More than you need to know about fish and chips

Janice Wald at Mostly Blogging called my attention to the role fish and chips play in the British diet, so let’s see what you can learn about them from a vegetarian.

The Federation of British Friers (who are not to be confused with friars, who may have eaten fish on Fridays but otherwise have nothing to do with the story) writes that “fish and chips are the undisputed National dish of Great Britain.”

Yes, they do capitalize national for no better reason than that it matters to them. It’s a British thing, capitalizing words they like.

No, they’re not objective; these are the people who fry fish for a living, or at least represent the businesses that fry fish. But that stuff about fish and chips being the national dish agrees with pretty every other source I checked. Historic U.K. claims, “Fish, chips and mushy peas! There is nothing more British than fish and chips.”

Yeah, they’re asking a lot of that exclamation point, and the poor little thing didn’t manage to generate the excitement they were looking for, but I’ve done a bit of freelance writing myself and I cranked out copy that was just as dismal. So let’s just nod knowingly and move on.

Irrelevant photo: a surfer, riding a rock.

In fact, we’ll move on so fast that we’ll skid right past the mushy peas for now. I’ll come back to them. What you need to know for now is that everyone says fish and chips are as British as it’s possible to be.

Except for beer, because in a recent post I quoted an ad supplement that claimed eccentricity, beer, apologies, and tea were the essential elements of Britishness. It didn’t mention fish and chips. It all goes to show that you shouldn’t take anyone’s word for the essentials of Britishness.

And all the more so since neither source mentioned curry, although people here often say, “Nothing’s as British as a curry.” It’s meant to have an ironic edge, curry being a cultural import and all, unlike the deeply British fish and chips, but it turns out fish and chips also came from someplace else. They—or is fish and chips an it? Singular fish, singular dish, plural chips. It’s messy. Anyway, they or it either were or was brought here by (gasp) immigrants.

And the immigrants in question were, in case anyone isn’t getting this, foreigners, every last one of them.

So what are people who want their British culture pure to do? Give up both curry and fish and chips? What’ll be left?

Maybe a kebab. Or a plate of spaghetti. Or a nice cup of tea.

National purity’s hard to find. If you locate any, send up a flare, would you?

The BBC (which covers all the important stories) reports that “fried fish was introduced into Britain by Jewish refugees from Portugal and Spain. The fish was usually sold by street sellers from large trays hung round their necks. Charles Dickens refers to an early fish shop or ‘fried fish warehouse’ in Oliver Twist (1839) where the fish generally came with bread or baked potatoes.”

Fried fish was (were?) introduced in the seventeenth century—roughly the same time as fried potatoes. (The potato was brought from the Americas earlier, by Sir Walter Raleigh. Unless it was brought by Sir Francis Drake. You can find claims for both.) It was probably the French who first thought of deep frying them.

So that’s yet another bunch of foreigners messing with British cooking.

Chips, by the way, is American for what the British call crisps. Sort of. We (the we here being Americans) usually add “potato,” so it’s potato chips. Chips is British for what Americans call french fries.

Are you still with me? Am I? I went over that three times to make sure I hadn’t gotten lost.

Some of the sources I read are clear about the immigrant role in hooking Britain on fish and chips, but a few manage to run through the entire history without mentioning it. I’d be amused if immigration weren’t such a charged issue just now.

The north and south of Britain both claim to have invented the combination of fish and chips. According to Wikipedia (when I checked; it will have changed by now), “Some credit a northern entrepreneur called John Lees. As early as 1863, it is believed he was selling fish and chips out of a wooden hut at Mossley market in industrial Lancashire.

“Others claim the first combined fish ‘n’ chip shop was actually opened by a Jewish immigrant, Joseph Malin, within the sound of Bow Bells in East London around 1860.

“However it came about, the marriage quickly caught on. At a time when working-class diets were bleak and unvaried, fish and chips were a tasty break from the norm.

“Outlets sprung up across the country and soon they were as much a part of Victorian England as steam trains and smog.

“Italian migrants passing through English towns and cities saw the growing queues and sensed a business opportunity, setting up shops in Scotland, Wales and Ireland.

“To keep prices down, portions were often wrapped in old newspaper–a practice that survived as late as the 1980s when it was ruled unsafe for food to come into contact with newspaper ink without grease-proof paper in between.”

During both world wars, fish and chips were considered so essential to civilian morale that protecting the supplies was a government priority. During World War II, they were one of the few foods that were never rationed, although that doesn’t mean they were always available. When word got out that the local chippie had fish, queues formed and people were willing to wait an hour or more.

I’m not sure if fish and chips are still considered primarily working class or if they’ve gone upmarket. I do know that they’re not as popular as they once were, partly because, as stocks of cod and haddock have been depleted by overfishing, the price has gone up and partly because people have become leery about eating too much fried food. But there are still some still 8,500 fish and chip shops in U.K.

And here we circle back to mushy peas, because all or most of them sell mushy peas as well.

I think. Listen, I’m a vegetarian. I don’t poke my nose into fish and chip shops if I can help it, and I generally can. I’m taking other people’s word for this.

If you’re not British, you’re asking, “Mushy what?”

Peas. They’re dried peas, soaked and then boiled with a little salt, a little sugar, and some baking soda, called bicarbonate of soda here, until they form a lumpy, green moosh and taste of nothing in particular.

Why would anybody eat that, never mind do it? Well, it’s food. If you eat it, it will fill your stomach. And if you grow up on it, you’ll learn to love it. Either that or you’ll run screaming every time they’re mentioned.

When I told my friend R. that Wild Thing and I had worked up our courage and tried mushy peas, she told me people eat them with fish and chips, not on their own. And given the British habit of packing a bit of every food on the plate on the end of their fork, that means they can count of the fish to lend the peas some taste.

How do Americans eat? One food per bite unless the dish itself mixes them the way, say, stew does, or a mixed salad. No, I don’t know why. I also don’t know why the British eat a bit of everything at once. Honestly, I’m no longer sure why anyone does anything. Humans are hard to make sense of.

By the time R. told me that mushy peas weren’t meant to be eaten on their own, we’d each taken one lone bite and didn’t feel the need to try again. I may be a vegetarian and they may be vegetabilian, but I don’t go out of my way to eat oak leaves and grass either, and they’re equally vegetabilian.

I’ve now told you everything I know about fish and chips and mushy peas–and more.

Could the next topic someone throws at me be about something that’s more clearly either singular or plural? Please?

