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Co-sponsored with the Harvard Kennedy School

This event is part of the Asia Health Policy Program (AHPP) 2020-21 Colloquium series "Health, medicine, and longevity: Exploring public and private roles"

Introduced by Lawrence H. Summers (President Emeritus, Harvard University), Richard Zeckhauser, Jack Donahue and Karen Eggleston discuss their recently published book, The Dragon, the Eagle, and the Private Sector: Public-Private Collaboration in China and the United States with Professor Yijia Jing of Fudan University, China's leading expert on public-private relationships will also participate. The governments of China and the United States - despite profound differences in history, culture, economic structure, and political ideology - both engage the private sector in the pursuit of public value. This book employs the term collaborative governance to describe relationships where neither the public nor private party is fully in control, arguing that such shared discretion is needed to deliver value to citizens. This concept is exemplified across a wide range of policy arenas, such as constructing high speed rail, hosting the Olympics, building human capital, and managing the healthcare system. This book will help decision-makers apply the principles of collaborative governance to effectively serve the public, and will enable China and the United States to learn from each other's experiences. It will empower public decision-makers to more wisely engage the private sector. The book's overarching conclusion is that transparency is the key to the legitimate growth of collaborative governance.

"It has become increasingly clear over the last few years that in tackling a country’s problems, what matters most is the quality of government rather than the quantity. This book provides a key to understanding how to achieve that quality-public-private collaboration, done right. Delving deep into two very different societies, the US and China, the authors provide lessons that illuminate and should inform scholars and policymakers alike." -- Fareed Zakaria

"This important book addresses how the two most important countries, the U.S. and China, address what may be their most important question: How can their public and private sectors cooperate most effectively with each other to create value. This is the rare book that is both analytic and a pleasure to read. It makes a lasting impression. It deserves a very wide readership among all those concerned about the future of the global economy." -- Lawrence H Summers, President Emeritus, Harvard University

"Eggleston, Donahue, and Zeckhauser offer an authoritative and intriguing account of why and how collaborative governance, a key modern instrument that engages public and private actors for comparative advantages in coping with complex public affairs, has been widely and deeply practiced in two vastly different countries, China and the US. An essential reading with profound academic inspirations and rich empirical inquiries." -- Yijia Jing, Fudan University.

Speakers

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Lawrence H. Summer 4X4
Lawrence H. Summers is President Emeritus of Harvard University. During the past two decades he has served in a series of senior policy positions, including Vice President of development economics and chief economist of the World Bank, Undersecretary of the Treasury for International Affairs, Director of the National Economic Council for the Obama Administration from 2009 to 2011, and Secretary of the Treasury of the United States, from 1999 to 2001. 

 

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richard_zeckhauser_4x4
Richard J. Zeckhauser is the Frank Ramsey Professor of Political Economy at the Harvard Kennedy School.  

 

 

 

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John Donahue 4X4
John D. Donahue is Faculty Chair for the Master’s in Public Policy program at the Harvard Kennedy School.

 

 

 

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Karen Eggleston 4X4
Karen Eggleston is Senior Fellow at the Freeman Spogli Institute for International Studies and Director of the Asia Health Policy Program in the Shorenstein Asia-Pacific Research Center at Stanford University.

 

 

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Yijia Jing 4X4
Yijia Jing is a Chang Jiang Scholar, Seaker Chan Chair Professor in Public Management, Dean of the Institute for Global Public Policy, and Professor of the School of International Relations and Public Affairs, Fudan University. He conducts research on privatization, governance, and collaborative service delivery. He is the founding editor-in-chief of the journal Global Public Policy and Governance.

Lawrence H. Summers President Emeritus of Harvard University
Richard J. Zeckhauser Frank P. Ramsey Professor of Political Economy, Harvard Kennedy School
John D. Donahue Raymond Vernon Senior Lecturer in Public Policy, Harvard Kennedy School

Shorenstein APARC
Stanford University
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Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
karen-0320_cropprd.jpg PhD

Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
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Senior Fellow, the Freeman Spogli Institute for International Studies (FSI), Stanford University
Yijia Jing Dean of the Institute for Global Public Policy, and Professor of the School of International Relations and Public Affairs, Fudan University
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We often think of language as a democratic field, but it is not quite the common property of its speakers, argues Jeffrey Weng, APARC’s 2020-21 postdoctoral fellow on contemporary Asia. Rather, language is a skill that must be learned, says Weng, and it creates social divisions as much as it bridges divides. 

Weng studies the social, cultural, and political nature of language, with a focus on the evolution of language, ethnicity, and nationalism in China. His doctoral dissertation investigates the historical codification of Mandarin as the dominant language of contemporary mainland China. This summer, he will begin his appointment as an assistant professor at National Taiwan University. In this interview, Weng discusses the dynamics between linguistic and social change and the implications of his research for Asian societies today.


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What has shaped your interest and research into the study of language and linguistic dissemination?

As a first-grade student in the early 1990s attending Chinese school in central New Jersey on Saturday mornings, I learned how to write my first complete sentence in the language: “I am an overseas Chinese.” Now, this was a curious sentence to teach to a class full of American-born children of Taiwanese parents, and it’s a reminder that language is never a neutral conveyor of meaning. Language cannot but be freighted with social, cultural, and political import, a lesson reinforced in my high-school Spanish classes, in which I made my first forays into literature in a foreign language: stories by the great writers of Spain and Latin America not only spoke a wholly different language, but they told wholly different stories from those of their British and American counterparts.

