In Live Long and Prosper?, a new eBook edited by David Bloom, AHPP director Karen Eggleston contributes the chapter "Understanding 'Value for Money' in Healthy Ageing," in which she advocates for and explains the concept of "net value of medical care," a metric that helps quantify the social value of spending on healthcare. Understanding value for money, Eggleston writes, is a way of "determining which services and technologies are unnecessary and which are of high value," a determination that is of increasing importance for aging societies, in which "spending for chronic diseases represents a large and increasing part of public and private budgets."
Jointly with partners throughout Asia, the Asia Health Policy Program (AHPP) at Shorenstein APARC has developed comparative research on health care use, medical spending, and clinical outcomes for patients with diabetes in the region and other parts of the world as a lens for understanding the economics of chronic disease management. Karen Eggleston, AHPP director and APARC deputy director, recently traveled to South Korea, where she led three project-related events.
On November 29, a workshop on Net Value Diabetes Management was held at Seoul National University (SNU) School of Medicine. This was the third such workshop convened through the project, following two previous ones held in Beijing at the Stanford Center at Peking University. Another workshop, on diabetes modeling, hosted by the Mt. Hood Diabetes Challenge Network, was held at Chung Ang University on December 1. Finally, on December 5, Eggleston held an information session, titled Comparative Economics Research on Diabetes, during the 2019 International Diabetes Federation (IDF) at BEXCO in Busan. These events were also made available through video conferencing to enable remote participation by collaborators who were unable to travel to Korea.
The workshop brought together team members from multiple health systems — including South Korea, Japan, Taiwan, Hong Kong, Thailand, India, the Netherlands, and the United States — to discuss comparative research on the economics of diabetes control. Eggleston shared the results of a study outlined in a working paper on the net value of diabetes management in Japan, the Netherlands, Taiwan, and Hong Kong. This research is part of a broader series of studies aimed to help address the policy challenge of finding the best strategies to improve health through cost effective prevention and healthcare productivity in chronic disease management.
The key to this research was to measure changes in quality or health outcomes over time by predicting mortality risk using blood pressure, blood sugar, and other factors amenable to patient and provider control and improvement (controlling for age and duration of diabetes diagnosis). The research seeks to understand how we can control cost and eliminate waste without cutting out the things that are valuable and improving people’s quality of life. Further studies probe determinants of relative net value of a pay-for-performance program in Taiwan, adherence to medications and vertical integration in Japan, and net value based on a randomized controlled trial in India.
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Karen Eggleston (left) with workshop participants.
Young Kyung Do of SNU reported that according to his evaluation project for diabetes care, the quality of care and treatment in South Korea has improved and is similar to Hong Kong and Singapore. The goal of the program is to provide more comprehensive care to diabetes patients.
Talitha Feestra of the Netherlands net value team presented her proposal for joint research to develop new prediction models for specific populations as a core component of health economics decision models in Diabetes. Feestra will take the lead to develop the plan and time frame for the continuation of this research in 2020.
Several additional comparative studies were proposed and discussed. Participants who attended the workshop and contributed to discussion included Junfeng Wang from the Netherlands net value team; Jianchao Quan and Carmen Ng from Hong Kong University; Daejung Kim from the Korea Institute for Health and Social Affairs (KIHASA); Taehoon Lee, Eun Sil Yoon, and Hongsoo Kim from SNU; Piya Hanvoravongchai from Chulalongkorn University; and Gregory Ang from National University of Singapore. Remote participants included Vismanathan Baskar from Madras Diabetes Research Foundation; Wasin Laohavinij from Chulalongkorn University (visiting Stanford University autumn quarter); and Rachel Lu from Chang Gung University.
Mt. Hood Diabetes Challenge Workshop on Diabetes Modeling
Philip Clarke from the Health Economics Research Center, University of Oxford, presented the history of insulin as a cure for diabetes and discussed in detail methods for economic modeling of diabetes, including quality of life and diabetes cost, drawing from his rich experience developing the UK Prospective Diabetes Study outcomes model. The second presenter was Andrew Palmer of University of Tasmania, Australia. His presentation included many additional economic modeling pointers, especially regarding drawing in the literature for building models.
