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A condensed version of this paper is published in the Journal of Institutional Economics (2012) 8(2): 247-270.

Abstract: Health systems provide a rich field for testing hypotheses of institutional economics. The incentive structure of current healthcare delivery systems have deep historical and cultural roots, yet must cope with rapid technological change as well as market and government failures. This paper applies the economic approach of comparative and historical institutional analysis (Aoki, 2001; Greif, 2006) to health care systems by conceptualizing physician control over dispensing revenues as a social institution. The theory developed -- emphasizing the interplay between cultural beliefs, interest groups, technological change, insurance expansion and government financing -- offers a plausible explanation of reforms since the 1960s separating prescribing from dispensing in societies such as Japan, South Korea, Taiwan, and China. Technological change and adoption of universal coverage trigger reforms by greatly increasing the social opportunity costs of physician overprescribing and reshaping the political economy of forces impinging on the doctor-patient relationship.

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Karen Eggleston
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STANFORD, Calif.—Stanford University’s Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) is pleased to announce China’s Caixin Media as the recipient of the 2011 Shorenstein Journalism Award. Caixin was selected for its commitment to integrity in journalism, and for its path-breaking role as a leader in establishing an independent media in China.

The Shorenstein Journalism Award was launched in 2002 to recognize the contributions of Western journalists in deepening our understanding of Asia. In 2011, the recipients of the award have been broadened to encompass Asian journalists who are at the forefront of the battle for press freedom in Asia and who have played a key role in constructing a new role for the media, including the growth of social media and Internet-based journalism. The award will also identify those Asian journalists who, from that side of the Pacific Ocean, have aided the growth of mutual understanding between Asia and the United States.

Asia has served as a crucible for the role of the press in democratization in places such as South Korea, Taiwan, India, Pakistan, and Indonesia. It has also figured greatly in the emergence of social media and citizen journalism. New tests of the role of the media are emerging in China, Vietnam, and other authoritarian societies in Asia. The Shorenstein Journalism Award aims to encourage the understanding of key issues facing the media in Asia, among them whether the Internet will be a catalyst for change or an instrument of authoritarian control.

The decision to name Caixin Media as the first recipient of this award in Asia is a recognition of the leadership role of a group of young journalists, led by a visionary editor, since their founding of Caijing magazine in 1998. The core group moved on in November 2009 to found Caixin Media in an effort to preserve their independence in a media environment dominated by the state in China. The company is based in Beijing and is guided by an independent advisory board of noted Chinese and foreign intellectuals and academics. The Caixin team has achieved renown for its coverage of the profound economic and social changes taking place in China and its willingness to dig into the darker corners of that change. In recent months, Caixin has probed into the errors that led to the crash of a high-speed train in China, and investigated the seizure and sale of children by family planning officials in Hunan province.

Hailed by the Economist as “one of China’s more outspoken media organizations,” Caixin is internationally recognized for its tough-minded investigative reporting. In 2011, Caixin editor-in-chief Hu Shuli was named one of Time Magazine’s Top 100 Influential People, and managing editor Wang Shuo was ranked among China’s top 10 young editors.

Caixin publishes several leading print and online publications, including the weekly business and finance magazine Caixin Century, the monthly periodical China Reform, the bimonthly journal Comparative Studies, and the English-language Caixin Weekly: China Economics and Finance. Caixin’s numerous other offerings include a Chinese- and English-language news portal Caixin.cn, a publication series, video programming, an international journalism fellowship program, and extensive use of social media.

On December 7, Hu and Wang will visit Stanford to accept the Shorenstein Journalism Award. They will participate in a daytime public panel discussion on the future of China’s independent media, joining acclaimed China historian and former Pulitzer Prize jury member Orville Schell, Shorenstein APARC associate director for research Daniel C. Sneider, and other noted Asia specialists. That evening, Hu and Wang will receive a cash prize of $10,000 during a dinner and award ceremony.

