In February of 2025, my girlfriend and I both got sick after getting take-out from a restaurant that was near a hospital. I hadn't been sick in over 7 years, so it was quite a shock! At first, we thought it was the food, but the doctor said it was strep-throat. Except it was a form of strep-throat that humans don't usually get, called Streptococcus dysgalactiae ssp dysgalactiae (SDSD). It's usually an udder disease in cows. According to my research, only a handful of people in the world have been diagnosed with this particular sub-species.
The scariest thing about it was the muscle weakness and deep lethargy, which made getting out of bed, or doing anything, very difficult. That seems to be one of the main symptoms people get. And apparently 40% of people get sepsis with this sub-species! So if you have this, take it very seriously and get treatment right away.
Luckily, a ten day treatment of 500mg of Penicillin G, with the occasional ibuprofen and acetaminophen, was enough to kill it off for me. And for anyone taking antibiotics, you should take prebiotics and probiotics for at least a month afterward so you don't get a deadly gut situation called Clostridium difficile (C. diff). Though with Penicillin, there is a lower risk of this.
So it likely wasn't food poisoning. But it made me think about all the different places that we used to go to eat. We started talking about them and I listed off about 20 places, just off the top of my head. Out of those 20 places only really 2 were spotlessly clean. Every other restaurant had varying degrees of dirtiness. And eating at a restaurant located across the parking lot from a hospital was, in hindsight, a really dumb idea.
The CDC claims that 48 million people (about 1 in 6 Americans) get sick from foodborne illnesses annually. Of those, about 128,000 are hospitalized, and 3,000 die from foodborne diseases. It's estimated that around 60% of foodborne illnesses in the U.S. are linked to food consumed at restaurants. See this reference pdf for all the numbers.
Then there's Doordash, Instacart, etc. A survey conducted by US Foods found that 28% of delivery drivers admit to eating their delivery food. What percentage of drivers aren't admitting to it?
My girlfriend says she saw one of these personal shoppers repeatedly wiping their hands and nose on a handkerchief that was well past its due date. So eating out, or getting food delivered, is like playing Russian-Roulette. Of course, you almost never hear about it, because no one else benefits economically if you stop eating out.
Whenever I got takeout, I'd try to meet the person in the parking area, or cross street, rather than have them come to my door. Partly, this was due to the fact that delivery drivers can't seem to operate their brains if you live in an area where their cellphone (maps app) is guaranteed to lose service. Also, what if you didn't tip "enough" according to their standards? Do you really want them to remember where you live? Tipping expectations are absolutely insane now.
Some of the delivery drivers appeared to be at the poverty level and their cars were absolutely filthy. I'd feel bad for drivers like this and tip them a little more, with cash, not thinking about whether I really wanted my food in their car till much later. There are health concerns at literally every stage of the food preparation, ordering, and delivery process.
Then there is the money. I was eating out probably 2 - 3 times a week. For two people, that's around $5,200 - $7,800 a year. That is a lot of money to spend unnecessarily. According to a 2021 survey by Statista, the average American household spends about $3,000 per year on food away from home. The U.S. Department of Agriculture (USDA) estimates that the average cost of a home-cooked meal is about $4.74 per person, whereas a typical takeout meal is about $10 to $15 per person. Eat at home and you'll save roughly 50% to 70% per meal. However, with inflation, I think the $10 to $15 per person estimate is on the low side. Nowadays, you're looking more at $30 to $50 per person.
Many food delivery containers, especially those made from Styrofoam or plastic, can leach harmful endocrine disruptor chemicals, like BPA or phthalates into your food. These chemicals can interfere with hormone levels and potentially lead to reproductive issues or cancer. It's normal for take-out restaurants to use these kinds of containers.
And food preparation services and "meal kit" delivery services also use these toxic containers, all while claiming to be healthy choices. Even soda cans have a thin plastic lining inside the aluminum cans.