 

British beer and summer festivals

An ad insert in the Saturday paper last month claimed to be a guide to “the best beer, food and good times in the UK this summer.” Mostly, though, it was a guide to beer, but if you drink enough of the stuff you’ll probably decide you had a good time. Even if you don’t remember it.

Anyway, the insert had a lot about beer and a little about food (some of it cooked in beer), but it threw in a few festivals—where beer’s sold—so no one had to feel like they were reading Alcoholics Weekly.

And it all came with a generous side of pretension.

Irrelevant photo: a blackberry bush–or bramble–in flower if not in perfect focus.

Because I blog, though, I read the thing instead of tossing it in the recycling the way I would have in my saner days. I only do these things for you, and I hope you appreciate it.

So what did I learn? That you should pour your beer at a 45-degree angle, just the way you’d pour champagne.

Sorry, you didn’t know how to pour champagne? What kind of barbarians am I hanging out with?

I learned that beer should be served in “glassware that maximises its notes and taste.”

How can you tell if it maximizes them? This will vary with the alcohol content of your brew, but as a general rule, if your beer hits a pure A above middle C you’ve maximized too many notes and it’s time to go home.

Let someone else drive, will you?

I learned that beer has fewer calories than red wine. And possibly than white wine, although it only gave statistics for red.

It also has fewer calories than the entire contents of a restaurant refrigerator, but the supplement didn’t brag about that.

The statistics were for 4% beer, although the beers whose alcohol content was mentioned ran as high as 4.7%. How much of a difference does that make? I have no idea. But do you want my advice? Of course you don’t. Do I care? Of course I do, but I won’t hear from you till long after my fingers have stopped typing so what you might have said is kind of irrelevant, isn’t it?

So here’s the advice: If you’re counting calories, drink water. And don’t eat the entire contents of the restaurant refrigerator.

Since I just did something particularly British, I should take a moment to point it out. Embedding a question your listener can’t answer (“isn’t it?”) into a statement (“what you might have said is kind of irrelevant,”) is a very British way to put a sentence together. I’m not sure what it tells us about the culture, but even after eleven years in this country it still throws me. Someone could be explaining physics, or how to count time when you’re mangling a jazz standard—two topics about which I’m deeply ignorant, although I mangle all too well—and at the most intricate and baffling point in the explanation they’ll ask for confirmation of it all by saying, “isn’t it?” or something along those lines.

And I’ll nod. It’s automatic. Or worse, I’ll say yes, although for all I know they made the whole thing up. How could I tell? Especially since the British count musical time in breves and crotchets and hemidemisemiquavers and I learned (barely) to (not quite) count them in whole, half, quarter, and eighth notes.

I don’t think that eighth note doesn’t take us down as far as the hemidemisemiquaver, but when I was (not quite) learning this stuff, notes any smaller than an eighth scared me into catatonia. I’d look at all those marks on the page and see a particularly intricate and intimidating form of no information at all. So I’ll stop with the eighth note.

The hemidemisemiquaver really does exist, even if it sounds like something Dr. Seuss made up. I’m not sure how much time one takes up, but little enough that if I thought about it too long it would scare me much more than any eighth note ever did, so let’s move on.

I still haven’t figured out what the British do when they’re tossed a question like, “That’s a hemidemisemiquaver, isn’t it?” Do they agree, even if they don’t know? Do they ignore the question mark and wait for the speaker to go on, since it’s not really a question? For reasons I can’t explain, I’ve managed not to notice.

But we were talking about beer. Which is essential to British culture, so forget the fripperies. Let’s get back to the core of our conversation.

How do I know beer’s essential to British culture? (That’s not an isn’t-it? question, it’s a lazy way of structuring a piece of writing and lazy writing crosses cultures comfortably.) I know because the guide says so: “Eccentricity,” it says in a desperate effort to charm, “is an essential part of Britishness; as much a part of our national identity as beer drinking, apologizing too frequently and making a cup of tea at the first sign of trouble.”

We’ll skip the apologies and the tea in this post and instead work our way toward exploring that eccentricity, because almost as essential to British culture as beer are summer festivals, and the guide lists a handful. Most—and I’m sure this is coincidence—are beer festivals, but when they’re not, it helpfully tells you where to look for a beer if you attend.

“Make a date with beer,” it says.

A date? Damn. When I drank the stuff, it didn’t insist on a date. If you were at least minimally solvent, you could just wander into the nearest liquor store and pick some up. You didn’t have to bring it flowers or even wear clean clothes. But beer’s gone upscale. It took a course on improving its self-esteem. So make a date. Wash your clothes. Take a shower. People can tell.

The guide says food and beer festivals “aren’t just fun—they can be highly educational too.” One festival is described as “upmarket camping” and includes a bar on wheels (if you can’t catch it, go to bed; you’ve had enough) and a stargazing session led by an astronomer—presumably sober and not in an acute state of despair over what it takes a highly educated professional to make a living these days, but I don’t really know. People who couldn’t catch the bar can lie on their backs and be educated until they pass out.

But I promised we’d come back to that business about eccentricity, didn’t I?

Sleaford, Lincolnshire (actually the nearby and smaller Swaton, where as far as I can figure it out the festival takes place), held the World Egg Throwing Championships on June 25 this year. It was mentioned in the beer supplement, but we’re going to abandon the supplement at this point and go to primary sources.

In one contest, the goal is to hit a target—probably a real person but I can’t swear to that. With an egg, of course. In another, contestants toss an egg back and forth , moving further and further apart until the inevitable happens. In a third, they pass an egg down a line as quickly as possible.

But the best contest is Russian Egg Roulette, where each contestant gets a tray of six eggs and breaks them, one at a time, against his or her forehead. Five of them are hardboiled. One’s raw. I’m guessing that if you pick that one, you lose.

The event is also—helpfully—be a beer festival.

George Clooney declined an invitation to attend, although I can’t think why. He was invited after organizers read that he had an egg-flinging machine at home to discourage paparazzi.

The article I read didn’t say who has to clean up the eggs George flings. I’m guessing it’s not him.

Stories I found online show the competition going back to 2010, so I wouldn’t say this qualifies as a traditional British festival. If you’re thinking about entering next year, a small change in your google search will call up a set of links about the physics of egg throwing, which might or might not be useful, depending on your ability to understand them.

