Community Supported Healthcare

doctorI wonder what it would take – if would even be possible – to create a truly community-supported health center that would achieve all of the following:

  • Provide basic healthcare – office visits, immunizations, birth control, in-office procedures (biopsies, vasectomies, mole removal, minor stitches, etc.), and simple lab work (urinalysis, blood draws, ob/gyn, bacterial cultures, etc.), and referrals to specialists
  • Offer appointments and walk-ins on extended hours, maybe 6:30am-9pm, 365 days per year (or close to it)
  • Pay an adequate number of doctors, nurses, nurse practitioners, and full support staff a competitive living wage
  • Be funded by the surrounding community on a “subscription” model. You pay a monthly or yearly fee to the clinic, and you can partake of all the services of the clinic all year for free, or a minimal co-pay per office visit. No insurance would be accepted or billed; the idea is instead of paying a middleman, you support the clinic directly.

Could this work? Could it be entirely outside of the current insurance setup? If there was no insurance billing, would it save money or drive away potential clients? Would Americans go for this? How many practitioners would be needed? How many subscribers would be needed to support this? What if you added a chiropractor and/or physical therapist into the mix? Often, those aren’t covered by insurance anyway, so you might get some people to subscribe for that service only who would help to support the rest of the clinic.

Make one thing beautiful

quiltGoing into this weekend, I was pretty tired of the eternal To-Do list. Items might change, but I never really catch up. And some items never change: clean the kitchen, weed the garden, clear off the dining room table, do the bills. Gah.

I wanted out of my rut this weekend, so I decided to ditch the to-do list and instead focus on making something beautiful. I decided to start with the front flower bed. Flats at the market are $8 – don’t need to make that offer twice! And black-eyed susans were 4/$10. And supposedly perennial, too. Sold!And as luck would have it, my favorite garden store was demoing a meat smoker by offering surprisingly large samples of smoked pork butt, homemade salsa, potato salad, and curtido. Beautiful!

Got home and started puttering, and before I knew it, I’d planted the flat of flowers – mostly in the front bed (let me just pull this grass and clover and elm seedlings out to make room), and also in the shade planter on the back deck (hmm, none of the herbs overwintered…better yank those…), and because I had a few left, I scanned the garden and planted them smack in the middle of my line of sight. That happened to be the edge of the rutabaga bed (just let me toss those last scraggly turnips that didn’t get harvested last week and hey…are those volunteer potatoes? Looks like dinner to me…). And oh, heck, why don’t I plant up this empty pot of dirt on teh deck with the last couple things from that flat? And move the rest of the junk off to the end of the deck where I don’t have to see it? I’ll put it away…later. But at least now I don’t have to look at it.

Dinner’s in the sun oven (baby potatoes and rutabagas, a couple bulb onions, brussels sprouts, and asparagus with a little schmaltz and seasoned salt), so while I’m waiting, I’ll put away this stack of cookbooks (huh, if I wipe down the coffee table, the living room will look really nice…) and take a shower. And if I wash those last couple pans, hey, the kitchen is also beautiful!

I’m glad I decided to ignore my to-do list today. Making things beautiful was much more interesting.

Things I really should write about

  1. TT Supper Club Saturday night. I don’t even know where to begin. So much fun. Such fabulous food. I really, really wish you’d been there.
  2. Adventures in Food Bastardization! It started by realizing that chicken salad, cole slaw, and potato salad are more or less the same idea, with different main ingredients. (And mayo need not be primary among them…) So…why not make a salad that combines all three? It worked quite well. Started with a base of finely-shredded cabbage and carrots and a bit of raw kraut, marinated in kraut juice. Then added diced cooked chicken and potatoes, chives, chive blossoms, and sage blossoms. Dress with mustard, a little mayo, and enough kraut juice to make it salty and not gloppy. Quite nice. Though in the future, I might just do chicken/potato or chicken/cabbage.
  3. Next bastard food idea…potato/zucchini pancake + meatball?
  4. The rye field is gorgeous.
  5. My brassicas have aphids. I shall cry now.
  6. I made chicken stock in the solar oven on Friday.
  7. Soon I will begin experimenting with schmaltz. (This chicken fat kind, not the other kind.)
  8. I whined about cooking dinner all week. Then today, I made soup, meatballs, veggie pancakes, and am about to go help the boy making dinner. Well, at least I know there’ll be good stuff to eat for lunch this week!

