Governance

FSI's research on the origins, character and consequences of government institutions spans continents and academic disciplines. The institute’s senior fellows and their colleagues across Stanford examine the principles of public administration and implementation. Their work focuses on how maternal health care is delivered in rural China, how public action can create wealth and eliminate poverty, and why U.S. immigration reform keeps stalling. 

FSI’s work includes comparative studies of how institutions help resolve policy and societal issues. Scholars aim to clearly define and make sense of the rule of law, examining how it is invoked and applied around the world. 

FSI researchers also investigate government services – trying to understand and measure how they work, whom they serve and how good they are. They assess energy services aimed at helping the poorest people around the world and explore public opinion on torture policies. The Children in Crisis project addresses how child health interventions interact with political reform. Specific research on governance, organizations and security capitalizes on FSI's longstanding interests and looks at how governance and organizational issues affect a nation’s ability to address security and international cooperation.

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This is the first installment in a series leading up to the publication of Fateful Decisions.

China has tremendous resources, both human and financial, but it may now be facing a perfect storm of challenges. Its future is neither inevitable nor immutable, and its further evolution will be highly contingent on the content and efficacy of complex policy choices.

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Fateful Decisions: Choices That Will Shape China's Future
This is the core argument in a new volume, Fateful Decisions: Choices that Will Shape China’s Future, edited by Shorenstein APARC Fellow Thomas Fingar and China Program Director Jean Oi. Forthcoming in May 2020 as part of Stanford University Press monograph series with APARC, this volume combines the expertise of researchers from across the disciplines of sociology, history, economics, health policy, and political science, who examine the factors and constraints that are likely to determine how Chinese actors will manage the daunting challenges they now face.

One of these challenges — how China must soon achieve economic growth as it grapples with the realities of a rapidly aging population and a shrinking workforce — is the subject of a chapter authored by Karen Eggleston, the deputy director of APARC and director of the Center’s Asia Health Policy Program. In the following interview, Eggleston shares perspectives from her chapter, “Demographic Challenges.”

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Q: What are some of the fateful decisions China is facing regarding the responsibilities of caring for a large, aging population?

A: China has achieved impressive improvements in health and longevity. It has implemented universal health coverage and is experimenting with financial support for long-term care for older adults. Yet significant gaps between the most- and least-privileged Chinese citizens persist, and in some cases are growing. As I have written elsewhere, it is not surprising that there are wide disparities in health and healthcare between different population subgroups in a country as populous, expansive, and diverse as China. How effectively and efficiently China meets these and other health- and aging-related issues will have a major impact on its ability to manage other social and economic challenges.

In the chapter I contributed to the volume Fateful Decisions, I note that China’s current population and demographic trends — including relatively rapid aging — reflect the success of earlier investments in infectious disease control, public health measures, and other contributors to mortality reduction. The lingering effects of family planning policies, historic preferences for sons, and rapid economic development are also major considerations. Together, these factors have produced a shrinking working-age population, a growing number of elderly, a gender imbalance, and hurdles for inclusive urbanization. An urgent question for China’s future is to what extent policies will ameliorate disparities in health, healthcare use, and the burden of medical spending.

The unfolding COVID-2019 outbreak is a powerful illustration of just how fateful decisions about health systems can be. Compared to the SARS outbreak almost two decades ago, China has been better prepared for this situation. SARS raised health system reform to the top of the political agenda and, many argue, played a direct role in China’s achieving universal health coverage and vastly strengthening the public health system.

But as China has become a middle-income global economic powerhouse in the years since SARS and the ensuing wave of health policy reforms, the expectations of its citizens about their health system have also risen. Has the health system, including public health and medical care, been strengthened to the same degree as other parts of the economy and public services? The impact of and lasting response to COVID-2019 may prove a litmus test.

Q: Why do these decisions about health carry such importance for China’s future development?

Through the last four decades, China has benefitted from a demographic dividend caused by the large bulge in the working-age population. But to achieve future economic growth and productivity, investments in human capital particularly in health and education —need to be made. This higher productivity will, in turn, be the means by which a smaller workforce can support China’s large and growing cohort of retirees.

As we’ve already seen, health expenditures have increased rapidly as China has developed its system of universal health coverage. Double-digit health spending growth surpassed the rate of economic growth, and as a result, health spending absorbs an increasingly larger share of the total economy. China needs to make sure additional spending on health and elderly care is efficient and effective, while also addressing the nonmedical determinants of health and promoting healthy aging. The health system needs to be reengineered to emphasize prevention, provide coordinated health care for people with multiple chronic diseases, assure equitable access to rapidly changing medical technologies, and ensure long-term care for frail elderly, all without unsustainable increases in opportunity costs for China’s future generations.

Q: What is the Chinese government doing to improve healthcare quality and delivery, and what more could it do to affect meaningful change in its systems?

