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This event is part of the Asia Health Policy Program's 2021-22 Colloquium series "Aligning Incentives for Better Health and More Resilient Health Systems in Asia”

Three prominent demographers discuss China's demographic change with insights from the seventh national census. Topics include the pace of urbanization, the more balanced sex ratio, increasing educational attainment, population aging, potential impacts of the pandemic, and recently announced changes in family planning and retirement policies.

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Wang Feng 2018 - 4X4
Wang Feng is professor of sociology at the University of California, Irvine, and an adjunct professor of sociology and demography at Fudan University in Shanghai, China. He has done extensive research on global social and demographic changes, comparative population and social history, and social inequality, with a focus on China. He is the author of multiple books, and his research articles have been published in venues including Population and Development Review, Demography, Science, The Journal of the Economics of Aging, The Journal of Asian Studies, The China Journal, and International Migration Review. He has served on expert panels for the United Nations, the World Economic Forum, and as a senior fellow and the director of the Brookings-Tsinghua Center for Public Policy. His work and views have appeared in media outlets, including The New York Times, The Washington Post, Financial Times, The Guardian, Economist, NPR, CNN, BBC, and others.

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Cai Yong Photo
Cai Yong's research focuses on China's one-child policy and its implications for fertility and social policies. The one-child policy, engineered to control China's population growth by restricting fertility to one child per couple, has been controversial for many reasons, including the policy's questionable demographic and economic assumptions, the ethical concerns regarding direct state intrusion into family matters, and its negative social and demographic impacts. Cai's work has contributed to an emerging consensus on China's fertility change and the impact of the one-child policy. Specifically, his work shows that: China's fertility has dropped to a level well below the replacement; the demographic impact of the one-child policy was modest, much less than the government's claim of 400 million averted births; socioeconomic development played a critical role in driving China's fertility decline; and the socioeconomic impacts of low fertility and population aging are substantial. The consensus on these issues, to which Cai contributed, provided the empirical and scientific foundation that persuaded the Chinese government to end the three-decade-long policy.

Cai continues to monitor China's fertility in the post-one-child era, but with a new focus on international comparisons on sustained low fertility and population aging, both from a micro perspective about individual responses and family dynamics and from a macro perspective about social welfare regimes and public transfers.

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Li Shuzhuo 102121
Li Shuzhuo is currently University Distinguished Professor of Population and Development Policy Studies, Honorary Director of the Institute for Population and Development Studies, School of Public Policy and Administration, Xi’an Jiaotong University, and consulting professor at the Morrison Institute for Population and Resource Studies, Stanford University. He is a member of the Social Sciences Committee of the Ministry of Education of China. His research is focused on population and social development as well as public policies in contemporary China, including population policies and development, gender imbalance and sustainable social development, aging and health, migration and integration.

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Wang Feng Professor, School of Social Sciences, University of California, Irvine
Cai Yong Associate Professor, Sociology, University of North Carolina, Chapel Hill
Li Shuzhuo Director and Professor, Institute for Population and Development Studies School of Public Policy and Administration, Xi’an Jiaotong University
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Michael Breger
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On September 17, 2021, APARC hosted a delegation from the Mongolian Parliament including speaker Gombojav Zandanshatar, who addressed a joint panel of parliament members and Stanford scholars. Zandanshatar, an alumnus at the Stanford Center on Democracy, Development and the Rule of Law, instituted a program of deliberative democracy in Mongolia, and reflected on the outcomes and challenges that still affect the nation.

Zandanshatar’s work with Stanford’s Center for Deliberative Democracy has impacted political reform processes in Mongolia, and he underscored the potential for academic exchange and policy research to improve overall governance and civic participation.

Sign up for APARC newsletters to receive our experts' analysis and commentary. 


A partnership years in the making

Following Zandanshatar’s initial time as a visiting scholar at CDDRL in 2015, he returned to Mongolia, where he promoted concepts of deliberative democracy. In 2017, the Mongolian government adopted the deliberative polling method developed by Stanford communications professor James Fishkin.