Legume-free recipe ideas?

BeansI have learned, much to my surprise, that I am drastically allergic to most dried beans, especially lentils and chickpeas. Geez, after all these years of finding ways to work beans into my diet, learning to love Indian food, eating frequent vegetarian meals I find out that I’d actually been doing my body a turn for the worse by eating all those beans.

Here’s my dilemma: I know I function much, much better on a higher-protein, lower-carb diet. However, for a whole host of reasons, I’d rather not sit down to a big slab of meat three times a day. My strategy in the past has been to stretch the meat with beans – instead of a pound of ground beef, I’d use half a pound of beef and a can of beans (1 lb cooked).

Can you think of anything else I might use to stretch meat? I don’t want to just add more starch – the meal will already have rice or another grain – and it can’t all be soy (I’m somewhat allergic, though nothing like the lentils). I’m also allergic to milk, so cheese is not an option. I can have black-eyed peas and lima beans, though it’s not clear if I can only have them at the “shell bean” stage or if they’re ok dried, too. Maybe diced rutabaga? I’m rather stumped and would love your input.

Buncha stuff

busyI’m not going into the details here, because this is not a “dear diary” kind of blog, but oh my, has a lot of Life Been Happening lately. My main task has been to keep my head above water, and if I have any left, those of my loved ones, so blogging…not so important lately.

In lieu of writing full posts on all the things I could be writing about, I give you a List of Stuff. Details may be forthcoming on some of them; if one intrigues you, let me know and I can bump it up in the queue.

Listiness:

  • Lentil pie: carrots, onions, and broccoli (pick a different 3rd veg next time) topped with seasoned lentils (not very soupy) and a layer of diced potatoes. Sprinkle top with salt, pepper, paprika, and garlic and a good spray of olive oil. Bake at 400 for 35 mins. Nummy.
  • Preserving Traditions continues to rock. We made yogurt and granola today, and it was intensely gratifying when we got to the sampling part of the day that the only noise was the clanking of spoons and the occasional grunted “Mmmm, tha’s good!”
  • A local cooking angel will be doing a small fundraiser dinner for PT in June. Details as they become available…
  • Found a 17-piece Farberware set for $99 after rebate today. Bought one and will split with the Grange.
  • Food allergy testing is a pain in the neck, but going ok.
  • I still have candy left from the awesome schmawesome Easter basket I got this year.
  • This town is full of brilliant, visionary, hard-working local food entrepreneurs. Soon, there may be local sauerkraut, kimchee, kombucha, and other fermented wonderfulnesses!
  • The peas in the greenhouse are up to my HIP. Spinach, lettuce, and a couple leaves of kale have been harvested.
  • In 2 hours this morning, I got the screenhouse and the strawberry bird netting up. They both need some tweaking, but they’re mostly ready. The number of garden infrastructure projects is down to 1 necessary and 4 would-be-nice projects, so that’s a huge relief.
  • I can plant the rest of the garden (almost) any time now.
  • I can now tie a bow hitch knot with one hand, thanks to a workshop at the cool weekend event I went to. It was my first NRA-subsidized event, but I didn’t learn to shoot because all those workshops were full by the time I registered.
  • I made my first solar-cook-while-at-work dinner: split pea soup. Just set everything up before work, and it was soup when we got home. Amended with a couple quick sides and dinner took 15 minutes and almost no cleanup.
  • There are volunteer squashes growing in the new middle garden. I think they are from the jack-o-lanterns that were composted out there last fall!
  • Gonna frost tonight; we’ll see if those Contender beans I’ve been saving are as frost-hardy as they seemed to be two years ago.

Movie review: Earth

I was pretty disappointed by Disney’s Earth. I like anthropomorphic animals as much as the next geek, but I want them animated. I prefer my nature films to be documentaries, thanks.