Linguistic difference also is a signal of individual and social difference: my childhood visits with family in Taiwan opened my ears to a cacophonous Babel in the media and on the streets—though we spoke Mandarin at home, whenever we went out, people speaking Taiwanese were everywhere to be seen and heard. This was further amplified when I visited mainland China for the first time in my early 20s. Beijing, the supposed wellspring of the nation’s language, was bewildering—I could not understand much of the unselfconscious speech of the locals. And traveling several hundred miles in any direction would only deepen my incomprehension. And yet, on the radio and on TV, during formal events and on university campuses, there was always Mandarin to clear the way. I wanted to learn more about how this language situation came to be. For me, studying the social, cultural, and political nature of language is a way to a deeper understanding of how people are united and divided in vastly different contexts across the globe.

As you’ve looked deeper into how language shapes society and society shapes language, what is something surprising you’ve come to realize about that relationship?

People often see language as the ultimate democratic field when it comes to cultural practice. No matter how much you might tell people not to split their infinitives or end their sentences with prepositions, popular practice will always win the day. Or so we English speakers think. Ever since Merriam-Webster came out with its infamously descriptivist Third New International Dictionary in 1961, Anglophone language nerds have fought over whether dictionaries should be “prescriptive”—that is, rule-setting—or “descriptive”—reflective of popular usage. But really, these are two sides of the same coin. We take it for granted that privately-owned publishers of dictionaries spell out the supposed norms of our language. Not only that, we even think this ought to be the case. French is the usual counterexample: when government language authorities in Quebec or Paris try to stem the Anglophone tide, we think it absurd that so-called authorities would ever try to rule over something so fundamentally unruly as language.

In my research, however, I learned how fundamentally invented Mandarin as a language is—from its highly artificial pronunciation to the way its orthography has been stabilized. There used to be a lot of variability in how characters were written and how they could be used, much like English spelling before the 18th century. Mandarin, both spoken and written, was standardized only in the 1920s to facilitate mass literacy and national cohesion. So linguistic change might often follow and reflect social change, but the process can also operate in reverse—a government can change language in hopes of facilitating social change.

In your latest journal publication, you argue that language nationalization in Japan, Korea, and Vietnam between 1870-1950 was a state-led, top-down process directed at remaking society rather than the more traditional view of diffusion through trade, economics, and cultural exchange. Why is this an important distinction to make?

Again, we often see language as a democratic field, the common property of its speakers, but it isn’t really. Sociolinguists are often quick to remind us that linguistic differences reflect class differences—“proper” language is that of “educated” speakers. But language is a skill, and skills must be learned. Some people can learn skills more easily than others, whether through natural ability or, more importantly, the life circumstances they were born into. Rich people can more easily get a good education. Educational disparities are now part and parcel of today’s broader debates about inequality. But the very fact that we think this is a problem is a product of developments in the late 19th and early 20th centuries.

Before then, broad swaths of humanity were totally illiterate and had no chance at being educated, and most people did not think this was a problem. In Europe, the language of the Church and academia, even to some extent in Protestant areas, was Latin until the 18th century. Local vernaculars had gradually developed as independent media of communication in government chancelleries and popular literature since the Middle Ages, but they did not really gain ascendancy until the age of print-capitalism and nationalism in the 18th and 19th centuries. Marxian-influenced scholars have therefore concluded that the rise of national languages coincided with the rise of the bourgeoisie, whose own languages became those of the nations they constructed.

In France, for example, while revolutionaries in the 1790s advocated the use of Parisian French to unify a country divided by hundreds of local forms of speech, into the mid-19th century, even journeying 50 miles outside Paris found travelers having trouble making themselves understood to the locals. It took more than a century for French to gain a foothold in most of the country. Asia, too, was a polyglot patchwork for millennia, unified at the top by an arcane language much like Latin—Classical Chinese. This situation became politically untenable in the 19th century as European imperialism encroached on traditional sovereignties in China, Japan, Korea, and Vietnam. In order to counter the foreign threat, governments sought to strengthen their societies by educating their populations, which required making it easier to learn how to read and write. While standard languages have been described by historians and sociolinguists as “artificial” for less-privileged learners, Asia’s standard languages were artificial even to their bourgeois inventors.

Our understanding of the present is invariably colored by our interpretation of the past: if we understand a national language to be a bourgeois imposition that diffused via economic development, then we more easily see its continued imposition as a perpetuation of class prejudices. If on the other hand, we see an invented national language as a tool for bridging regional divisions and expanding economic opportunity for our children, then we feel much more positively about the spread of such languages. Both interpretations can be true at the same time, but we must remember that one is inseparable from the other.

Do you see any parallels between how language nationalization has occurred in the past to how language and society are shaping one another in the present?

The number of “standard” Mandarin speakers in the early 1930s could be counted on one hand. Today, it’s the world’s largest language by a number of “native” speakers. Though it began as an elite nationalizing project that was largely ignored by the masses of people in China, Mandarin is now more often seen as a hegemonic threat to local languages and cultures. Language can thus bridge divides, but also create new divisions. People in China are often ambivalent about the pace of change these days. When I visited cousins in rural Fujian during the Lunar New Year a few years ago, I noticed that all my nieces and nephews spoke Mandarin in almost all situations, to their parents, and especially to one another. Only my grandparents’ generation used the local Fuqing dialect as a matter of course. My parents’ generation spoke dialect to their parents, but a mix of Mandarin and dialect to their children—the cousins of my generation, who were able to speak the dialect, but were more comfortable speaking Mandarin among themselves and to their children. One of my young nieces who’d grown up in Beijing, where her parents had moved for work, even had a perfect Beijing accent. In a span of three generations, migration due to expanded opportunity had wrought enormous change in language habits. Much had been gained, but also much had been lost.