Another recently invented competition is the World Bog Snorkelling Championship, which is held in Llanwrtyd Wells, Wales, and is now in its thirty-second year. Contestants swim two lengths of a 60-meter (or 55-meter, depending on who you want to believe) trench that runs through a peat bog. They can’t use any conventional swimming stroke but they can use a snorkel and (as far as I can figure out) must dress in some sort of ridiculous costume. I don’t know how they decide who wins, or if anyone cares.

The pictures are great. It seems to be held in August, so there’s still time if you want to enter.

Moving on, Bognor Regis holds the Birdman Competition in which people jump off the end of a pier and either try to fly or just have a good time dropping into the water. (Beer may also be involved here. I couldn’t possibly comment.) . My favorite contestant was the guy dressed as a box of popcorn.

Disappointingly, some of the contestants actually did manage to glide. I do know that birds, in general, fly, and that flying’s probably the goal here, but given the choice I’ll still root for the box of popcorn plunging feet-first into the sea.

I watched the videos with the sound off. If they say anything truly obnoxious, I didn’t catch it. You’re on your own.

Our final festival is a traditional one, dating back to the ninth century. Or the sixteenth, depending on who you want to believe. This is a truly inspired event: The Dog Inn, in Ludham Bridge, Norfolk, hosts a dwile flonking competition.

The official website says:

“Dwile Flonking is normally played by two teams dressed as country ‘yokels’ (or any other fancy dress including team T-Shirts/uniform etc). One team joins hands to form a ring which circles round, leaping into the air as they do so (Girting). A. member of the other team goes into the middle of the circle and puts a beer-soaked dwile on the end of a stick (Driveller). He spins round and has to project (Flonk) the dwile off the driveller with the object of hitting one of the players circling round him. He scores points for his team according to which part of the body he hits. When all the players in one team have flonked, they then form a circle and girt, while the other team takes turns to flonk. The team with the most points at the end being the winners.

“So the point is to flonk your dwile off the driveller and hit a girter.”

If you break the rules, the referee calls a foul flonk.

The original rules required the flonker to drink a pot of beer—somewhere between half a pint and a pint of the stuff. But in these milder times we live in, flonkers have the choice of drinking the beer or pouring it over their heads and drinking an equal amount of ginger beer.

And—just to prove a claim I made in some much earlier post which I’m not going to go looking for, that the British sing when drunk—there’s a song involved: “As the teams, enter the playing area, and after the game, they: may feel like singing the flonking song “Here we’em be t’gether”. The first verse plus the chorus is normally sung at the start of the game, the full song may be sung at the end (if they have enough breath left).”

And no, I’m not slandering them when I say they’re drunk, I’m just taking their word for it. One of the verses goes:

Now the game it do end and down go the sun,
And one team ha’ lorst and the other ha’ won.
But nobody knows of the score on the board,
Cos they’re flat on their backs and as drunk as a Lord!

Championships are listed in Coventry and Nottingham as well as Ludham Bridge, and I find a reference to dwiling in Suffolk as well. Wikipedia (at the moment) calls it a traditional English game and quotes a source that says, “’The rules of the game are impenetrable and the result is always contested.”

I believe both statements, even if someone’s gone through and changed them by now.

British food: the ploughman’s lunch

Never say that I dodge the tough issues here. Chris White wrote in a comment that she couldn’t get a ploughman’s lunch in Scotland, and Laura, who blogs as A PIct in PA, wrote back, “I am a Scot from Scotland and have eaten many a ploughman’s lunch. I wonder why you are being denied this small but significant pleasure in life.”

What’s going on here? As it turns out, I can’t answer the question, but just so you don’t think I’m dodging it, I can tell you some interesting stuff about the ploughman’s lunch.

Irrelevant photo #1: This is what Fast Eddie usually looks like.

Irrelevant photo #2: This is what Fast Eddie looks like when he has an appointment with the vet. So the question is, how does he know?

The ploughman’s lunch—or just the ploughman’s if you’re short on time—consists of cheese, bread, butter, chutney, a pickled onion, and some random bits of green stuff. The cheese and bread should be large and chunky, or so sayeth the experts—and one expert sayeth that it should have ham as well. Another expert argues that you should make it out of whatever you have on hand, which sounds to me like a great recipe.

Now on to the interesting stuff: The ploughman’s isn’t a time-honored dish from Olde England. It was invented in the 1960s by the Milk Marketing Board, which was trying to promote the sale of cheese, especially in pubs. It will be referred to later, in a quote, as the MMB, so burn that into your memory or we’ll lose you and I hate when that happens.

But we can trace the story back a little further than the sixties. In 1956, the monthly bulletin of the Brewers Society reported that the Cheese Bureau “exists for the admirable purpose of popularising cheese and, as a corollary, the public house lunch of bread, beer, cheese and pickle. This traditional combination was broken by rationing; the Cheese Bureau hopes, by demonstrating the natural affinity of the two parties, to effect a remarriage.”

Two parties? They named four. That might have made a remarriage difficult, but no, they’re still together, although the pickle walked out and was replaced by chutney. I guess they figured three was an unstable number.

The pickled onion loyally marks the place where the pickle used to be.

In Britain, Pickle (with no S, just the singular pickle) is pretty much anything preserved in vinegar or brine as long as it’s chopped up so you can spread it on bread. Chutney is–as far as I can figure out–a pickle but it doesn’t seem to be called pickle. Are you still with me? Because I’m not sure I am. When a sandwich is listed as cheese and pickle, that means it has some gluey, pickly dark stuff on it–something that isn’t chutney.

Just for the record, I don’t like either of them.

But let’s stop gossiping about other people’s relationships. The point is that the combination was traditional. The new elements were the name and the spin. A website called Good Taste writes,

“The genius was in Sir Trehane’s romanticising the meal [Trehane was the Milk Marketing Board’s chair]. We must remember that at the time only a few rural pubs had indoor toilets, let alone a kitchen with a cook, so the Ploughman’s Lunch was designed to include raw ingredients that could easily be stored in a cool cellar and put together quickly and easily by bar staff with little or no culinary training. However, the cleverest part of the deception was in the MMB’s (or more strictly, its little known arm, the English Country Cheese Council) designing of the dish, the inclusion of just ‘cheese’. This allowed each region of the country to use its own regional cheese: Caerphilly, Cheddar, Cheshire, Derby, Double Gloucester, Lancashire, Red Leicester, Stilton, Wensleydale. All were initially served with a chunk of bread and a dollop of chutney for extra kick.