High crimes:

  • Referring to every animal as either “Mom,” “Dad,” or “the baby.”
  • Suggesting through clever editing and James Earl Jones narration that all animals have a nuclear family where Mom and Dad take care of the baby.
  • Overly dramatic music
  • Setting up everything as a life-and-death struggle, except the life-and-death struggles

If you took this film as a documentary, you could leave with the following misinformation:

  • Whale and polar bear moms make radical sacrifices and heroically starve themselves for the good of their babies. Corollary: All animals are starving to death or dying of thirst, all the time.
  • All water in the Kalahari comes from snows in the Himalayas.
  • Daffodils are native flowers in the northern forests.
  • Predators are evil.

Things I wish the movie had:

  • Labels. What were those amazing fungi in the tropics? The one that generated its own geodesic dome, and the pulsating orange one (a slime mold, maybe?)
  • Maps. What are those migration routes? Where is the Kalahari Desert?
  • Diagrams. How is a six-plumed bird of paradise constructed? Are those its wings, or some other feathered structure? And was it really designed by Apple?

Things the movie did really well:

  • Time lapse photography. Absolutely amazing shots of a mountainside changing color with the seasons, the succession of spring blossoms, the growth of a slime mold, etc.
  • Rather astounding footage of a great white shark catching a seal snack. Four times in a row…
  • Um…

I don’t remember the actual series having this much…Disney-fication. So, if you want a live-action Disney movie, give it a try. Give me a good documentary any day and keep the fuzzy happy plot.

Easter Tree 2.0

Easter may have been my favorite holiday as a kid. Living my whole life in Michigan, I’ve always keenly felt the need for a celebration of rebirth after a long, deadening winter. And we had Easter holiday traditions that were pretty unique to our family. One was the egg hunt – mom and dad would hide dozens of plastic eggs all over the yard. There were a couple traditional hiding spots – tucked between the ties under the rail of the train tracks that went past the house – and there would be a few real eggs that we’d dyed. A couple of pantyhose eggs (remember those??) would often have candy in them. There were little gifts, too: a balsa wood airplane, bubbles…little fun trinkets. Enough of a gift to be a gift but not enough to set off my overdeveloped sense of guilt at always having better gifts than my friends. :)

The Easter baskets had their own unwritten set of rules. The basket was rarely a basket at all. Usually it was something vaguely bowl-shaped. Baseball caps and gloves, a colander, and (in later years) a margarita pitcher stick out in my mind. Each person got their own, and it was filled with their favorite candy. (Easter was one of the few times Dad got Good-n-Plentys.) I loved making baskets as much as I loved receiving them. There’s a great satisfaction to expressing creativity within a known set of parameters and doing it really well.

Eggs and branchesI’ve been craving Easterness this year, so I decided to revive one other Easter tradition: the Easter Tree. As a kid, this was a branch of a shrub from the back yard, cut before it leafed out. We propped it in a flowerpot of sand or plaster and then hung decorations on it – mostly dyed eggs (blown out and washed first) and tiny rabbit-and-spring-themed wooden ornaments.

I didn’t have time or energy to dye eggs this year, but I did happen across a couple dozen naturally-colored Auracana eggs this spring, and there was some copper wire kicking around. And I knew there would be  a vendor at the market selling curly willow…and that it will sprout leaves if you put it in water. So I created my own version of the Easter Tree, a little less with the red dye #3 and a little more with the life-from-dead-sticks. It’s in the yoga room, and I get to exercise in front of it every morning as the sunrise streams in the east-facing windows. It’s my family tradition, but even more “me” flavored, and it’s just the thing this spring.

Easter Branch

Easter Tree

Easter Tree

Gardening and menus

GardenersI am so excited I can hardly express myself. It is February 10th, and I came home from work today and planted seeds. The soil in the greenhouse has thawed, so I think it’s time to give it a shot! I planted kohlrabi, Winter Density lettuce, Pentland Brig kale, and New York onions.

I also cooked dinner, which has been happening far too seldom lately. I drew up a monthly menu last weekend, finally. We’d kind of fallen off the wagon with that. It’s funny; I keep all the menus I type up, and while I have summer menus going back two or three years, in that time there are only 2 menus for winter and early spring months.