China’s current policies seek to balance individual responsibility, community support, and taxpayer redistribution through safety-net coverage funded by central and local governments. Like many countries, China would benefit from improved coordination across multiple agencies and structure incentives to avoid or mitigate unintended consequences that undermine the goals of its health system. Recent governance reforms, such as the creation of the National Healthcare Security Administration, aim to address these challenges.

China’s achievements and remaining challenges can be illustrated with the Healthcare Access and Quality Index (HAQ), which measures premature mortality from causes that should not occur if the individual had access to high-quality healthcare: among 195 countries and territories, China achieved the highest absolute increase in the HAQ Index from 2000 to 2016. However, the 43-point regional disparity in HAQ within China is the equivalent of the difference between Iceland (the highest HAQ in the world) and North Korea.

Q: The subject of your chapter, China’s demographic challenges, is one of the issues you investigate in your upcoming book, Healthy Aging in Asia. As you show in this volume, challenges at the intersection of aging, economics, demographic transition, and healthcare policy are not unique to China. How are other countries in Asia responding to them and what lessons could benefit China?

 As I note in the introduction of Healthy Aging in Asia, the demographic transition from high to low fertility and mortality has been more rapid in much of Asia than in Europe and North America. That means social institutions, such as retirement, living arrangements, and intergenerational support, have to adapt quickly. For example, extending work-lives (as is happening in Japan) will be necessary but feasible only if the added years are healthy ones and equitable only if the least advantaged also benefit from healthy aging. The blessings of longevity dim when clouded by pain, disability, and loss of dignity.

 Investment strategies in insurance and managing chronic conditions are also important considerations. Japan and Korea have adopted insurance systems for financing long-term care for frail elderly, while places like Hong Kong have good empirical research on chronic condition management.

 No country or system has a “magic pill” to address these challenges, but the empirical evidence and rich policy experience documented in Healthy Aging from health systems as diverse as those in the cities of Singapore and Hong Kong to large economies such as Japan, India, and China can certainly be instructive.

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Shorenstein APARC is pleased to announce the selection of two scholars as postdoctoral fellows for the 2019-20 academic year. They will begin their appointments at Stanford in the coming Autumn quarter.

The Center offers the Shorenstein Postdoctoral Fellowship on Contemporary Asia to recent doctoral graduates dedicated to research and writing on contemporary Asia, primarily in the areas of political, economic, or social change in the Asia-Pacific region, or international relations and international political economy in the region. The Center’s Asia Health Policy Program sponsors the Asia Health Policy Postdoctoral Fellowship, supporting young scholars who pursue original research on contemporary health or healthcare policy of high relevance to low- and middle-income countries in the Asia-Pacific region

Fellows develop their dissertations and other projects for publication, present their research, and participate in the intellectual life at the Center and at Stanford at large. Our postdoctoral fellows often go on to pursue careers at top universities and research organizations around the world and continue to contribute to APARC research and publications.

Meet our new postdoctoral scholars:


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Portrait of Radhika Jain
Radhika Jain
Asia Health Policy Postdoctoral Fellow

What are the conditions necessary to ensure the effectiveness of public health insurance programs?

Radhika Jain is completing her doctorate in the Department of Global Health at Harvard University. She studies the role of the private sector in the health system, frictions in health care markets, and the incidence of public health policy benefits.

Radhika’s dissertation examines the extent to which government subsidies for health care under insurance are captured by private hospitals instead of being passed through to patients, and whether accountability measures can help patients claim their entitlements. Radhika’s research has been supported by grants from the Weiss Family Fund and the Jameel Poverty Action Lab (JPAL). She has worked on impact evaluations of health programs in India and on the implementation of HIV programs across several countries in sub-Saharan Africa. She also held a doctoral fellowship at the Center for Global Development.

At Shorenstein APARC, Radhika will refine her dissertation research for publication in academic journals and start new work on the structure of health care markets in India and the impacts of measures to increase the effectiveness of public health insurance.  


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Portrait of Hannah June Kim
Hannah June Kim
Shorenstein Postdoctoral Fellow on Contemporary Asia

How does modernization influence cultural democratization in East Asia?

Hannah June Kim is completing her doctorate in the Department of Political Science at the University of California, Irvine. She researches public opinion, political behavior, theories of modernization, economic development, and democratic citizenship, focusing on East Asia.

Hannah’s dissertation examines how and why people view democracy in systematically different ways in six countries: China, Japan, Korea, Singapore, Taiwan, and Vietnam. Developing unique categories of democratic citizenship that measure the cognitive, affective, and behavioral patterns of individuals, she finds that state-led economic development limited the growth of cultural democratization among middle class groups in all three dimensions. The results imply that the classic causality between modernization and democratization may not be universally applicable to different cultural contexts.

At Shorenstein APARC, Hannah will work on developing her dissertation into a book manuscript and make progress on her next project that explores democratization and gender empowerment in East Asia. Hannah received an MA in International Studies from Korea University and a BA from UCLA. Her work has been published, or is forthcoming, in The Journal of Politics, PS: Political Science & Politics, and the Japanese Journal of Political Science.

