The housewives like fresh vegetables!

Let us go back in time. Way back. It’s around 1980 and we’re in a once-grand, now shabby student apartment on Manhattan’s Upper West Side. Right near Columbia University, in fact. We’re at a party with a bunch of grad students from the neighborhood; I forgot whether it was for any special occasion. Did anyone need one back then?

We’d been invited by a good friend of ours who back then went by the name of Drew. One of his roommates brandished some newspaper put out by Albania’s Communist Party (remember, this is the Upper Left Side, ground zero for left wing intelligentsia back then). “Pig iron production is up by 10 percent! All praise to our leader Enver Hoxha!” the roommates exclaimed before collapsing in laughter.

Meanwhile, there’s a cluster of women surrounding a guy looking, if I squinted, somewhat like the young Trotsky. They’re hanging onto every word of his. “I decided that I’d write my dissertation on the Italian anarchists,” Trotsky-alike said in a thick, somewhat plummy British accent. “That’s Carl,” I’m told. “He just got back from the London School of Economics.” The crowd surrounding him nodded in unison. I can be bad and say they looked like groupies surrounding Eddie Van Halen, but maybe they’re as fascinated by the Italian anarchists as Carl is.

Carl’s kind of people

I catch bits and pieces of Carl’s monologue. To my admittedly uneducated, bachelor degree at the time-only ears, the Italians that he’s describing—we’re talking post World War I and pre-Mussolini—sound like noble savages, selfless, instinctual in their generosity and class consciousness. Carl avers that Italians even now (well, in 1980) aren’t all that different. Then he utters the sentence that to him says everything: “The housewives like fresh vegetables.”

Did I mention that Carl grew up in Massapequa? As in Massapequa, Long Island? New York? Somehow I doubt that he spoke with that accent before he attended the hallowed LSE.

I’m writing about Carl, wherever he is now, because he was one of many people I met, and writers I’ve read, who look at Italians in this sort of folklore-y condescending way. Italians are passionate, they’re disorganized, they love their families, they’re Catholic, they drive fast, they have great food, they do funny things that we just can’t understand, but it’s so much fun to go there on vacation. This simplistic portrayal of a complex, modern society goes back to the days of the Grand Tour, when Brits of a certain class traveled south to learn about Art and gaze wistfully at the Tuscan landscape. Think of the E.M. Forster novel and film adaption of A Room With a View, and you’ll know what I mean.

I remember as a high school kid stopping in at a friend’s house, a friend whose family can trace itself back to the American Revolution. White Anglo-Saxon Protestants, in other words. Father (he was called that by his wife, who naturally was “Mother”) would greet me and then, knowing that I’m an American with Italian relatives, ask me about recipes for various Italian-American dishes. I’m sure he was just trying to make conversation, but I remember thinking, JH Christ, get real, as if every Italian-American kid has in his genes the ability to cook veal scaloppini.

The British press is prone to this sort of thing, too. A Modern Languages Open paper examines British attitudes, arguing that most British narratives toward countries like Italy start from the viewpoint that British culture is superior. And a lot of Brits fully believe in the usual stereotypes: sunny Italy, sunset with a glass of Chianti, anarchic drivers, etc.

ABOVE: Image, meet reality

And as in Britain, so its anglophile cousins across the pond. And fairly recently. The New York Times, long a bastion of proper WASP snobbism, pointedly ignored last year’s bankruptcy and shutdown of the Italian airline Alitalia, which by most measures, was a huge business news story on the continent. At some point, someone must have noticed that Alitalia—once the official Vatican airline—had ceased operations and finally, the Grey Lady ran a silly oped, er, sorry, guest essay, by Christopher Buckley.

I’M NOT A NAIVE CHAMPION OF MY other country. The bureaucracy can drive you nuts, the voting pool is divided about 50-50, which makes it easy for weak coalition governments to be patched together and then fall after only a few months. (Just last week, Italian politicians, led by the feckless Cinque Stelle leader Giuseppe Conte, jettisoned a national unity coalition, handing Putin and the right wing a gift.) But if you look past the stereotypes, you’ll see that Italian society is actually a rules-based, established culture. The rules, however, take a while to learn, and are mostly unspoken and certainly, unwritten. They’re woven into everyday conduct. And once you’re used to them, going back to the Wild West of the U.S. can be a jarring experience in reverse culture shock.

To give a concrete example, walk into a shop of any size. Even a huge hypermarket. You make eye contact with the cashier or salesperson and you had better exchange greetings. There’s none of the sullen get right down to it business exchange that you’ll see in any American mall. If you walk into a clothing shop and start with “do you have a white shirt in a 42 size?” the clerk will immediately peg you as a rude lout and will often ignore you until you approach him or her correctly.