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Karen Eggleston with participants at the Mt. Hood Diabetes Challenge Workshop; (right hand side) from left to right: Andrew Palmer, Karen Eggleston, Philip Clarke.
We are grateful to Professors Clarke and Palmer for graciously allowing the AHPP network researchers to join the workshop both in person and remotely, adding to their chronic disease modeling skills, and for inviting Karen Eggleston to present a keynote at the Mt Hood conference that took place before the modeling workshop.
Information Session: Comparative Economics Research on Diabetes
The third and final component of the diabetes research events was held on December 5 as part of the International Diabetes Federation congress in Busan, Korea, and presented the network to clinicians and public health researchers. Participants from China, India, and Australia attended. They shared updates on their individual projects and discussed methods and ideas for future collaboration.
The annual award, which carries a US $10,000 cash prize, is sponsored by Stanford University’s Walter H. Shorenstein Asia-Pacific Research Center. It recognizes outstanding journalists and journalism organizations for excellence in coverage of the Asia-Pacific region. News editors, publishers, scholars, journalism associations, and organizations focused on Asia research and analysis are invited to submit nominations for the 2020 award through Friday, February 14.
STANFORD, CA, December 3, 2019 — The Walter H. Shorenstein Asia-Pacific Research Center (APARC), Stanford University’s hub for interdisciplinary research, education, and engagement on contemporary Asia, invites nominations for the 2020 Shorenstein Journalism Award. The award recognizes outstanding journalists who have spent their careers helping audiences around the world understand the complexities of the Asia-Pacific region. The 2020 award will honor a journalist whose work has mostly been conveyed through American news media. The deadline for nomination submissions is Friday, February 14, 2020.
An annual tradition since 2002, the Shorenstein Journalism Award is sponsored by APARC and carries a cash prize of US $10,000. It honors the legacy of APARC benefactor, Mr. Walter H. Shorenstein, and his twin passions for promoting excellence in journalism and understanding of Asia. “In the face of a shifting geopolitical landscape and amid global declines of democracy, political rights, and civil liberties, it is more crucial than ever before to support independent journalism that seeks accuracy, deep reporting, and nuanced U.S.-Asia dialogue,” said APARC Director Gi-Wook Shin.
Over the course of its history, the award has recognized world-class journalists who push the boundaries of coverage of the Asia-Pacific region and help advance mutual understanding between audiences in the United States and their Asian counterparts. Recent honorees include Maria Ressa, Anna Fifield, Siddharth Varadarajan, Ian Johnson, and Caixin Media. The award alternates between recipients whose work has mostly been published through Asian news media and those whose work has mostly been conveyed through American news media. The 2020 award will recognize a recipient from the latter category.
For the award, the Asia-Pacific region is defined broadly to include Northeast, Southeast, South, and Central Asia and Australasia. Both individual journalists with considerable body of work and journalism organizations are eligible for the award. Nominees’ work may be in traditional forms of print or broadcast journalism and/or in new forms of multimedia journalism. The Award Selection Committee, whose members are experts in journalism and Asia research and policy, presides over the judging of nominees and is responsible for the selection of honorees.
APARC is seeking 2020 award nomination submissions from news editors, publishers, scholars, journalism associations, and entities focused on researching and interpreting the Asia-Pacific region. The Center will announce the winner by April 2020 and present the award at a public ceremony at Stanford in autumn quarter of 2020.
Nominations are accepted electronically through Friday, February 14, 2020 at 11:59 PM PST. For information about the nomination procedures and to submit nominations please visit the award nomination entry page.
About the Walter H. Shorenstein Asia-Pacific Research Center The Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) addresses critical issues affecting the countries of Asia, their regional and global affairs, and U.S.-Asia relations. As Stanford University’s hub for the interdisciplinary study of contemporary Asia, APARC produces policy-relevant research, provides education and training to students, scholars, and practitioners, and strengthens dialogue and cooperation between counterparts in the Asia-Pacific and the United States. Founded in 1983, APARC today is home to a scholar community of distinguished academics and practitioners in government, business, and civil society, who specialize in trends that cut across the entire Asia-Pacific region. Learn more about APARC and about the Shorenstein Journalism Award.