 

 

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People who are acquainted with the work of Shorenstein APARC’s Asia Health Policy Program (AHPP) may be aware of the Innovation for Healthy Aging collaborative research project led by APARC Deputy Director and AHPP Director Karen Eggleston. This project, which identifies and analyzes productive public-private partnerships advancing healthy aging solutions in East Asia and other regions, encompasses an upcoming volume, co-authored by Eggleston with Harvard University professors Richard Zeckhauser and John Donohue, about public and private roles in governance of multiple sectors in China and the United States, including health care and elderly care. This volume, however, is not the first collaboration between Eggleston and Zeckhauser.

Zeckhauser, the Frank P. Ramsey Professor of Political Economy at Harvard University’s Kennedy School, is known for his many policy investigations that explore ways to promote the health of human beings, to help markets work more effectively, and to foster informed and appropriate choices by individuals and government agencies. In 2006, Eggleston and Zeckhauser co-wrote a paper about antibiotic resistance as a global threat, an issue that has since received much attention as it has become a critical public health and public policy challenge. Zeckhauser was a pioneer in framing antibiotic resistance as a global threat.

On October 20, 2018, Eggleston was among some 150 colleagues, students, and friends who participated in a special symposium at the Kennedy School to celebrate Zeckhauser’s 50th anniversary of teaching and research, and to anticipate what the next 50 years might bring in the multiple fields he has influenced throughout his long career.

Eggleston joined the first of two panels in that symposium, where she spoke about Zeckhauser’s impact on health policy and about what academics and policymakers should be tackling next on the path to addressing the global threat of antibiotic resistance.

The panel was moderated by Harvard Professor Edward Glaeser. In addition to Eggleston, it included Jeffrey Liebman, Daniel Schrag, and Cass Sunstein.

A video recording of the panel is made available by the Kennedy School. Listen to Eggleston’s remarks (beginning at the 8:42 and 36:20 time marks):

 

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Improving the quality of primary care may reduce avoidable hospital admissions. Avoidable admissions for conditions such as diabetes are used as a quality metric in the Health Care Quality Indicators of the Organization for Economic Cooperation and Development (OECD). Using the OECD indicators, we compared avoidable admission rates and spending for diabetes-related complications in Japan, Singapore, Hong Kong, and rural and peri-urban Beijing, China, in the period 2008–14. We found that spending on diabetes-related avoidable hospital admissions was substantial and increased from 2006 to 2014. Annual medical expenditures for people with an avoidable admission were six to twenty times those for people without an avoidable admission. In all of our study sites, when we controlled for severity, we found that people with more outpatient visits in a given year were less likely to experience an avoidable admission in the following year, which implies that primary care management of diabetes has the potential to improve quality and achieve cost savings. Effective policies to reduce avoidable admissions merit investigation.

 

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Jianchao Quan
Huyang Zhang
Deanette Pang
Brian K. Chen
Janice M. Johnston
Weiyan Jian
Zheng Yi Lau
Toshiaki Iizuka
Gabriel M. Leung
Hai Fang
Kelvin B. Tan
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The Shorenstein Asia-Pacific Research Center (APARC) at Stanford is now accepting applications for the Shorenstein Postdoctoral Fellowship in Contemporary Asia, an opportunity made available to two junior scholars for research and writing on Asia.

Fellows conduct research on contemporary political, economic or social change in the Asia-Pacific region, and contribute to Shorenstein APARC’s publications, conferences and related activities. To read about this year’s fellows, please click here.

The fellowship is a 10-mo. appointment during the 2018-19 academic year, and carries a salary rate of $52,000 plus $2,000 for research expenses.

For further information and to apply, please click here. The application deadline is Dec. 20, 2017.

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A new book published by the Shorenstein Asia-Pacific Research Center (APARC) explores the future of China’s urbanization. Addressing the complex challenges facing Chinese cities will require updated institutions and unparalleled innovation, researchers say.

China’s growth in cities has been unprecedented over the past decade, and the urbanization policies the government put in place, while achieving notable successes, continue to face systemic obstacles that challenge the effectiveness of central and local governments. How the government will resolve the complex sets of conflicting interests will considerably shape Chinese society and politics for decades.
 
That is the premise of a new book co-edited by Karen Eggleston, senior fellow in Stanford’s Freeman Spogli Institute for International Studies; Jean C. Oi, the William Haas Professor in Chinese Politics; and Yiming Wang, deputy director general and senior research fellow at the State Council Development and Research Center.
 
In the book Challenges in the Process of China’s Urbanization, eleven chapters authored by 21 authors feature urbanization challenges ranging from property rights and affordable housing to food security and the environment.

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“Urbanization is not merely a process of financial engineering or rational decision-making, but a complicated ‘dance’ of power and politics,” the editors write in the introductory chapter.
 