“However, the cheeses used were never those from the romantic image of the English countryside the MMB painted: they were little to do with real cheese, being efficiently produced in large, bright modern factories. Just as Kodak never actually sold or advertised film, they advertised memories, the MMB didn’t say ‘buy more cheese’, they simply sold it as a memory of a pre-war England washed down with traditional English Ale.”

So rationing was central to all of this, If you’re not from Britain, you may not know that rationing continued well past the end of World War II. The country came out of the war nearly broke, with damn little to export and no money to import food. The story’s complicated and involves not just Britain but also American politics, and it’s worth a post of its own if I can thread my way through the various elements that go into an explanation. I’d welcome any comments but I’ll leave the topic alone for now rather than get it wrong or oversimplify it.

So let’s go back to the ploughman’s lunch. The Ploughman’s Plot was successful enough that these days the lunch is on menus everywhere (at least in England and Cornwall–I can’t swear to its presence in Wales, Northern Ireland, and Scotland) and you can find posts on how to make one. I even found an article on how to eat one. My advice is to use your mouth, but that’s probably why no one’s hired me to write about food. I run out of words too quickly. The author talks authoritatively about whether it’s better to serve one on a slate or a wooden board. I’ve mostly seen them on plates, but maybe I’m not hanging out in the right places.

If you really need more detail on how to eat a ploughman’s, though, here’s what I can tell you: I generally take the chutney and move it off the plate, where I can pretend I don’t see it. Next I eye the pickled onion warily and move it as far away from the real food as possible. I’d put it on the table but pickled onions are damp and they’re messy, so I don’t feel free to do that in a public place.

Then I eat what’s left, which is basically a cheese sandwich that you get to play with.

A quick online check for “ploughman’s lunch Scotland” (this is, you’ll remember, where we started) brought up a few of places where they’re on the menu, but a lot of the links defaulted to England. That may mean the ploughman’s not as widespread in Scotland or it may mean I didn’t put in the word combination that would unlock the information I wanted. The Good Taste quote makes it sound like it was an English creation, so it may well have run up against Scottish nationalism, in which case–sorry, Laura–it’s doomed.

What I can tell you with certainty is that, unless it’s on a menu and the menu capitalizes all the dishes, there isn’t a reason in hell to capitalize ploughman’s lunch the Good Taste does–along with a shitload of other stuff that should be lower case. Because once the dish wanders off the menu and into what passes for the real world, it needs to surrender its caps. The world will be a safer place that way.

Living dangerously: the Cornish cream tea goes nationwide

The U.K. coffee chain Costa is boldly going where no sensible business wanted to go before.

What are they doing? Selling cream tea the Cornish way, not the Devon way.

Background break: What’s a cream tea? Two plain scones, strawberry (or sometimes blackcurrant, but they’re going with the more popular strawberry) jam, and clotted cream, which is cream that’s been beatified. I’ve made that joke before. My apologies if you remember it, but I couldn’t think of a better explanation. Plus tea, of course, except that Costa will substitute coffee, which will piss off the purists in both counties.

What’s the difference between the Cornish and the Devon cream tea? In Cornwall, you put the jam on the scone first. In Devon, you start with the cream.

Nations have gone to war over less.

Nobody asked for my advice, but I’d have suggested giving people the fixings and letting them figure out what to do. That would let Costa smile serenely and claim nothing is their fault. Because there’ll be hell to pay over this in Devon.

*

And a quick note: It’s summer, apparently, because the first cygnets—baby swans, to those of you not in the know—have been born at the Abbotsbury Swannery, in Dorset.. The Western Morning News (which I can’t find online, so no link, which is a shame because they had a great photo) reports that this is the traditional signal. Here in Cornwall, it’s gray and I’m wearing two sweatshirts, but who am I to argue with tradition?

A rare relevant photo: Swan with cygnets, from Pixabay.

Brussels sprouts at Christmas: a crisis update

What’s the latest crisis in Britain? A super-pest, the diamondback moth, attacked this year’s British brussels sprout crop and supermarkets are struggling to keep their shelves stocked with this all-important Christmas vegetable.

What will become of us all, my friends?

And this isn’t only a Christmas issue. It seems people have taken to using brussels sprouts out of season by adding them to smoothies and salads and stir fries. Next year, we’ll start seeing them in cakes and cookies. And as a nice green layer in a trifle. They’ll taste terrible, but won’t they be pretty? And hey, they’re good for you. Mmmm. Eat your dessert, kids, and you can have some main dish.

If you’re not British enough to know what a trifle is, it involves whipped cream and custard and fruit and something cakey and something else alcoholish. Unless all the ingredients except the whipped cream have been replaced with other things, such as jelly, which is Jello, instead of the custard and orange juice instead of the alcohol and brussels sprouts instead of fruit. Once you start all that, you might as well replace the whipped cream with shaving cream. I mean, why not? It’s cheaper. I think. I haven’t done a price comparison. Anyway, in its natural state, trifle is sublime. When you start swapping ingredients, you start to lose sublimity. Or is that sublimosity?

I confess, I actually like brussels sprouts. But that’s not the point, is it? (she said, following the British tradition of making a question out of a statement by asking listeners who know less about the topic if it’s accurate.) Liking brussels sprouts doesn’t mean I’d like them as a smoothie ingredient anymore than it means I’d want to make them into a tee shirt.

For several years running, I took part in a parade that included a small group of people dressed entirely in kale. And, I’d guess, a few hidden bits of string. Or glue. The year it was hot enough to wilt the kale, it was touch and go which would last longer, the kale or the parade.

Yes, I have had an interesting life.

If you can’t think why this shortage of brussels sprouts constitutes a crisis, I’ll have to refer you to an older post on the role of brussels sprouts in the traditional British Christmas meal. And since this is all so important, to another one of the same topic. Bizarrely enough, they’re among my most popular posts.

Whatever you celebrate or don’t celebrate, I wish you a good one. And I’ll stop adding short extra posts any day now. I know you have real lives calling to you. It’s just that this was too important to skip.

Easter eggs, crime sprees, and personal delivery

Last Saturday’s Western Morning News had a story about a “£300,000 rural crime spree” in which six men stole four-wheel-drives, tractors, trailers, boats, farm equipment, and–this reads like it wandered in from a different story but I swear it didn’t–chocolate Easter eggs. Thousands of pounds worth of chocolate Easter eggs. I’d give you a link but I can’t find the story online. I read it in the print edition. It was on–do you remember paper? It was on paper. So you’ll just have to trust me on this.

