of Mr. Potter from It’s a Wonderful Life, etc.

Being of sound mind and perpetually hungry body, I was particularly interested in the offerings at the Inauguration Luncheon. And folks, get a load of this:

First Course: Seafood Stew
Second Course: A Brace of American Birds (pheasant and duck) served with Sour Cherry Chutney and Molasses Sweet Potatoes
Third Course: Apple Cinnamon Sponge Cake with Sweet Cream Glacé

It’s so scrumptious-looking and so … so AMERICAN. (*waves flag*) Yet, while everything seemed eminently delicious, the sweet potatoes stuck out the most. This is because A) comparatively, they appeared fairly lean, B) there’s just no good wild pheasant wandering around Brooklyn these days, and C) if given a choice between sweet potatoes and my spinal cord, I’d go with the former.

So, last night I got out my pan, my masher, and went to work. And, uh, actually? There wasn’t much work to do. It’s a pretty simple recipe, requiring a pan, a bowl, a masher, and a tongue. The tongue is used for the last step, which is, “HOLY MOLY, EAT THIS UNTIL YOU PASS OUT.”

Those inauguration folks knew what they were doing. These are (*sighs contentedly*) some dang good starches. Smooth, warm, and just sweet enough, they’d make excellent accompaniments to leafy greens and/or lean meats (or pheasant, apparently). The orange juice may sound strange at first, but shouldn’t be skipped under any circumstances. It balances the sugar and brightens the whole dish.

A few notes if you try it yourself:

1) Instead of buying a full half-gallon of Tropicana (we don’t drink OJ), I squeezed half a softball-sized orange for ¼ cup of its juice. It saved about $2, and I used the other half for breakfast this morning.

2) The potatoes will be super-hot when you peel them, but a pair of rubber gloves OR plastic bags around your hands should solve the burn issue.

3) Though the recipe asks for three pounds of potatoes, my calculations are for slightly less, since you lose about four or five ounces in the peeling process.

In conclusion, the inauguration was aces, the President is cute (!), and try the sweet potatoes. It’s what any good patriot would do.

Molasses Whipped Sweet Potatoes
Makes 4-1/2 cups or 6 servings of ¾ cups each
From The Inaugural Luncheon 2009

3 or 4 large sweet potatoes (about 3 pounds), pierced a few times with a fork
2 tablespoons unsalted butter
1 teaspoon kosher salt
1⁄4 cup orange juice
1⁄2 tablespoon of brown sugar
1 tablespoon of molasses
1 teaspoon of ground cumin
2 tablespoons maple syrup

1) Preheat oven to 400°F. Prep a baking sheet. Put sweet potatoes on it.

2) Roast sweet potatoes about 1 hour, or until you can stab them through without resistance. Remove from oven, and using rubber gloves or plastic bags on your hands, peel the skin from the flesh. (They should still be hot while you're doing this.) (Be careful.)

3) In a large bowl, using a potato masher or a hand mixer, mash the sweet potatoes. There should be no big chunks when you're done. Add all the rest of the ingredients. Mix thoroughly until lumpless. Salt and pepper to taste.

4) HOLY MOLY, EAT THIS UNTIL YOU PASS OUT.

Approximate Calories, Fat, and Price Per Serving
227 calories, 4 g fat, $0.73

Calculations
4 large sweet potatoes, skinned (about 44 oz): 950 calories, 1.2 g fat, $2.94
2 tablespoons unsalted butter: 201 calories, 22.6 g fat, $0.16
1 teaspoon kosher salt: 0 calories, 0 g fat, $0.01
1⁄4 cup orange juice: 31 calories, 0.1 g fat, $0.50
1⁄2 tablespoon of brown sugar: 17 calories, 0.1 g fat, $0.02
1 tablespoon of molasses: 58 calories, 0 g fat, $0.14
1 teaspoon of ground cumin: 0 calories, 0 g fat, $0.02
2 tablespoons maple syrup: 104 calories, 0.1 g fat, $0.67
TOTAL: 1361 calories, 24.1 g fat, $4.46
PER SERVING (TOTAL/6): 227 calories, 4 g fat, $0.73

Thursday, January 22, 2009

The Argument for Spending More on Food

In his book The Omnivore’s Dilemma, food anthropologist Michael Pollan claims modern Americans spend nearly 5% of our income on what we eat. While this might seem like a lot, consider this: we used to cough up 10%.