The extraordinary achievement of Chinese poverty reduction practice has been well acknowledged. Meanwhile, in similar practices throughout the world, microfinance, as the most widely adopted policy tool, has recently been documented to generate almost nil impacts, a frustrating puzzle for both the academia and policy practitioners. By employing the micro-level data of Chinese households from 2005 to 2010, we investigate the effects of poverty fund injection on incomes and expenditures. The empirical results show that the increased income observed afterwards mainly comes from the fund itself, rather than any increases in households’ business and/or labor income. Next, in order to rule out the possibility that the weak impacts on income comes from the decreased prices as a result of increased supply of agricultural markets, we study the treatment effects on the quantities of 122 agricultural products that households produce and their selling prices, and find that those quantities and prices barely change after the poverty fund injects.
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Jing Zhang, Associate Professor, graduated from Peking University (BA, MA) in 2005 and received her PhD in economics from University of Maryland in 2011. After that, she has been working in School of Finance at Renmin University of China. The focus of her research lies in health economics and public finance. Her research has been published in the leading international and Chinese academic journals, including Journal of Development Economics, Journal of Health Economics, China Economic Review, The Journal of World Economy (in Chinese) etc. She was invited to present at many prestigious universities and research institutes, such as Stanford University, the World Bank, the Asian Development Bank, Peking University. She also worked as a consultant at the World Bank (Washington, D.C.) from 2010 to 2011 and in 2015.
Jing Zhang
Associate Professor, School of Finance, Renmin University of China
Around the world, democracy is in retreat. In its Freedom in the World 2019 report, the independent watchdog organization Freedom House records the 13th consecutive year of global declines in political rights and civil liberties. “More authoritarian powers are now banning opposition groups or jailing their leaders, dispensing with term limits, and tightening the screws on any independent media that remain,” and “even long-standing democracies have been shaken by populist political forces,” shows the annual study. Internet freedom, too, continues to decline globally amid the crisis of social media, unveils Freedom House’s newly released Freedom on the Net 2019 report. Social media platforms – once considered liberation technologies – have become a conduit for surveillance, disinformation, and electoral manipulation, and “are now tilting dangerously toward illiberalism, exposing citizens to an unprecedented crackdown on their fundamental freedoms.”
These troubling developments are also manifested throughout the Asia-Pacific, where continuous scaling back in U.S. engagement and leadership is raising doubts about American power and purpose in the region, thus empowering forces that undermine democratic norms and processes.
At Shorenstein APARC, we are committed to building a solid foundation of education, knowledge, and dialogue about the critical challenges facing Asian nations and U.S.-Asia relations. That’s why we are dedicating a major portion of our programming this fall quarter and throughout the entire year to elucidating the threats to rights and liberties in the Asia-Pacific region.
The Battle for Truth and Press Freedom in the Philippines
“This is an existential moment for global power structures, turned upside down by technology. When journalists globally are under attack, democracy is under attack.” With these words, the internationally-esteemed investigative journalist and press freedom champion Maria Ressa opened her keynote address upon receiving the 2019 Shorenstein Journalism Award.
As CEO and executive editor of Rappler, she has led the Philippine independent news platform in shining critical light on the Duterte administration's drug war and unprecedented number of killings in the country. President Duterte in turn has made no secret of his dislike for Ressa and Rappler, accusing the platform for carrying "fake news." Ressa has been arrested twice this year, accused of corporate tax evasion and of violating security laws, and slapped with charges of cyber libel for a report that was published before the libel law came into effect. Since Duterte’s election in summer 2016, the Philippine government has filed at least 11 cases and investigations against Ressa and Rappler. “And all because I’m a journalist,” she says.
Ressa detailed the devastating effects that disinformation has had on press freedom, democracy, and civic discourse in the Philippines. “Our dystopian present is your dystopian future if nothing significant is done,” she cautioned. She was joined on the 18th annual Journalism Award panel by Stanford’s Larry Diamond, senior fellow at FSI and the Hoover Institution, and Raju Narisetti, director of the Knight-Bagehot Fellowship in Economics and Business Journalism and professor of professional practice at Columbia Journalism School.
