



I saw an Expat drinking a Pina Colada at Trader Vic's. His hair was perfect.



My first career was in hospitality business, at 17 I was a Crew Chief at McDonald’s and at 18, I managed my peers. Kinda rough a few times, but, it definitely started my love for the restaurant business there. It was the first degree that I pursued at Michigan State and the restaurant business is still very close to my heart. Not only because I love to eat, but, there’s also something about the organized chaos or strategic process that fascinates me to this day. The way that McDonald’s revolutionized the production and standards part of a mostly mom and pop industry still has impacts to this day on how people eat globally. Being a bit OCD, the standardized processes and achievable standards energized me and set my career in motion, opening more and more opportunities for me for process improvement and change management in my career. But, I digress….
I have a love affair with McDonald’s, having eaten at a McDonalds in every one of the twenty five countries that I have visited. I order the same meal each time: Double Cheeseburger, Large Fries, Large Coke. For the most part, this meal is exactly the same in every restaurant (except for the plain burgers served in Argentina, but, meh.) In any case, fast food is part of every culture, from street food in NYC or Chicago, to major chains like KFC, McDonald’s and Burger King, all of which can be found here in London. Though, with the rail based, grab and go sort of commuter culture there is much more competition for that quick quid to get something to eat prior to the train. You look around Paddington Station and they’re all there – McDonald’s on Platform 1, Burger King, Marks and Spencer and Sainsbury’s in the main mall part of the station, Upper Crust and Delice de France and Starbucks, right by the main ticket entry hall. The choices are amazing. But, one of them stands out above and beyond all the rest.
Pret a Manger (French for Ready to Eat – a play on the term Ready to Wear) is an English chain of quick service restaurants that are different than the others. According to their website, www.pret.com, their founders “made proper sandwiches avoiding the obscure chemicals, additives and preservatives common to so much of the ‘prepared’ and ‘fast’ food on the market today. The two of them had woefully little experience in the world of business. They created the sort of food they craved but couldn’t find anywhere else.” (Caveat – for a while, McDonald’s had a minority venture capital ownership until 2008, similar to Chipotle).
Pret is a sandwich and soup, mostly take away place. All of their ingredients are chemical and preservative free, including Free Range eggs, traditionally made mozzarella, Higher Welfare chicken breast, handmade soups and handmade mayo. As well as baguettes baked onsite, locally sourced milk and yogurt products and fairtrade coffee. Prices are also relatively inexpensive for what you get and portion sizes are reasonable, instead of a triple decker sandwich from Subway that is as big as your head.
They are everywhere in London, train stations, tube stops, high streets and even in Selfridge’s main store on Oxford Street. The service is quick and friendly and the restaurants are clean, organized and maximized on space. It is a concept that will do very well in grab and go cities like New York, Chicago and Washington DC where they currently are doing business. If they maintain the values of their corporate culture, we could be looking at the next craze in fast food. I’d be concerned if I were Starbucks, or even my original favorite, McDonalds.
That still doesn’t mean that I won’t grab a Double Cheeseburger for 1 pound 29 pence every once in a while. But, I’ll choose the meatball and sweet chili wrap with a bowl of shepherds pie soup over it every day and twice on Sunday.
One of the things that I have been cursed with since birth has been sinusitis, caused usually by allergies to mold and dustmites. Both of which are in abundance in my current temporary apartment. Since I moved here a little over a week ago, my national insurance number has not come through, which hampers me a little when it comes to seeing a physician. Luckily, my employer has an onsite clinic and the physician there could prescribe the triple threat cocktail to get rid of the sinus infection: antibioitic, antihistamine and nasal corticosteroid. As she hands me the prescriptions, she tells me that since I do not have a NHS number, I will have to pay cash for the prescriptions, just like in the US if there were no insurance. Immediately in my head, I assume I will have to take a second mortgage out on my condo in Seattle to pay for these drugs.
Enter Boots. Boots is a pharmacy that happens to be everywhere, similar to Walgreens in the US, but with ready to eat lunch combos and no holiday decorations for sale. It’s not a place that you can find everything, but it sure is a place that when you’re sick, the pharmacist can actually navigate and help you out. Not that US pharmacists cannot, it’s just a little bit different. I speak to the pharmacist, expecting to get a quote for these drugs at 100 GBP, as that’s roughly what they would cost in the US. She apologizes profusely saying, “These would be so much more inexpensive if you had your NHS number.” “How much?”, I ask. “80-90%”, she adds. She then rings them up and says – “20 pounds please.”
My eyes bug out of my head, not only because this is already 80% less than I was expecting to pay, but it is significantly less expensive for me without insurance in England then it is for people with insurance in the US. Now, don’t get me wrong, I’m not going to make this a manifesto about prescription coverage and the US medical insurance system. But, it is absolutely maddening to know that other mature economic countries can keep medical costs under control. And before you say, “the NHS is not the answer”, you’re right, hence why supplemental private health insurance exists here. But, in any case, all that does is make your costs even less.
For the expats out there, verify with your employer that private health insurance exists and how much it costs for you to enroll. In my case, the insurance is included in my benefits and able to be removed if your partner has better private insurance, though you get no reimbursement for the opt out. Otherwise, get the process of registering for your NHS number as soon as you can, as it can take anywhere from 7-21 business days to have it process. This doesnt mean that you will not be able to get care, as it is illegal to turn anyone away from medical care in the UK. But, it sure will make it easier and cheaper.
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