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The rise of China and India is unparalleled in human history because never before has the world witnessed the simultaneous and consistent takeoffs of two nations, accounting for more one third of the planet’s population, which have been consistently registering high growth rates for two decades. Their rise has profound implications for the world economy and world politics. Both China and India – the two new big kids on the block – have no difficulty with a rule-based world order, what they want is “a different set of rules”.

European political elites seem to be indulging in a degree of scapegoating about the danger from “ChinIndia”, since the roots of European angst really lie, among others, in European difficulties in managing globalization, declining competitiveness, fear of change, and an unsustainable health, pension and social welfare system. The Europeans tends to perceive the Chinese juggernaut as a direct immediate threat to European jobs in some manufacturing sectors whereas India is seen as a latent and potential threat taking away service-sector jobs, though pressures would increase as both move up the value chain.

The European Union’s strategic partnership with China and India is essentially driven by trade and commerce. India has too much of catching up to do with China. India is clearly in the Commonwealth Games league whereas China is in the Olympic Games league.

The rise of China and India represents both challenges and opportunities for Europe. Rising powers like China and India are challenging the European Union. They will be in a position to shape and influence global agendas and decisions to a greater extent than at present. For both, Europe will remain an indispensable partner since it is a vital source of trade, advanced technology and foreign direct investment. China and India do pose challenges for Europe, but they also provide opportunities since their growth contributes to greater growth worldwide, which means more exports, especially to a swelling consumerist middle class, which will make more demands of European goods, technology, and services.

Rajendra K Jain is Professor of European Studies and Chairperson, Centre for European Studies, School of International Studies, Jawaharlal Nehru University, New Delhi. He is Secretary-General, Indian Association for European Union Studies. He has been Visiting Professor at Leipzig and Tuebingen university and at the Maison des Sciences de l’Homme, Paris. He is the author/editor of over two dozen books and has published 70 articles/chapters in books. He has most recently published India and the European Union: Building a Strategic Partnership (2007) (editor).

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Rajendra K. Jain Professor of European Studies and Chairperson, Centre for European Studies, School of International Studies, Jawaharlal Nehru University, New Delhi Speaker
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John Morrison will give an overview of Sino-US cooperation on social insurance regulation
with a focus on health policy, as one window into Sino-US relations on the verge of the
Olympics.

Mr. Morrison is Montana Insurance Commissioner and Vice Chair of the National Association of Insurance Commissioners (NAIC) International Committee, in charge of cooperation with Asia. His talk will draw from his April visit to China with the NAIC President for bilateral meetings with the Chinese counterpart, the China Insurance Regulatory Commission (CIRC), as well as participation in the the US-China Insurance Dialogues with the US Trade Representative on May 15-16, 2008, in Hangzhou, PRC.

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John Morrison Insurance Commissioner Speaker State of Montana
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Major economic reforms are often politically difficult.  They may cause pain to voters and provoke unrest.  They may be opposed by politicians whose time horizons are shortened by electoral cycles.  They may collide with the established ideology and long-standing practices of an entrenched ruling party.  They may be resisted by bureaucrats who fear change, and by vested interests with stakes in the status quo.  Obstacles to major economic reform can be daunting in democratic and autocratic polities alike. 

And yet, somehow, past leaders of today's Asian dragons did manage to get away with critical and creative economic reforms.  Sly political foxes nudged their countries onto high-growth paths toward global renown as economic dragons.  What lessons can be learned from their experiences?  Are tactics that worked in authoritarian systems applicable to democratic ones, and vice versa?  Can one identify a set of stratagems that would amount to an equivalent, for economic reformers, of the advice Machiavelli gave political princes? 

Arroyo will recount the crafty political maneuvers used by leaders of economic reform in Asia during these pivotal eras:  China under Deng Xiaoping; India in the 1990s; Thailand under General Prem Tinsulanonda; Vietnam's Doi Moi; South Korea under Park Chung Hee; Malaysia under Mahathir Mohamad; and Singapore under Lee Kuan Yew.  Arroyo's remarks will be drawn from the paper he has been writing at Stanford on "The Political Economy of Successful Reform: Asian Stratagems," which he describes as "a playbook of useful maneuvers for economic reformers."

Dennis Arroyo is presently on leave from his government post as a director of the National Economic and Development Authority (NEDA) of the Philippines.  He has held consultancies with the World Bank, the United Nations, and the survey research firm Social Weather Stations, and has written widely on socioeconomic topics.  His critique of the Philippine development plan won a mass media award for "best analysis."  He has degrees in economics from the University of the Philippines.  

