FSI researchers work to understand continuity and change in societies as they confront their problems and opportunities. This includes the implications of migration and human trafficking. What happens to a society when young girls exit the sex trade? How do groups moving between locations impact societies, economies, self-identity and citizenship? What are the ethnic challenges faced by an increasingly diverse European Union? From a policy perspective, scholars also work to investigate the consequences of security-related measures for society and its values.
The Europe Center reflects much of FSI’s agenda of investigating societies, serving as a forum for experts to research the cultures, religions and people of Europe. The Center sponsors several seminars and lectures, as well as visiting scholars.
Societal research also addresses issues of demography and aging, such as the social and economic challenges of providing health care for an aging population. How do older adults make decisions, and what societal tools need to be in place to ensure the resulting decisions are well-informed? FSI regularly brings in international scholars to look at these issues. They discuss how adults care for their older parents in rural China as well as the economic aspects of aging populations in China and India.
The economic reforms of the past two decades have initiated a major social transition in China, characterized by unprecedented social mobility and stratification. Meanwhile, the privatization of health care has increased costs to the consumer and further changed familial and social norms. While such changes would logically affect individuals’ psychological well-being, little attention has been paid to their impact in this regard. Using data from the Chinese General Social Survey (CGSS 2005), this paper looks at the relationships between social change, social support and the psychological well-being of individuals in both urban and rural areas, as well as the role of marital status in Chinese society. We find that an increasing health care burden is significantly reducing individuals’ psychological well-being. Perceptions of social status, especially as it changes over time and when compared against peers, also have an effect. Social support has protective function for psychological well-being, and also compensates for the negative effect of increasing health-care burden and relative deprivation during social change on psychological well-being. Marital status is also significantly correlated with psychological well-being, and moderates the relationships between social change, other social support and psychological health, especially in rural cases.
World War Two, the most violent period in the modern history of Europe and Asia (1937–1945), left deep scars still evident on both continents. Numerous and often conflicting narratives exist about the wartime era, ranging from personal memoirs to official accounts of wartime actions. Many issues, from collaboration to responsibility for war crimes, remain unresolved. In Europe some issues that have been buried for decades, such as the record of collaboration with Nazi occupiers, are now resurfacing. In Northeast Asia, World War Two’s complex, painful legacy continues to impact popular culture, education, diplomacy, and even economic relations.
While differences exist in the wartime circumstances and reconciliation processes of Europe and Asia, many valuable lessons can be gained through a study of the experiences on both continents. The Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) facilitated a comparative dialogue on World War Two, bringing together 15 noted experts for the Colonialism, Collaboration, and Criminality conference, held June 16 to 17 at Stanford. Each of the event’s five panels paired an Asia and a Europe scholar addressing a common theme.
The debate over remembrance of World War Two
Asia’s relative lack of progress in achieving reconciliation of the painful legacies of the war in Asia and the Pacific continues to bedevil current relations in the region. This is a consequence of the way the Cold War interrupted the resolution of wartime issues and blocked dialogue over the past, particularly between Japan, China, and South Korea, suggested Daniel C. Sneider, associate director for research at Shorenstein APARC. The widely held image of an unrepentant Japan ignores the fierce debate within Japan over wartime memory, often obscured by the prominence of rightwing nationalist views. Meanwhile, within China and Korea, wartime memory is also increasingly contested ground, from the issue of collaboration to the emergence of a more nationalist narrative in China, further complicating relations among those Asian neighbors.
Daniel Chirot, a professor of international studies at the University of Washington, emphasized that immediate postwar economic and security needs, including the growth of Communism, accelerated West Germany’s willingness to reconcile with its Western neighbors. He concurred with Sneider, saying that no such imperative existed in Northeast Asia until the need for economic cooperation three decades after the war. He suggested that the growth of regional integration might, as in Europe, drive Northeast Asia toward greater reconciliation.
Divided memories
Justice for sensitive historical human rights issues, such as World War Two atrocities, bears increasing importance in today’s ever-globalized economic and political climate, stated Thomas Berger, a professor of international relations at Boston University. Berger noted the challenge that Japan’s factional politics poses to a revision of the country’s official wartime narrative, and suggested that a strong regional structure, such as the European Union, could effectively facilitate reconciliation in Northeast Asia.
