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.

Improving health has been a focus of Indonesia as it strives to implement universal healthcare nationwide. Yet as the government tries to achieve that ambitious goal, it finds not unlike other developing countries that poorer patients are struggling to access care, due to a number of environmental and financial constraints.

A set of conditional cash transfer (CCT) programs—a system in which patients are incentivized to seek care upon the promise of a stipend—were introduced in 2007 as an approach to improve health among poor households in Java, Indonesia’s most populous island, and a few provinces outside of Java. The programs specifically sought to better maternal and child health outcomes.

Evaluating those pilot CCT programs is the focus of a newly published paper by former Asia Health Policy Program postdoctoral fellow Margaret Triyana: “Do Health Care Providers Respond to Demand-Side Incentives? Evidence from Indonesia,” an outcome of her research completed at Stanford’s Shorenstein Asia-Pacific Research Center from 2013-14.

Triyana found that the CCT programs increased demand for healthcare providers, and consequently, prices for healthcare services. While the programs led more patients to show up for services, they also may have limited access for some patients who were unable to afford services following an eventual bump up in cost.

Triyana concludes that policymakers should forecast effects on supply and demand before implementing CCT programs in order to plan and adjust the quantity of healthcare providers as needed. Such an approach could keep prices steady and in turn allow a greater pool of patients to access care, she writes.

The paper appears in the November edition of American Economic Journal: Economic Policy.

Triyana, now a professor at Nanyang Technological University in Singapore, shared in an earlier interview her research plans and initial findings. Read the Q&A here or tune in to a podcast from her research presentation here.

Stanford professor Gi-Wook Shin and Rennie J. Moon compare the political protests in South Korea of today to that of 1987 in an editorial for the Diplomat. The recent demonstrations are an illustration of “a distinctive Korean political culture that prioritizes elements of virtue, shame and saving face,” they wrote.

Shin, who is the Korea Program director at the Shorenstein Asia-Pacific Research Center, and Moon were both in Seoul on Nov. 12 and were observers of the crowd of one million people who gathered to protest South Korean President Park Geun-hye’s administration. He also spoke to the Economist earlier about the likelihood of the president’s resignation or impeachment.

Read the Diplomat editorial here and the Economist article here.

Shin and Moon have since co-authored a paper on the topic in volume 57 of Asian Survey, titled "South Korea in 2016: Political Leadership in Crisis," which can be viewed here.

The U.S.-Asia Security Initiative at Stanford’s Shorenstein Asia-Pacific Research Center, in collaboration with the Japan Center for International Exchange, has published a report highlighting the findings from its Inaugural U.S.-Japan Security Workshop, a Track 1.5 dialogue in Tokyo that convened government and military officials from the United States and Japan, as well as scholars and regional experts, in May 2016.

The report, titled “Japan’s Evolving Defense Policy and U.S.-Japan Security Cooperation: Expectations versus Reality,” examines recent changes in Japan’s defense policy and the implications of these revisions on the U.S.-Japan alliance and regional security.

Sections of the report include:

• American and Japanese Perspectives on the Security Trends in Asia
• The Impact of the New Security Policy on U.S.-Japan Security Cooperation Efforts
• Defense Cooperation and Weapons Development & Acquisition
• Conclusions—Facing the Policy and Operational Challenges Head-On

Rising tensions in Asia underscore a need for expanded security cooperation. The report is offered as a tool to American and Japanese policy researchers and practitioners who seek to study and address the evolving security environment and what the future holds for the alliance.

The report may viewed by clicking here.

Scholars and affiliates of Stanford’s Shorenstein Asia-Pacific Research Center (APARC) and experts in the Freeman Spogli Institute for International Studies have offered commentary to media about the U.S. presidential election and its impact on U.S.-Asia relations.

The next administration's policy directions were also the focus of Shorenstein APARC-sponsored events held in Seoul, Stanford and Tokyo. A select list of links to commentary and an article about the Stanford event are located below. The list will continue to be updated.

Post-election commentary

"Trump says he won't ratify the TPP, what are the implications?" cites Donald K. Emmerson, Talk Media News, Nov. 29, 2016

"U.S. economy and security under the new president," television segment with Takeo Hoshi, also cites symposium held in Tokyo, Nikkei CNBC (in Japanese), Nov. 18, 2016

"Our allies are afraid. Here's how Trump can reassure them.," by Michael McFaul, from Seoul, Washington Post, Nov. 17, 2016

"Trump unlikely to drastically change U.S. defense policy on South Korea," cites Shorenstein APARC affiliates and symposium held in Seoul, The Korea Herald, Nov. 15, 2016

"Int'l community needs realistic goal for N.K. nuke talks," interview with William J. Perry, Yonhap News (in English and Korean), Nov. 15, 2016

"The Repudiation of American Internationalism and What It Means for Japan," by Daniel Sneider, Toyo Keizai (in English and Japanese), Nov. 11, 2016

"S.Korea-U.S. alliance won't change because of the election," cites Kathleen Stephens, Yonhap News, Nov. 9, 2016

"U.S. Economic and Foreign Policy under the New Administration," includes video of the Tokyo panel discussion, Nov. 20, 2016

Pre-election commentary

"Stanford scholars analyze the next U.S. administration's Asia-Pacific policy," Caixin Media (in Chinese), Nov. 7, 2016

"Shorenstein APARC scholars explore Asia policy challenges facing next administration," Shorenstein APARC, Oct. 31, 2016

Cautious optimism in Asia toward Trump administration

By Lisa Griswold

U.S. President Barack Obama’s term will end in January 2017 and a new administration led by Donald Trump is expected to take office, so: what does this mean for U.S. policy toward Asia?