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Shorenstein APARC/Asia Foundation Visiting Fellow
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Dennis Arroyo is a corporate affiliate visiting fellow at Shorenstein APARC for 2007-08. Prior to joining Shorenstein APARC, he worked as the Director of National Planning and Policy Staff at the National Economic and Development Authority in the Philippines. Arroyo also formerly worked as a consultant for the World Bank in Washington DC and the World Bank office in Manila. Arroyo has spent much of his career in survey research with Social Weather Stations (SWS), which is a prominent organization in the World Association for Public Opinion Research (WAPOR).

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Dennis Arroyo 2007-2008 Shorenstein APARC/Asia Foundation Visiting Fellow Speaker Shorenstein APARC
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The UN and the Cambodian government have finally established a “hybrid-style” tribunal in Phnom Penh to begin prosecuting senior leaders from the genocidal Khmer Rouge regime that caused the deaths of 1.7 million Cambodians more than thirty years ago. This tribunal is widely viewed as one of the most important experiments in transitional justice in a post-conflict society. Prof. Hall will show, however, that the hybrid structure mixing international and local lawyers, judges, and staff is deeply flawed. Cambodia’s legal system is notoriously corrupt, inefficient, and politically controlled. Predictably, the UN-sponsored tribunal has been plagued by accusations of corruption, opacity, distrust, and woeful human resource management. Against this backdrop, the international lawyers and judges at the tribunal continue their up-hill battle to forge a venue that meets minimum international legal standards.

John A. Hall specializes in international law and human rights. His controversial 21 September 2007 op ed in the Wall Street Journal (“Yet Another U.N. Scandal”) helped focus international attention on corruption and mismanagement at the Khmer Rouge tribunal. In addition to writing widely on Cambodia, he has worked for Legal Aid of Cambodia in Phnom Penh and the Public Interest Law Center in the Philippines. He holds a doctorate in Modern History from Oxford University, graduated from Stanford Law School in 2000, and before going to law school was a tenured professor of history.

John Ciorciari is Senior Legal Advisor to the Documentation Center of Cambodia, a leading NGO dedicated to accountability for the abuses of the Khmer Rouge regime. He holds a JD from Harvard Law School and a PhD from Oxford University.

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John Hall Associate Professor of Law and Director of the Center for Global Trade & Development Speaker Chapman University School of Law
John Ciorciari Discussant - 2007-2008 Shorenstein Fellow Commentator
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Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 726-0685 (650) 723-6530
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Visiting Scholar, 2009-12
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Christian von Luebke is a political economist with particular interest in democracy, governance, and development in Southeast Asia. He is currently working on a research project that gauges institutional and structural effects on political agency in post-Suharto Indonesia and the post-Marcos Philippines. During his German Research Foundation fellowship at Stanford he seeks to finalize a book manuscript on Indonesian governance and democracy and teach a course on contemporary Southeast Asian politics.

Before coming to Stanford, Dr. von Luebke was a research fellow at the Center of Global Political Economy at Waseda (Tokyo), the Institute for Developing Economies (Chiba), and the Center for Strategic and International Studies (Jakarta). He received a JSPS postdoctoral scholarship from the Japan Science Council and a PhD scholarship from the Australian National University.

Between 2001 and 2006, he worked as technical advisor in various parts of rural Indonesia - for both GTZ and the World Bank. In 2007, he joined an international research team at the Institute of Development Studies (IDS) analyzing the effects of public-private action on investment and growth.

Dr. von Luebke completed his Ph.D. in 2008 in Political Science at the Crawford School of Economics and Government, the Australian National University. He also holds a Masters in Economics and a B.A. in Business and Political Science from Muenster University.

His research on contemporary Indonesian politics, democratic governance, rural investment, and leadership has been published in the Bulletin of Indonesian Economic Studies, Contemporary Southeast Asian Affairs, Asian Economic Journal, and ISEAS. He regularly contributes political analyses on Southeast Asia to Oxford Analytica.

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Teh-wei Hu is a Professor Emeritus of health economics at the University of California, Berkeley.  At Berkeley, he served as associate dean (1999-2002) and department chair (1990-1993) in the School of Public Health.  He received his PhD in Economics from the University of Wisconsin.  