How has your time at APARC as one of our Shorenstein Postdoctoral Fellows aided your research project?

It’s certainly been a strange year to be a postdoc, given how we’ve all been operating remotely. Nevertheless, life and work have continued, and we’ve all been able to find new ways of building community and getting things done. I’ve personally benefited from the access to the vast academic resources of Stanford—library access, even online alone, is a lifeline to any researcher. Moreover, I’ve had the opportunity to chat on Zoom with Stanford faculty about research and connect with my fellow postdocs to support one another as we figure out how to move forward in our careers in these challenging times.

With your recent appointment as an assistant professor at National Taiwan University in Taipei, how do you anticipate your research interests growing and developing given the tension between Taiwan and China?

I am gratified to begin my academic career in a place of such diversity and openness as Taiwan. Language and identity are constant sites of contention in Taiwan's politics, and I look forward to expanding my on-the-ground understanding of these issues as I begin teaching in the sociology department at National Taiwan University. It is nothing short of miraculous that democracy has flourished at such an intersection of empires, colonialism, repressions, and struggles. And it is unsettling to see that flourishing takes place in such a precarious geopolitical location. NTU's sociology department is at the forefront of understanding all of these vital issues as we barrel forward into an ever more uncertain future.

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[Left] Radhika Jain, [Right] Postdoc Spotlight, Radhika Jain, Asia Health Policy Program
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Jeffrey Weng's research examines the relationship between how language shapes society and society shapes language.
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Shorenstein Postdoctoral Fellow in Contemporary Asia Jeffrey Weng shares insights from his research into how language and society shape one another, particularly how the historical use of Mandarin affects contemporary Chinese society and linguistics.

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In one of the first studies of service sector robotics using establishment-level data, we study the relationship between robots and staffing in Japanese nursing homes. We utilize variation in robot subsidies across prefectures as an instrumental variable to explore the impact of robot adoption on nursing homes’ staffing decisions. We find that robot adoption appears to decrease difficulty in staff retention and to increase employment by augmenting the number of care workers and nurses on flexible employment contracts. Robot adoption is negatively correlated with the monthly wages of regular nurses, consistent with reduced burden of care such as fewer night shifts. Our findings suggest that robots may not be detrimental to labor and may help to remedy challenges posed by rapidly aging populations.

JEL Code: I11, J14, J23, O30,
Key words: Robots, jobs, nursing homes, automation, aging, healthcare

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Asia Health Policy Program working paper # 63
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Health systems globally face increasing morbidity and mortality from chronic diseases, yet many - especially in low- and middle-income countries - lack strong chronic disease management in primary health care (PHC). We provide evidence on China’s efforts to promote PHC management using unique five-year panel data in a rural county, including health care utilization from medical claims and health outcomes from biomarkers. Utilizing plausibly exogenous variation in management intensity generated by administrative and geographic boundaries, we compare hypertension/diabetes patients in villages within two kilometers distance but managed by different townships. Results show that, compared to patients in townships with median management intensity, patients in high-intensity townships have 4.8% more PHC visits, 5.2% fewer specialist visits, 11.7% fewer inpatient admissions, and 3.6% lower medical spending. They also tend to have better medication adherence and better control of blood pressure. The resource savings from avoided inpatient admissions substantially outweigh the costs of the program.

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Of the many issues that the COVID-19 pandemic has brought into focus, foremost in the spotlight is the vital role that healthcare systems play in societal wellbeing and security. Around the world, health systems of all types have had to rapidly adapt, reassess, and react to constantly changing needs.

The 2020-21 Asia Health Policy Program (AHPP) colloquium series, “Health, Medicine, and Longevity: Exploring Public and Private Roles,” brings together academics, theorists, on-the-ground NGO leaders, and government advisors to explore how partnerships between public providers and private organizations affect the quality and access to healthcare the world over.

The series recently featured a keynote address by Harvard economist Oliver Hart, the 2016 co-recipient of the Nobel Prize in Economics for his work on contract theory — a framework known as ‘The Proper Scope of Government.’ Hart joined AHPP Director and APARC Deputy Director Karen Eggleston to reflect on the impact his theory has had across disciplines in the 25 years since its publication and on the future of research into contract theory. Watch the conversation with Hart below.

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Oliver Hart and the ‘Proper Scope of Government’

Hart’s seminal economic theory, ‘The Proper Scope of Government,” underpins much of the research into public-private partnerships in healthcare. Hart developed this touchstone framework jointly with Andrei Shleifer and Robert W. Vishny to better evaluate when a government should provide a service itself and when it should contract with a private provider for support and execution of services.

The model outlined in Hart, Shleifer, and Vishny’s original 1996 working paper is designed to help providers and contractors consider the costs and benefits of a proposed contractual service agreement. While this model was originally applied to the case of prison privatization, the framework has served as an invaluable tool for researchers in multiple sectors including health policy and provision.

Reflections and Updates to the Theory

In reflecting on ‘The Proper Scope of Government,’ there are things Hart would like to see more fully incorporated into the theory to enrich its real-world applicability. Chiefly among these is better accounting for contractual incompleteness or the reality that a contract cannot anticipate and outline every possible unforeseen event or area of ambiguity. However, modeling contractual incompleteness is notoriously difficult given the almost-limitless factors of variability.