Another example: Days are structured here in ways that may not seem immediately obvious, except for the general lull in the middle of the day. For us retired people, it’s a structure that helps us avoid the feeling that we’re drifting through time aimlessly, like people in an old age home watching TV all day and seeing friends carted off periodically. And it’s a general structure that everyone pretty much follows.

You get up pretty early. Have coffee or whatever you need to wake up. Eat a little something. If you’re employed. you go off to the office/construction site/shop/whatever. If not, this is a perfect time to run errands. Then lunch, a pause of an hour or three. Then things pick up until either the aperitivo hour—time to meet friends for a drink. Then a light dinner and off to the finish line. I once made a lunch date with a source, a prominent lawyer for a large company here. Silly me, I asked him what time should we meet at the restaurant. He laughed, saying, “do I really need to tell you?”

I could go into the zillions of food rules, but others have it covered, especially on YouTube, where scores of videos tell you what not to do. Over and over again. So much so that you could be faulted for thinking you’re watching the same video on an endless loop. Here and here are examples. And best of all, for a video review of the rules we live by here, is Marco in a Box:

But the main rule? Enjoy yourself, try to greet people in Italian and get with the flow. And eat fresh vegetables whenever you can.

Come together?

So, it’s 2022 and Covid’s behind us and everything is just like the old days. Except that Italy reports more than 100,000 new cases on an average day. The United States records around 130,000 new infections daily. But hey, it’s just a bad cold, right? Let’s fly maskless, let’s go out to eat indoors, forget all those nasty restrictions.

At least that’s what it’s feeling like around here. Italians, who braved lockdowns and some of the most restrictive rules regarding vaccinations and gathering in public spaces, are partying like it’s 2019. It’s weirdly disconcerting, because while mass masking is clearly out, you still see bottles of sanitizer and plexiglass barriers everywhere. And don’t try getting on public transport without a mask. The local mall, er, centro commerciale is another thing…

We’ve been living with this strange situation the past couple of months. So basically we keep to ourselves and vaccinated/tested negative friends for the most part. But even given how fascinating we are to ourselves, sometimes you gotta get off the mountain, you know? And our region tempts us every day with festivals, places to hike (and people to do it with) and, bigly, as what’s-his-name once said, sagras.

What? You don’t know what a sagra is? Think of it as a big church supper, but without the church. (I’ve written about them before, but without Covid looming over them.) Substitute a town sponsor instead and add a single ingredient or dish as the star attraction. Add some cheesy merchandising, a band playing covers of everything from the Eagles (ugh) to Dua Lipa (!), not to mention gentle line-dancing for the elders. Enlist a platoon of locals to run the thing—the kids busing and waiting tables are especially adorable. And place said event (which usually lasts a few days to a week) in the local soccer pitch and you’ve got a sagra. The closest U.S. event I’ve been to is Staten Island’s Greek Festival, hosted by St. Nicholas orthodox church there.

Add fine china, a white tablecloth and a New York address and this would cost $40.

There’s one nearby that we can’t resist. It’s in Ripa, a hamlet two towns away from us. And it features truffles. Not the chocolate kind your mom got for Valentine’s Day, but the black, luscious, pungent, mysterious fungus that grows near oak trees. And the black tuber is on everything from toasts to pasta. It’s good, decadent fun on a budget. Similar food at a New York Temple of Gastronomy ™ would cost ya plenty, but a few dishes, a bottle of decent local wine and fizzy water set three of us back a whole €56, or $57.

Brits, especially, like to rank on Italians for being chaotic. (They should talk.) Go to a sagra, and you’ll see that the stereotype is just wrong. It’s all a matter of priorities. So while Roman traffic may be a free for all, food preparation and service at these sagre (*plural of sagra) is efficient and friendly. You wait in line while dispatching a friend or relative to find a table. That person texts the person on line which table number. Line person gives the order to the person in the booth and pays for it, and finds the table. Then table finder/sitter ventures out for drinks. You start on the wine and water and soon enough, an adorable 10-year-old kid delivers the food.

It’s more than the food. The people watching (and listening) can’t be beat. It’s great to see groups of family and friends out on a sultry night simply enjoying themselves and their place in the world. I like to see how the tribe organizes itself, and which combination of people are hanging out. Basically, the groups come in four models: the mixed generation family, usually three generations; the friends with or without kids and dogs; the elderly couples, either alone or in pairs. And us, a couple and an old friend who’s just moved here and we were showing him one of the glories of rural Umbria in the summer.