Frances Gouda, a professor of political science at the University of Amsterdam, examined the use of Anne Frank and former Indonesian president Sukarno as “icons of memory” in Dutch interpretations of World War Two. She asserted that Frank’s victimization allows people to come to terms with Nazi war crimes, but that Sukarno’s vilification as a Japanese collaborator oversimplifies history and allows the Netherlands to avoid confronting its own colonial past.
Collaboration and resistance
France’s Vichy regime, responsible both for collaborating with the Nazis and acting independently to persecute Jewish citizens, remains a painful and unresolved subject in the country’s contemporary quest for national identity, said Julian Jackson, a professor of history at Queen Mary, University of London. He pointed to French president Nicolas Sarkozy’s act of making a national martyr out of Guy Môquet, a young communist who died resisting the German Occupation, as a key example of the complexities involved in trying to come to terms with France’s past.
Ongoing territorial disputes over islands located between Japan and its neighbors in China and Korea are a product of the unresolved legacy of the wartime era in Asia. Sovereignty over those islands was left deliberately unresolved by the 1951 San Francisco Peace Treaty which formally ended the war, suggested Alexis Dudden, a professor of history from the University of Connecticut. As a result, the territorial disputes have become a battleground on which larger questions of historical memory about the war are contested, not only by Japanese conservatives but also by Koreans and Chinese, she said.
Former Japanese Prime Minister Yoshida Shigeru’s press statement at the San Francisco Peace Treaty.
(U.S. National Archives)
Paths to reconciliation
Gi-Wook Shin, director of Shorenstein APARC and a professor of sociology, suggested that while Europe’s experience with war and reconciliation offers lessons for Asia, significant differences exist between the wartime and post-war situations of the two continents, and that reconciliation in Asia requires time. Increased economic interaction between the countries in Northeast Asia serves less to foster reconciliation, he said, than to spur competition for regional dominance. Shin emphasized that the United States, which has greatly impacted the region’s post-war history, can play a critical role as a facilitator in establishing lasting regional accord.
The Nazi regime’s systematic attempt to completely wipe out all traces of Jewish history and culture in Europe, even as closely bound as it was with Germany’s own traditions, is a unique case, stated Fania Oz-Salzberger, a professor of history at Haifa and Monash Universities. She explored universal elements in the German-Jewish reconciliation experience, noting, like Shin and Chirot, the important element of time that is needed to reflect upon painful events of the past. Oz-Salzberger especially spoke of the healing that takes place at the level of society and culture, sometimes even before governments are ready to reconcile with one another.
Continuing political impacts
Gilbert Rozman, a professor of sociology at Princeton University, suggested that Northeast Asia’s wartime history debates will continue to complicate regional relations unless China, Japan, and Korea reach a point of mutual reconciliation. He noted the role that Japan’s government, in the 1980s during its financial heyday, and more recently, China’s leaders during a similarly strong economic era, have played in prolonging the debate.
Memories of war are transmitted across the years through a complex process involving multiple actors and they can later influence political behavior, explained MIT political science professor Roger Petersen. He described the process within the context of the Lithuania’s successful declaration of independence from the former Soviet Union in January 1991. Petersen stated that Lithuanian émigrés, in part, helped keep the narrative of Soviet aggression and Lithuanian martyrdom alive until the conditions were right for action many decades later.
The Colonialism, Collaboration, and Criminality conference grew out of Shorenstein APARC’s Divided Memories and Reconciliation project, which for the past three years has examined the legacy of war-era memories in Northeast Asia and the United States and explored possible means of reconciliation. Shorenstein APARC has already published the first in a series of four books based on the project, and an edited volume of papers from the June 2011 conference is forthcoming next year.
Hero Image
Japanese wartime era postcard depicting the seizure of Rehe in northern China in late 1937. | Courtesy Daniel C. Sneider.
Yuji Kamimai is a corporate affiliate visiting fellow at Shorenstein APARC for 2011-12. Prior to joining Shorenstein APARC, he has worked at Sumitomo Corporation, one of the major trading and investment conglomerates in Japan for ten years. After joining Sumitomo, he has been engaged in management of some of Sumitomo's affiliated companies such as internet streaming channel and CATV operating company in media industries.