For people like me, that 5% difference initially seems like a good thing. It’s helped me pay off school loans, squirrel funds away for a house, and stop living paycheck to paycheck. I can bank hundreds of dollars a month because I buy generic eggs at $1.99 per dozen, rather than the cage-free, brown-ish ones for $3.50.

But what about the long run? Will that same cheap food hurt my health? Does “cage-free” merit an extra $1.51? Will the money I save on inexpensive eggs eventually go toward doctors and drugs needed to ward off the effects of those eggs?

These are complicated questions, and with the economy beating Americans to a bloody pulp, paying more for quality groceries may seem ludicrous, not to mention antithetical to CHG’s entire mission. Of course, expense doesn’t necessarily connote excellence, either. It’s never a given that pricier food automatically means tastier, more nutritious, or more humanely raised food. Still, assuming that cost often coincides with quality, there are advantages to spending more on groceries that can’t be denied.

Consider the following points, then. Admittedly, they include sweeping generalizations, and holes can be poked ad nauseum, but I think the overall arguments are worth examining. Please, feel free to comment.

In many cases, more expensive food is healthier food.

When it comes to dairy, meat, and in-season produce – a.k.a. food found around the perimeter of the supermarket - the pricier options are often those made organically, locally, antibiotic-free, or with other higher standards in mind. Sure, these definitions are open to LOTS of interpretation, but it’s largely accepted the fancier food is healthier than the 8-for-$1 oranges shipped in from Paraguay. Often, their development isn’t rushed for profit’s sake, and there are fewer chemicals to be found both in and out.

Of course, the same holds true for packaged goods. Next time you hit Pathmark (or Food Lion or Kroger’s), take a look at some labels. Generally (very generally) speaking, more expensive items will have fresher ingredients with fewer additives, while cheaper items have more processed ingredients, including 17,000 different kinds of sugar (fructose, corn syrup, etc.). Why? Well, on the whole, chemicals are easier to create and preserve than real food, meaning production and packaging are less expensive. Need proof? Check cheese, frozen entrees, or yogurt. For example:
  • Currently, a 6-oz. container of Ronnybrook Strawberry Yogurt is going for about $0.27/oz on Fresh Direct. Its ingredients are as follows: pasteurized, unhomogenized whole milk, strawberries, sugar, nonfat dry milk, pectin, natural flavors, citric acid, and imported live cultures.
  • At the same time, Dannon La Crème Strawberry Yogurts are about $0.17/oz, but they contain the following: cultured grade A milk and cream, sugar, fructose syrup, strawberry puree, fructose, corn starch, kosher gelatin, natural flavor, malic acid, carmine and annatto extract, active yogurt cultures.
It almost makes sense that YoPlait, Dannon, and Breyers construct their products out of highly processed yogurt-like compounds rather than, say, yogurt. It makes it more affordable and thus, more marketable. However, it may not be better for our bodies.

Higher-priced food is often better-tasting.

This relates again to the amount of actual food in our food. A $4 loaf of cinnamon raisin bread from the farmers market may go bad in four days, but it’s DELICIOUS and lacks the distinct chemical overtones of store-bought bread, as well as the mile-long list of preservatives. While this difference is apparent all around the supermarket, it holds especially true for fresh foods, like produce, dairy, and of course, meat.

Speaking of meat: we’ve all sampled the poultry-esque flavor of McDonald’s Chicken McNuggets at some point or other. For the price, you get a lot of filling, vaguely edible niblets. But have you ever had pork from a butcher? Or an honest-to-god, line-caught piece of fish? Or chicken that didn’t come from Tyson? I have. The difference in flavor is world-changing, especially when a dish is prepared well.

Look, we do what we can with what we have. And sometimes, the results are pretty damn good. But there’s no denying that cheap, chemical-laden food products often taste like … well, nothing. For the sake of flavor, blowing a few more bucks to procure a decent chicken might be worth the money.

Some costlier foods guarantee better treatment of animals and more respect for nature.