A panel discussion featuring scholars from the Shorenstein Asia-Pacific Research Center (APARC) in the Freeman Spogli Institute (FSI) convened at Stanford on Tuesday to discuss policy directions and to offer perspectives of reactions to the election in South Korea and Japan, having just returned from there.

“This election was contentious, divisive, and at many times, surprising. There were different opinions about the results, but in general, people expressed a lot of concern throughout Asia,” Stanford professor Gi-Wook Shin said in his introductory remarks.

Shin, who is also the director of Shorenstein APARC, moderated the event, which included remarks from Michael Armacost, a Shorenstein APARC fellow and former U.S. ambassador to Japan and the Philippines; Kathleen Stephens, the William J. Perry Distinguished Fellow and former U.S. ambassador to the Republic of Korea; and Takeo Hoshi, an FSI senior fellow and director of Shorenstein APARC’s Japan Program.

Unprecedented election

Trump, who has never before held a political role, has unique credentials compared to his predecessors and his views break from the Republican Party establishment, traditionally pro-free trade and active in foreign policy.

“It’s difficult to guess what Trump’s foreign policy reflexes will be,” said Armacost, a former National Security Council official, who emphasized that international relations are often prompted by unplanned occurrences.

Trump has said, for example, that he would withdraw the United States from the North American Free Trade Agreement, rescind its membership in the World Trade Organization, and scrap the Trans-Pacific Partnership (TPP), a 12-nation trade deal brokered by the Obama administration.

The president-elect, however, has amended some views communicated during the campaign, and is likely to rely on his national security advisors for guidance on foreign policy issues.

“Trump may well be a skillful bargainer, but I suspect that striking a real estate deal is a lot simpler than negotiating with foreign sovereign governments on issues that carry a lot of cultural and historical baggage,” said Armacost, who served as U.S. undersecretary of state for political affairs from 1984-89.

“Still his pragmatism, I think, is a virtue. Trump seems a smart fellow, and he sure has a steep learning curve ahead. We can only hope he will manage it well,” he added.

Uncertain path, opportunity

Echoing Armacost, Hoshi said Trump’s changed positions over the past few weeks have made it difficult to predict what’s ahead for U.S. economic and trade policy.

Trump, who campaigned with a message of restoring lost jobs in America, urged that the U.S. government reform several areas of economic policy and governance, such as its interaction with the Federal Reserve and implementation of the Dodd-Frank Act, a set of regulatory reform measures enacted in response to the 2008 financial crisis.

Hoshi, an economist, suggested Trump faces an uphill battle in his attempts to reconcile campaign rhetoric and political reality, especially in the midst of the president-elect’s break from the Republican Party establishment and promises made to voters.

The view of the election from Japan, Hoshi added, is that the United States is receding from its leadership role in the world, particularly in the area of trade.

Trump promised early on to nix the TPP and has remained steadfast, releasing a video message shortly after the election confirming his position. That decision is interpreted in Japan as a symbol of America’s withdrawal, said Hoshi, noting that a similar sentiment on trade would have been expected if Hillary Clinton were elected since she too promised to rollback the deal.

“The United States was the leader behind the TPP, but now it’s saying ‘we are out.’ For Asian people, this represents a really drastic change and a loss of credibility,” Hoshi said.

Asian countries, however, could use a void left by an American departure in trade policy to step in. “Maybe some countries will see it as an opportunity,” he said.

Unease over democratic processes

Stephens, who was in Seoul when the U.S. election results were called, said Koreans shared “a sense of unease about our [mutual] democratic processes.”

South Korea, like the United States, has a democratic system of government – a republic. The Asian country is currently embroiled in its own political upheaval as calls for the resignation of President Park Geun-hye continue following accusations of corruption.

Stephens, who served in the U.S. Foreign Service for 35 years before coming to Stanford, also noted that there was some trepidation about a Trump-led administration in Korean policy circles. It’s a known ambition of policy advisors to forge connections in anticipation of the new administration, but the Trump/Pence win was so unexpected that now there’s a “scramble to make those relations,” she said.

The president-elect’s phone calls and meetings with foreign leaders provided some reassurance though, particularly with South Korea and Japan, two countries with formal U.S. alliances that Trump had initially questioned over their nuclear policy and cost of local U.S. military presence, she said.

“The priority for the Trump administration should be to affirm the importance of U.S. alliances and to make very clear the commitment to securing them,” Stephens said.

A new U.S. administration also provides an opportunity to undertake a policy evaluation, which could carry implications for South Korea, in trade policy and its attempt to reengage North Korea, she said.