The book is one of two publications that emerged from a conference in May 2014 at the Stanford Center at Peking University, that was part of a joint five-year research initiative between the Shorenstein Asia-Pacific Research Center and the National Development and Reform Commission (NDRC) – a government agency in China that formulates and implements strategies of national economic and social development.  
 
Wang, who was the deputy chief of staff at the NDRC and executive director of its Institute of Macroeconomic Research, facilitated ongoing scholarly exchanges, including workshops and conferences as well as joint fieldwork in China. At one point, the NDRC came to the Bay Area to interview local government officials about urbanization and affordable housing policies.  
 
Eggleston and Oi responded to a few questions about the book.
 
What patterns are shaping urbanization in China?
Oi: A primary pattern shaping China’s urbanization is the movement of people from rural areas to megacities – Beijing, Shanghai and elsewhere.  There also is movement from poorer to richer areas within the countryside. Rural to urban migration has been taking place in China since the 1970s, but the difference now is that the government is encouraging it. The Chinese government has an officially sanctioned program that is advocating migration. A second pattern shaping China’s urbanization is administrative redistricting. Redistricting is a government-led process that changes the administrative makeup of a municipality. For example, areas originally designated as ‘rural’ can be redistricted to qualify as ‘urban.’ Additionally, smaller cities can become larger by absorbing surrounding areas. Counties can also be combined into districts.
 
Why are cities and counties pursuing redistricting?
Oi: One of the main factors driving redistricting in China is the perks and power that are linked to the size of an administrative unit. Government officials in charge of smaller cities or counties have incentives to become larger. The larger the municipality, the more power and resources the municipality has. Smaller cities that become larger cities gain resources; yet on the other hand, counties that become part of a district lose certain local-level rights. Municipalities are essentially competing with each other. The book dives into the incentive structures at play and other political economy issues embedded in the urbanization process.
 
What kind of disciplinary approaches are undertaken in the book?
Eggleston: One of the book’s strengths is its array of disciplinary approaches. Drawn primarily from the social sciences, the book includes theoretical and empirical analyses of evidence gathered from case studies and fieldwork. 
 
Oi: The book is a true collaboration of scholars from the United States and China. About half of the chapter authors are officials from the National Development and Reform Commission (NDRC), including our co-editor, Yiming Wang, who was NDRC deputy-secretary when we did the work for the volume. Each chapter attempts to offer a balanced perspective of the policy implications of China’s urbanization experience at both national and local levels.

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Karen Eggleston, FSI senior fellow and director of the Asia Health Policy Program, speaks on a panel about demographic change and health at the conference, "Challenges in Process of Urbanization: China in Comparative Perspective," Stanford Center at Peking University, May 2014.


What do you hope the book will achieve?

Oi: The book offers an analysis of the intricacies of and potential solutions to problems related to the process of China’s urbanization. We hope the book taken as a whole gives a sense of the magnitude of these problems, why there are no easy solutions, as well as what will be needed to address them going forward.  Some of the solutions are not just about money. 
 
Eggleston: The book aims to sketch an interesting picture of the varied aspects of China’s urbanization. Each chapter looks at a select issue, for example, land financing, spatial growth and housing security, and sets it in the broader context of urbanization. We purposely decided not to cover everything that falls under the banner of urbanization. Most of the topics could very well be made into a whole book alone. We hope the book will enliven conversation amongst scholars, policy influencers and China and urbanization enthusiasts.
 

What do “people-centered” solutions to urbanization challenges in China include?

Eggleston: “People-centered” is the term used in China’s official urbanization plan, the New National Urbanization Plan, published in 2014. We defined the term “people-centered” to include what makes life in urban areas attractive. “People-centered” urbanization emphasizes well-being and the factors that lead to a good livelihood, including access to public goods. For example, from a health perspective, cities around the world were historically less healthy locations to live in during the industrial revolution, before basic knowledge of how to control infectious disease with clean water and other population health measures. Now, cities can be healthier places to live in compared to rural areas. The Chinese government has a successful record of building basic infrastructure, but faces many challenges in harnessing the requisite resources to innovate and truly achieve people-centered development.

 

"In trying to reach a public goal like low-income housing, the Chinese government is trying to set up an incentive system so that the goal can be reached not just with taxpayer money but also by bringing in the private sector to build housing in a way that includes affordable units and doesn’t lead to segregation."  

     — Karen Eggleston; FSI senior fellow, Asia Health Policy Program director

 
An issue highlighted in the book is China’s household registration system. Why is it an issue and what is being done to address it?
Oi: Because China’s urbanization has been so rapid, institutions have not yet fully caught-up. There is a disjuncture between the institutions that exist and those that are actually necessary. One pressing example is the household registration system. Citizens who live in rural areas have a different kind of residency status than citizens in urban areas. Everyone has rights, but rights differ depending on where primary residence was originally listed. A Chinese citizen is only able to enjoy all of his or her rights where he or she is registered. So migrants tend to lose out as soon as they move away from their home locality. However, the central government has started to make changes to this system. For example, children of migrants now have access to public services such as primary education. Some localities have begun to implement a points-based system wherein families accumulate points over time and, after reaching a certain level, become eligible for citizenship in that place of residence.
 