Watch Ressa’s keynote and the entire panel proceedings:
North Korea continues to be one of the world’s worst human rights violators, ranking at the bottom of Freedom House’s list of countries designated as Not Free with the worst aggregate scores for political rights and civil liberties. Although North Korea has experienced some degree of social and economic change in recent years, the Kim Jong Un regime continues to tightly control access to information, suppress all dissent, heavily surveil residents, and subject political prisoners to torture, forced labor, and other atrocities.
As momentum for U.S.-DPRK diplomatic negotiations has ebbed and flowed since summer 2018, all eyes have been on the questions surrounding the North Korean nuclear problem, while the human rights problem has received little attention. However, argues APARC’s Koret Fellow in Korean Studies Robert R. King, addressing the North Korean human rights problem is essential to moving the country on denuclearization and security issues.
Ambassador King, former special envoy for North Korean human rights issues at the Department of State, recently spoke at a seminar hosted by APARC’s Korea Program. Creating pressure on the North Korean government from within by its own people is the only way we’re going to make progress on the security front, he claimed. “If we can help generate greater interest on the part of the people in what is happening with their own government, we can create the kind of constraints that democracy imposes on its leadership […] and that is why we need to focus attention, as well as on negotiating with North Korea, on access to information and human rights.”
Listen to highlights from Ambassador King’s talk:
Hong Kong: City in Turmoil
In Hong Kong, millions of people have been protesting for months against rights violations and increasing interference by the Chinese government in local affairs. On October 1, while the People’s Republic of China celebrated its 70th anniversary with a massive National Day parade in Beijing, on the other side of the border, Hong Kong experienced one of its most violent and chaotic days.
With those contrasting images still fresh on everyone’s minds, APARC and the China Program, along with FSI And the Center for East Asian Studies, co-hosted an expert panel that explained the root causes of Hong Kong’s unremitting protests, examined the future of “one country, two systems,” and considered how the United States and the international community should best respond.
Former Chief Secretary for Administration of the Hong Kong Government (1993-2001), the Honorable Anson Chan, delivered a piercing keynote address, followed by a discussion featuring Harry Harding, Professor of Public Policy at the University of Virginia, David M. Lampton, APARC/FSI Oksenberg-Rohlen Fellow, and Professor Ming Sing of Hong Kong University of Science and Technology.
Since 1997, Chan asserted, Hong Kong SAR’s successive chief executives have progressively failed to reassure the Hong Kong people that they would do their utmost to uphold “one country, two systems” and to defend Hong Kong’s autonomy. Instead, she argued, they have increasingly come across as “mouthpieces of the central government, towing the Beijing line.” Chan also suggested that “some years back, Beijing began to both lose confidence in the judgment and competence of the Hong Kong administration and to fear that growing sense of people’s identity as ‘Hong Kongers’ rather than Chinese citizens could pose a threat to the long-term, successful integration of Hong Kong into the motherland.” She closed her speech urging the Beijing leadership “to act with greater confidence and to trust us more completely with stewardship of our own future by allowing us to elect our own leaders.”
China’s mass internment of Uighurs and other Muslims in “reeducation” camps and detention facilities and its deployment of high-tech surveillance and police tactics in Xinjiang Uyghur Autonomous Region have been interpreted as a superpower’s attempt to annihilate the distinct identities of minority groups. Approximately ten million Muslim minorities in the region are under tight control, and over one million Uyghurs and other Turkic Muslims have allegedly disappeared into internment camps. While Beijing characterizes the camps as vocational training centers and has claimed that most of the detainees have been released, evidence for these claims is difficult to verify, as information dissemination regarding the region to the outside world is closely guarded.
To shed light into the crisis in Xinjiang, APARC convened a multidisciplinary panel of experts who provided historical context and critical social scientific analysis of the events unfolding in the region.
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From top left, clockwise: Lauren Hansen Restrepo, James Millward,, Darren Byler and Gardner Bovingdon.
James Millward, professor of Inter-societal history at Georgetown University’s Walsh School of Foreign Service, reviewed the historical background for the PRC assault on non-Han or non-Chinese culture in Xinjiang. Beginning in the early 2000s, the assault has included the razing of old Kashgar; the discouraging and then illegalizing of Muslim symbols such as head gear, prayer, and fasting in Ramadan; the disappearance of Uyghur script; and the securitization of the province by using police patrol, surveillance technologies, facial recognition, and biodata monitoring. The PRC hasn’t applied a single, top-down ethnic policy in Xinjiang, said Millward, but rather has rolled out different tactics it experimented with on local levels in different areas.