This should help with the not-cooking thing; the worst part about cooking after a long day of work (for us, at least) is not cooking; it’s answering “what are we having for dinner.” Favorite restaurant foods come to mind easily, and then you get a taste for it, and it’s hard for us to not feed that taste. Pre-seeding the palate with this week’s options helps us fight the urge to just let someone else cook.

That being said, we had a very nice dinner out last night. I started off asking, as usual, “Anything local on the menu tonight?” and that started a lovely long conversation with our waitress, who said their new chef is really into local food and is rewriting the menu to feature many local and sustainable items! My favorite restaurant in town just got favorite-er!

The RSVP for March’s Preserving Traditions event (wheat and home grain milling, March 8th at 2pm) will be posted in a day or two.

Stress, then clarity

packclimbThis is too much stuff. I can’t do all of this. I can tell because I’m getting really snappish and saying things I don’t mean. To the point where I can’t believe I even said them because they were so far off from what I meant. Sometimes they’re dumb, and sometimes they are even unkind. Not good.

This has brought a few things into perfect clarity, though. In my life outside of my job, there is work that I’m passionate about, and work that I’m doing only for the money. The work I’m passionate about – local food systems, Preserving Traditions, and the like – feeds me. I’d do that work even if no money were involved (and there usually isn’t). I can’t wait for an evening or weekend off so I can work on it. It energizes me to do it.

Then there’s the work for money. I drag my feet; I delay by asking the client questions I know I’ll end up having to answer for them, anyway; I dread the work as the dose of medicine I have to take before I can go play. When I started working full-time again (after 5 years working for myself), I quit taking outside work. It felt great. Time is such a great luxury, and I was learning to use it for interesting and fulfilling things. At some point, we needed cash for…something. I don’t even remember what. So I did some web site redesigns and took on some instructional design consulting. It was ok, but I either hated it (web stuff) or it was just more of my day job, spilling over into my gardening time (putting courses online).

A couple similar jobs have come along recently, and I really dithered. We don’t, strictly speaking, need the money…but in this economy, why would I turn it down? So I took the jobs, and now I’m regretting it.

This work for cash I don’t really need makes me crazy, and it means when work I love comes along (as it has), I can’t pick up that project. And that very thing has happened. I spent much of the day in a tizzy, trying to figure out where to start. I finally stopped and admitted to myself that this is too much stuff to be doing, and I can’t do it all. And since I can’t get out of the contracts I’ve already got going, I’m going to have to finish those and pass on the one that I’m really excited about.

Being an adult sucks sometimes.

In related news, I cleaned the kitchen today. This included sorting a huge stack of mail, filing stuff, finding homes for the random crap that always accumulates on the dining table. And there weren’t even guests coming over! I also found myself planning meals around which condiments I could use up and which pre-cooked items in the freezer I could eat and thus get rid of. Use it up, move it out.

Having “extra” only makes me feel good when I’m scared. Having “extra” when I’m feeling inclined to trust the Universe really weighs me down. Food storage…stocking the pantry…buying half a pig…having extra toiletries…buying a winter’s worth of firewood…it feels good in some ways, but in others, it’s a burden. A responsibility. (Are the squash getting mushy? Do we actually need turmeric? [The answer there is a resounding NO, but we are out of garlic powder...]) I could see clearly today that this is true of extra money, extra food, and probably even the extra weight I carried through our transition years when my sweetie was in grad school, when we had 2 mortgages and no steady jobs, and the first years at my new job. A little extra padding to soften the jolts, or something.

So now I want to trim, clean, weed and prune. Out with the dead weight.

Am I feeling fearless? Is that a good thing? Am I hopeful, or complacent?

Or just tired?

Overdue update

busyWhew. It’s been a busy time for me the last couple weeks! And while I’ve been frequently doing that blogger thing of pausing in the middle of a great experience and thinking, “How am I going to blog about this?” I’ve not been carrying through and actually doing the writing.

So here’s what’s been on the table latley (literally and figuratively). Hint: there are tigers and kormas and stones and summits… Read the rest of this entry »

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