Some of Hart’s recent work on guiding principles responds to this challenge. Rather than trying to predict every aspect of a contractual relationship within the framing and language of a standard contract model, Hart argues that mutually agreed-upon guiding principles —such as equity, loyalty, and honesty — can serve as a foundation for navigating inevitable areas of ambiguity and potential conflict that a contract does not specifically state or that the original theory does not fully account for.

These guiding principles also help preserve space for renegotiation and innovation, which are necessary in an era of rapid technological advances and explosion of measurable data. In this context, Hart cautions against the mentality of ‘more is more:’

“If you put more and more things into the contract and then something happens that wasn’t in the contract, the fact that you put so much more in may make it more difficult to negotiate about the thing that you didn’t put in.”

 Applying ‘The Proper Scope of Government’

Hart shared a prime example of his theory at work in health systems in a case study of the Vancouver Island Health Authority. Traditionally, family physicians would continue as the primary care provider for their patients even if a patient needed hospitalization. But a change of law in 2006 required all specialized in-hospital care be contracted to hospitalists with little to no crossover with care provided by family practice physicians.

The result was a rise in caseload and stress levels amongst hospital specialists and repeated failed negotiations of the standard contract. The addition of guiding principles to the contract, however, provided avenues where reasonable solutions and additional communications could happen beyond the limits of the formal contract.

This is just one case of innumerable where Hart’s work has helped inform and contextualize how policymakers consider relationships between the public and private spheres of healthcare. Responding to the praise and input from fellow economists presented in a tribute documentary to the impact of his framework, Hart remarked:

“I hadn't realized how many people have been influenced by this paper and how they've been using it in different contexts. I knew some of the applications, but there were others I didn't, and it’s been truly amazing to see that.”

Looking Toward the Future

The tradeoffs between public and private partnerships in healthcare systems across the world will continue to be a dynamic and evolving area of research that will rely on theories such as ‘The Proper Scope of Government’ for framing and application. Looking towards the future, Hart was hopeful but cautious about the vitality of the kind of theoretical tradition which allowed for the development of his original theory. He recognizes that specialties such as contract theory and contractual incompleteness are inherently “messy” and somewhat out of vogue with current trends in economics which tend to favor theories that are “impressive, clever, and non-obvious,” regardless of whether they address important questions.

As he iterated in his Nobel Prize lecture, the incomplete world of contracts nonetheless “underlies numerous significant phenomena, some of which have great policy relevance,” and therefore fully deserving of upcoming economists’ time and efforts.

Further Research into Public-Private Partnerships

The Asia Health Policy Program’s 2020-21 colloquium series focuses on the roles and impacts of public-private partnerships in healthcare and the tradeoffs in equity, accessibility, and cost that come with contracted agreements in health systems. All of the events from the colloquium series are available on our YouTube channel. Click the thumbnails below to start exploring.

Collaborative governance — that is, relationships involving both the private and public sectors in the pursuit of public value — is part of ongoing research by Karen Eggleston. Her forthcoming book, The Dragon, the Eagle, and the Private Sector (Cambridge University Press), co-authored with Harvard’s John D. Donahue and Richard J. Zeckhauser, examines the ways in which collaborative governance works across a wide range of policy arenas in China and the United States, with the goal of empowering public decisionmakers to more wisely engage the private sector. Join us for the book launch event, which will be held jointly with the Harvard Kennedy School on March 5 

 

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Thumbnail images for the webinar events in the AHPP's 2020-21 colloquium series, "Health, Medicine, and Longevity: Exploring Public and Private Roles."

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[Left] A nurse assists an elderly woman in a wheel chair; [Right] Oliver Hart
The AHPP 2020-21 colloquium series explores the roles of the public and private sectors in providing equitable and accessible health services. The keynote address was given by Nobel laureate Oliver Hart.
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In its 2020-21 colloquium series, the Asia Health Policy Program weighs the balance, benefits, and considerations in providing health services through national governments and contracting with private organizations.

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4:00-5:00pm California, 18-February 2021
7:00-8:00pm Washington DC, 18-February 2021
3:00-4:00am  Kenya, 19-February 2021
11:00am-12:00pm Sydney, Australia 19-February 2021

 

The Bay of Bengal, while split by national boundaries and even our concepts of distinct South and Southeast Asian regions, is re-emerging as a connected geographic and demographic space. Some of Asia’s most consequential transnational policy challenges will be most starkly presented here, across the borders of India, Bangladesh, and Burma – and traditional policy-making structures are already struggling to cope with environmental disasters, the mass movement of people, and the yawning need for economic connectivity. This webinar will examine these policy challenges, from the fragility of the Sundarbans ecosystem to the transnational implications of the Burma coup, and whether existing state and multilateral institutions are capable of addressing them.

SPEAKERS:

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Kelley Eckels Currie
Kelley Eckels Currie served as U.S. Ambassador-at-Large for Global Women’s Issues and the U.S. Representative at the United Nations Commission on the Status of Women.  Prior to her appointment, she led the Department of State’s Office of Global Criminal Justice (2019) and served under Ambassador Nikki Haley as the United States’ Representative to the UN Economic and Social Council and Alternative Representative to the UN General Assembly (2017-2018).  Throughout her career, Ambassador Currie has specialized in human rights, political reform, development and humanitarian issues, with a focus on the Asia-Pacific region. She has held senior policy positions with the Department of State, the U.S. Congress, the Project 2049 Institute, and several international and non-governmental human rights and humanitarian organizations.  Ambassador Currie holds a Juris Doctor from Georgetown University Law Center.