Often, heftier price tags come with promises of better living conditions for cattle, chickens, and pigs. But why should you cough up extra dough for something that’s going to be killed anyway?

Simply, it’s probably healthier and definitely more humane. You don’t have to be a hemp-crazy hacky sacker to acknowledge that factory farms like CAFOs (Concentrated Animal Feeding Operations) are less than ideal housing situations for soon-to-be butchered animals. Filthy and crowded, they promote disease and take short-cuts to produce in-demand meat on a faster basis. (While we’re on the subject, growing the same crops on the same land year after year can’t be particularly great for the ecosystem, either.)

Spending a few more pennies for farm-raised animals or local produce can help by promoting sustainable agriculture, along with open spaces for grazing. Beware, though, because you often have to look beyond the labels. Many “free-range” chickens don’t live on idyllic grasslands, but instead, in overcrowded coops with limited access to a tiny patch of barren, rarely-used soil. Still, research and careful label-reading can ensure your food originates from carefully-tended, pro-environment farmlands. And that? Deserves a few bucks.

Good food can make it feel like you’re spoiling yourself without blowing the bank.

A blogger named Scordo put this best in a January 9th post about his parents: “Eating well provides my parents with their own luxury lifestyle at a fraction of the price of most luxury goods.”

This particular point may apply more to foodies, but I think it’s valid enough to include. If you value and love food as much as I do, a $10 block of artisanal cheese is way, way better than a cashmere sweater or Coach bag. It costs $100 less, too.

~~~

There are more points to make here, but I think health, taste, environmental impact, and luxury are the most important four. And while CHG will continue to push less-expensive, well-cooked food, the arguments are solid food for thought.

Readers, what do you think? The floor is open.

(Photos courtesy of National Post and Shred Something.)

CHG Favorites of the Week

Hey folks – yesterday’s regularly scheduled article is coming a bit later today. In the meantime, please enjoy this week’s favorites. (Also, the In-Season Produce for January has finally been updated. Oops.)

Food Blog/Website of the Week
Health-E-Savers
For those who think coupons are only for fluorescent-hued Go-gurt, Health-E-Savers comes as a welcome exception to the rule. A lot of it seems to be supplements and vitamins, but digging a little deeper seems to score quite a few organics and such. (Thanks to Money Saving Mom for the link.)

Food Comedy of the Week
"New Martha Stewart Recipe a Message to Her Enemies" by Onion Radio
(Warning: adult language) Heh: “Many believe that Stewart’s elegant recipe for Spiced Apple Crepes led to the untimely death of rap singer Tupac Shakur.” (Thanks to Serious Eats for the link.)



Food Quote of the Week
“Abstain from beans.” – Plutarch

Food Quote of the Week #2
“Ask your child what he wants for dinner only if he's buying.” - Fran Lebowitz

Food Video of the Week
“Mexican Wine” by Fountains of Wayne
Note: that’s not Fountains of Wayne in the start of the video. Those are teen twins. FoW are the aging white guys playing the perfect pop songs later on.



Totally Unrelated Extra Special Bonus of the Week
“Aretha’s Hat is Everywhere” from Buzzfeed
Dozens of famous folks festooned with the Queen of Soul's monster inauguration bow. Cheney (below) is best, but the Terminator and Vladimir Putin must be seen, too. (Thanks to Hops for the link.)

Wednesday, January 21, 2009

Veggie Might: Homemade Vegetable Stock and a Fresh Start

Written by the fabulous Leigh, Veggie Might is a regular Thursday feature about all things Vegetarian. This week, it's coming a day early in celebration of the new administration. Today's regularly scheduled article will appear tomorrow.

(Editor’s note: At this article’s filing, I’m in Baltimore/DC and may just be a little swept up in Change.)

It occurred to me that I’ve used homemade vegetable stock in my last few CHG recipes. It’s not the sexiest recipe I can share with you, but it’s one of the most practical, useful, and economical things you’ll ever make, use, and love.

In the spirit of These Trying Economic Times and The New Days Ahead, we can make change possible by casting aside the bullion and canned broth of the past. We can cast off the shackles of sodium and MSG that have been raising our blood pressure. We can create from whole vegetables and herbs a brew that tastes and smells of home and garden, not of the agri-industrial complex. And we can make this for less than 20 cents a serving.