ANOTHER SUMMER HIGHLIGHT AROUND HERE is the Umbria Jazz festival. Only Covid stopped and then sharply curtailed it the past couple of years. But this year, for better or worse, the festival was back in its full glory, with free concerts in the streets and parks, an outdoor restaurant, paid big concerts in a soccer stadium—and lots of crowds jamming the small historic center of Perugia. The video below shows what the good old days (2017 here) were like.

We were leery and determined to stay up on the mountain and avoid the crowd. But I’d casually mentioned to a friend that The Spartan Woman would like to see the Canadian singer/pianist Diana Krall. I’d completely forgotten that I mentioned it until I got a text from my friend, saying “here’s a little gift.” Enclosed with the text were two free tickets, given to friends and family of the festival organizers.

Krall fits the “jazz” billing of the festival. But let’s say that the festival transcends labels. In the past we’ve seen artists as diverse as Caetano Veloso, REM on its last tour, Beach Boy genius Brian Wilson, and George Clinton and the P-Funk Allstars. We saw that we had reserved seats, so, unlike at the REM show it would be unlikely that a standing crowd would be jammed in right by the stage. We were right—our fellow concertgoers were a decorous bunch and we were able to socially distance from most of them.

All in all, it was a terrific way to spend a balmy summer evening. To avoid the typical Perugian parking, we drove to the end of the city’s MiniMetrò line, where there’s a huge and free parking lot. The metro itself normally shuts down at a ridiculous 21:30 every night, but they extended it to 1:45 for the festival. We zipped in and out, masked as required. You could say that the line is gently used most of the time, but it was crammed; lots of people had the same idea.

We’re keeping our fingers crossed and stay masked in public places. It was great to get out and pretend life was back to normal for a couple of hours. But for the time being, it’ll always be a little fraught to do that, so we’ll be choosy about where to go and how to do it.

Can I make an appointment with Doctor C—? What? This afternoon?

I was thinking about my other country this morning. I started to write this post on the morning of the Fourth of July, which in Italy doesn’t mean anything. But I was seeing holiday memes pop up in my social media feeds, stuff like “salute those who paid the ultimate price for your freedom.”

Really, folks, does it always have to default to saluting the military for the way we live? How about the dudes who started the whole thing by brandishing words, not muskets?

Sorry, I can’t resist. The country of my birth, the United States of America, has not distinguished itself lately. The supreme court rulings, the attempted coup by Trump and his thugs, the endless shootings of kids by the insane and of unarmed civilians by cops paints a picture of a country that’s falling into violent chaos with no good end in sight. Our friends here are puzzled and even distressed, because they grew up with American culture and the romance of the open west.

Then again, daily life for most people is not affected that much by what happens in the news. Society changes on its own, often without much intervention by government or what the press tells people to do. And it’s in the little things, the day-to-day living, where the U.S. is falling behind, too. I honestly don’t think that’s entered the consciousness of my fellow citizens, who are fed pep talks since birth about how great a nation it is. And when people talk about what ordinary citizens of other advanced nation have, the pundits and Republicans immediately denounce “socialism,” whatever that is. And that people there drive funny little cars.

So I’m going to go micro. Let me recount a few details about what it’s like to get healthcare here in Central Italy, and leave it up to you to decide whether you still want to settle for what the U.S. grudgingly grants its people.

Romantic types rhapsodize about the sweet Italian way of life, la so-called dolce vita. It’s a little different living here than being on vacation. But bureaucratic stuff aside, it is less of a hassle here to do certain ordinary things than it is in the U.S., or at least in New York. Like, for instance, seeing a doctor. I once posted about the aftermath of a car accident here, which featured a doctor visit to ensure that my parts were still in the right place.

THIS TIME, HOWEVER, A LONG-STANDING condition came to a head. Every now and then, after inhaling mold or mildew, I develop a chronic cough. It’s been enough to scare fellow subway riders, who think that I have tuberculosis. The cough ranges from annoying to debilitating, and this time it became the latter. But my New York doctor dismisses it when I mention it or break into a coughing spell. He tells me to take Claritin if it’s bothering me. Like a lot of American doctors, he’d rather I go to the standard Medicare-paid tests for people my age, rather than address a really annoying problem right in front of him, as though I’m asking for a prescription for heroin.

I asked a friend here in town for the name of a good doctor. He gave me a name and phone numbers of a physician he said knows his stuff. I put off calling for a while—I’m great at avoiding new situations. I didn’t know how I’d have to negotiate the process of getting an appointment here after years of dealing with American medical office assistants, who act as though their primary responsibility is to keep people from seeing the doctor.