During the past 40 years, Professor Hu has been teaching and conducting research in health economics, particularly in healthcare financing and the economics of tobacco control.  Hu was a Fulbright scholar in China. He has served as consultant or advisor to the World Bank, the World Health Organization, the National Institutes of Health, the Institute of Medicine, the Rand Corporation, the Ministry of Health in the People's Republic of China, Department of Health and Welfare in Hong Kong, Department of Health in the Republic of China (Taiwan), and many private research institutions and foundations. 

Professor Hu will speak to us immediately after an April trip to China, sharing his research and perspectives on the economics of tobacco control and the debate about healthcare system reforms in China (including a possible link between the two through financing expansions in coverage through increased tobacco taxation).

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Teh-wei Hu Professor Emeritus Speaker University of California, Berkeley, School of Public Health
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Since China joined the World Trade Organization (WTO) in 2001, its already cheap labor force has been exposed to global market competition. The country’s domestic employment situation, particularly with respect to guarantees of workers’ rights and interests, has likewise come under pressure. In the years from 1999 to 2002, recorded urban unemployment rates regularly increased, from 3.1 percent in 1999 and 2000, to 3.6 percent and 4.0 percent in 2001 and 2002, respectively. At the end of March 2003, they rose again to 4.1 percent. The number of labor disputes received by labor dispute arbitration committees at every level reached 184,000 by 2002, with the number of participating workers climbing to 610,000, numbers that were 19.1 percent and 30.2 percent higher, respectively, than the previous year. In short, while China’s participation in the WTO propelled economic development, trade system reform, adjustments to the economic structure, and privatization of enterprise, it also resulted in an uneasy state of affairs for labor and management relations. For instance, in October 2004, at Shenzhen’s Hong Kong-owned Meizhi Haiyan Electronics Factory, four thousand people went on strike and blockaded the roads to protest low wages.

In November 2004, amid concerns about deteriorating working conditions at foreign-funded enterprises, the All China Federation of Trade Unions (ACFTU) confronted Chinese locations of WalMart, which is well known for obstructing the establishment of trade unions. The ACFTU declared: “They [WalMart] are in violation of the Trade Union Law, and we are prepared to sue them.” WalMart yielded, conceding that, “[i]f workers ask to establish a trade union, we will respect that request, [and] fulfill our duties and responsibilities under the Trade Union Law.” This landmark event demonstrated not only the ACFTU’s power in a direct confrontation, but also its opposition to the intensifying WTO-driven competition in the Chinese labor market. Thus far, the power of trade unions in general and the ACFTU in particular has been felt primarily at foreign-funded enterprises. But what about locally owned and operated enterprises?

In order to understand the actual level of autonomy that trade unions enjoy at the grassroots level, the chairmen of 1,811 trade unions in major cities and provinces—including Liaoning, Beijing, Shanghai, Zhejiang, Guangdong, Gansu, Guizhou, and Henan—completed a questionnaire survey. The Chinese Institute of Industrial Relations (Beijing) facilitated the survey, which was carried out between March 2004 and June 2006. The major findings confirm that, although the independence of trade unions at foreign-funded enterprises has increased, the unions’ autonomy at local level enterprises remains fairly low. According to survey results, China continues to be a predominantly state-corporatist system, between the Chinese Communist Party (CCP) on the one hand and workers and state-owned/state-held enterprises on the other.

The survey revealed other data about the leadership of China’s state-owned/state-held enterprises. Most notably, the Party organization was still appointing 24.5 percent of the chairmen of these work units. Even in cases where chairmen assumed their posts through election or open selective examinations, 35.1 percent of them participated in the election or examinations after the Party recommended them to the work unit in question (see figure 1). The ratio of chairmen who are CCP members to those who serve concurrently as a “secretary,” “vice-secretary,” or member of the Party committee at a corresponding level reached high percentages, of 90.0 percent and 46.4 percent, respectively. In addition, 72.1 percent of the chairmen of state-owned/state-held enterprises answered in the survey that their union committee had established a Party group or Party branch at their workplace. These data clearly indicate that, unlike their counterparts at foreign-funded companies, the trade unions of state-owned/state-held enterprises not only lack autonomy, and but that their management also often remains subject to Party control.