Hu’s distinguished career spans both print and broadcast journalism. She is a former Stanford Knight Journalism Fellow (1994), and, in addition to her role as Caixin’s editor-in-chief, currently serves as dean of the School of Communications and Design at Sun Yat-sen University. A recipient of the 2007 Louis Lyons Award for Conscience and Integrity in Journalism, Hu is frequently named on annual Who’s Who lists by publications such as Foreign Policy.

Wang is a former international editor for People’s Daily, a Chinese government-run newspaper published nationally. Recognized as one of the brightest rising stars in his field, Wang was named as a Young Leader in 2007 and 2008 by the Boao Forum for Asia, and as a media leader by the World Economic Forum. He has led the investigative journalism teams at Caixin.

About the Award

Established in 2002, the Shorenstein Journalism Award carries a cash prize of $10,000 and honors a journalist not only for a distinguished body of work, but also for the particular way that work has helped American readers to understand the complexities of Asia. The award was named after Walter H. Shorenstein, the philanthropist, activist, and businessman who endowed two institutions that are focused respectively on Asia and on the press: Shorenstein APARC in the Freeman Spogli Institute at Stanford University, and the Joan Shorenstein Center on the Press, Politics, and Public Policy in the Kennedy School of Government at Harvard University.

The award was originally designed to honor distinguished American journalists for their work on Asia, including veteran correspondents for leading American media such as the New York Times, the Washington Post, Newsweek, NBC News, PBS, and the Wall Street Journal. Past recipients include Stanley Karnow, Orville Schell, Don Oberdorfer, Nayan Chanda, Melinda Liu, John Pomfret, Ian Buruma, Seth Mydans, and Barbara Crossette.

Shorenstein APARC believes that it is vital to continue the Shorenstein Journalism Award, not only to honor the legacy of Walter H. Shorenstein and his twin passions for Asia and the press, but also to promote the necessity of a free and vibrant media for the future of relations between Asia and the United States. Moreover, as we have seen recently in the Middle East, a free press, not only in its traditional forms of print and broadcast but now also via the Internet and new avenues of social media, remains the essential catalyst for the growth of democratic freedom. The award is given annually based on the deliberations and decision of a distinguished jury whose members include:

Ian Buruma, the Henry R. Luce Professor of Democracy, Human Rights, and Journalism at Bard College, is a noted Asia expert who frequently contributes to publications including the New York Times, the New York Review of Books, and the New Yorker. He is a recipient of the Shorenstein Journalism Award and the international Erasmus Prize (both in 2008). 

Nayan Chanda, director of publications at the Yale Center for the Study of Globalization, served for nearly 30 years as editor, editor-at-large, and correspondent for the Far Eastern Economic Review. He was honored with the Shorenstein Journalism Award in 2005.

Susan Chira, assistant managing editor for news and former foreign editor of the New York Times, has extensive Asia experience, including serving as Japan correspondent for the Times in the 1980s. During her long tenure as foreign editor, the Times twice won the Pulitzer Prize for International Reporting (2009 and 2007).

Donald K. Emmerson, a well-respected Indonesia scholar, serves as director of Shorenstein APARC’s Southeast Asia Forum and as a research fellow for the prestigious National Asia Research Program (NARP). Frequently cited in the international media, Emmerson also contributes op-eds to leading publications such as the Asia Times.

Orville Schell is the Arthur Ross Director at the Asia Society Center on U.S.-China Relations, and is also a former jury member for the Pulitzer Prize for International Reporting. He has written extensively on China, and was awarded the 1997 George Peabody Award for producing the groundbreaking documentary the Gate of Heavenly Peace. He received the Shorenstein Journalism Award in 2003.

Daniel C. Sneider serves as the associate director for research at Shorenstein APARC and also as a NARP research associate. He frequently contributes articles to publications such as Foreign Policy, Asia Policy, and Slate and had three decades of experience as a foreign correspondent and editor for publications including the Christian Science Monitor and the San Jose Mercury News.  