I didn’t have to worry. Our exchange went like this (translated from the original Italian):

Me: Hi, my friend M gave me the doctor’s name. I live in town and have a chronic cough and I’d like to see the doctor.

Nurse/assistant: Can you wait a minute?

Me: Sure

Man’s voice: Hi, I’m Doctor C. What’s the problem?

Me: I explain while coughing throughout.

Doctor: It sounds like allergic asthma. Can you come visit this afternoon at 18:30?

Me: Sure, thanks.

Doctor: I’m right off the piazza. I’ll be waiting for you.

The piazza, the center of life Valfabbrica stylee, seen from Dr. C’s office

I hung up in a semi-daze, just amazed that A DOCTOR I DON’T KNOW GOT ON THE PHONE TO TALK TO ME AND TOLD ME TO COME VISIT THAT VERY DAY. I’m used to calling my doctor’s office in New York, being put on hold, then a distracted office person tries to find me an appointment six months out for that date. And after that hanging out in the waiting room a couple of hours. I’ve left doctors because of that. Once during one of the cough emergencies i was shunted off to a PA in a clinic near a hospital because my own doctor (who really is not a bad guy at all) couldn’t see me for months.

To make a long story short, I saw doctor C. He listened to my cough, checked my blood pressure, sat at his desk and typed up a page of notes and three prescriptions. He demonstrated how to use the inhaler and told me to come back in….two weeks. Not six months. Since I’m not yet enrolled in the state healthcare system, he charged me €60 for the visit, or about USD $61. I’ll be reinbursed by private insurance I have here, which costs less than the typical Medicare deduction and much, much less than individual health insurance in the U.S.

The dude’s a little more buff

I took the prescription to our local pharmacy. It’s in a small modern shopping center just outside the center of our little town. There’s a supermarket, a bar (what we call a café in Italy), a garden shop, and a clothing boutique. The pharmacy is not a chain; offhand I don’t even know if chains like CVS exist here. I went in with my prescriptions, which were typed on the doctor’s letterhead along with detailed instructions on when and how to take the meds. The pharmacist took a look at one of the inhalers. “Do you have a tessera sanitaria (medical card)”? I don’t; I’m not a full time resident, so I’m not yet in the state-run medical system. “It’s expensive,” she told me. I told her that I needed it anyway. And the damage? Just under €22, or about $23. I traded meds info with my daughter in New York, who also has asthma. We looked up the equivalent inhaler in the U.S., and it costs, wait for it, $350 retail.

(Can I put in a plug for locally owned pharmacies here? The CVS near our NY house treats people with prescriptions like applicants at the welfare office, forcing them to stand in line and then wait for hours or even to return in a few days. They bought up all the good family owned ones in the area, except the one owned by our friend Nick.)

Doctor C, unfortunately, had a little problem. He tested positive for Covid, and posted on Facebook, knowing that he’s friends with his patients on Zuckerberg’s platform. I did call the office after two weeks, and his assistant told me that as soon as he tested negative, they’d get in touch. They did—actually, he did, a few days later, and told me to come in. I did, he did the usual checks and adjusted the meds. Plus he told me to see a lung specialist, who’s semi retired after heading the pulmonary department in Perugia’s hospital, but still sees patients. I thought, whoa, this is going to add another layer. But no. So, same drill, I called a mobile number, the good doc answers and tells me to come in in a few days. He tells me to send a text on WhatsApp, and he responds with his address and driving directions.

Dr. D’s office. Note packed waiting room.

I won’t bore you with the details; it was a typical asthma/allergy bunch of tests. I found the place easily; it’s a huge medical center that houses the clinics for the area. You go in and a color coded sign guides you to the right office. Dr. D answered the door himself. He was reserved at first but then became conversational as we spent a whole hour together. And—The Spartan Woman tells me this unheard of in New York—he did the breathing test and allergy prick tests himself. (In addition to mold and household dust, I have mild allergies to olive trees, cypress trees, and the nasty thorny weeds that populate our lawn.) The cost for a specialist visit? €190, or USD $194,also reimbursable.

And so there we are. Dr. D told me to text him periodically over the summer to let him know how I’m doing, and to see him next month. I’ll try to be a good patient, because these people seem to be concerned and less arrogant than a lot of the masters of the universe doctors I’ve seen in New York.

A few caveats: We live in a small town with about 3,300 people, so Dr. C probably has it easier than a lot of his counterparts in bigger cities. And our region, Umbria, is in Central Italy, and is known for its relative efficiency and medical services. (People here like to complain about everything, but trust me, it’s easier to do these everyday chores than in New York, which also presents its own set of challenges.)

[Inhaler photo and asthma diagram courtesy Wikipedia Commons]