Sunday, September 6, 2009

What happens in a culinary tour

Tuesday morning finds us standing at attention in our embroidered aprons at the handsome kitchen of La Mirande, a luxurious hotel in the heart of Avignon. This is a master class with the husky, mustachioed Christian Étienne, one of Avignon's top chefs. Dessert today is a labor-intensive gratin of grapes and pine nuts in a sabayon sauce, and we set to work peeling and seeding 14 pounds of grapes. Have you ever tried to peel and seed even a single grape? We are galley slaves.

This is from A Cooking Tour In Provence by Linda Dannenberg on Carole Peck's Culinary Tour of Provence. Also,
We're dining at Chez Bob, a famously funky, beloved restaurant on the mosquito-infested plains. (Never go to the Camargue without slathering on mosquito repellent. The mosquitoes here are as vicious as piranhas.)

But also more pleasant sounding:

Days pass in a mellow haze of sunshine and sated appetites. We drift down every morning for a breakfast of breads and croissants from the boulangerie, with jams, fruit salad, and fresh orange juice that sustain us until lunch. We have a cooking class with Jérôme Laurent, a fine local chef who owns Le Cilantro, one of the contemporary bistros in Arles; a wine tasting at Château Grand Callemand, a small, start-up winery rather far afield in the Luberon; and a casual cooking lesson with Carole as she prepares a succulent roast turkey leg stuffed with mustard and herbs for our brunch by the courtyard pool. One afternoon we visit La Bambouseraie, exotic bamboo gardens in Anduze, and later have a demonstration class and a marvelous meal a short drive away at the Michelin-starred Les Demeures du Ranquet, a dreamy country inn with aromatic herb gardens and lavender fields. We watch as the radiant blond chef-owner, Anne Majourel, who sports a cheeky white crew cap, prepares our basil-themed dinner: every course, including a dessert of roast figs with olive oil ice cream and strawberry-basil sauce, stars the iconic Mediterranean herb.

Competition breeds trust

This is according to authors of the VoxEU article:

A simple barometer for the state of a culture that has been the focus of much of the new empirical work is the “trust” question – “Do you think that most people can be trusted or that you can’t be too careful in dealing with people?” We investigate how answers to this question, asked for over thirty years in the US General Social Survey (GSS), vary with differences in competition across US states. Since many other things also vary across states, our strategy is to examine an episode where competition changed and track the ensuing changes in trust it caused. We examine the differential timing of financial deregulation across states between 1978 and 1993. As Black and Strahan (2002) argue, this deregulation intensified competition by making it easier for start-up firms to obtain credit. By looking at the number of start-ups and matching them to trust levels, we can see what effect increased competitive entry had on trust.

This seemed to be a strange way to establish causation yet by taking two independent measurements a causal link can be established.

Competition allows for more startups and hence more alternatives to a consumer. Consider the case of a widget maker trying to find a supplier for raw-widgets. Prior to competition he may have been beholden to maybe one or two suppliers. He may also feel that he could not trust them since they would have the power to raise prices.

With more competition he can breathe a little easier. Thus he can "trust" his supplier to be honest. Yet what kind of trust is this? Now suppliers feel that the widget maker can jerk them around by switching from one to another. For lack of any better term we can refer to this as "adversarial trust" similar to the oft-quoted "trust but verify".

Now consider again the case before competition where trust is established via a working relationship that perhaps even leads to the widget maker and suppliers opening up each others books to one another. Is this type of trust different from one derived from competition? This is the kind of trust that sounds similar to cooperation between Japanese manufacturers and their suppliers.

While the study may be able to show conclusively that "trust" can be achieved through competition it does not really get at the question that really matters:
In manufacturing, does it lead to more efficient producers?
In a country does it lead to higher productivity growth?

The kind of trust through competition may not lead to the promised land of economic growth.

Mali

A fascinating article on music in Mali in CN Traveler.

To an out-sider, the social details appear fantastically arcane, and I tried to keep a running tally in my notes: "Blacksmiths (including ironworkers) can marry only potters, but have close relations with Fulani, who are cattle herders"; "weavers always married to dyers"; "leather makers entitled to repair calabashes"; "all Bozo are fishermen"; "griots were once hunters, though both hunters and griots now deny it." I kept this going for a week, then surrendered to befuddlement. ...