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Some observers of Japan have pointed to a dangerous rise in Japanese nationalism. Advocates of that idea claim that this is evident in a number of events, such as, the visits of former Prime Minister Koizumi to the Yasukuni Shrine; former Prime Minister Abe's plan for constitutional reforms and his statements regarding the comfort women; the adoption of "revisionist" history textbooks; the territorial disputes with countries such as China and South Korea; and Japan's efforts to strengthen the Japan-U.S. security arrangements.

However, such observations invite the following questions:

  • If there are such signs in Japan, do they reflect Japanese society as a whole? Japan has been strongly pacifistic since the war, avoiding any entanglement in military conflict. This seems to be deeply rooted in the minds of the Japanese people. Just what is the relationship between the purported rise in nationalism and these pacifistic tendencies?
  • Most commentators who warn of rising nationalism in Japan fear a return of the extreme nationalism of prewar Japan. However, are not today's political regime, economic institutions and social conditions, all vastly different from those of prewar Japan?
  • Even though a trend toward nationalism can be witnessed in some quarters of Japan, it doesn't necessarily mean that Japan has become a country that would take dangerous actions. Nationalistic emotions and movements are not directly linked to the actions of a country. Rather, are there not some intervening factors between them?
Minister Kitano will address three points in answering these questions. First he will examine the current situation of Japan by discerning the ‘goals' of Japanese nationalism. Second, he will evaluate the strength of the nationalist movement in Japan by comparing the contemporary movement with the movement in prewar Japan. Last, he will analyze the function of nationalism in different stages of nation states. Through this process, Minister Kitano will reveal the 'myth and reality' of Japan's nationalism.

Mitsuru Kitano currently serves as minister for public affairs at the Embassy of Japan to the United States in Washington, D.C. where he is in charge of outreach to press/media, intellectual exchanges, art and cultural exchanges as well as support for Japanese language education. Kitano has written a number of op-ed articles, including ones analyzing U.S. opinions about Japan in such papers as the Washington Post, the Washington Times, and the International Herald Tribune.

Minister Kitano is a career diplomat and has been posted in Tokyo, France, Geneva, China and Vietnam since joining Japan's Ministry of Foreign Affairs in 1980. He has been professionally engaged in Japan's bilateral relationship with the U.S., China and Southeast Asian countries, and Japan's policies regarding the United Nations and other international organizations. He was active also in such areas as economic cooperation and nuclear energy issues.

His academic achievements include being a lecturer at Sophia University (Tokyo) and a senior visiting fellow at RIETI (Research Institute of Economy, Trade and Industry) in Japan. In 2007, he co-authored a book, Paburikku Dipuromashi: Seron no Jidai no Gaiko Senryaku (Public Diplomacy: Diplomatic Strategy in the Age of Public Opinion) (Tokyo: PHP Kenkyujo).

Minister Kitano received a B.A. from the University of Tokyo in 1980 and a M.A. in international relations from the University of Geneva in 1996.

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Mitsuru Kitano Minister for Public Affairs Speaker Embassy of Japan in the United States
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We are pleased to bring you the third article of the academic year in our series of Shorenstein APARC Dispatches. This month's piece comes from Dr. Phillip Lipscy, FSI Center Fellow and Assistant Professor, Political Science. Lipscy joined Shorenstein APARC in fall 2007 and his research interests focus on international relations and political economy, particularly as they relate to Japan and East Asia. He has been a Shorenstein APARC affiliate since his undergraduate years, when he studied under Professor Emeritus Danial Okimoto. He attended Harvard University for his doctoral studies.

Since the end of World War II, East Asia has often been characterized as a region with weak international organizations. There has been no regional integration project comparable to the European Union (EU). Cooperation on a wide variety of issues has tended to be ad hoc rather than institutionalized. Regional organizations, such as the Association of Southeast Asian Nations (ASEAN), have generally been weak or limited in scope, with some notable exceptions such as the Asian Development Bank.

However, in recent years, there are indications that the pattern of institutionalization in Asia is shifting. Since the end of the Cold War, regional cooperative arrangements have emerged and grown. With the addition of China, Japan, and South Korea, a revitalized ASEAN+3 is becoming a locus of economic cooperation. Many observers believe the Six Party Talks could be institutionalized to manage a broader set of security issues beyond North Korea. The Chiang Mai Initiative, a multilateral currency swap arrangement, might eventually develop into a monetary fund. Bilateral trade agreements are proliferating and could ultimately produce a regional free trade zone.