Other places around the world have looked seriously at what you are doing in Mongolia.
James Fishkin
Janet M Peck Chair of International Communication, Stanford

The deliberative method that analyzes public opinion was put in place to garner public input before the Mongolian constitution could be amended. Fishkin, who devised the deliberative polling process more than 30 years ago, sat on the panel and mentioned that "other places around the world have looked seriously at what you are doing in Mongolia." 

Member of Parliament Bulgantuya Khurelbaatar also addressed the panel, discussing the country’s path towards benefiting from democracy and a market economy. Bulgantuya shared statistics of recent economic and industrial outputs, and enumerated the many challenges facing the maturing democracy. Despite Mongolia's improvements in governance, the economy, the health sector, and access to education, the poverty rate in the country remains high (28.4%), there is a serious budget deficit, and the quality of education needs improvement, said Bulgantuya.

While many are optimistic about Mongolia’s ability to remain democratic in its current geostrategic context, Zandanshatar cited professor Larry Diamond's concept of democratic recession. Zandanshatar and Bulgantuya responded to questions from Diamond and CDDRL Director Kathryn Stoner on how Mongolia is dealing with the challenges to its democracy, especially against the rise of Russia and China, two authoritarian competitors on which its economy is heavily dependent. According to the delegatiuon, "Democracy is the only way Mongolia can stay alive as a nation."  These results of the panel suggest that autocratic pressure poses an important challenge to democratic integrity.

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At an in-person address to a panel of parliament members and Stanford scholars, Speaker Gombojav Zandanshatar assessed the nation's experiment in deliberative democracy and offered reflections on the challenges that face maturing democracies.

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Noa Ronkin
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The Walter H. Shorenstein Asia-Pacific Research Center (APARC) is pleased to invite applications for four types of fellowship in contemporary Asia studies for the 2022-23 academic year.

The Center offers postdoctoral fellowships that promote multidisciplinary research on contemporary Japan, contemporary Asia broadly defined, health or healthcare policy in the Asia-Pacific region, and a fellowship for experts on Southeast Asia. Learn more about each fellowship and its eligibility and specific application requirements:

Postdoctoral Fellowship on Contemporary Japan

Hosted by the Japan Program at APARC, the fellowship supports research on contemporary Japan in a broad range of disciplines including political science, economics, sociology, law, policy studies, and international relations. Appointments are for one year beginning in fall quarter 2022. The application deadline is January 3, 2022.
 

Shorenstein Postdoctoral Fellowship on Contemporary Asia

APARC offers two postdoctoral fellowship positions to junior scholars for research and writing on contemporary Asia. The primary research areas focus on political, economic, or social change in the Asia-Pacific region (including Northeast, Southeast, and South Asia), or international relations and international political economy in the region. Appointments are for one year beginning in fall quarter 2022. The application deadline is January 3, 2022.
 

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The Center offers fellowships for postdoctoral scholars specializing in contemporary Asia, Japan, and Asia health policy and for experts on Southeast Asia.

Shorenstein APARC Encina Hall Stanford University
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Visiting Scholar at APARC, 2021-2022
sachiko_masuda.jpg PhD

Sachiko Masuda joined the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) during the 2021-22 academic year from the University of Tokyo, Research Center for Advanced Science and Technology, where she serves as an associate professor.

Masuda is dedicated to the study of legal systems and regulations, infrastructure, and industrial structures necessary for advances in technology and a safer society, especially in the pharmaceutical and medical fields. During her time at Shorenstein APARC, Masuda conducted a comparative study between the US and Japan regarding “Human genetic information for medical innovation: Examining policy issues related to domestic and cross-border sharing and ensuring control” with Professor Karen Eggleston.

Masuda received a Ph.D. in Arts and Sciences (specializing in intellectual property law) in 2006 and a B.S. in Pharmaceutical Sciences in 1997 from the University of Tokyo. She is a registered patent attorney and pharmacist in Japan.

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Oriana Skylar Mastro
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There are many reasons to fear an impending Chinese attack on Taiwan: Intensified Chinese aerial activity. High-profile Pentagon warnings. Rapid Chinese military modernization. President Xi Jinping’s escalating rhetoric. But despite what recent feverish discussion in foreign policy and military circles is suggesting, the U.S. withdrawal from Afghanistan isn’t one of them.