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Newsstand in Shanghai, July 2010.
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Indonesia is strategically positioning itself to play an even greater role in global economics and politics, particularly by promoting its stable political system and the opportunities for foreign investment there. Southeast Asia Forum director Donald K. Emmerson spoke recently with the Straits Times about the Indonesian government's strategy and about the global conditions favoring the country's growth.
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Jakarta's Stock Exchange building, July 2011.
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The Association of Southeast Asian Nations has challenged itself is to become a single integrated community by 2015.  The prospect has raised high hopes inside the region.  Will they be met?  Efforts to build the community have intensified, yet the clock ticks and the deadline looms.  Although the result will not match what local enthusiasts of regional unification want to see, but it will likely exceed the expectations of skeptical outsiders.  ASEAN is the linchpin of East Asian regionalism, by design and by default.  What happens to the Association over the next several years has far-reaching implications for the United States, China, and not least for the states and peoples of Southeast Asia.  In his talk, Prof. Pongsudhirak will tease out these dynamics, assess their significance, and explore possible futures beyond 2015.

Thitinan Pongsudhirak heads the Institute of Security and International Studies and teaches international political economy at Chulalongkorn University in Bangkok.  In 2010 he was an FSI-Humanities Center International Visitor at Stanford and, in spring 2011, a visiting professor at Johns Hopkins University’s School of Advanced International Studies.  He has written many articles, chapters, and books on ASEAN and East Asian affairs, and on Thai politics, political economy, and foreign policy.  He has worked for The Nation newspaper (Bangkok), The Economist Intelligence Unit, and Independent Economic Analysis (London).  He currently serves on the editorial boards of Asian Politics & Policy, Contemporary Southeast Asia, the Journal of Current Southeast Asian Studies, and South East Asia Research.  His degrees are from the London School of Economics (PhD), Johns Hopkins University (School of Advanced International Studies, MA), and the University of California, Santa Barbara (BA). 

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Thitinan Pongsudhirak is a high-profile expert on contemporary political, economic, and foreign-policy issues in Thailand today  He is also a prolific author; witness his op ed, "Moving beyond Thaksin," in the 25 February 2010 Wall Street Journal.

Pongsudhirak is not senior in years, but he is in stature.  His career path has been meteoric since he earned his BA in political science with distinction at UC-Santa Barbara not long ago. In 2001 he received the United Kingdom's Best Dissertation Prize for his doctoral thesis at the London School of Economics on the political economy of Thailand's 1997 economic crisis.

Since 2006 he has held an associate professorship in international relations at Thailand's premier institution of higher education, Chulalongkorn University, while simultaneously heading the Institute of Security and International Studies, the country's leading think tank on foreign affairs.

His many publications include: "After the Red Uprising," Far East Economic Review, May 2009; "Why Thais Are Angry," The New York Times, 18 April 2009; "Thailand Since the Coup," Journal of Democracy, October-December 2008; and "Thaksin: Competitive Authoritarian and Flawed Dissident," in Dissident Democrats: The Challenge of Democratic Leadership in Asia, ed. John Kane et al. (2008).  He has written on bilateral free-trade areas in Asia, co-authored a book on Thailand's trade policy, and is admired by Southeast Asianist historians for having insightfully revisited, in a 2007 essay, the sensitive matter of Thailand's role during World War II.

He was a Salzburg Global Seminar Faculty Member in June 2009, Japan Foundation's Cultural Leader in 2008, and a Visiting Research Fellow at the Institute of Southeast Asian Studies (Singapore) in 2005.  For ten years, in tandem with his academic career, he worked as an analyst for The Economist's Intelligence Unit.

Thitinan Pongsudhirak Professor of International Political Economy, Faculty of Political Science, Chulalongkorn University, Thailand Speaker
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A series of events over the last few years, including attempts to deny non-Muslim rights to use the term "Allah," arson attacks on Christian churches, curbs on conversions of Muslims, and confiscation of bibles, alert us to disconcerting trends that have emerged in Muslim-Christian relations in multicultural Malaysia.  The purpose of this presentation is to analyze the underlying drivers behind these events, and to understand how and why the Christian community has mobilized in recent years in the face of perceived constriction of religious space.