You can check the USDA food safety and inspection service for food recalls in your state. There are recalls listed frequently. Walmart and other major chains regularly sell moldy produce.
The issue with food recalls is that many times the food isn't recalled until after there is a significant problem, which has already hurt people. People may have to go to the hospital, but even if they do file a report, I have seen a recall where the government claimed no reports were filed. For example, with this Walmart review:
One time, my girlfriend and I called the local health department to inquire about why a particular restaurant closed down. A woman answered the phone, from what sounded like her home! She then proceeded to act like we were inconveniencing her, as if she had never talked to a person before.
It was incredibly bizarre and made me think that the local health inspection office might be engaged in fraudulent employment. Furthermore, the website had a set of circular links that was unhelpful.
How much fraud is going on at your local health department? How would you even know?
While it's not quite food, even feel good, vegan, toothpaste was found to have dangerous bacteria in it. Tom's of Maine, owned by Colgate-Palmolive, was found to have the bacterias Pseudomonas aeruginosa and Ralstonia insidiosa in the water used to clean its equipment and manufacture its toothpaste (see cached article). The bacteria Paracoccus yeei was found in its "Wicked Cool! Anticavity Toothpaste."
Tom's of Maine, and other toothpaste companies, also use Xylitol, which has been linked to a possible increase in cardiovascular risk (see abstract).
They claim they are "confident there are no safety issues with our toothpaste and that it is safe to use" (see screenshot) even after 400 people complained about the color, taste, and odor of its toothpaste.
We thought it meant that you get it fast, but what it really meant was that it kills you faster than normal food. According to this article natural flavoring (a euphemism for more poison), potassium bromate, propylene glycol, TBHQ, calcium sulfate, phosphate additives, BHT, propyl gallate, phthalates, and flourine are common ingredients in your favorite fast foods.
Why should you need a P.h.D in bio-sciences just to enjoy a meal out? Why is it OK for corporations to pretend that their products are "food," and hide under linguistic deceptions like "natural flavoring," when really they're toxic? Why is it OK for them to mass poison people a little bit at a time?
The CDC claims that during 2013 to 2016, 36.6% of adults consumed fast food on a given day! It's no wonder Americans are so unhealthy.
Would you like a side of engine lubricant with that? Learn more about seed oils.
Stevia was used by Indians as a natural contraceptive and some studies suggest it can negatively affect your liver. Learn more about the dangers of Stevia.
In 2020, US customs claimed that stevia extracts and derivatives were subject to seizure because forced labor was used in their production (see cached article).
Erythritol is a popular sweetener that has been found to increase the risk of heart attacks and strokes (see abstract). Products like Garden of Life protein powder use both erythritol and stevia and claim to be healthy!
Learn more about the dangers of consuming sugar alcohols (cached article).
You might not think much about getting a simple cup of coffee when you're out and about. But you might want to think twice. Years ago, I worked at a coffee chain and saw just how bad the stores were.
A lot of corporate coffee stores have roaches, even though their cleanliness standards may actually be really high. One store I worked at looked immaculately clean about 95% of the time and they still had them. The manager told me that some outdoor re-landscaping job had apparently brought them in; but seeing them at other stores made me think that was most likely just a story. All the syrups, sugar, food droppings, coffee grounds, and open containers of toppings are likely very inviting to bugs.
They didn't hire enough staff to really keep the stores clean enough. In fact, the main store I worked at was super filthy underneath the cabinets; there was just no way to clean the floors there. Another store I worked at hadn't cleaned behind their fridges in what looked like years. I talked with other long term baristas who told me of stories about roaches at other stores. My conclusion was that they are likely in many stores.
An espresso machine uses a milk wand to steam the milk for drinks. After every use, that wand is cleaned with a Quaternary ammonia-based sanitizer. Then the wand is placed in the milk for the next drink. So you're likely getting a little bit of sanitizer in your drink.