Some critics of President Biden’s decision to withdraw from Afghanistan argue the move will embolden Beijing because it telegraphs weakness — an unwillingness to stick it out and win wars that China will factor in when deciding whether to attack Taiwan, which it considers to be part of its territory.

The reality is, though, that the U.S. departure from Afghanistan will more likely give pause to Chinese war planners — not push them to use force against Taiwan.

The Chinese Communist Party’s stated goal is “national rejuvenation”: Regaining China’s standing as a great power. Chinese leaders and thinkers have studied the rise and fall of great powers past. They have long understood that containment by the United States could keep China from becoming a great power itself.

Luckily for Beijing, the Afghan war — along with Iraq and other American misadventures in the Middle East — distracted Washington for two decades. While China was building roads and ports from Beijing to Trieste, Italy, fueling its economy and expanding its geopolitical influence, the United States was pouring money into its war on terrorism. While Beijing was building thousands of acres of military bases in the South China Sea and enhancing its precision-strike capabilities, the U.S. military was fighting an insurgency and dismantling improvised explosive devices.

While Beijing was building thousands of acres of military bases in the South China Sea and enhancing its precision-strike capabilities, the U.S. military was fighting an insurgency and dismantling improvised explosive devices.
Oriana Skylar Mastro

In many ways, it was just dumb luck that Mr. Xi and his predecessors, thanks in part to the war in Afghanistan, could build national power, undermine international normsco-opt international organizations and extend their territorial control all without the United States thwarting their plans in any meaningful way.

But the end of the war in Afghanistan could bring these good times — which the Communist Party calls the “period of important strategic opportunities” — to an abrupt end. Sure, over the past 10 years American presidents tried to get back into the Asia game even as the war continued. Barack Obama asserted we would pivot to Asia back in 2011. Donald Trump’s national security team made great power competition with China its top priority.

But neither went much beyond paying lip service. The withdrawal shows Mr. Biden is truly refocusing his national security priorities — he even listed the need to “focus on shoring up America’s core strengths to meet the strategic competition with China” as one of the reasons for the drawdown.

Such a refocusing comes not a moment too soon. Chinese expansion and militarization in the South China Sea, deadly skirmishes with India, its crackdown in Hong Kong and repression in Xinjiang all point to an increasingly confident and aggressive China. In particular, Chinese military activity around Taiwan has spiked — 2020 witnessed a record number of incursions into Taiwan’s airspace. The sophistication and scale of military exercises has increased as well. These escalations come alongside recent warnings from Mr. Xi that any foreign forces daring to bully China “will have their heads bashed bloody” and efforts toward “Taiwan independence” will be met with “resolute action.”

The U.S. policy toward Taiwan is “strategic ambiguity” — there is no explicit promise to defend it from Chinese attack. In this tense environment, U.S. policymakers and experts are feverishly considering ways to make U.S. commitment to Taiwan more credible and enhance overall military deterrence against China. A recent $750 million arms sale proposal to Taiwan is part of these efforts, as is talk of inviting Taiwan to a democracy summit, which undoubtedly would provoke Beijing’s ire.

Some have argued that America’s withdrawal from Afghanistan undermines efforts to signal U.S. support for Taiwan. On the surface, it may seem as if the U.S. withdrawal would be a good thing for China’s prospects at what it calls “armed reunification.” Indeed, this is the message the nationalist Chinese newspaper The Global Times is peddling: The United States will cast Taiwan aside just as it has done with Vietnam, and now Afghanistan.

However, the American departure from Afghanistan creates security concerns in China’s own backyard that could distract it from its competition with the United States. Beijing’s strategy to protect its global interests is a combination of relying on host nation security forces and private security contractors and free-riding off other countries’ military presence. Analysts have concluded that China is less likely than the United States to rely on its military to protect its interests abroad. Beijing appears committed to avoiding making the same mistakes as Washington — namely, an overreliance on military intervention overseas to advance foreign policy objectives.