He graduated from Waseda University with a degree in Science and Engineering.
Yasunori Kakemizu is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center for 2011–12. Kakemizu has more than 12 years of experience in media markets working for Sumitomo Corporation, one of Japan's major trading and investment conglomerates. Most recently, Kakemizu worked for Jupiter Telecommunications Co., Ltd. (one of Sumitomo Corporation's affiliated companies), and was responsible for service and business development.
Kakemizu received his bachelor's and master's degree in engineering science from Osaka University.
Kazuma Fukai is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2011–12. He has worked for Kansai Electric Power Company, Inc.'s Legal Department since 2003. His responsibilities included overseas transactions such as acquisitions of foreign companies, emission trading, and procurement of natural resources. Since 2010, Fukai has been engaged in the review of nuclear power plants and related systems in terms of the technical aspects and nuclear culture in the Nuclear Integrity Reform Department. Fukai graduated from Doshisha University in 2003 with a bachelor of law degree.
The Asia Pacific Observatory (APO) on Health Systems and Policies was established in June 2011. It is a collaborative partnership of interested governments, international agencies, foundations, civil society, and the research community. Modeled on the European Observatory of the same name, the APO has as its main function the collection and analysis of information and research evidence on health care systems, policies, and reforms, with the aim of making this knowledge widely available and easily accessible throughout the Asia Pacific Region; it will also draw cross-country lessons and disseminate these in formats that can be directly used for policymaking.
This presentation will trace the history underlying the creation of the Observatory and indicate its objectives, organizational structure, and proposed modes of operation. It will describe the challenges of attempting to bring a wide range of stakeholders together in support of a regional collaborative research effort. It will also touch on ways that research entities located outside the Asia Pacific region might interact with the APO.
L. Richard Meyers was employed by the World Bank for two decades managing teams that carried out World Bank health sector projects and analytical work in a number of countries in East Asia. He directed a team that produced the first comprehensive health sector review for Vietnam, as well as the first Vietnam National Health Survey. He also led a team that produced the most comprehensive and empirically-based external analysis to date of the rural health sector in China. More recently he has worked with the European Health Observatory, the Asian Development Bank, the World Bank, the WHO Western Pacific and South Asia regional offices, and other stakeholders to facilitate the creation of the Asia Pacific Observatory.
Launched in January 2011, Comparative Policy Responses to Demographic Change in East Asia is a three-year research initiative at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC). It examines the rapid demographic changes that are profoundly shaping the political, economic, and social landscape of the Asia-Pacific region.
Katharina Zellweger will share her insights into North Korea based on her experience as a development and humanitarian aid worker and a resident of Pyongyang. Closely interacting with North Koreans daily, Zellweger lived in Pyongyang for five years as the North Korea country director for the Swiss Agency for Development and Cooperation (SDC). She is a Swiss national with over 30 years of experience in humanitarian work from an Asian base. Her primary engagement has been with China and North Korea.
While heading the SDC program in Pyongyang, Zellweger focused on sustainable agricultural production to address food security issues, income generation to improve people's livelihoods, and capacity development to contribute to individual and institutional learning.
Before joining SDC, Zellweger worked nearly 30 years at the Caritas Internationalis office in Hong Kong, where she pioneered the organization's involvement in China and North Korea. Her humanitarian aid programs in North Korea were coordinated through Caritas-Hong Kong. In recognition of her work in North Korea, the Vatican made Zellweger a Dame of St. Gregory the Great in 2006.
Zellweger holds a master's degree in international administration from the School of International Training in Brattleboro, Vermont, and a Swiss diploma in trade, commerce, and business administration. She also apprenticed with Switzerland’s national agricultural management program.
Zellweger joined the Korean Studies Program as the 2011-12 Pantech Fellow to conduct research on the transformation, especially social and economic change, of North Korea and its society.
Philippines Conference Room
Katharina Zellweger
2011-2012 Pantech Fellow; North Korea country director, Swiss Agency for Development and Cooperation
Speaker
Objective To investigate educational disparities in the care process and health outcomes among patients with diabetes in the context of South Korea's universal health insurance system.
Design Bivariate and multiple regression analyses of data from a cross-sectional health survey.
