December 1, 2019

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‘Immigrant Food’ Restaurant, Trump’s New Neighbor

NPR’s Don Gonyea speaks with the co-owners of Immigrant Food, Chef Enrique Limardo and Peter Schechter, about their new restaurant, which is located one block from the White House in Washington, D.C.



DON GONYEA, HOST:

Just before Thanksgiving, I broke away from my desk at NPR headquarters and headed to a new restaurant here in Washington that’s been getting some attention lately, mainly for its name and location.

We are one block from the White House on Pennsylvania Avenue. It’s right over there. The restaurant behind me is called Immigrant Food. It’s a place that celebrates the thousands of immigrants who have helped make D.C. the city it is, with flavors from Ethiopia, El Salvador, China, Iran, India. That’s just to name a few. So we wanted to find out more about this restaurant that refers to itself as cause casual, so we’ve come to chat with two of the co-owners. Let’s go in.

PETER SCHECHTER: We wanted to create a restaurant that wore pride of immigration and immigrants right on its sleeve, right on its name – you know, a celebration of the food and the gastronomies that immigrants brought to America throughout the centuries.

ENRIQUE LIMARDO: It’s like combining 20 restaurants in just one place.

GONYEA: That’s award-winning chef Enrique Limardo. He’s created the menu at Immigrant Food. We heard first from another co-owner, Peter Schechter. He’s a longtime political adviser and global policy expert. There’s a third co-owner as well, Ezequiel Vazquez-Ger. All three owners come from immigrant backgrounds. They opened the restaurant in part because of the rise of anti-immigrant rhetoric.

SCHECHTER: We now live in a country where at least a portion of the country feels that sort of we’ve got to be closed to immigrants. And so we thought that it would be a wonderful thing to create a restaurant, in part because people unite around food. Our hashtag is #unitedatthetable.

GONYEA: The name is so simple it is almost generic. It is generic – Immigrant Food.

LIMARDO: Yeah. It’s Immigrant Food. It’s nothing more to say. That is exactly what we are doing here. So when Peter brought the idea, I just fall in love because as an immigrant from Venezuela, I just left my country because of the situations, political and economics. And I came to America because it’s the land of opportunities and pursuing the – you know, the American dream and all of that. So I just fall in love with the idea.

GONYEA: But we’re sitting here – as we said, the White House is only a block away. Immigration has become one of those issues that people argue about, and it seems the volume is so high. Do you try to stay clear of the politics? Are you embracing it? Are you taking another path?

SCHECHTER: We want very much that this restaurant be all about values. We’re trying to espouse a fundamental value because we believe that America’s story is the story of immigrants. And so we want to push those values forward because we believe that immigrants are fundamental not only to the past, to the law of what America is, but to the future of what America will be.

Americans continue to be the lifeblood, you know, of energy, the innovation. If you look at the Nobel science prizes that America has received, 40% of them have gone to people who were not born in America and immigrated to America. If you look at the CEOs of some of the companies that we love, whether it’s Tesla or Amazon, these are people who are either immigrants or whose parents were immigrants.

GONYEA: The restaurant is described as cause casual, in part because it also acts as an educational space. The owners donate meeting space within the restaurant to nonprofits dedicated to immigrant services.

SCHECHTER: The space we’re sitting in right now, the upstairs of the restaurant, is something that we will donate to the organizations for English classes or citizenship classes or board of director meetings – whatever they need.

GONYEA: Customers are also given the option to donate to these groups. At the end of the day, though, this is a restaurant with an award-winning chef running the kitchen. And he makes sure the food is also part of the conversation.

So in describing this place to people, I’ve been saying you can get Ethiopian, and you can get Salvadoran, you can get Iranian food. But I’m not correct in saying that. You can get those things, but they may not be in the form that you – yeah.

LIMARDO: One other thing that I always said – that we don’t want people just to attach the idea that it’s very traditional from Ethiopia, for example. Or this is what’s prepared by the nonna (ph), my nonna in Italy. No. We want that people just remind those flavors and reminds the idea from Italy or from Greece or from China or from Vietnam. And they are going to expect something very powerful because it’s the mixture of those cultures is very strong. And it’s a celebration in the palate. You know, it’s explosion in the palate.

GONYEA: And Limardo says this fusion of flavors works.

LIMARDO: It’s like chemistry. I just – with this challenge and this concept, I just realize in this point of my career that you can fusion almost everything if you use the right amount, and it’s going to be delicious.