Now there will be no reliable security presence in Afghanistan and undoubtedly broader instability in a region with significant economic and commercial interests for China. Chinese leaders are also worried that conflict in Afghanistan could spill across the border into neighboring Xinjiang, where Beijing’s repressive tactics have already been the cause of much international opprobrium.

The reality is, the United States stayed much longer in Afghanistan than most expected. This upsets China’s calculus about what the United States would do in a Taiwan crisis, since conventional wisdom in Beijing had been that the painful legacy of Somalia would deter Washington from ever coming to Taipei’s aid.

But U.S. interventions in Afghanistan and Iraq have called these assumptions into question. Taiwan, with its proportionately large economy and semiconductor industry, is strategically important to the United States. U.S. power and influence in East Asia are reliant on its allies and military bases in the region and America’s broader role as the security partner of choice. If Taiwan were to fall to Chinese aggression, many countries, U.S. allies included, would see it as a sign of the arrival of a Chinese world order. By comparison, Afghanistan is less strategically important, and yet the United States stayed there for 20 years.

If Taiwan were to fall to Chinese aggression, many countries, U.S. allies included, would see it as a sign of the arrival of a Chinese world order. By comparison, Afghanistan is less strategically important, and yet the United States stayed there for 20 years.
Oriana Skylar Mastro

This does not bode well for any designs Beijing might have for Taiwan.

It’s true that China would benefit from a home-field advantage given Taiwan’s proximity, and that Beijing’s arsenal is far greater than Taiwan’s. China, too, would likely enjoy more domestic public support for any conflict than the U.S. would for yet another intervention.

But if China has any hope of winning a war across the Strait, its military would have to move fast, before the United States has time to respondChinese planners know that the longer the war, the greater the U.S. advantage. Unlike Chinese production and manufacturing centers, which can all be targeted by the United States, the American homeland is relatively safe from Chinese conventional attack. China is far more reliant on outside sources for oil and natural gas, and thus vulnerable to U.S. attempts to cut off its supply.

And the Chinese economy would suffer more: Since the war would be happening in Asia, trade would be bound to be disrupted there. The United States would need to stick it out for only a short time — not 20 years — for these factors to come into play.

A call on Thursday between Mr. Biden and Mr. Xi hinted at the stakes — the two “discussed the responsibility of both countries to ensure competition does not veer into conflict,” according to the White House.

Chinese leaders already expected a tense relationship with the Biden administration. Now they are faced with the fact that the United States might have the will and resources to push back against Chinese aggression, even if it means war.

So, while there may be other reasons to oppose the end of the war in Afghanistan, the impact on China’s Taiwan calculus is not — and should not be — one of them.

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In a New York Times opinion piece, Center Fellow Oriana Skylar Mastro argues that the U.S. withdrawal from Afghanistan does not represent a potential catalyst for an impending Chinese attack on Taiwan.

Shorenstein APARC

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Stanford University

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Visiting Scholar at APARC, 2021-2022
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Lieutenant Colonel Randy Storms, representing the U.S. Air Force, was a National Security Affairs Fellow for the academic year 2021-22 and joined the Walter H. Shorenstein Asia-Pacific Research Center of the Freeman Spogli Institute for International Studies as visiting scholar.

Lieutenant Colonel Storms is an F-15E Weapon Systems Officer and has served as a Northeast Asia Strategic Plans Officer for U.S. Indo-Pacific Command in Hawaii as well as Operations Support Squadron Commander at RAF Lakenheath, England.  Most recently he served at Air Education and Training Command as Executive Officer to the 19th Air Force Commander, responsible for the planning and execution of all U.S. Air Force flying training.

Lieutenant Colonel Storms graduated from Brigham Young University in 2002 with a Bachelor of Science in International Law and Diplomacy.  He is also a Distinguished Graduate of the Naval Command and Staff College in Newport, Rhode Island where he was awarded a Masters of Arts in National Security and Strategy and graduated with honors from the Maritime Advanced Warfighting School. 

His research at FSI focused on national security and strategy in the Asia Pacific region.