Setting A nationally representative and population-based survey, the 2005 Korea National Health and Nutrition Examination Survey.
Participants Respondents aged 40 or older who self-reported prior diagnosis with diabetes (n= 1418).
Main Outcome Measures Seven measures of the care process and health outcomes, namely (i) receiving medical treatment for diabetes, (ii) ever received diabetes education, (iii) received dilated eye examination in the past year, (iv) received microalbuminuria test in the past year, (v) having activity limitation due to diabetes, (vi) poor self-rated health and (vii) self-rated health on a visual analog scale.
Results Except for receiving medical care for diabetes, overall process quality was low, with only 25% having ever received diabetes education, 39% having received a dilated eye examination in the past year and 51% having received a microalbuminuria test in the past year. Lower education level was associated with both poorer care processes and poorer health outcomes, whereas lower income level was only associated with poorer health outcomes.
Conclusion While South Korea's universal health insurance system may have succeeded in substantially reducing financial barriers related to diabetes care, the quality of diabetes care is low overall and varies by education level. System-level quality improvement efforts are required to address the weaknesses of the health system, thereby mitigating educational disparities in diabetes care quality.
Japan leads, chased closely by South Korea, with China, on a vastly larger scale, not far behind. Not as mercantilist development states nor as threats to America's high-tech industry, but rather as the world’s most rapidly aging societies.
A wave of unprecedented demographic change is sweeping across East Asia, the forefront of a phenomenon of longer life expectancy and declining birthrates that together yield a striking rate of aging. Japan already confronts a shrinking population. Korea is graying even more quickly. And although China is projected to grow for another couple of decades, demographic change races against economic development. Could China become the first country to grow old before growing rich? In Southeast Asia, Singapore also is confronting a declining birthrate and an aging society. Increasingly, Asia’s aging countries look to its younger societies, such as Vietnam, Indonesia, and India, as sources of migrant labor and even wives. Those countries in turn face different demographic challenges, such as how to educate their youth for global competition.
The third Stanford Kyoto Trans-Asian Dialogue will focus on demographic change in the region and its implications across a wide range of areas, including economies, societies, and security. Asia’s experience offers both lessons and warnings for North America and Europe, which are facing similar problems. Questions to be addressed include:
What are the inter-relationships between population aging and key macroeconomic variables such as economic growth, savings rates, and public and private intergenerational transfers?
How and why do policy responses to population aging differ in Japan, South Korea, and across different regions of China?
What are the effects of demographic change on national institutions such as employment practices, pension and welfare systems, and financial systems?
What policies can or should be pursued to influence future outcomes?
How will demographic change affect security in the Asia-Pacific region?
How have patterns of migration impacted society and culture in East Asia, in comparative perspective?
How will demographic change influence the movement of people across the region and the prevalence of multicultural families?
What lessons can Asia, the United States, and Europe learn from each other to improve the policy response to population aging?
The Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) established the Stanford Kyoto Trans-Asian Dialogue in 2009 to facilitate conversation about current Asia-Pacific issues with far-reaching global implications. Scholars from Stanford University and various Asian countries start each session of the two-day event with stimulating, brief presentations, which are followed by engaging, off-the-record discussion. Each Dialogue closes with a public symposium and reception, and a final report is published on the Shorenstein APARC website.
Previous Dialogues have brought together a diverse range of experts and opinion leaders from Japan, South Korea, China, Vietnam, Thailand, Indonesia, Singapore, India, Australia, and the United States. The first Dialogue examined the global environmental and economic impacts of energy usage in Asia and the United States. It also explored the challenges posed by competition for resources and the possibilities for cooperating to develop sustainable forms of energy and better consumption practices. Last year’s Dialogue considered the question of building an East Asian Community similar in concept to the European Union. Participants discussed existing organizations, such as ASEAN and APEC, and the economic, policy, and security implications of creating an integrated East Asia regional structure.
The annual Stanford Kyoto Trans-Asian Dialogue is made possible through the generosity of the City of Kyoto, the Freeman Spogli Institute for International Studies at Stanford University, and Yumi and Yasunori Kaneko.
Kyoto International Community House Event Hall
2-1 Torii-cho, Awataguchi,
Sakyo-ku Kyoto, 606-8536
JAPAN