Or not. If you think I made it up, no harm done. I’ll get credit for a bizarre imagination.

Screamingly irrelevant photo. J. with Moose. I'll stop with the cat and dog photos soon, but everything else I've shot lately is overexposed.

Screamingly irrelevant photo. J. with Moose. Or the other way around. I’ll stop with the cat and dog photos eventually, but everything else I’ve shot lately is overexposed. Besides, who can resist this one?

How much space does it take to store thousands of pounds worth of Easter eggs? Well, that depends on how much the Easter eggs cost, which (if you were buying instead of stealing them) is another way of saying it depends on your income, or at least outgo. It might take less space than you’d think. Hotel Chocolat sells one for £75, but at Fortnum and Mason, you can drop £90 for a chocolate Easter egg or £250 for a “chocolate beehive sculpture” (sorry–I can’t take that seriously enough to leave it outside of quotation marks; I don’t want the blame for that description). And for that amount, I’ll throw in more quotation marks: It’s made from “majestic” Valrhona chocolate. Whatever the hell Valrhona chocolate is, the price went up by £50 pounds when they glued that adjective to it.

I worked in a candy factory for long enough to lost my taste for the stuff, and although I wouldn’t say they used particularly good chocolate and I wouldn’t hold it up as setting the world standard for chocolates–well, what I’m trying to say is that I’ve never seen majestic chocolate.

Fortnum and Mason can’t send the beehive, by the way. Maybe at £250 you’re not paying enough for that or maybe it’s just too valuable to ship. Either way,you’ll have to pick it up at the store.

Or you can spend your £250 at Betty’s of Harrogate and get Betty’s “Imperial Easter Egg.” Betty delivers. “Personally.” That goes in quotes too. I assume that’s personally to you, not personally by Betty. In fact, I don’t even know that there is a Betty, or that there ever was. And while we’re talking about things I don’t know, I don’t know how much she charges to deliver, because you have to call to find out–the information isn’t online–but if you’re spending £250 for a chunk of decorated chocolate, why quibble about delivery costs?

Okay, let’s get back to that personal delivery. Have you ever had anything sent to you that wasn’t delivered personally? I’m guessing the personally, in this context, means by a person (as opposed to a drone) and to a person. Even if the package is left in the garage, or with a neighbor, it’s still to you, personally. Or, if they insist on it going directly into your anxious little paws, all it means is that you’re stuck waiting around for it.

Who writes this stuff? I once saw a real estate brochure for an apartment building that said it had an indoor elevator. That’s as opposed, presumably, to a trebuchet, which is a £250 word for the kind of catapult used in medieval sieges–an outdoor arrangement that delivers you memorably to granny’s fourth floor apartment if her place doesn’t have an indoor elevator. After you arrive splat in her living room, her place won’t have glass in the window either, blurring the line between indoor and outdoor.

I’ve wandered, haven’t I? We were talking about the Easter eggs.Betty’s is 5.4 kilos of chocolate, milk or dark, If you think in pounds rather than kilos, you can either multiply that by 2.2 or simply accept that it’s a shitload of chocolate. You can also multiply, divide, and go into shock over how much you’re spending per pound. Or ounce.

From Betty’s site I went to Cadbury’s, which asked how much I wanted to spend. The answer was, Oh, lots! and I clicked on the most expensive category, which was “over £50.” That’s me,the reckless spender, but the best they could do for me was offer hampers–enough stuff thrown together to take the price up to an even £50. Given where I’d just come from, I wasn’t impressed. So I checked out Lidl’s, the discount supermarket, where I could buy a bag of chocolate (I think) mini-eggs for £1.29, and they’ll ring them up at the cash register for me personally. After that, I can personally carry it out to my car, munching as I go. Except that I used to work in that candy factory and I’m immune to the lure of anything but good (although not majestic), very plain dark chocolate.

So–returning to the actual story I was telling, and you may have forgotten that there was one but I haven’t–it’s not clear how much storage space the stolen Easter eggs needed. Especially since the Westy didn’t say how many thousands of pounds of Easter eggs it was talking about. The Westy‘s like that. It tells you what it tells you, which is often that the neighbors were shocked and horrified, and leaves out what it leaves out, which can be a great deal. But it does spell neighbors with a U. Always.

Before I leave the topic entirely, I need to credit the members of my writers group, who pointed me in the direction of the Betty’s of Harrogate egg. They’re wonderful, and every bit as strange as I am.

If you celebrate Easter, have a good Easter. And if you don’t–well, neither do I. Whatever you believe, don’t steal any Easter eggs, okay? At the end of it all, you just eat them (it’s too late in the season to sell them) and eating a £250 egg–well, what does that leave you with?

Wishing you a happy but belated Pancake Day

Pancake Day came and went quietly this year. It’s a holiday I never heard of before I moved to the U.K. and it’s such a quiet one that I’d been here a couple of years before I even noticed it.

Pancake Day is also known as Shrove Tuesday, the day before Lent starts. Traditionally, anyone who kept Lent gave up everything fun, and that put a lot of pressure on that last pre-Lent day. So New Orleans went wild with Mardi Gras and still does. Brazil cut loose during Carnival and keeps right on doing it. And the British? They eat pancakes.

Does this country know how to throw a party or what?

Screamingly irrelevant photo: This is from New Zealand and has nothing to do with anything. Nice, isn't it? Photo by Ida Swearingen

Screamingly irrelevant photo: This is from New Zealand and has nothing to do with anything here. Nice, isn’t it? Photo by Ida Swearingen

The logic of Pancake Day is inescapable. People were supposed to give up eggs, milk, and sugar during lent, so they used them up the night before by making pancakes. What were they supposed to do with the eggs the chickens went right on laying and the milk the cow kept on giving? Because cows and chickens don’t care if it’s Lent. They don’t believe in any religion, and even if they did biological processes are hard to control But what do I know? I’m Jewish and I’m an atheist, and if that isn’t enough I grew up in New York, where we didn’t keep a lot of cows or chickens. So I’m not an expert on this stuff. In fact, I thought all a person had to do during Lent was give up one thing, like orange bubble gum or blue frosting. But maybe that’s a toned-down modern approach.

