I would challenge any American cook, regardless of what they've learned from their mom, to operate a restaurant and not have spent any real time in Italy.
Mario BataliChefs don't actually say 'That's a spicy meat-a-ball,' except to indicate that there's a bomb threat in the restaurant without alarming the customers. Terrorism is the spiciest meatball there is.
Mario BataliI like anchovies, and I don't tell everybody about them. Almost every time, they don't even notice.
Mario Batali