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Tanaya D Gupta
Tanaya Dutta Gupta is a PhD Candidate in Sociology at the University of California, Davis. Tanaya’s dissertation research focuses on climate change, (im)mobilities and borders in the Bengal delta region of Bangladesh and India. Her educational background includes MA in Sociology and Geography. As visiting researcher with the International Centre for Climate Change and Development and collaborator with the Observer Research Foundation, Tanaya participates in policy conversations through her research. Her research has been funded by the National Geographic Society and UC Davis Graduate Program Fellowships. 

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Constantin Xavier
Constantino Xavier is a Fellow in Foreign Policy and Security Studies at the Centre for Social and Economic Progress, in New Delhi, where he leads the Sambandh Initiative on regional connectivity. He is also a non-resident fellow in the Foreign Policy program at the Brookings Institution. His research and publications focus on India’s changing role as a regional power, and the challenges of security, connectivity and democracy across South Asia and the Indian Ocean. Dr. Xavier regularly lectures at various Indian, European and American universities, as well as at civilian and military training institutions in India. He holds a Ph.D. in South Asian studies from the Johns Hopkins University, School of Advanced International Studies, and an M.A. and M.Phil. from Jawaharlal Nehru University.  

MODERATOR:

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Arzan Tarapore
Arzan Tarapore is the South Asia research scholar at the Shorenstein Asia-Pacific Research Center at Stanford University, where he leads the newly-restarted South Asia research initiative. He is also a senior nonresident fellow at the National Bureau of Asian Research. His research focuses on Indian military strategy and contemporary Indo-Pacific security issues. He previously held research positions at the RAND Corporation, the Observer Research Foundation, and the East-West Center in Washington. Prior to his scholarly career, he served as an analyst in the Australian Defence Department, which included operational deployments as well as a diplomatic posting to Washington, DC. Arzan holds a PhD in war studies from King’s College London.

 

This event is co-sponsored by: Center for South Asia 
 

 

 

 

This is a virtual event via Zoom.  Please  Register at: https://bit.ly/3txBBVq
Kelley Eckels Currie former Ambassador-at-Large for Global Women's Issues
Tanaya Dutta Gupta University of California, Davis
Constantino Xavier Centre for Social and Economic Progress- New Delhi
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This event is part of Shorenstein APARC's winter webinar series "Asian Politics and Policy in a Time of Uncertainty."

Is demographics destiny as societies search for sustainable, innovation-led growth? Many analysts worry that population aging slows the socioeconomic engine of innovation. What can the older societies of East Asia do to remain innovative? Will younger South Asia inevitably eclipse East Asia as the South Asian population surges into the working ages, just as surely as India will soon overtake China as the most populous country in the world? In this webinar celebrating the publication of Demographics and Innovation in the Asia-Pacific, social scientists from across the region probe multiple aspects of these critical questions. Chinese economist and entrepreneur James Liang will offer insights regarding demography and innovation in China; economist James Feyrer probes the economics of demography and comparative productivity effects across the Asia-Pacific; sociologist Joon-Shik Park will discuss “Population Cliffs, Crisis of Local Society, and the Politics of Innovation Cities in South Korea”; and political scientist Kenji Kushida will focus on “How Japan’s Aging Demographics Have Affected Pathways of Technological Development.” Karen Eggleston, co-editor and author, will moderate the discussion.

Speakers:

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James Liang 4X4
James Liang is one of the Co-founders and Executive Chairman of the Board of Trip.com Group Ltd. He was the Chief Executive Officer from 2000 to 2006 and from 2013 to 2016. Trip.com Group has grown to become one of the world’s largest online travel agencies. Currently, James serves as Co-Chairman of Tongcheng-eLong (HKSE:7080) and on the boards of a number of other Internet companies, including Sina (NASDAQ: SINA), and MakeMyTrip (NASDAQ: MMYT). He is also Research Professor of Economics at Peking University.

In addition to his expertise in the travel industry, James is also a leading scholar of demographics and social studies. He has played an important role in shaping China’s population policies in recent years and in generating public interest in issues such as education and urban planning. As a co-author of the book Too Many People in China?, James analyzed the impact of the one-child policy and the adverse effects of demographic changes on China’s economy. He is also the author of multiple other publications, including The Rise of the Network Society, and his latest book published in 2018, The Demographics of Innovation.

James received his Ph.D. degree from Stanford University and his master’s and bachelor’s degrees from Georgia Institute of Technology.

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Feyrer, James 4X4
James Feyrer is an Associate Professor of Economics at Dartmouth College.  He received his Ph.D. from Brown University and his B.S. from Stanford University.  His work is primarily in applied macroeconomics. His work on the impacts of demographics and trade on growth have been influential in policy circles.  In particular his work on the impact of globalization on output has informed the Brexit debate. He has published articles in the Quarterly Journal of Economics, the American Economic Review, the Review of Economics and Statistics, the Journal of the European Economic Association, among other journals.