Joseph Chinyong Liow is Associate Dean and Professor of Comparative and International Politics at the S. Rajaratnam School of International Studies, Nanyang Technological University, Singapore.  He was a visiting scholar at Stanford in 2007.  Among his forthcoming publications are “Malaysia’s 2008 General Election: Understanding the New Media Factor,” Pacific Review; “Creating Cadres:  Mobilization, Activism, and the Youth Wing of the Pan-Malaysian Islamic Party,” Pacific Affairs; and “Islamist Ambitions, Political Change, and the Price of Power:  Recent Successes and Challenges for the Pan-Malaysian Islamic Party,” Journal of Islamic Studies.  Earlier works include Islam, Education, and Reform in Southern Thailand: Tradition and Transformation (2009); Piety and Politics:  Islamism in Contemporary Malaysia (2009); and Islam in Southeast Asia (co-ed., 4 vols, 2009).  His PhD is from the London School of Economics.


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Joseph Chinyong Liow Visiting Fulbright Scholar, Shorenstein Asia-Pacific Research Center Speaker Stanford University
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Focusing on the episodes of the government’s Paved Road to Every Village (PREV) project in an agricultural township in northern China, this article examines two research issues: First, the role of state policies, government bureaucracies, and village cadres in the provision of public goods, especially the unintended consequences that led to huge collective debts and the erosion of the collective basis of governance and second, the role of local institutions and social relations in resource mobilization, problem solving, and response to crises, especially in the aftermath of the PREV project. The episodes provide an occasion to rethink the role of governments in economic development and the lessons learned from, to borrow an expression by James Scott, “seeing like a state.”

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Xueguang Zhou
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In July, the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) named Stanford alumnus Kenji E. Kushida as its Takahashi Research Associate in Japanese Studies.

A comparative political economist specializing in Japan, Kushida served during the 2010–2011 academic year as a Shorenstein Postdoctoral Fellow. In his new role, he will lead the coordination of Shorenstein APARC’s Japan-related programming, including academic-year colloquia and conferences and the annual Stanford Kyoto Trans-Asian Dialogue (DISCONTINUED).

Kushida’s current research encompasses comparative politics, political economy, and information technology, often drawing comparisons between Japan, Korea, China, and the United States. His recent publications include articles on Japan’s telecommunications sector; cloud computing and public policy; and the transformation of services due to information technology advancements. He is currently working on a book manuscript based on his research on foreign direct investment and institutional change, and is co-editing a political economy volume forthcoming from Shorenstein APARC.

Prior to joining the center, Kushida served as a graduate research associate at the Berkeley Roundtable on the International Economy. He holds a PhD in political science from the University of California, Berkeley, and an MA degree in East Asian studies and BA degrees in East Asian studies and economics from Stanford.

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Ha will examine how economic and political responses alter according to the types of financial crises -- currency crisis, banking crisis, and sovereign debt crisis -- encountered and how domestic political institutions influence government responses to these crises. She argues that fiscal and monetary policies tend to be more severely tightened under a currency crisis than under other crises, and the intensity of political atmosphere such as elections and electoral competitions pressures the governments to moderate the fiscal policies and even to adopt expansionary policies.

Ha is an assistant professor in the department of politics and policy in the School of Politics and Economics at Claremont Graduate University. Her research areas include comparative politics, political economy, and political institutions. Her work has dealt primarily with the impact of globalization and domestic political institutions on domestic political economy, particularly as manifested in inequality, poverty, growth, unemployment, inflation, welfare spending, and taxation.

Ha received a PhD in political science from the University of California, Los Angeles, in 2007. In her dissertation, Distributive Politics in the Era of Globalization, she explains how globalization and government ideology have shaped income distribution in terms of welfare, inequality, and poverty. She currently works on government policy responses to financial crises and their political and economic effects.

Space is limited and RSVPs will be accepted on a first come, first served basis.


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Eunyoung Ha Visiting Scholar, Shorenstein APARC, Stanford University; Assistant Professor, School of Politics and Economics, Claremont Graduate University Speaker
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