Can you describe the state of housing in Chinese cities?
Eggleston: Affordable housing is a key issue of urbanization across the world, not just in China. So, the glass is half-full or half-empty depending on how you look at it. China has been remarkably successful in avoiding the development of large urban slums common in lower income countries with rapid urbanization. That said, problems associated with housing are not going to go away quickly. The macro nature of China’s population amplifies the problem, and coincides with a dramatic increase in housing prices. Continued government investment in affordable housing will help address scarcity, and could help tackle interrelated problems such as assisted living for the elderly population in China.
 
Oi: The central government began to offer affordable housing in 2007 with the intention of providing housing for the neediest portion of the population. In theory, it works, but in reality, it has faults. Supply and demand sometimes isn’t in sync. For example, quotas were used as a way to decide the location of its affordable housing, but some cities found that housing units remain unused. The local government builds a number of affordable housing units but then discovers no one wants them because commercial housing is less expensive or factories provide dormitory space. Part of this mismatch in supply and demand is rooted in the issue of resident permits. In most cases, the neediest portion of the population is typically migrants but they are not eligible for affordable housing in the cities where there is most need for low cost housing such as Beijing or Shanghai. As a result, migrants often live in inadequate housing in city centers – small, windowless spaces with many people living together in one room. 
 
One of the chapters in the book focuses on food security. As Chinese migrants continue to move from rural to urban areas, are fears of declining food security founded?
Eggleston: Food security is an important issue. In the book, one chapter written by 9 co-authors applies rigorous methods to understand whether urbanization threatens food security in China. They found that fear of declining food security is mostly overblown. Continued government investment in agricultural production such as irrigation systems can help address those fears, and help enable sustainable food production.

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Jean Oi, FSI senior fellow and director of the China Program, (Center), and Xueguang Zhou, FSI senior fellow and professor of sociology, (Left of Center), take a tour of housing developments during fieldwork with the National Development and Reform Commission in August 2012. Oi is speaking with one of the village leaders about a "new rural community" concept developed in a housing development in Chengdu, where this photo was taken.


Another chapter in the book references pollution. Beijing has faced unprecedented levels of air pollution lately. Does it coincide with urbanization?

Eggleston: Although issues of pollution and “green growth” merit separate book-length treatment and are not central to this book, pollution illustrates the broader issue of concentrations of industry and people living in one area. Everyone has to share public space. Both a migrant and someone working at the top levels of government in Beijing breathe the same air. Things that are less visible like water quality are avoidable by some of the population, but air pollution is not, and therefore, quickly reveals how hard it is for the government to efficiently fix a problem. Policies to mitigate pollution often take awhile to have an effect, and in the mean time, people begin to doubt government accountability. Local governments have made strides within the past few years in revising evaluation structures so that officials are incentivized to react to public problems like air pollution. Historically, an official’s performance was based largely if not solely on GDP growth of his or her municipality, but it has since expanded to include other factors such as health insurance enrollment.
 
Infrastructure spending has been a driver of China’s economic growth. Has China’s rush to build quickly come at the expense of safety?
Oi: Economic growth is intimately tied to the process of China’s urbanization. Growth of cities has been driven by the ambitions of local officials who want to see their municipalities expand. But the question remains over how they’re going to finance rising needs for and costs of public goods. Each municipality receives funding from the central government and it’s based on the quantity of citizens – a number that excludes migrants. Any migrant is then – administratively speaking – a burden on the system. Municipalities have to determine how they’re going to fund public goods. This is where fiscal politics comes in. China’s fiscal system is really the most important institution in need of reform. Each chapter of the book touches upon the issue of public funding in some way.
 
Eggleston: China is generally known for its investment in infrastructure projects, but the goal of rapid growth can seemingly clash with a concern for safety. One of the main themes of the book is to think carefully about the incentives that govern the process. I think that theme certainly rings true with regard to infrastructure and safety. Put simply: if officials and contractors do not have incentive to prioritize safety, then safety problems are going to arise. The Chinese government efforts to develop and improve specific regulatory structures should continue, as several authors point out in different chapters of the book.

 

"Economic growth is intimately tied to the process of China’s urbanization. Growth of cities has been driven by the ambitions of local officials who want to see their municipalities expand. But the question remains over how they’re going to finance rising needs for and costs of public goods."  

     — Jean C. Oi; Stanford professor of political science, China Program director

 
How can a balance be struck between public and private sector led projects that address urbanization challenges?
Oi: The Chinese government is increasingly looking to establish public-private partnerships as a way to deal with urbanization challenges. Affordable housing is one area that could experiment further with the public-private model. Instead of going to local governments, the central government is now talking directly with housing developers. They say to the developers “we’ll give you permission to develop a housing estate, but within that housing estate, you’re going to have to set aside ‘X’ number of units for affordable housing.” Depending on the city, this approach has had mixed effects. Some high-end housing developers don’t want to include affordable housing because the price per unit could drop as a result.
 