Anyway, these days Britain’s long on tradition but light on traditional religion. So it substitutes eating pancakes for emptying the cupboards of all the good stuff and entering a somber season in a sugar-free, egg-free, lactose-free condition. And even I can get behind eating pancakes, although not on a fixed day every year, which accounts for me being late with this post.

So let’s talk about pancakes. They never go out of season.

British pancakes—at least the ones I’ve had—are more like French crepes, which is to say, thin. I first tasted them when a neighbor borrowed some flour because he had to make pancakes that night–it was Pancake Day–and in payment he brought us each a pancake, with lemon (I think) and (definitely) sugar. They were good. I can’t think of a bad thing to say about them. But sometimes a person just wants a thick ol’ American pancake. So be warned, I’m leading up to a recipe. Because no matter how good British pancakes are, I believe in the American version. What can I tell you? Talk to me about food and I’m capable of unreasoning patriotism.

I’ve seen British food writers offer approximations of American pancakes and they have some strange ideas about how we make them. One adds vanilla and honey but no baking soda or baking powder. Which is why she has to beat hell out of the egg whites. Another beats hell out of the whole mix until it’s thoroughly blended and lumpless, which is a good idea if you’re making a cake but not so great if you want pancakes, because they need a lumpy batter.

Why the food writers don’t just look in an American cookbook I don’t know, but here’s my recipe.

Pancakes

Serves 2 moderate eaters; for enthusiastic eaters, double the recipe and eat the leftovers cold and straight from the refrigerator

1 cup (4 oz.) flour

1 tsp. sugar

½ tsp. salt

¾ tsp. baking powder

½ tsp. bicarbonate of soda

1 egg

½ cup (or more) buttermilk (or plain milk with about 1 tsp. of cider or white vinegar added*)

1 Tbsp. (½ oz.) melted butter

Optional: blueberries, peaches, or raspberries

Put the dry ingredients in a bowl and whisk them together. That’s instead of sifting. I’m a lazy cook and this works. Beat the egg into the milk and add it to the dry ingredients. Add the butter. Stir until just barely mixed, leaving some lumps. Add more milk if you need to until you get a thick but pourable batter. The thinner the batter, the thinner the pancakes will be.

Stir the fruit in last.

Heat the frying pan (or several pans, which will let you cook them faster) over a medium-high heat until a drop of water bounces (in theory; I usually settle for it sizzling madly). Add a bit of oil or butter and spread it with a spatula. If you’re using a non-stick pan, you don’t need much; if you’re not, you’ll need more and will have to add more before each new pancake. Pour in a ladleful of batter. I generally make my pancakes a bit bigger than CD-size. but you can make smaller ones if you like. Hell, you can shape them into the letters of the alphabet if you want, but they’ll be hard to flip. Don’t put a cover on the the pan. Bubbles will rise and then break, signaling that the bottom’s probably done. Sneak a look and if it’s brown, flip the pancake. Leave the second side on the pan long enough for the center to cook through.

You may need to adjust the heat as you go. If the pancakes burn, turn it down. If they don’t brown, turn it up. You’d probably have figured that out without me saying it.

You can feed them to the ravening hordes as they get done of keep them warm in a very low oven until they’re all cooked and you can sit down yourself.

Serve with butter and maple syrup. Or if you’re in a Lenten kind of mood, with plain old yogurt, which is surprisingly good with them.

 

*The milk will curdle when you mix in the vinegar. That’s fine.

British Christmas traditions: the brussels sprout

Health and Safety Warning: This post contains exaggerations that may be detrimental to your mental health. Or your credibility if you take them literally when linking to the post. The Druids did not actually worship brussels sprouts. No one knows much about what the Druids did. And with that out of the way, do read on.

 

What is it about the British and brussels sprouts at Christmas? I address this topic because judging from my search engine queries it’s what people want to know. Or at least what one very determined person wants to know. Within a few days, I had at least five variations on the question Why do the British eat brussels sprouts at Christmas? It may have been more. I lost track in there somewhere. Why the person kept coming back if I hadn’t already managed to answer the question I don’t know. Determination shading into obsession?

Anyway, the question matters, and I’ve addressed it before but I don’t feel I did it justice. Because I sidestepped several crucial facts.

Irrelevant photo: gorse (that's the yellow stuff) and heather (that's the purple)

Irrelevant photo: Gorse (that’s the yellow stuff) and heather (that’s the purple). And grass (that’s the green and the tan.)

First, if Google is to be trusted (it’s not) you can spell the vegetable with or without an S: brussel sprouts or brussels sprouts. The first spelling matches our pronunciation (we just can’t make the double S audible unless we say it while standing on our heads and gargling salt water). Besides which, it’s easier to type without the extra S. The second spelling replicates the name of the city where they didn’t originate. According to Brussels Sprouts Info (everything important has its own web site these days), they’re believed to have been grown in Italy as far back as Roman times and began to be grown on a large scale in Belgium as far back as the sixteenth century before spreading outward from there.

The more common spelling seems to keep the extra S.

Second, you can either capitalize the B or not, depending on whether you capitalize the F in french fries. I don’t, but Word does and gives me bad marks every time I go back and un-cap it. It’s easier to use a cap, which is probably why I don’t. It’s a small and pointless way to fight the monopolies that are taking over our spelling. Not to mention our lives, economy, and politics. Take that, monopolies: I’m using a lower case F and a lower case B. That sound you hear? It’s Microsoft crumbling in the face of my defiance.

Third, the world contains more than 110 varieties of brussels sprouts and I bet you can’t tell any one of them from the other more than 109.

You notice how vague they are on the actual number? It’s probably because someone’s out there devising a new variety even as I type.

So far so uncontroversial, but now we come to:

Fourth, the real reason they’re eaten in Britain at Christmas is a tightly held secret and I’m going to reveal it to you and only you because, hey, it’s just us here, right? No one else is listening. I’d get into serious trouble otherwise. So here’s the truth: The Church of England may be the official and established church in this country, but it’s a thin and brittle overlay. Underneath lies the country’s deeper religion, worship of the Great Brussels Sprout. (And here, yes, it’s capitalized. Even by me. It’s a god and all. You want to show a little respect.)

What did the Druids worship? The Great Brussels Sprout. They painted themselves blue and cultivated the sacred plant. And they were nekkid when they did it.