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Park Joon Shik 4X4
Joon-Shik Park is Professor in the Department of Sociology at Hallym University, Chuncheon, Korea. He got his Ph.D. degree at Yonsei University in Korea. His research focuses on employment and regional studies. Prof. Park began his academic career as a researcher on labor and employment issues in Korean society. Recently, Prof. Park has been interested in comparing social economy and local regeneration in the context of global social and economic crisis. He recently published several books, articles, and project reports on such issues as the impact of globalization on employment regimes and local societies; social dialogue and integration; creative innovations for sustainable local development. Prof. Park has served as President of the Korean Regional Sociological Association, Dean of the Social Science School at Hallym University. He is now a member of the Presidential Commission on Policy Planning of the Korean Government. He is leading the Inclusive Society Division in the Presidential Commission as the chair person. He is also serving as Vice President of Vision and Cooperation of Hallym University.

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Kenji Kushida 4X4
Kenji E. Kushida is a Research Scholar at the Shorenstein Asia-Pacific Research Center Japan Program at Stanford University. Kushida’s research streams include 1) Information Technology innovation, 2) Silicon Valley’s economic ecosystem, 3) Japan’s political economic transformation since the 1990s, and 4) the Fukushima nuclear disaster. He has published several books and numerous articles in each of these streams, including “The Politics of Commoditization in Global ICT Industries,” “Japan’s Startup Ecosystem,” “Diffusing the cloud: Cloud computing and implications for public policy,” “Leading without followers: how politics and market dynamics trapped innovations in Japan's domestic ‘Galapagos’ telecommunications sector” and others. He holds a PhD in political science from the University of California, Berkeley, an MA in East Asian studies and BAs in economics and East Asian studies, all from Stanford University.

Moderator:

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Karen Eggleston 4X4
Karen Eggleston is Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University, and Director of the Stanford Asia Health Policy Program and Deputy Director of the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies, and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

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Register https://bit.ly/2YD0Rvk

James Liang Research Professor of Economics, Peking University.
James Feyrer Department of Economics, Dartmouth College.
Joon-Shik Park Department of Sociology, Hallym University.
Kenji Kushida Shorenstein APARC, Stanford University.

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 723-9072 (650) 723-6530
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Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
karen-0320_cropprd.jpg PhD

Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
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Date Label
Shorenstein APARC, Stanford University.
Seminars
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Few American diplomats can match the years of experience in multiple Southeast Asian countries that Ambassador Scot Marciel has accumulated during his career in the US Foreign Service. The book he is writing at Stanford will interpret the region and its relations with the United States historically and now. Policy questions from the manuscript that the webinar will address include: Can America’s relations with Thailand be reinvigorated, and if so, how? Why have US-Vietnam relations prospered, and with what prospects going forward? Realistically, what can be expected from relations between the US and Indonesia? How should the recent coup in Myanmar be understood and how does it challenge US foreign policy? More broadly, in the near term, what priority ends and means should inform US engagement with Southeast Asia? In exploring answers to these and other questions, Amb. Marciel will interact with a second distinguished speaker, Catharin Dalpino, who is uniquely well qualified to discuss these matters based on her extensive experience in US policymaking positions, academic institutions, and nongovernmental organizations related to Southeast Asia.

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Scott Marciel
Scot Marciel is a career US Foreign Service Officer. He served as America’s Ambassador to Myanmar in 2016-2020 when thousands of ethnic Rohingya were killed, expelled, or emigrated from the country—a challenging time for its democratic transition and for US-Myanmar relations. Earlier assignments included tours as Ambassador to Indonesia, Ambassador for ASEAN Affairs, and Principal Deputy Assistant Secretary and Deputy Assistant Secretary of State for East Asian and Pacific Affairs. Prior to joining the Foreign Service, he worked as an editor of publications at the National Center for Export-Import Studies at Georgetown University. Ambassador Marciel’s more than 35 years of experience as a diplomat in Asia and around the world have also included assignments in Vietnam, the Philippines, and Hong Kong. His degrees are an MA from the Fletcher School of Law and Diplomacy and a BA in International Relations from the University of California, Davis.

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catharin dalphino
Catharin Dalpino’s remarkable career has encompassed academe, government, and NGOs. At Georgetown University she taught Southeast Asian Studies and launched and led the university’s Thai Studies Program. Other institutions in which she has lectured, researched, administered, or advised include The Asia Foundation, the Aspen Institute, the Atlantic Council, the Brookings Institution, the Carnegie Endowment for International Peace, George Washington University, and the Johns Hopkins School of Advanced International Studies. She was Deputy Assistant Secretary of State for Democracy in the State Department’s Bureau of Democracy, Human Rights, and Labor and has held positions at the World Bank and the United Nations in Geneva. The author of many articles and three books on US-Asian relations, she has testified on that topic before the Senate and the House of Representatives more than a dozen times. Her degrees are an MA from the University of California, Berkeley, and a BA from Barnard College.

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Donald K. Emmerson
Donald K. Emmerson, in addition to heading the Southeast Asia Program, is affiliated with Stanford’s Center on Democracy, Development, and the Rule of Law and its Abbasi Program in Islamic Studies. Recent writings relevant to US-Southeast Asia relations include articles in December 2020 in The Diplomat and East Asia Forum and an edited volume, The Deer and the Dragon: Southeast Asia and China in the 21st Century (2020). Before moving to Stanford in 1999, he taught at the University of Wisconsin-Madison where he headed its Center for Southeast Asian Studies.  He has held visiting positions at the Institute for Advanced Studies and the Australian National University, among other institutions. His degrees are from Yale (PhD) and Princeton (BA).