Baristas who had been there for years made horrible mistakes as well. I remember one time I looked in the drip coffee urn to see if there were any coffee grounds in there. To my surprise, there was actually a sanitizer rag in it. This was after the urn had actually been used for over an hour to serve coffee to customers. The other issue is that the drip coffee urns are cleaned with a chemical called "Urnex." This stuff can make you sick if you accidentally ingest it.
The ovens that heat up your food are sanitized daily with a chemical sanitizer. I regularly watched employees clean the ovens lackadaisically and barely wipe them down after sanitizing them. So who knows how much of that residue is actually going into your food. Only one person I ever met told me that they should be wiped clean multiple times to get rid of the sanitizer.
A different employee cleaned out the ice holder one day and I noted to her that, "she was the only person I'd ever seen do that in more than 6 months." Apparently, the ice holder can get moldy if it isn't cleaned. The employees often don't have enough time to do a dedicated cleaning task like that. So I would assume that most ice you get at a restaurant, or coffee shop, has some level of mold in it.
The metal mugs they used to pour your milk always have a little bit of left over water in them; I was the only person I ever saw routinely pour it out before making a drink. The other issue with those mugs is that there is always a layer of milk, matcha, and espresso permanently encrusted onto the bottom of the mug. They get "washed," but are never really clean to the bare metal.
One time I had a customer ask what the production date on the pre-made food was. At first, I thought to myself, "Oh, not another difficult customer." So I looked at the dates. They were over a year and a half old! I was surprised. He refused to purchase the food. I wish I took a picture that day, because a couple days later they were gone and only relatively new ones were in stock. So it must be an occasional thing, but once in a while you will get ancient, possibly inedible food.
It's possible that some package got forgotten in some corner and an employee from the food sourcing company just threw it in the truck without noticing that it was over a year old. However, I did get a picture of a frozen pre-made food package with a production date that was 8 months old. Do you really want to eat frozen eggs that are a year, or more, old?
The pastry holders were made with really cheap aluminum trays made by Edward Don & Company. These trays were regularly sliding in and out on top of cheap, flat, aluminum rails. This creates a thin layer of aluminum dust. I know because one time I cleaned the trays and the sanitizer rag, and my hands, were blackish gray. It reminded me of metal shop in Junior High.
I told my shift lead, the high school kid in charge, and he said, "that's just dust." And I thought to myself, "Yeah, aluminum dust." Normal dust comes off the hands easily, this was more akin to handling newspaper and getting the black dioxins on your hands; it doesn't come off without a harsh wash with lots of soap. Of course the pastries are all in plastic bags. But then those bags regularly sit on the same surface as the food in the food preparation area. The whole situation is just not ideal.
Lastly, the amount of waste generated by a single coffee store alone is mind-boggling. Daily shipments, bags of coffee grounds, plastic of all sorts, and endless packaging littered the back-rooms. An entire 2 cubic yard dumpster could easily be filled in two days (around 24 bags of trash). With 14,606 stores, as of 2018, that represents around 350,544 bags of trash every two days. That is 63,974,280 bags of trash a year! At one store I worked at, it was the policy to place everything, including recyclables and compost, into the trash.
The other element of waste that you don't see quite right away is the coffee. So much coffee is wasted, simply because it is cooled down or "too old" (more than 20 minutes in some stores). Coffee shops are easily losing millions of dollars every year due to their inefficiencies in this area. If they used an artificial intelligence/machine learning system to actually track their coffee usage and customer traffic, they could save a lot of money.
I am sure there are other organizations producing significantly higher amounts of waste and it may not be fair to single out coffee shops on this point, but when I saw this waste I thought to myself, "If you care about the environment, don't eat out; stay home and make your own coffee."
The list of health, sanitary, and environmental issues goes on and on, but you get the idea. Even just getting a simple cup of coffee could result in a major health problem.
If you managed to get this far, have a listen to this great song by Linus Pauling Quartet, titled Hamburger Girl.