In the 2019 fourth-quarter edition of the Milken Institute Review, AHPP director Karen Eggleston looks at China's healthcare system, exploring the inequalities that have opened up between rural and urban healthcare, and discussing what needs to be done to ensure that the system remains sustainable in the face of increasing aging and slower economic growth.

The substantial social and economic burden attributable to smoking is well‐known, with heavy smokers at higher risk of chronic disease and premature mortality than light smokers and nonsmokers. In aging societies with high rates of male smoking such as in East Asia, smoking is a leading preventable risk factor for extending lives (including work‐lives) and healthy aging.

In the 2019 fourth quarter edition of the Milken Institute Review, Asia Health Policy Program director Karen Eggleston discusses the progress China has made since the 2009 reforms to its healthcare, which brought basic coverage to all and reduced patients' share of costs, and explains the many challenges that remain, including increasing the system's efficiency to ensure its sustainability and addressing the disparities in healthcare that echo the "yawning gap in living standards between China's rising middle class and its poorest citizens."

China’s national health reforms over the past two decades have brought the system closer to the modern, safe, reliable and accessible health system that is commensurate with China’s dramatic economic growth, improvement in living standards, and high hopes for the next generation.

In Live Long and Prosper?, a new eBook edited by David Bloom, AHPP director Karen Eggleston contributes the chapter "Understanding 'Value for Money' in Healthy Ageing," in which she advocates for and explains the concept of "net value of medical care," a metric that helps quantify the social value of spending on healthcare.

By May 1966, just seventeen years after its founding, the People’s Republic of China had become one of the most powerfully centralized states in modern history. But that summer everything changed. Mao Zedong called for students to attack intellectuals and officials who allegedly lacked commitment to revolutionary principles. Rebels responded by toppling local governments across the country, ushering in nearly two years of conflict that in places came close to civil war and resulted in nearly 1.6 million dead.

Korea’s migrants have diversified in recent decades. A special section of the journal Asian Survey gathers articles that address this development by examining issues of class as an analytical lens in addition to ethnicity and citizenship, and also by considering the contributions of migrants from both human and social capital perspectives. By doing so, the authors aim to provide a better understanding of the varied experiences, realities, and complexities of Korea’s increasingly diverse migrant groups.

Truth to Power, the first-ever history of the U.S. National Intelligence Council (NIC), is told through the reflections of its eight Chairs in the period from the end of the Cold War until 2017. Co-editors Robert Hutchings and Gregory Treverton add a substantial introduction placing the NIC in its historical context going all the way back to the Board of National Estimates in the 1940s, as well as a concluding chapter that highlights key themes and judgments.

Promotion of inward foreign direct investment (FDI) into Japan has been an important policy in the Abenomics growth strategy. This paper examines if we observe positive impacts of the policy in the data. We first estimate a gravity model of bilateral FDIs using data for 35 OECD countries as destination countries. In estimating the model, we handle zero values for FDI stock explicitly. The model includes (origin and destination) country-specific effects as well as destination-country specific time trends.

Ties between individuals and institutions in the United States and the People’s Republic of China have become broader, deeper, and stronger during the four decades since the establishment of formal diplomatic relations in 1979 and the relationship can no longer be described as fragile. However, it also cannot yet be considered a normal relationship, at least not from the perspective of American citizens, companies, and commentators on international affairs. The relationship between the two largest economies and military powers has many asymmetries.

This special issue of The Journal of the Economics of Ageing, edited by Anita Mukherjee and APARC's Asia Health Policy Program Director Karen Eggleston, focuses on a key challenge around the world: financing the many needs that come with longer lives, lower fertility, and older population age structures. The triumph of longevity can pose a challenge to the fiscal integrity of public and private pension systems and other social support programs disproportionately used by older adults.

With an estimated 84 million people suffering from diabetes in South Asia, the disease imposes substantial economic burdens on individuals, families, and society. Furthermore, since the disease burden increasingly occurs in the most productive midlife period, it adversely affects workforce productivity and macroeconomic development. Diabetes-related complications lead to markedly higher treatment costs, causing catastrophic medical spending for many households, thus underscoring the importance of preventing diabetes-related complications.

The year 2019 is the centennial of several anti-colonialist movements that emerged in Asia, including the March First Movement of Korea, the first nationwide political protest in Korea under Japanese colonial rule. Although the movement failed to achieve national sovereignty, it left important legacies for Korea and other parts of Asia under foreign dominance.

This paper examines how social isolation in a non-Anglophone context where English is not the main language of instruction for local students but is for international students, has unintended consequences for social capital formation among the latter. What factors influence international student network formation in such places where linguistic barriers are institutionalised and what are their consequences not only during college but beyond, in shaping students’ career plans?

The central part of this book is an English version of the memoir of Masahiko Aoki that was published in Japanese in 2008 (青木昌彦『私の履歴書 人生越境ゲーム』日本経済新聞出版社).

From October 22–23, 2018, the U.S.-Asia Security Initiative (USASI) at Stanford University, in conjunction with the Institute for China-U.S.

Risky health behaviors such as illicit drug use, smoking, overconsumption of alcohol, violence, and early sexual activity have contemporaneous and intertemporal adverse health and economic outcomes. The health-related and economic costs to individuals and to society overall are particularly pronounced when adolescents are the ones engaging in one or more of such behaviors.

This paper shows that, for mothers in Cebu, Philippines, access to electricity and the type of cooking fuel used at home affect both health outcomes and also how time is allocated, including for paid work. First, the use of fuelwood for cooking adversely affects the health of mothers, who are traditionally responsible for cooking and are often at home, taking care of their families. This result is consistent across different econometric specifications.

Cardiovascular diseases (CVDs), which are disorders of the heart and blood vessels, are the world’s leading cause of death (WHO, 2016). The transition from infectious diseases to non-communicable diseases (NCDs), primarily CVDs, as the primary cause of mortality and morbidity worldwide— combined with the economic burden associated with heart-related diseases—prompted the World Health Organization (WHO) and its regional offices to identify CVDs’ risk factors (WHO, 2016).

Background: Precise future projection of population health distribution is imperative for designing an efficient healthcare system in rapidly aging countries. Multistate-transition microsimulation models such as the US Future Elderly Model have been developed based on panel data collection, but these data may not be always available. We proposed a pseudopanel method using repeated cross-sectional representative surveys as a complementary approach, and specifically applied the model to Japan's population.

The main goal of this paper is to examine whether natural disasters and the damages they cause contribute to the international migration of Filipino workers. International migration has an important economic effect on the Philippines, which was ranked third in total remittances received (USD 15.3 billion) after India and China in 2015 (World Bank 2016; BSP 2016). The Philippines, being located in the Pacific Ring of Fire and along a typhoon belt, is frequented by natural disasters, which can cause damage to assets and properties, and can potentially displace the population.

Abstract: A large literature has established that the International Monetary Fund (IMF) is heavily politicized. We argue that this politicization has important consequences for international reserve accumulation and financial crises. The IMF generates moral hazard asymmetrically, reducing the expected costs of risky lending and policies for states that are politically influential vis-à-vis the institution.