Though the country is officially Muslim, there is no prohibition against following other religions or practices. I had also begun to notice a vagueness bordering on the elusive whenever I asked Malians simple biographical questions about age or birthplace or their children's names. In a people so unfailingly polite and hospitable, it was a glaring anomaly. Little by little, I began to grasp that animism is less nostalgic folklore than a fully operational belief system that ascribes supernatural meaning to every aspect of daily life. Magical stories of river gods, supernatural visitations, and miraculous medicinal cures conjure a world of benevolent spirit allies. But in the shadows, and seemingly more potent, lurks the persistent threat of misfortune in the form of curses, spells, and sorcerer's vendettas. Sharing even minor personal details can give an enemy the necessary opening to put a curse on you. ...

On the way up, we'd been listening to his cassettes of Malian music, so I wanted to know how he reconciled his distaste for griots with a liking for their music. He picked out a handful of the cassettes and slammed them down on the armrest, one by one. "Pas griot!" "Pas griot!" "Pas griot!" He wasn't wrong. Not all of Mali's musicians were born to the griot caste. Both Salif Keïta and Ali Farka Touré came from higher classes and initially met with outrage when they became musicians. ... But griots are more than an alien underclass. They preside at weddings and child-naming ceremonies, have wealthy patrons whose praises they are enlisted to sing, are the keepers of cultural history, and even hold government positions. Somewhere between sorcerers and artists, liars and truth tellers, they're a social adhesive that seems designed not to stick. ...

One does not arrive in Timbuktu with great ceremony. The town's port is silted up and impassable, so we disembarked downriver and drove in on sand-strewn streets that declare the circling, encroaching presence of the Sahara. Now a World Heritage Site, modern Timbuktu is part museum, part atmospheric end-of-the-world euphoria. The restored mosques and madrassas recall Timbuktu's provenance as a sixteenth-century hub of Islamic scholarship. But Main Street hummed with glamorous young women dressed in brightly patterned boubous and Tuareg nomads swaddled in cerulean blue. And everywhere were intrepid-looking Europeans, besuited in safari jackets and explorer hats, loading up Land Rovers and SUVs with tents, mattresses, water coolers, and food supplies for the ride out to Essakane, where the Festival au Désert would shortly take place. ...

But hardship is part of the festival's legend. Now in its eighth year, it began as a cultural solution to the long-simmering feud between the Tuaregs, the Saharan nomads who have occupied the desert for two millennia, and the Malian government. A brewing civil war made the area a no-go throughout the early nineties, and despite a peace accord in 1996, travel advisories continue to discourage tourism. The festival has been vital in bringing foreigners back, with its irresistible invitation to three days of Saharan magic, world music, and cross-cultural community—the only place in the world where Robert Plant can share a bill with West African griots and Tuareg bluesmen. Last year's festival entered legend as the coronation of the Tuareg band Tinariwen, Mali's latest superstar export, whose impeccable rebel credentials start with their formation in a militia training camp in Libya. I'd seen them play in New York a few weeks earlier, and they didn't disappoint. Performing in a sepulchral half-light and dressed in Berber costume, they came across as a revolutionary combination of Ali Farka Touré and Jimi Hendrix. ...

I crawled out of my tent at dawn to behold a bizarre sight. A dozen of my campmates were up on the dunes, performing tai chi and sun salutations; the peddlers were at their side, trying to talk them into buying jeweled daggers and tribal headdresses.

Physical therapy

In an earlier post about my dislocated shoulder I had wondered about the efficacy of electrical stimulus therapy. Shifting to physical therapy, my thoughts are that the 15 minutes of time that was allotted was well worth it, if nothing else, it served as a enforcement device for making sure the patient completes their exercises.

PT also seemed like a pretty satisfying occupation - directly helps those in treatment, but at the same time seemed like a rigorous job which required standing and helping with patients for an extended period of time depending on how busy they were. Where I was they were extremely busy. A general description from the Occupational Outlook Handbook are here with earnings information as follows:
Median annual earnings of physical therapists were $66,200 in May 2006. The middle 50 percent earned between $55,030 and $78,080. The lowest 10 percent earned less than $46,510, and the highest 10 percent earned more than $94,810.

Median annual earnings in the industries employing the largest numbers of physical therapists in May 2006 were:
Home health care services $70,920
Nursing care facilities 68,650
General medical and surgical hospitals 66,630
Offices of physicians 65,900
Offices of physical, occupational and speech therapists, and audiologists 65,150

Some other stats from the Occupational Outlook Handbook puzzled me:
Metropolitan areas with the highest concentration of workers in this occupation are:
1. Sherman-Denison, TX
2. Missoula, MT
3. Waterbury, CT
4. Jackson, TN
5. Cumberland, MD-WV

Are there sports teams in these areas or more rehab clinics?