Eggleston: It’s critical to think about public-private partnerships in the context of urbanization-related policy goals. I think we’re bound to see them grow. The government has an opportunity to harness the innovation of the private sector through such partnerships.
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The Shorenstein Asia-Pacific Research Center (APARC), in pursuit of training the next generation of scholars on contemporary Asia, has selected two postdoctoral fellows for the 2017-18 academic year. The fellows will begin their year of academic study and research at Stanford this fall.

Shorenstein APARC has for more than a decade sponsored numerous junior scholars who come to the university to work closely with Stanford faculty, develop their dissertations for publication, participate in workshops and seminars, and present their research to the broader community.

The 2017-18 cohort includes two Shorenstein Postdoctoral Fellows; they carry a broad range of interests from labor migration policy in China to regional institutions in East Asia. Their bios and research plans are listed below:


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hyun seung cho
H. Seung Cho is completing his doctorate at Columbia University’s Department of Political Science. He researches U.S. and Chinese foreign policy toward East Asia’s regional institutions with a broader interest in U.S.-China relations, the political economy of East Asia and qualitative research methods. His dissertation probes the popular narrative that United States and China are competing over East Asia’s regional architecture, arguing that mutual misperception and security dilemma dynamics also play out in the politics of regional institution building. To explore this phenomenon, Seung has conducted extensive fieldwork in Beijing, Jakarta, Seoul and Washington, D.C. At Shorenstein APARC, Seung will be developing his dissertation into a book manuscript while looking to further examine the relationship between the politics of East Asia’s multilateral security institutions and their perceived lack of effectiveness. Previously, Seung was a predoctoral fellow at Peking University’s School of International Studies from 2014-16. Prior to starting his doctoral studies, he also served in South Korean military intelligence as part of the two-year national service. Seung holds a Bachelor of Science in government and economics and Master of Science in international relations from the London School of Economics and Political Science (LSE).


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samantha vortherms
Samantha Vortherms is a doctoral candidate in the University of Wisconsin – Madison Department of Political Science. Her research focuses on comparative political economy, development, social welfare and research methodology. Her dissertation examines subnational variation in access to citizenship rights in China through the household registration system. Her research has been supported by the National Science Foundation, the U.S. Department of Education through the Fulbright-Hays Doctoral Dissertation Research Abroad and the Social Science Research Council's Dissertation Proposal Development Fellowship, among others. At Shorenstein APARC, Sam will work on converting her dissertation to a book manuscript and advance her post-dissertation project on the role of the firm in labor migration policies. Before going to Wisconsin, Sam received her Master of Arts in international relations at the University of Chicago, Artium Magister in public policy from University of Chicago's Harris School of Public Policy, and a Bachelor of Arts from the University of Richmond. From 2014-16, she was a visiting research fellow at the National School of Development's China Center for Health Economics Research at Peking University.

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Scholars at Stanford's Shorenstein Asia-Pacific Research Center in the Freeman Spogli Institute for International Studies assess the strategic situation in East Asia to be unsettled, unstable, and drifting in ways unfavorable for American interests. These developments are worrisome to countries in the region, most of which want the United States to reduce uncertainty about American intentions by taking early and effective steps to clarify and solidify U.S. engagement. In the absence of such steps, they will seek to reduce uncertainty and protect their own interests in ways that reduce U.S. influence and ability to shape regional institutions. This 23-page report entitled “President Trump’s Asia Inbox” suggests specific steps to achieve American economic and security interests.

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Scholars at Stanford's Shorenstein Asia-Pacific Research Center in the Freeman Spogli Institute for International Studies assess the strategic situation in East Asia to be unsettled, unstable, and drifting in ways unfavorable for American interests. These developments are worrisome to countries in the region, most of which want the United States to reduce uncertainty about American intentions by taking early and effective steps to clarify and solidify U.S. engagement. In the absence of such steps, they will seek to reduce uncertainty and protect their own interests in ways that reduce U.S. influence and ability to shape regional institutions. The recommendations summarized below, and elaborated in a 23-page report entitled “President Trump’s Asia Inbox,” suggest specific steps to achieve American economic and security interests.


» Key Recommendations

» Full Report with Preface from Director Gi-Wook Shin and Introduction by Amb. Michael H. Armacost

» About the Contributors

» Information for Press

» Press Coverage


Key Recommendations. 

 

Trade and Economic Relations

The dynamic economies of East Asian countries are increasingly integrated and interdependent. The United States is an important market and source of investment and technology, but this is no longer sufficient to ensure that future arrangements and rules will protect American interests. The region is moving toward more formal, rule-based arrangements and the United States must be an active shaper of those institutions.

Most in the region want the United States to play a leading role in the establishment and enforcement of free and fair international economic transactions, and want the rules and mechanisms governing trade to be multilateral ones. If we do not play such a role, China, and possibly others, will seek arrangements that disadvantage American firms.