There are as many takes on vegetable stock as there are cooks in the firmament; there is no right or wrong way to make it. Whatever veggies you like are the veggies you should use. Most western cooks agree that a few carrots, a potato, an onion, a couple ribs of celery, and a generous bunch of parsley are essential. After that, it’s up to you and your taste buds.

I like to use parsnips and turnips in my stock, as well as garlic and leeks. Generally, I’ll add thyme (fresh if I have it, dried if I don’t) and a couple bay leaves too. I prefer sea salt, though many cooks recommend soy sauce, and whole black peppercorns to round out the seasoning.

The first time I made stock, I followed the directions in Moosewood New Classics, which differs not much at all from any of the countless recipes you would find on the Internet. The only major difference is what not to include. The Moosewood editors suggest you avoid tomatoes, broccoli, or any acidic vegetables in your stock. Everyone linked above disagrees, so throw in whatever you want to your heart’s and vegetable crisper’s desire.

There is a misconception out there that I feel I should address. I held this belief, too, until a bad batch set me straight: stock should be made with veggies you wouldn’t eat otherwise. Wrong! If you make your stock with questionable veggies, you will have questionable stock. You don’t have to perfectly dice your potatoes and carrots, but you definitely want to avoid that floppy rib of celery and slimy parsley that’s ready for the compost pile.

The debate about the difference between stock and broth rages, but they are mainly the same. Call it what you like, but ultimately you want your base to be versatile. If it’s over seasoned, or particularly seasoned, its uses are limited.

Your homemade stock/broth will be so much healthier than any canned version you can buy, plus you can rescue some of the veggies to get even more bang for your pennies. I use the carrots, parsnips, potatoes, and turnips to make soup or a mashed root veg side dish.

I couldn’t use my normal methods for evaluating the calorie/fat content of the homemade stock, since the veggies are not eaten, only stewed. I checked out a few sites, found the nutritional content of the recipes, and took the mean: 23 calories per cup, 0.1g fat.

You may want to add olive oil to your stock. Sometimes I do; sometimes I forget. This batch, because I used a few more ingredients than last time, came out to about 19 cents per serving. (I also made two gallons, but I adjusted the recipe for 2 quarts. Not everyone uses stock at the rate I do.)

So, with a sense of Purpose and the Mantle of Inspiration, take these tips and make stock. Fortify yourselves and your families to face the challenges that lie ahead. Healthy bodies and healthy minds working together will make change happen and always Love You Back.

Homemade Vegetable Stock
Makes 2 quarts (8 1-cup servings)

8 1/2 cups water
2 large carrots
2 ribs celery with leaves
1 parsnip
1 medium turnip
1 medium potato
1 medium onion
1 leek
3-4 cloves garlic
1 small bunch parsley (about 1 oz by weight)
1 tsp dried thyme
1 bay leaf
1 tsp black peppercorns
2 tsp sea salt

1) Scrub all veggies. I only peel the turnips, but do what feels good to you.

2) Slice the carrots and parsnips into discs, quarter potato and turnip, coarsely dice celery, onion, and leek, and chop parsley, stems and all.

3) Put 8 cups of cold water in a stock pot or large dutch oven. Add all vegetables and seasonings.

4) Over high heat, bring just to a simmering boil, reduce heat, and continue to simmer for at least 1 hour, 2 if you have the time.

5) After 2 hours, turn off heat, cover and allow stock to continue to brew as it cools.

6) You can use immediately, refrigerate for up to a week, or freeze for 2 to 3 months.

7) Make soup, etc. to your heart’s content.

Approximate Calories, Fat, and Price per Serving
15 calories, .1g fat, $.185

Calculations
2 large carrots: $.36
2 ribs celery with leaves: $.11
1 parsnip: $.18
1 medium turnip: $.10
1 medium potato: $.19
1 medium onion: $.12
1 leek: $.12
3¬–4 cloves garlic: $.03
1 small bunch parsley (about 1 oz by weight): $.19
1 tsp dried thyme : $.02
1 bay leaf: $.02
1 tsp black peppercorns: $.02
2 tsp sea salt: $.02
Total Price: $1.48
Price per Serving: $.185

 
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