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Asia Health Policy Program (AHPP) 2021-22 Colloquium series "Aligning Incentives for Better Health and More Resilient Health Systems in Asia”

Friday, October 29, 2021, 8:30am - 9:30am (Beijing time)

This paper investigates the impact of China’s reform of the system for medical payments from traditional fee-for-service to prospective payment in the form of diagnosis-related group. The paper explores comprehensive aspects of the reform, taking advantage of a large-scale administrative data set from a pilot city in China. It finds that medical expenditure per admission dropped by 7.3 percent, with greater impact on patients who spent a larger amount. To better understand the changes, further decompositions find that the expenditure reduction is fully explained by reduction in the quantity of services instead of using cheaper ones, and by reduction in the use of drugs but not reduction in other types of services, including examination, treatment, and nursing care. In addition, no evidence is found on quality deterioration or behavioral responses, including upcoding and cream skimming. Hospitals maintained their revenue through attracting more patients to contend with cost containment induced by the payment reform.

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Julie Shi 4X4
Julie Shi is Associate Professor of Health Economics in the School of Economics and the School of Global Health Development at Peking University. Dr. Shi’s research focuses on the design and impact of health care payment systems, the economics of health insurance coverage, drug regulations, and the trend of medical expenditures. Shi’s work has contributed to the theory and practice of China’s payment system reform. Her research on health insurance includes the impact of insurance on medical utilization. She has conducted academic and policy research on government regulations on prescription drugs. She also works on the trend of expenditures for patients with catastrophic diseases.

Dr. Shi’s undergraduate degree is from Tsinghua university and her PhD is from Boston University, both in economics. Before joining Peking University, she was a post-doctoral fellow at Harvard Medical School. Her work has published on leading academic journals including Journal of Public Economics, Journal of Health Economics, and Health Economics. She received awards for paper of the year in 2014 from the National Institute of Health Care Management (NIHCM) in the United States. She has conducted multiple projects for central and local governments in China for policy recommendation.

 

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Julie Shi Associate Professor of Health Economics in the School of Economics and the School of Global Health Development, Peking University
Seminars
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Jakarta time: Friday, October 8, 2021 07:00 - 08:30 AM

Students often ask themselves: Do I want to be a specialist or a generalist? A hedgehog digging deeper or a fox ranging wider? The answer embedded in Gita Wirjawan’s life so far is unequivocal: Go broad. Think big. And be optimistic. For his weekly virtual podcast Endgame, Gita has interviewed many people, including Stanford’s Southeast Asia Program director Don Emmerson.  Don will turn the tables and interview Gita in this event. Gita will highlight life lessons from his international childhood and consider questions such as these: How well or poorly is Indonesia coping with corrupted governance, religious extremism, Covidian infection, and climate change? How should it respond to worsening US-China relations? To China’s efforts to control the South China Sea? To America’s exit from Afghanistan? To Myanmar’s brutal junta and ASEAN’s apparent impotence? Worldwide, looking forward, is eco-suicide avoidable? Will surveillance technology doom liberal democracy? If there is a global endgame to be played, how should concerned actors play it? Have present perils made Gita’s proactive optimism all the more necessary? Or all the more naïve? Attend the event and find out.

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Gita Wirjawan is the founding chairman of the Ancora Group of private-equity investors and wealth managers in Indonesia. He has held leadership positions in Citibank, JP Morgan, and other such firms. His philanthropy sustains the Ancora Foundation, which seeks to improve access to quality education in Indonesia across a range of endeavors—from funding the training of kindergarten teachers to endowing scholarships for students to attend universities around the world including Stanford. His passion for sports led Gita to chair Indonesia’s badminton association (2012-16). His public service career has included heading Indonesia’s trade ministry (2011-14) and investment coordinating board (2009-2011). A jazz pianist, he has performed in concerts and composed and played pieces in more than a dozen albums. His degrees include masters in business administration (Baylor) and public policy (Harvard). Indonesia’s School of Government and Public Policy sponsors his wide-ranging podcast “Endgame with Gita Wirjawan.”

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Gita Wirjawan Indonesian businessman, philanthropist, educationist, musician, former minister of trade, badminton advocate, and popular talk-show host
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