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Register: https://bit.ly/2Yz9ZB3

Scot Marciel Visiting Scholar and Practitioner Fellow, Shorenstein Asia-Pacific Research Center, Stanford University
Catherin Dalpino Professor Emeritus, Edmund A. Walsh School of Foreign Service, Georgetown University
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Senior Fellow Emeritus at the Freeman Spogli Institute for International Studies
Affiliated Faculty, CDDRL
Affiliated Scholar, Abbasi Program in Islamic Studies
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At Stanford, in addition to his work for the Southeast Asia Program and his affiliations with CDDRL and the Abbasi Program in Islamic Studies, Donald Emmerson has taught courses on Southeast Asia in East Asian Studies, International Policy Studies, and Political Science. He is active as an analyst of current policy issues involving Asia. In 2010 the National Bureau of Asian Research and the Woodrow Wilson International Center for Scholars awarded him a two-year Research Associateship given to “top scholars from across the United States” who “have successfully bridged the gap between the academy and policy.”

Emmerson’s research interests include Southeast Asia-China-US relations, the South China Sea, and the future of ASEAN. His publications, authored or edited, span more than a dozen books and monographs and some 200 articles, chapters, and shorter pieces.  Recent writings include The Deer and the Dragon: Southeast Asia and China in the 21st Century (ed., 2020); “‘No Sole Control’ in the South China Sea,” in Asia Policy  (2019); ASEAN @ 50, Southeast Asia @ Risk: What Should Be Done? (ed., 2018); “Singapore and Goliath?,” in Journal of Democracy (2018); “Mapping ASEAN’s Futures,” in Contemporary Southeast Asia (2017); and “ASEAN Between China and America: Is It Time to Try Horsing the Cow?,” in Trans-Regional and –National Studies of Southeast Asia (2017).

Earlier work includes “Sunnylands or Rancho Mirage? ASEAN and the South China Sea,” in YaleGlobal (2016); “The Spectrum of Comparisons: A Discussion,” in Pacific Affairs (2014); “Facts, Minds, and Formats: Scholarship and Political Change in Indonesia” in Indonesian Studies: The State of the Field (2013); “Is Indonesia Rising? It Depends” in Indonesia Rising (2012); “Southeast Asia: Minding the Gap between Democracy and Governance,” in Journal of Democracy (April 2012); “The Problem and Promise of Focality in World Affairs,” in Strategic Review (August 2011); An American Place at an Asian Table? Regionalism and Its Reasons (2011); Asian Regionalism and US Policy: The Case for Creative Adaptation (2010); “The Useful Diversity of ‘Islamism’” and “Islamism: Pros, Cons, and Contexts” in Islamism: Conflicting Perspectives on Political Islam (2009); “Crisis and Consensus: America and ASEAN in a New Global Context” in Refreshing U.S.-Thai Relations (2009); and Hard Choices: Security, Democracy, and Regionalism in Southeast Asia (edited, 2008).

Prior to moving to Stanford in 1999, Emmerson was a professor of political science at the University of Wisconsin-Madison, where he won a campus-wide teaching award. That same year he helped monitor voting in Indonesia and East Timor for the National Democratic Institute and the Carter Center. In the course of his career, he has taken part in numerous policy-related working groups focused on topics related to Southeast Asia; has testified before House and Senate committees on Asian affairs; and been a regular at gatherings such as the Asia Pacific Roundtable (Kuala Lumpur), the Bali Democracy Forum (Nusa Dua), and the Shangri-La Dialogue (Singapore). Places where he has held various visiting fellowships, including the Institute for Advanced Study and the Woodrow Wilson International Center for Scholars. 



Emmerson has a Ph.D. in political science from Yale and a BA in international affairs from Princeton. He is fluent in Indonesian, was fluent in French, and has lectured and written in both languages. He has lesser competence in Dutch, Javanese, and Russian. A former slam poet in English, he enjoys the spoken word and reads occasionally under a nom de plume with the Not Yet Dead Poets Society in Redwood City, CA. He and his wife Carolyn met in high school in Lebanon. They have two children. He was born in Tokyo, the son of U.S. Foreign Service Officer John K. Emmerson, who wrote the Japanese Thread among other books.

Selected Multimedia

Date Label
Donald K. Emmerson, Director, Southeast Asia Program, Shorenstein Asia-Pacific Research Center, Stanford University
Seminars
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Background. People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there are limited data documenting this. We aimed to assess the health, psychosocial and economic impacts of the COVID-19 pandemic on people with chronic conditions in India.
Methods. Between July 29, to September 12, 2020, we telephonically surveyed adults (n=2335) with chronic conditions across four sites in India. Data on participants’ demographic, socio-economic status, comorbidities, access to health care, treatment satisfaction, self-care behaviors, employment, and income were collected using pre-tested questionnaires. We performed multivariable logistic regression analysis to examine the correlates of difficulty in accessing medicines and worsening of diabetes or
hypertension symptoms. Further, a diverse sample of 40 participants completed qualitative interviews that focused on eliciting patient’s experiences during the COVID-19 lockdowns and data analysed using thematic analysis.
Findings. 1,734 individuals completed the survey (response rate=74%). The mean (SD) age of respondents was 57·8 years (11·3) and 50% were men. During the COVID-19 lockdowns in India, 83% of participants reported difficulty in accessing healthcare, 17% faced difficulties in accessing medicines, 59% reported loss of income, 38% lost jobs, and 28% reduced fruit and vegetable consumption. In the final-adjusted regression model, rural residence (OR, 95%CI: 4·01,2·90-5·53), having diabetes (2·42, 1·81-3·25) and hypertension (1·70,1·27-2·27), and loss of income (2·30,1·62-3·26) were significantly associated with difficulty in accessing medicines. Further, difficulties in accessing medicines (3·67,2·52-5·35), and job loss (1·90,1·25-2·89) were associated with worsening of diabetes or hypertension symptoms. Qualitative data suggest most participants experienced psychosocial distress due to loss of job or income and had difficulties in accessing in-patient services.
Interpretation. People with chronic conditions, particularly among poor, rural, and marginalized populations, have experienced difficulties in accessing healthcare and been severely affected both socially and financially by the COVID-19 pandemic.
Funding. None.