GONYEA: Chef Enrique Limardo and Peter Schechter of Immigrant Food, a new restaurant just steps from the White House here in Washington, D.C.

Copyright © 2019 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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As University Hospital Hounds Debtors, Doctors Say It’s Doing Harm

The University of Virginia Health System has sued more than 36,000 patients for unpaid medical bills. NPR’s Lulu Garcia-Navarro speaks Dr. Michael Williams, who is fighting the practice.



LULU GARCIA-NAVARRO, HOST:

In recent months, doctors at the University of Virginia Health System discovered something that shocked them. Over several years, UVA had been suing some 36,000 patients who had unpaid medical bills. UVA was going after their wages and savings and even driving some into bankruptcy. So some UVA doctors decided to publicly push back. Dr. Michael Williams is one of them, and he joins us now.

Good morning.

MICHAEL WILLIAMS: Good morning to you.

GARCIA-NAVARRO: So you and some of your colleagues went public in a letter to Kaiser Health News. You said UVA’s billing practices violate the oldest ethic of Western medical practice, the Hippocratic oath that says, first, do no harm. Can you explain that?

WILLIAMS: Yes. Well, all of us take that oath very seriously. I can think of no physician who doesn’t. And so to find out that patients for whom we had prescribed therapies, performed surgeries, conducted procedures and the like were being sued, up to and including the point of taking their homes, felt like a betrayal to those of us who signed the letter and many others here.

GARCIA-NAVARRO: How did you learn about this?

WILLIAMS: Well, we learned about the rest – the way, I think, the rest of the world did. There was the story that broke in Kaiser Health News. And none of the faculty that I know were aware of the depth and breadth of the situation and/or how much harm had been done.

GARCIA-NAVARRO: Shouldn’t you have known sooner that this was happening since this is a place where you work?

WILLIAMS: Yes. Well, it is – yes. It is one of the more complex systems that you’ll come across. The physicians at UVA, like many other health systems, actually don’t work for the medical center. It’s a separate business entity. So we are, as physicians, not privy to the billing and collection practices of the hospital.

So on the one hand, we currently have no mechanism by which to know this information. On the other hand, I have to agree with you. It is incumbent upon us as physicians to educate ourselves on these matters and other things that are similar to – things that can cause harm like this.

GARCIA-NAVARRO: So what should be different about how UVA goes after people who owe it money?

WILLIAMS: UVA will still have to go out people who owe the system money. There is no other way to describe the U.S. health care system currently as anything but a business. We – I’ll speak for myself – are in favor of loosening the level of aggression with which we pursue outstanding accounts and certainly the elimination of lawsuits. I would rather see the health system and the practice group collectively understand our patients’ context and then probably make different choices based on that context.

GARCIA-NAVARRO: I was about to ask, Dr. Williams, does that mean that you might prescribe things differently? What impact could that have on your patients’ health and the choices that they may make?

WILLIAMS: I think in doing no harm, we also need to be into – weigh the balance of the financial harm that we will incur if we prescribe a specific course of action or therapy. We physicians need to, in my view, say, what are cost-effective, as well as clinically effective, therapies that can be offered that will achieve the patient’s clinical outcome that we’re looking for together and yet take into mind the patient’s – as I said, their context?

GARCIA-NAVARRO: The university has responded with two changes. They will screen out or go easier on a wider range of debtors, and they’ve established an advisory group to overhaul their billing practices. Do you think it’s enough?

WILLIAMS: Well, the – I think it’s not enough. I think it’s a good beginning. I think having community voice as part of this conversation is essential. But as I said, both patients and physicians have to understand the economics of this whole business that we’re in together.

GARCIA-NAVARRO: Listening to you talk about this, I can’t help but think that this puts an additional burden on doctors, who are already – if you speak to doctors – overburdened with a lot of different paperwork and having to think about patients. I mean, does that not add an extra layer to what you do?

WILLIAMS: Absolutely. And that’s the job. We have become safe when it comes to infections related to catheters. And we’ve become safe when it comes to patients who fall. We’ve become safer when it comes to things like sharp injuries from needles and sutures and the like. If we continue to cause financial harm to this degree, we have rendered our patients no safer.

GARCIA-NAVARRO: Dr. Michael Williams is a surgeon and head of the UVA Center for Health Policy. Thank you very much.

WILLIAMS: Thank you for having me.

Copyright © 2019 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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