  • The replacement for the Trans-Pacific Partnership (TPP) should build on what was achieved in those negotiations, especially those that would assure market access for U.S. firms and protect intellectual property rights, enforce labor standards, and ensure environmental protection. A single multilateral agreement would be best, but much could be achieved through interlocking and consistent bilateral agreements.
  • The administration should adopt policy measures to increase employability and create jobs for the Americans who have been disadvantaged by globalization.

Defense and Security

China’s military buildup and North Korea’s growing arsenal of missiles and nuclear weapons have fueled concerns about U.S. will and ability to honor its security commitments in the region. No one wants a regional arms race or tit-for-tat moves that increase the danger of accidental conflict or escalation, but many believe concrete steps are needed to check perceptions that the United States is becoming less willing to maintain the peace and stability that undergirds regional prosperity.

  • While reaffirming the need for a forward presence in the region, reconfigure it along the lines of an “active denial” strategy. “Active denial” means maintaining a forward presence in East Asia that is designed to deny an opponent the benefits of military aggression, especially the prospect of a quick victory. The first component of such a strategy is a resilient force posture, which can be achieved by exploiting the size and depth of the region to distribute units in more locations. The second component is an emphasis on planning to conduct military operations against an adversary’s offensive strike or maneuver forces, not targets deep inside an adversary’s homeland territory and not by carrying out preemptive strikes.
  • Strengthen U.S. military capabilities by developing and fielding stealthier air and maritime platforms, increase submarine and anti-submarine assets, and provide forward deployed forces with better active defenses, such as rail guns and lasers. At the same time, the United States should assist those neighbors of the PRC who feel threatened by Chinese assertiveness to develop asymmetric coercive capabilities that can put at risk forward-deployed PLA forces. The United States can use elements of such assistance programs as points of negotiating leverage in our attempts to limit militarization on both sides.
  • Continue to promote U.S.-China military relations, emphasizing accident avoidance and crisis management, sustained dialogues on national strategies and doctrines, and cooperative endeavors, such as training exercises and combined operations, where and when feasible and mutually beneficial.

China

People in the region worry about China’s actions and intentions but they worry more about the prospect of confrontation and conflict between the United States and the People’s Republic. They look to the United States as a counterbalance to China but fear that Washington will overreact or underreact to actions by Beijing, or take provocative actions that jeopardize their own interests. The U.S. should:

  • Respond to Chinese actions inimical to American interests in ways that protect our interests, achieve U.S. goals shared by others in the region, and avoid both the reality and the appearance of being “anti-China.”
  • Reaffirm American commitments to allies and partners including China and Taiwan.
  • Tighten enforcement of import restrictions on products produced by firms that have stolen intellectual property from U.S. companies.

Korean Peninsula

North Korea is threatening an ICBM test in 2017, possibly in the next few weeks or months. There is a political vacuum in South Korea, and Seoul is being pressured and punished by Beijing to reverse its decision to accept the deployment of a U.S. THAAD missile defense in South Korea. Under these circumstances, these are our priority recommendations for the administration

  • It should work to dissuade North Korea from an ICBM test. Publicly, the new administration should reaffirm that the U.S. would use military means against an ICBM that appeared to threaten the U.S. or one of our allies. Regular spring ROK-U.S. joint military exercises should be held, but calibrated and conducted to avoid giving Pyongyang extra pretext for a test. The Trump administration should appoint a senior envoy empowered to go to Pyongyang to convey openness to renewed diplomacy, while at the same time being clear about the consequences of an ICBM test. China will share this goal, and the new Trump administration should establish a dialogue with China on North Korea based on this shared interest rather than linked to other issues in the U.S.-China relationship, such as bilateral trade. The Trump administration should not negotiate the THAAD issue with Beijing but rather stick to the principle that this is a Seoul-Washington issue.
  • The U.S.-ROK relationship will need early and special attention in 2017. Secretary of Defense Mattis’ early visit to the ROK was a wise move. With names already announced for Beijing and Tokyo, a new American ambassador for Seoul should be nominated soon. Despite the political leadership vacuum in Seoul, the Trump administration should strive for the closest possible diplomatic, political, and military coordination on North Korea with our South Korean allies. Trade and burden-sharing issues should not be front-burner issues during South Korea’s political transition. U.S. neutrality in the South Korean election, along with demonstrated respect for South Korea’s democracy, will be carefully monitored, and is essential, as is strengthening U.S. contacts and outreach across the political spectrum in South Korea.

Japan

The Abe administration is the most stable government Japan has had for many years. The prime minister wants to work with Washington, is prepared to deepen defense cooperation with the United States and others in the region, and is eager to lock in the commitments and arrangements negotiated in the TPP. There is a real opportunity to secure access for U.S. firms greater than achieved by any previous administration.

