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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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ASEAN flags.
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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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Bijiao (Comparative Studies)
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Karen Eggleston
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John Thomas "Tom" Schieffer was sworn in as the 27th U.S. Ambassador to Japan on April 1, 2005, and presented his credentials to the Emperor on April 11, 2005. Since arriving in Japan, he has worked to strengthen the U.S.-Japan alliance, increase trade, and facilitate the realignment of U.S. forces stationed in Japan, among other issues.

Before being appointed Ambassador to Japan, Schieffer served as the U.S. Ambassador to Australia from July 2001 until February 2005. During his tenure in Canberra, he coordinated closely with the government of Australia on efforts to fight global terrorism and helped to deepen cooperation on rebuilding efforts in Afghanistan and Iraq. He was also heavily involved in the conclusion of a free trade agreement between the U.S. and Australia in May 2004.

Prior to his diplomatic service, Ambassador Schieffer was an investor in the partnership that bought the Texas Rangers Baseball Club in 1989, with George W. Bush and Edward W. "Rusty" Rose. He served as team president for eight years, was responsible for day-to-day operations of the club and overseeing the building of The Ballpark in Arlington, Texas. Ambassador Schieffer has also had a long involvement in Texas politics. He was elected to three terms in the Texas House of Representatives and has been active in many political campaigns.

The Ambassador attended the University of Texas, where he earned a B.A., and a M.A. in international relations, and studied law. He was admitted to the State Bar of Texas in 1979. He is married to Susanne Silber of San Antonio, Texas, and they have one son, Paul.

Daniel and Nancy Okimoto Conference Room

John Thomas Schieffer United States Ambassador to Japan Speaker
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Former Thomas Rohlen Center Fellow at the Freeman Spogli Institute for International Studies
Former Assistant Professor of Political Science
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Phillip Y. Lipscy was the Thomas Rohlen Center Fellow at the Freeman Spogli Institute for International Studies and Assistant Professor of Political Science at Stanford University until August 2019. His fields of research include international and comparative political economy, international security, and the politics of East Asia, particularly Japan.

Lipscy’s book from Cambridge University Press, Renegotiating the World Order: Institutional Change in International Relations, examines how countries seek greater international influence by reforming or creating international organizations. His research addresses a wide range of substantive topics such as international cooperation, the politics of energy, the politics of financial crises, the use of secrecy in international policy making, and the effect of domestic politics on trade. He has also published extensively on Japanese politics and foreign policy.

Lipscy obtained his PhD in political science at Harvard University. He received his MA in international policy studies and BA in economics and political science at Stanford University. Lipscy has been affiliated with the Reischauer Institute of Japanese Studies and Weatherhead Center for International Affairs at Harvard University, the Institute of Social Science at the University of Tokyo, the Institute for Global and International Studies at George Washington University, the RAND Corporation, and the Institute for International Policy Studies.

For additional information such as C.V., publications, and working papers, please visit Phillip Lipscy's homepage.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Vietnam has become the newest "Asian tiger." The US played a leading role in negotiating Vietnam's January 2007 entry into the World Trade Organization and the 2001 US-Vietnam Bilateral Trade Agreement. Requirements in these treaties have accelerated the pace of economic and legal policy reforms in Vietnam. Combined with other initiatives, the reforms are giving rise to the domestic institutions, economic policies, governing procedures, and rule of law needed to grow a market economy, facilitate the fledgling private sector, and rationalize the state sector. US foreign assistance has been intensively involved in this effort. The effects of these changes have been felt in faster growth, increased trade, more foreign and domestic investment, and continued poverty alleviation. Within this context, the seminar can address an especially difficult and complex question: How might these reforms, and the changes they have foster, affect the political development of the country?

Steve Parker recently returned from nearly six years in Vietnam, where he served as the project manager for the STAR-Vietnam Project--the first major USAID-funded technical assistance program in post-war Vietnam. In that context he worked with the prime minister's office in Hanoi to help more than forty government agencies make the changes needed for Vietnam to implement the US-Vietnam Bilateral Trade Agreement (BTA) and accede to the World Trade Organization. His latest writing is a "Report on the 5-Year Impact of the BTA on Vietnam's Trade, Investment and Economic Structure." Previously he worked as an economic specialist for the US government and the Asia Foundation, and was posted to Vietnam, Indonesia, and Japan with USAID, the Asian Development Bank, and the Harvard Institute for International Development.

Co-sponsored with the Stanford Center for International Development.

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Steve Parker Lead Economics and Trade Advisor Speaker Development Alternatives, Inc., Bethesda, MD
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Corporate Affiliate Visiting Fellow
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Soichi Yushina is a corporate affiliate visiting fellow at Shorenstein APARC for 2007-2008.

Yushina joined Japan Patent Office (JPO), government of Japan in 1993 and has been specializing in Intellectual Property (IP) field since then. At JPO, Yushina built his expertise as patent examiner through examination of vast number of applications in chemical field. He has experience in policymaking, law reforming and other legislative works. In 2001, he had assignment at Ministry of Economy, Trade and Industry, where he took part in developing National IP Strategy and IP-related law reforming. In 2004, he was assigned to a position at National Center for Industrial Property Information and Training, where he contributed to development of human resource program in the IP field. His last post was deputy director of Examination Promotion Office in JPO. Yushina received his BS and MS in Engineering of applied chemistry from Sophia University.

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Corporate Affiliate Visiting Fellow
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Hisashi Kanazashi is a corporate affiliate visiting fellow at Shorenstein APARC for 2007-08. Prior to joining Shorenstein APARC, he held positions at the Ministry of Economy, Trade and Industry (METI), government of Japan, for about ten years, where he took charge of policymaking. His latest position at METI was as deputy directory in Small and Medium Enterprise Agency. He did his undergraduate study at Tokyo University, in the faculty of Engineering Science.

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