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Working Papers
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Asia Health Policy Program working paper # 61
Authors
Kavita (Singh)
Karen Eggleston
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This event is part of Shorenstein APARC's winter webinar series "Asian Politics and Policy in a Time of Uncertainty."​
 
Event Time Zones:
4:00pm-5:00pm   California, 2 February 2021
7:00pm-8:00pm   Washington DC, 2 February 2021
5:00am-6:00am   Pakistan, 3 February 2021
11:00am-12:00pm   Sydney, Australia 3 February 2021
 
 

To what extent will Pakistan’s multiple crises of governance and security change the way the country is governed? Several ongoing crises confront the government that is officially led by Prime Minister Imran Khan, but dominated by the Army. A new erstwhile coalition of opposition political parties, known as the Pakistan Democratic Movement, reflects a groundswell of resistance to the government’s increasingly undemocratic and repressive agenda. Meanwhile, the government must continue to manage the public health and economic effects of the pandemic, and constantly recalibrate its approach to anti-state insurgents and state-aligned terrorists. This webinar will consider whether these and other challenges prod the Army to rethink how it exercises political power and manages its security policies. It will also explore how the new Biden Administration should, in light of these crises, reset U.S. policy towards Pakistan and its neighbors.

Speakers:

Madiha Afzal Afzal2
Dr. Madiha Afzal is a David M. Rubenstein Fellow at the Brookings Institution. Her research lies at the intersection of political economy, development, and security, with a focus on Pakistan. She previously worked as an assistant professor of public policy at the University of Maryland, College Park. Afzal is the author of Pakistan Under Siege: Extremism, Society, and the State. In addition, she writes for publications including Foreign Affairs, Foreign Policy, the Washington Post, Dawn, and Newsweek, and is regularly interviewed by media outlets including BBC, NPR, and PBS. In addition, she has consulted for international organizations including the World Bank and UK’s Department for International Development. Afzal received her doctorate in economics from Yale University in 2008, specializing in development economics and political economy.

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Rabia Akhtar
Dr. Rabia Akhtar is Director, Centre for Security, Strategy and Policy Research, University of Lahore. She is the founding director of the School of Integrated Social Sciences at University of Lahore, Pakistan. Dr. Akhtar is a member of the Prime Minister’s Advisory Council on Foreign Affairs. She is a Nonresident Senior Fellow at the South Asia Center, Atlantic Council, Washington DC. Dr. Akhtar holds a PhD in Security Studies from Kansas State University. She is a Fulbright alumna (2010-2015). She has written extensively on South Asian nuclear security and deterrence dynamics. She is the author of a book titled The Blind Eye: U.S. Non-proliferation Policy Towards Pakistan from Ford to Clinton. Dr. Akhtar is also the Editor of Pakistan Politico, Pakistan’s first strategic and foreign affairs magazine.

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Elizabeth Threlkeld
Ms. Elizabeth Threlkeld is a Senior Fellow and Deputy Director of the South Asia Program at the Stimson Center. Her research interests include South Asian geopolitics, crisis decision-making, and ethno-nationalist conflict. Before joining Stimson, she served as a Foreign Service Officer with the U.S. Department of State in Islamabad and Peshawar, Pakistan, and Monterrey, Mexico. Threlkeld previously worked in the Kurdish region of northern Iraq, where she managed development interventions on gender-based violence and ethno-sectarian reconciliation. She has additional work and educational experience in China, Taiwan, and Turkey, and began her career with the Center for a New American Security. Threlkeld holds an MPhil in Politics and International Relations from the University of Cambridge, and speaks Pashto, Mandarin, and Spanish.

Moderator:

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Arzan Tarapore
Dr. Arzan Tarapore is the South Asia research scholar at the Shorenstein Asia-Pacific Research Center at Stanford University, where he leads the newly-restarted South Asia research initiative. He is also a senior nonresident fellow at the National Bureau of Asian Research. His research focuses on Indian military strategy and contemporary Indo-Pacific security issues. He previously held research positions at the RAND Corporation, the Observer Research Foundation, and the East-West Center in Washington. Prior to his scholarly career, he served as an analyst in the Australian Defence Department, which included operational deployments as well as a diplomatic posting to Washington, DC. Tarapore holds a PhD in war studies from King’s College London.

 

This event is co-sponsored by: Center for South Asia
 
This is a virtual event via ZOOM.  RSVP Required. Please  Register here: https://bit.ly/3okfYUR    
Dr. Madiha Afzal David M. Rubenstein Fellow Brookings Institution
Dr. Rabia Akhtar Director, Centre for Security, Strategy and Policy Research University of Lahore
Ms. Elizabeth Threlkeld Senior Fellow and Deputy Director of the South Asia Program Stimson Center
Seminars
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