How’d they cultivate it if brussels sprouts didn’t yet grow in the British Isles? I did say Google couldn’t be trusted. Its sources are giving you the official history. You can only find the truth by going into the dark web, where danger lurks behind every pixel, so I don’t dare give you any links. Folks, I’ll take the risk myself but I can’t be responsible for your safety. You’ll have to find it on your own or trust my report: The truth is that the Romans quietly exported the brussels sprout from Britain to Italy, and once it was established there they claimed to have developed all more than 110 varieties themselves.

Back in Britain, the Romans suppressed both the Druids and all outward forms of sprout cultivation and worship, but the belief ran deep in the population, and it survived, waiting from the sprout’s return.

How’d it do that when the pre-Roman British tribes (the Iceni, the Caledones, the Parisi, the Cornovii…) were overrun by the Angles and the Saxons and the Vikings and the Normans, making for a choppy history and a messy but interesting language? Because knowledge of the Great Brussels Sprout is planted deep in the soil. You don’t have to learn it from your community. If you get yourself a shovel and start digging, it works its way into your bloodstream. You feel a compulsion to worship something green and brassican. Rumor has it that they made do with cabbages until the brussels sprout was re-imported and jogged their memories of what the Great God really looked like. These were agricultural people, remember. They had lots of shovels. So when Christianity became the dominant religion, the best it could do was drive sprout worship deep underground, and from there it rises, godlike, every year.

Do I consider it strange, you ask (or at least you should ask), that people eat the sprout they worship? Isn’t that a bit, um, grotesque? Not at all. The Great Sprout is the essence of all sprouts and is itself inedible. The sprouts people eat at Christmas are merely its representation. And those among us who claim the ones on the plate are also inedible? They’re closest to the holy nature of the Great Brussels Sprout and everybody should back off and stop giving them a hard time.

Fifth (we were counting, remember?), the brussels sprout ripens around Christmas time. How many other vegetables are willing to do that? So of course people eat it.

*

And on a marginally sensible note, last week I forgot to link back to Laura, at A PIct in PA, who first used to word tickety boo, giving me a great excuse for another important post. She’s a Scot living and raising her kids in Pennsylvania, and she keeps a fine blog with lots of nifty artwork.

Prohibition and sticky toffee desserts

When I last asked for questions about Britain or the U.S., Dan Antion wrote, “The last night I was in London, I had some kind of gooey toffee desert (sticky something). I wrote my friend in Ipswich and said, ‘why did you send us the Beatles and keep this a secret?’ but he never replied. This makes me think there’s a law against describing that dish. If you choose not to write about this or toffee, I’ll understand (but it will confirm my suspicion).”

Never one to be scared off by sensible considerations or petty legalities, I’ll tell you everything I know on the subject. And more. Much, much more.

Irrelevant photo: a volunteer cyclamen that planted itself by the back door

Irrelevant photo: a volunteer cyclamen that planted itself by the back door

It sounds to me like Dan stumbled into an underground club where sticky toffee pudding was being served on the sly. While he was on the pavement humming “Yellow Submarine” and wondering why colors seemed so vivid suddenly, his friend was whispering a secret word to the tough guy lingering by an unmarked door, who gestured them inside and closed the door behind them. They ate and Dan licked his spoon (desserts here come with a big honkin’ spoon) and wondered why the tastes were as vivid as the colors.

It was something to do with the Beatles.

I can’t promise to reproduce that experience, but through the magic of the internet I have gotten access to several highly encrypted recipes. Being so well hidden, there are, of course, problems.

  1. They’re mostly metric, but if you can decode them, you can make then. And if you can make them, you can eat them. I won’t try to convert them because I tried that once and–well, it was over a year ago and I’m still recovering. So you’ll need a kitchen scale to follow them. Sorry, you American cooks. This involves a smallish investment.
  2. Sticky toffee pudding seems to want self-raising flour, and I never used the stuff in the U.S. It’s sold in the southern states but is rare in the northern states and in Canada—or so the wise old internet informs me. It doesn’t like the cold, I guess, but with global warming its range may be expanding. Even where it’s available, though, it’s apparently formulated differently, so using it could make your recipe go all weird.
  3. British supermarkets sell more kinds of sugar than kinds of baked beans, and they lots of baked beans. Lots and lots of baked beans. Start with granulated, demerara, turbinado, muscovado, then go on for another line or two. Me, I ignore most of this and use either white (that’s called granulated) or brown. I may lose some subtle tastes, but it works. However, I do not now and never have substituted baked beans for sugar in any recipe, nor do I recommend that you try.

In case that isn’t complicated enough, I’m going to give you several recipe links:

Behind door one is one of the rare recipes that doesn’t use self-raising flour. It also doesn’t use dates, which makes me suspicious, because dates seem to be important here.

Behind door two is one that uses both dates and self-raising flour. Don’t rule it out, though, because you can make your own self-raising flour from plain ol’ flour by adding “2 teaspoons of baking powder to each cup (150g) of all-purpose (plain flour).”

Since the recipe calls for 175 grams of flour and since my math is shaky at best, I’d have to double that, then toss the extra—what would it be? 100 grams? 125 grams? a bunch?—over my shoulder and onto the kitchen floor and blame Nigella for the mess since it’s her recipe and her substitution suggestion. Or her team’s. She may no longer exist in person but have been replaced by a team of some sort.

The recipe calls for muscovado sugar. See above. Or see the web site that says, “Sugars like muscovado, demerara, and turbinado have flavor depths and aromatic heights that blow plain ol’ granulated sugar out of the water.” Muscovado has a “very moist texture and a strong molasses flavor.” Yeah, yeah, yeah. Me, I wouldn’t put my granulated sugar in the water to start with, so muscovado would have to blow if out of the cupboard. You can get away with brown sugar. Or probably (gasp) white.

Behind door three lurks something scary: the possibility that we’re not looking for sticky toffee pudding at all but sticky toffee cake. But let’s be reckless and yank the thing open it anyway. I didn’t get where I am today by being cautious.

Remind me, would you? Where am I exactly?

Most of the recipes I found for this call for golden syrup, which as far as I know isn’t sold in the U.S. supermarkets, but one doesn’t. For reasons I can’t explain, it pops up behind a box that wants to divert you someplace else entirely, but if you work at it you can still read the recipe.

And then there’s this one that not only doesn’t use golden syrup, it’s measured in cups and baked in Fahrenheit, which makes me think it’s from the U.S.

Sorry, Dan. I’d make this simple if I could but it wouldn’t be half as much fun to write about.