Lauren Hansen Restrepo, assistant professor in growth and structure of cities at Bryn Mawr College and an expert on Chinese development planning and urbanization in Xinjiang, explained how we got to the current crisis in the region by connecting seemingly disparate phenomena. She described the shifts in state power in Xinjiang and how, since 2014, “regional planning has broken every logic of urban planning in China,” resulting in the isolation and subordination of Uyghur-dominated urban centers and in the ossification of cities, as control has been seized from local governments and given to socialist land masters.
Anthropologist Darren Byler, whose research focuses on Uyghur dispossession and "terror capitalism" in the city of Ürümchi, the capital of Xinjiang, explained how, amid mass migration of Han people into the resource-rich region, Uyghurs had mostly been excluded from the new economy and how their identity as contemporary Muslims supported a vibrant public sphere not controlled by the state. The Chinese state, in turn, has merged Islamism with radicalism extremism. From the Chinese state and industry perspective, Byler said, the repression of Xinjiang’s Muslims promises stability and the detention camps are used as carriers of economy and new sources of cheap labor.
Indiana University’s Gardner Bovingdon, whose research focuses on politics in contemporary Xinjiang and the region’s modern history, reverted to the question of how we got to the current crisis, which he characterized as “one of the great state-engineered human rights disasters of our time.” He argued that, in the case of Xinjiang, the Chinese party transported and exacerbated a set of policies that had previously been applied to dealing with the Tibet problem. These policies, Bovingdon suggested, “are signs of a flailing, terrified party that doesn’t know what to do with Uighurs, but also feels no constraints from the international community on its behavior. And so the biggest problem now is to find a way to put constraints on a system that has operated untrammeled with devastating consequences.”
The panel "Xinjiang’s Muslims and the PRC" was cosponsored with the Center for Democracy, Development and the Rule of Law.
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Clockwise from upper left: Relatives of alleged extrajudicial killings wear veils as they take part in a protest versus the drug war killings outside the military and police headquarters on July 17, 2019 in Manila, Philippines (Photo credit: Ezra Acayan/Getty Image); Workers pass propaganda posters as they cycle through Hungnam Fertilizer Complex on February 4, 2019 in Hamhung, North Korea (Photo credit: Carl Court/Getty Images); Pro-democracy protesters react as police fire tear gas during a demonstration on October 20, 2019 in Hong Kong (photo credit: Anthony Kwan/Getty Images); A mix of ethnic Uyghur and Han shopkeepers hold large wooden sticks as they are trained in security measures on June 27, 2017 next to the old town of Kashgar, in the far western Xinjiang province, China (photo credit: Kevin Frayer/Getty Images).
Understanding the value of chronic disease care is critical to confronting the challenges of aging societies. In a new ebook published by the Centre for Economic Policy Research, APARC Deputy Director and Asia Health Policy Program Director Karen Eggleston provides a framework for assessing the social value of health spending.
The world population is aging faster than ever before and governments must confront the increasing burden of healthcare spending on their economies. At a time when the economics of aging is inseparable from the economics of healthcare, successful adaptations to older population age structures necessitate better understanding of the value of medical care. Policymakers, in particular, must incorporate value into considerations of healthcare cost growth, so they can determine the extent to which average health improvements offset added cost, reduce cases in which health spending rises without sufficient corresponding health outcomes, and reward those in which “we are getting what we pay for.”
A new book chapter, authored by APARC Deputy Director and Asia Health Policy Program Director Karen Eggleston, provides a framework for assessing the social value of health spending. Titled “Understanding ‘value for money’ in healthy aging,” the chapter is part of an ebook, Live Long and Prosper? The Economics of Ageing, published by the Centre for Economic Policy Research (CEPR).
How do health economists incorporate value into measurements of health spending and how do they measure the social value of medical care? First they assume each additional year of life brings a given monetary value. Then they measure the growth in value to patients as monetized gains in “quality-adjusted life-years,” a metric that includes increases in life expectancy and quality of life. The difference between the change in health spending and the change in monetized gains on improved survival is the net change in quality-adjusted health spending or the net value of medical care.