Under the right circumstances, regionalism can complement the broader global order. However, to a significant extent, recent regional initiatives reflect an underlying dissatisfaction with the global institutional architecture. The Chiang Mai Initiative emerged after the Asian financial crisis, from a widespread sense that the International Monetary Fund (IMF) underrepresented Asian interests and therefore imposed overly harsh conditionality on the affected states. Paralysis at the Doha Round negotiations of the World Trade Organization (WTO) has facilitated the rapid expansion of bilateral trade initiatives. The North Korean nuclear problem is precisely the sort of collective security issue the United Nations (UN) Security Council was envisioned to deal with, but the rigidity of both Security Council membership and its decision-making procedures has rendered this impractical.

Historically, international organizations have often exhibited path dependence, or a resistance to change. For example, the permanent members of the UN Security Council still remain the victorious powers of World War II. The distribution of voting shares in the IMF and World Bank has consistently overrepresented inception members such as Canada, France, and the United Kingdom, at the expense of both the defeated powers of World War II and newly independent and developing states. The Organization for Economic Cooperation and Development (OECD) remains a predominantly European institution despite the rapid growth of Asia. Across a wide range of international organizations, Asian nationals continue to be underrepresented among employees, and in some cases leading positions are allocated to Western nationals by convention, as in the IMF and World Bank.

However, as Asia continues its rapid growth, the active involvement of Asian states in the global order will become paramount. Including India, broader East Asia encompasses more than half of the world's population. The region already accounts for about one-third of global oil consumption and CO2 emissions, and this is only likely to grow in the future. By 2020, in purchasing power parity terms, regional GDP will likely exceed that of the United States and the EU combined. Over the course of the twenty-first century, Asia's economic and geopolitical weight in the world will, in all likelihood, come to rival that of Europe in the nineteenth century. With Asia's dramatic rise, Asian problems will become increasingly indistinguishable from global problems.

Thus, a critical question in the coming decades will be whether the contemporary international organizational architecture will be able to smoothly incorporate the rising states of broader East Asia. Sweeping geopolitical shifts have often created instability in the international system -- the waning of Pax Britannica in the early twentieth century precipitated two world wars and a global depression, as the world lacked a geopolitical and economic stabilizing force in times of crisis. If universalistic institutions such as the UN, IMF, and WTO are seen as unresponsive to Asian concerns, two potentially destabilizing outcomes are likely. First, Asian regional cooperation may further intensify. For example, a full-fledged Asian Monetary Fund that acts independently of the IMF could be formed, or an Asian Free Trade Area established. Such institutions have the potential to undermine existing international organizations such as the IMF and WTO. Eventually, Asian institutions may supersede existing global institutions, but only after contestation and needless replication. A second destabilizing outcome could be that Asian states disengage from the U.S.-backed international order without developing strong regional institutions. This might create a situation akin to U.S. nonparticipation in the League of Nations in the interwar years. Without active involvement of some of the most important players, international organizations will become less effective at facilitating cooperation and resolving major disputes. International relations will become more anarchic and cooperation more ad hoc.

The rise of Asia will likely provide the first major stress test for the global organizational architecture that the United States has constructed and underpinned since the end of World War II. Of course, there are also some grounds for optimism. Among other things, China and Vietnam have joined the WTO, ongoing IMF quota revisions have produced ad hoc increases to South Korea and China, and Asian nationals increasingly play important roles in major international organizations -- e.g. UN Secretary General Ban Ki-moon and former UN High Commissioner for Refugees Sadako Ogata. It is paramount that concerns about Asian representation and interests in universalistic international organizations be addressed so that the rise of Asia contributes to -- rather than undermines -- the stability of the international order.

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This article focuses on the healthcare system reforms in the countries of Central and Eastern Europe (CEE) over the past decade. The first section provides an overview of healthcare financing, social insurance frameworks, and the public/private mix in service delivery. The second section discusses four reform challenges in CEE that are perhaps also relevant for China:

  1. subsidizing the supply side or demand side (that is, a national health service Beveridge model vs. Bismarckian social insurance);
  2. establishing a single payer or insurance competition;
  3. confronting the legacy of soft budget constraints; and
  4. provider payment reforms.

A brief conclusion uses the lens of current health policy controversies in Hungary to highlight some of the trade-offs implicit in the complex political economy of health system reforms.

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Publication Type
Journal Articles
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Journal Publisher
Bijiao (Comparative Studies)
Authors
Karen Eggleston
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