  • Build upon arrangements negotiated in TPP to secure a U.S.-Japan free-trade agreement (FTA) that increases access for U.S. firms and locks in economic reforms initiated by the Abe government.
  • Propose annual head of state level trilateral cooperation summits with Japan and South Korea and seek greater trilateral cooperation, particularly in the area of security cooperation. Caution Tokyo against steps backward on historical reconciliation.

Southeast Asia and the South China Sea

Southeast Asia is most vulnerable to and concerned about China’s actions and intentions. Countries in the region want the United States to counterbalance and constrain China but worry equally that the United States is unreliable and unequal to the challenge of protecting their interests while preserving American interests vis-à-vis China. Unless given a better option, they will lean toward China for economic and security reasons.

  • The United States should anchor U.S. policy on the South China Sea (SCS) to an explicit commitment that no single country—not the US, not China, nor anyone else—should seek or enjoy a monopoly of ownership and control over that body of water. To underscore that commitment, the United States should execute freedom of navigation operations (FONOPs) in waters between and around the Spratly islands. These and other operations in the SCS should be conducted in conformity with the authoritative ruling on the status of its waters and land features issued in 2016 by the arbitral court convened for that purpose under the UN Convention on the Law of the Sea.
  • The United States should also try, in concert with its allies and partners, to bring the SCS under international protection and management by a combination of claimant and user states, including the United States and China, based on international law. The Southeast Asia Maritime Security Initiative should be enlarged and upgraded to serve this purpose. If China declines to join, a chair at the table should remain empty should Beijing change its mind.

The U.S. should remain engaged with the process of regional and trans-Pacific institution building, including but not limited to the Association of Southeast Asian Nations (ASEAN) annual meetings, the East Asian Summit, and the Asia Pacific Economic Cooperation (APEC) forum, which will be hosted by Vietnam in 2017.


Full Report with Preface from Gi-Wook Shin and Introduction by Amb. Michael H. Armacost.

 

The policy recommendations published above are a summary included in the beginning of a 23-page report entitled “President Trump’s Asia Inbox.” You may view the full report here.


About the Contributors

Michael H. Armacost is a Shorenstein APARC Fellow and former U.S. ambassador to Japan and the Philippines.

Karl Eikenberry is the Oksenberg-Rohlen Fellow at Shorenstein APARC; director of the U.S.-Asia Security Initiative; former U.S. ambassador to Afghanistan, and Lieutenant General (Ret.), U.S. Army.

Donald K. Emmerson is a senior fellow emeritus at FSI; director of the Southeast Asia Program at Shorenstein APARC; and affiliated with FSI’s Abbasi Program in Islamic Studies.

Thomas Fingar is a Shorenstein APARC Fellow and has served as former first deputy director of national intelligence for analysis and chairman of the National Intelligence Council, among other positions.

Takeo Hoshi is the Henri H. and Tomoye Takahashi Senior Fellow in Japanese Studies and director of the Japan Program.

Gi-Wook Shin is the director of the Walter H. Shorenstein Asia-Pacific Research Center; senior fellow at the Freeman Spogli Institute for International Studies; director of the Korea Program; and the Tong Yang, Korea Foundation, and Korea Stanford Alumni Chair of Korean Studies, all at Stanford.

Daniel C. Sneider is the associate director for research at Shorenstein APARC, co-director of the Divided Memories and Reconciliation project and a former foreign correspondent.

Kathleen Stephens is the William J. Perry Fellow in the Korea Program at Shorenstein APARC and former U.S. ambassador to the Republic of Korea.


Information for Press.

 

The contributors are open to comment, interview and provide background information on the contents of the report, “President Trump’s Asia Inbox.” To inquire about availability, please contact Lisa Griswold, Shorenstein APARC Communications and Outreach Coordinator, at lisagris@stanford.edu or (650) 736-0656.


Related Press Coverage

 

Stanford report offers policy insights for the Trump administration, Caixin Media (in Chinese), Feb. 13, 2017

"Trump, do not bring up KORUS FTA and US forces cost-sharing until S. Korea's next presidential election," Yonhap News and various other outlets (in Korean), Feb. 13, 2017

China looks to US to resolve N. Korea nuclear issue, The Straits Times (in English), Feb. 15, 2017

Stanford experts offer policy proposals, insights on US-Asia relations, Stanford News Service (in English), Feb. 15, 2017

Unsettled, unstable and drifting: Today's US-East Asia relationship, Medium (in English), Feb. 16, 2017

Why Japan will also be "convenient" for the Trump administration, Tokyo Business Today (in Japanese), Feb. 18, 2017

Study: Managing China relationship most consequential to US, China Daily USA (in English), Feb. 21, 2017

How the Trump administration should address China, Tokyo Business Today (in Japanese), Feb. 23, 2017

Fears of Trump giving China free reign in Asia misplaced, Asia Times (in English), Feb. 24, 2017


 

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As 2017 approaches, the Shorenstein Asia-Pacific Research Center documents highlights from the 2015-16 academic year. The latest edition of the Center Overview, entitled "Challenges to Globalization," includes research, people, events and outreach features, and is now available for download online.

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