Understanding the value of chronic disease care is especially critical in aging societies, as governments must transform their health systems to support patients who will live with chronic diseases for decades. Health benefits of medical care, however, are difficult to aggregate across disparate services and diseases, and hence focusing on management of a single important chronic disease allows researchers to develop metrics of quality improvement and value that are linked to rigorous clinical studies. Eggleston describes a recent international research collaboration, which she was part of, that did just that. The researchers studied quality adjustment for one disease of growing global prevalence, type 2 diabetes, in four different health systems: one in Europe (the Netherlands) and three in East Asia (Japan, Hong Kong, and Taiwan).
Results of the study suggest that, in each health system, the value of improved survival outweighs the increase in health spending. For example, in the case of Japan, Eggleston and her colleagues found a positive value net of $2,595 for $100,000 value of a life-year. They also compared net value across the four health systems and different patient samples, finding mean net value that ranged between $600 and $10,000 for a $100,000 value of a life-year. Moreover, net value was positive for all age groups and remains positive and significant for individuals well beyond traditional retirement ages. These results, says Eggleston, indicate “the importance of continuing investments in medical treatments and services that deliver health outcomes of commensurate or higher value.”
Policy Implications
Confronting the challenges of aging societies requires careful thinking about the value of investments in new technologies for managing chronic conditions. To promote healthy aging governments must be “resiliently persistent in measuring the value of innovations for healthy aging and rewarding those that deliver high net value,” argues Eggleston. The goal should be improving the “value for money” of medical care rather than applying largescale cost controls that might stifle important breakthroughs.
The four-system study by Eggleston and her colleagues provides a framework for developing methods for assessing quality improvement and the net value of chronic disease spending and, more broadly, for measuring the value of healthy aging.
This event is at full capacity and we are no longer accepting registrations.
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Robert Spalding is a national security policy strategist, and globally recognized for his knowledge of Chinese economic competition and influence, as well as for his ability to forecast global trends and develop innovative solutions. He has served in senior positions of strategy and diplomacy within the Defense and State Departments for more than 26 years, retiring as brigadier general.
He was the chief architect for the Trump Administration’s widely praised National Security Strategy (NSS), and the Senior Director for Strategy to the President at the National Security Council.
Dr. Spalding is a skilled combat leader, and a seasoned diplomat. Under Dr. Spalding’s leadership, the 509th Operations Group—the nation’s only B-2 Stealth Bomber unit—experienced unprecedented technological and operational advances. Dr. Spalding’s demonstrated acumen for solving complex technological issues to achieve operational success, was demonstrated when he led a low-cost rapid-integration project for a secure global communications capability in the B-2, achieving tremendous results at almost no cost to the government. As commander, he led forces in the air and on the ground in Libya and Iraq. He is a former China strategist for the chairman of the Joint Chiefs of Staff and the Joint Staff at the Pentagon, as well as having served as the senior defense official and defense attaché in Beijing. During the UUV Incident of 2016, Dr. Spalding averted a diplomatic crisis by negotiating with the Chinese PLA for the return of the UUV, without the aid of a translator.
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Dr. Spalding has written extensively on national security matters. His book, Stealth War: How China Took Over While America’s Elite Slept (Portfolio; 2019) is an executive summary of his almost decade-long work countering Chinese Communist Party influence. It is being translated into additional languages. His work has been published in The Washington Post, The Washington Times, Foreign Affairs, The American Interest, War on the Rocks, FedTech Magazine, Defense One, The Diplomat, and other edited volumes. His Air Power Journal article on America’s Two Air Forces is frequently used in the West Point curriculum. He has been interviewed on FOX News and CNBC, as well as numerous radio and YouTube channels, both nationally and internationally.