*

For those of you who are following the pet saga at our house, the Big Guy seems to moved on. He went out on Thursday night and hasn’t come back. I’ve put a notice on the village Facebook page, so people are keeping an eye out for him, but as J. wrote, he seems to have a touch of the wanderer in him. It’s been rainy and cold, but he’s good at letting people know what he needs–that’s how he came to us–so I hope he’s found himself a new home.

Updates on tea and medical bureaucracy

I get some fantastic comments on this blog and a few of them just have to break out of the comment section. So I’m going to pick up on four of them, two about tea and two about medical bureaucracy.

Tea

If you’re American, you think I already wrote more about tea than is either intellectually or physically possible. But I live in Britain. Tea is the binding force that holds the nation together, and let me tell you it’s looking a little shaky lately, what with Scotland having held a referendum on whether to leave the union and, far more shockingly, so many kids these days getting their caffeine from energy drinks instead of a respectable source like tea. Not to mention the number of tea drinkers allowing themselves to be seduced by fancy coffee and if that isn’t enough the possibility that Scotland will hold another referendum in the (less than immediate) future.

Screamingly irrelevant photo: fall berries. I'm not even sure what they are.

Screamingly irrelevant photo: Fall berries. I’m not sure what they are but I don’t recommend tasting them.

And I’m not sure how the Welsh feel about referendums and secession. Or even whether some purist is going to tell me that the plural is referenda.

So, yeah. We need our tea. And we need to make it right. Which brings me to the point—and yes, there is one. Or two actually. You only had to wait.

J. tells me (and this was in person, not in a blog comment, which is why she’s going by an initial; the tradition may be silly but at least I’m consistent) that I ignored the role of teapots in my last tea post. Sure, I mentioned them, but you can’t make a nice cup of tea, J. says, unless you make it in a pot. Actually, she probably said “a proper cup of tea,” but I was listening to the sense, not the words, sadly. The sense was this: Make it in a cup and it just doesn’t come out right. Even if you only make a single cup, you need to make it in the pot and then pour it into the cup.

Why? Because it’s not a proper cup of tea otherwise, and if it’s not a proper cup of tea it’s not a nice cup of tea. And if it’s not a nice cup of tea, Scotland might just spin out into the North Sea, leaving the northern edge of England a ragged tear (pronounced tare; people may or may not weep about this, but it’s not what we’re talking about) across the land.

That’s not intended, by the way, as a comment on whether Scottish independence is a good idea. I could argue both sides of the proposition with equal passion. But the spinning into the North Sea? That’s just, you know, a fact.

Oh, and the pot has to be warm. Because the tea will brew better.

J.’s of the bone china school of tea drinking. Because it tastes better that way. It doesn’t have to be a fussy little cup and saucer—a mug’s fine—but for her it has to be made of china. Me? I like a heavier mug, but I try not to argue religion with friends.

So that’s one point. And then in the comment section, helenwood wrote about a job she had long ago, working for a tea importer, pouring water over the leaves so the tasters could sip and spit. But that wasn’t what grossed her out—it was that the tea leaves scattered on the warehouse floor, and presumably walked through by one and all, ended up in teabags.

If anything’s going to convert me to leaf tea, that would do it.

Medical bureaucracies

Moving on, then, from a serious topic to the trivia of our lives, we come to what I wrote about medicine in the U.K.

Ianbcross, a doctor who’s worked in the National Health System, commented that the Choose and Book system gives patients a code so they can make an appointment with a specialist online or by phone. “If there are no appointments available,” he writes, “it is up to the hospital to find one for you. You decide whether to accept it or not. This is for routine stuff. If your doc thinks you might have cancer, you get a two week wait appointment from the hospital. Less choice for you, but as soon as they can, they fit you in. Emergencies go directly to hospital, without passing GO, of course.”

Well, this is a guy who knows the system, and his comment made me wonder if I’d misremembered my experiences and Wild Thing’s. So I did what any sane blogger would do: I took a small and unscientific survey (I’ve stolen that phrase; it’s nice, isn’t it?) and came up with the following revelation: Our local surgery (that’s a doctor’s office if you’re American) is all set up so you can use the Click and Book system, but they don’t tell you about it. If you ask to use it, they’re happy to let you use it. But if you don’t already know about it, you can’t ask. So you sit around waiting for that letter.

Unless—as happened to me recently—you get a phone call. From the wrong hospital. But never mind, it was a phone call and it came quickly.

When I acted as an advocate for our neighbor, it wasn’t about getting an appointment but about shaking loose the report from an appointment she’d already had so she could (a) find out what was wrong and (b) do something about it. The doctor had dictated the letter and there it sat, waiting to be typed. And as far as I could tell there it was going to sit and wait until pine trees grew in hell.

The practice manager and I had a leave-it-with-me conversation, and I left it with her until the end of the day, when I called back. Which reminds me to mention that the NHS has a wonderful service called PALS, which stands for Patient Advocacy SomethingWithAnL SomethingWithAnS, not (as it did when I was a kid in New York) the Police Athletic League. I called PALS just after I talked with the practice manager. I suspect it’s owed the credit for getting that letter in the mail. I heard a rumor the service’s funding is going to be cut. I hope it’s not true, because the idea that within an inevitably bureaucratic system are people whose job is to make a nuisance of themselves when things aren’t working for the patient? That’s inspired.

In another comment, Dan Antion reminded me that in the U.S. the first questions anyone medical asks are about your coverage. If you’re not American, you may need that translated: Do you have insurance? Who’s your provider? What plan are you on (secondary translation: does your insurance plan cover this procedure)? And so on. In other words, everyone talks money while you bleed onto the floor, because money is what matters. (Note to the current U.K. government: Are you sure you don’t want to rethink that whole privatization of the NHS thing?)

And if anyone in Britain thinks it’s just the NHS that has unacceptable delays, he tells the story of a friend with a life-threatening condition who needed surgery and was told she couldn’t be seen for six to eight weeks.

The thing about the NHS is that until the current round of disorganizations were introduced, it’s been a unified system, so people talk about unacceptable delays, and newspapers write about them, and word generally gets passed around and everyone’s outraged and wants something done about it, which creates pressure to actually do something. When emergency rooms keep people waiting for more than four hours, it’s considered unacceptable. In the U.S., my father was left waiting in the emergency room for, if I remember right, seventeen hours. With meningitis. At the age of ninety. And he had good insurance. We were furious, but it was business as usual and didn’t tarnish the hospital’s reputation, or the U.S. medical system’s.