And what about these stats on earnings? Supply or demand?

Top paying metropolitan areas for this occupation:






















MSA



Employment



Hourly mean wage



Annual mean wage



Percent of MSA employment



Laredo,
TX



70



$51.67



$107,480



0.079%



Naples-Marco
Island, FL



240



$46.23



$96,160



0.194%



Santa
Ana-Anaheim-Irvine, CA Metropolitan Division



1,350



$44.77



$93,110



0.088%



San
Francisco-San Mateo-Redwood City, CA Metropolitan Division



790



$44.41



$92,370



0.078%



McAllen-Edinburg-Mission,
TX



390



$44.36



$92,260



0.178%





Tuesday, September 1, 2009

School's in

And traffic seems to be 3x worse than usual. Any serious attempts to address traffic congestion really needs to take schools into account. Too may private schools? Not enough school buses? Not enough children taking school buses? Cancel schools?

Thursday, August 20, 2009

Armand Hammer

Just finished Armand Hammer: The Untold Story (An Unauthorized Biography) by Steve Weinberg. I had meant to skim this book but parts of it were so fascinating (the Occidental Petroleum years) that I found it hard to stop. Despite what one may think of him, there is no doubt that he is everything the books say he is: ruthless, charming, generous, vicious, cheap, greedy, vindictive, calculating, energetic, self-effacing, media hungry all at the same time. Given that he was over sixty when he controlled Occidental through force of personality (and a friendly board) his achievements (glorious and inglorious) all point to the truism that one is never too old for anything.

Was also surprised to learn that both he and Bechtel made use of the Export Import Bank to get international deals through. Guess I don't really know what the Exim Bank really does - but both paint a picture that political connections can get you further. Also surprised to learn of Albert Gore Sr.'s connection to Hammer.

This biography is also extensively footnoted and evenly balanced I thought. As the author notes, there is some difficulty in establishing basic facts due to the lack of (and sometimes conflicting) documentation and also some of incidents related cannot be double checked since only few parties were involved. All in all, it was more enjoyable than I had expected.

Wednesday, August 19, 2009

Dislocated shoulder

It's been 6 months since I dislocated my shoulder and am still suffering some pain and discomfort. It's on and off so it has not been enough to drive me to see an orthopaedist yet. Had 3 months of physical therapy and have been continuing with the exercises.

My original impression was that a dislocation was easier to heal than a broken bone but now I'm not sure. Too many movies where the protagonist just shrugs his shoulder back and goes on to fight the bad guys, I think. The muscles around the shoulder seem to be the source of the discomfort rather than the shoulder itself.

Physical therapy itself is a bundle consisting of warm up exercises (1/2 hour), electrical stimulus (1/4 hr) and PT (1/4 hr) with a human. Electrical stimulus helped in the first week of treatment but after that its effect was negligible. Googling for randomized trials of the efficacy of electrical stimulus seems to indicate that it is effective only for cases of high pain. If insurance wasn't paying for the treatment I probably would have refused electrical stimulus. So if I were asked if I had been overtreated , I would probably respond with a cautious yes.

When I first entered the ER the shoulder was X-rayed and then after the shoulder was back in place, it was X-rayed again. I don't believe there was any over-treatment here. Moreover, instead of physician services, I received a physician assistant who worked out just as well (and probably had a better bedside manner). The bill however was from the physician whose rates were not the same as the rates from the insurer so I had to cover the difference. While I was not over treated, I was definitely over billed!

A follow up visit was to an orthopaedist who took another X-ray. I thought it was necessary given the decentralized system of medical care but in a centralized system it would have been just as effective if the post repair X-ray from the ER had been forwarded to him digitally. I barely spent 15 minutes with him and again not over treated but definitely over charged. (Assume doctor's rates are over $150 per visit - not quite unlike a plumber's rates the moment he steps through the doors!)

The first month of PT did not go as planned because there was some suspicion of scar tissue which required a cortisone shot. There was a real desire on my part to have an MRI to confirm the presence of scar tissue but this really would not have changed the treatment and to the orthopaedist's credit he did not require an MRI. It's not unlike a plumber who wants to send a camera into our drain to see what was causing the block - the fact that there is a block means that the treatment really doesn't change - they need to snake it out regardless of what they see on the camera. (Trust me after falling for this scam I won't be having a camera snake through our drains again!)

So overall, the dislocated shoulder's contribution to the overall economy was modest but not insignificant.