Brigadier General Robert Spalding (US Air Force, Retired)
The pontianak, or female vampire, is one of the most significant supernatural creatures, or hantu, in Malay cinema. A series of pontianak films were among the most successful made in the studio system in Singapore between 1957 and the city-state’s independence in 1965. Although the pontianak appeals to discourses of Malay cultural identity in particular, the films achieved something rare: they were popular across different races in late-colonial Singapore. In the 21st century, the pontianak genre has regained popularity in film and television by returning to the racialized politics of belonging in Malaysia and Singapore. The pontianak registers intersecting anxieties about femininity and modernity, race and nation, local and transnational cultural influences, and Islam in relation to indigenous beliefs. Prof. Galt’s talk will analyze the pontianak in recent Malaysian and Singaporean cinema and explore what the figure tells us about the role of film culture in shaping and contesting ideas of postcolonial Malay identity.
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Rosalind Galt is Professor of Film Studies at King’s College London. She studies how geopolitics, cinematic style, history, and sexuality interact. She is the co-author with Karl Schoonover of Queer Cinema in the World (2016); the author of Pretty: Film and the Decorative Image (2010) and The New European Cinema: Redrawing the Map (2006); and co-editor of Global Art Cinema: New Theories and Histories (2010). Her advanced degrees are from Brown University (PhD) and the University of Glasgow (MA with Honours).
Rosalind Galt
2019-2020 NUS-Stanford Lee Kong Chian Fellow on Contemporary Southeast Asia
On 20 October 2019, Indonesia’s president Joko “Jokowi” Widodo began his second five-year term in office. In his first successful presidential campaign in 2014, he promised to transform the country into a “Global Maritime Fulcrum”—a seemingly keystone role between the Indian and Pacific Oceans that comprise the now popular term “Indo-Pacific.” How has that vision fared, and what priority will it have in 2019-2024? How will Indonesia deal with Sino-American strategic competition? Will Indonesia’s national and regional security policies change or stay the same? In addressing these questions, the talk will feature not only the president but his new ministers’ political, bureaucratic, and personal goals and differences as well. Laksmana will argue that, in practice, the GMF’s promise of proactive centrality has not been to date and is unlikely to be met in future.
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Evan A. Laksmana, in addition to his position at CSIS in Jakarta, is completing his doctorate in political science at Syracuse University’s Maxwell School of Citizenship and Public Affairs, where he has been a Fulbright Presidential Scholar. He has held visiting fellowships and research positions with the National Bureau of Asian Research, Sydney University’s Southeast Asia Centre, the Lowy Institute for International Policy, the German Marshall Fund of the United States, and the S. Rajaratnam School of International Studies. Journals that have carried his scholarly work include Asian Politics & Policy, Asian Security, Contemporary Southeast Asia, Defense & Security Analysis, and the Journal of Contemporary Asia. Other writings have appeared in Foreign Affairs, Foreign Policy, The New York Times, and The Washington Post, among other publications.
Diabetes is a significant problem worldwide and especially for developing countries including Thailand, where the disease has increased in prevalence rapidly, resulting in high healthcare expenditure and loss of productivity due to illness and premature death. Thailand has adopted multiple policies to control diabetes, such as screening through annual health checkups for people aged 35 and over, increasing healthcare access in rural communities, and developing diabetes clinical practice guidelines to improve the quality of care. However, multiple national health surveys still showed a rising pattern of diabetes in the country. To help understand and tackle the problem, we created a 10-year cohort using data from the national health exam survey (NHES) as a starting point and followed the population by linking to healthcare utilization and expenditure data from the universal health coverage scheme, the main health insurance program in Thailand. With this cohort, we study 3 topics. The first is to understand the burden of diabetes in the Thai health service system by calculating incidence of diabetes and its complications. Furthermore, we will identify factors which affect diabetes incidence and therefore can be used to create evidence-based control policies. Second, we seek to identify the bottleneck between each step in the “cascade of care” (screening, starting and adhering to treatment, and controlling disease). Finally, we will compare healthcare utilization patterns, expenditure, and outcomes related to diabetes between the overall population and vulnerable subgroups to identify factors that prevent vulnerable populations from obtaining better health outcomes.
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Wasin Laohavinij is a physician at King Chulalongkorn Memorial Hospital and a research assistant at Department of Preventive Medicine, Faculty of Medicine, Chulalongkorn University. His research focus on non-communicable disease prevention policies and economic evaluation of health promotion and prevention. Wasin Laohavinij completed his MD at Chulalongkorn University.
Wasin Laohavinij
2019-2020 Walter H. Shorenstein Asia-Pacific Research Center Visiting Scholar
