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Flyer for the talk "Procurement Institutions and Essential Drug Supply in Low- and Middle-Income Countries" with headshot of speaker  Lucy Xiaolu Wang.

Note: This talk is also offered as a virtual webinar on April 4 at 6 p.m.

International procurement institutions have played an important role in drug supply. This paper studies price, delivery, and procurement lead time of drug supply for major infectious diseases (antiretrovirals, antimalarials, antituberculosis, and antibiotics) in 106 developing countries from 2007-2017 across four procurement institution types. We find that pooled procurement institutions lower prices: pooling internationally is most effective for small buyers and more concentrated markets, and pooling within-country is most effective for large buyers and less concentrated markets. Pooling can reduce delays, but at the cost of longer anticipated procurement lead times. Finally, pooled procurement is more effective for older-generation drugs, compared to intellectual property licensing institutions that focus on newer, patented drugs. We corroborate the findings using multiple identification strategies, including an instrumental variable strategy, the Altonji-Elder-Taber-Oster method, and reduced-form demand estimation. Our results suggest that the optimal mixture of procurement institutions depends on the trade-off between costs and urgency of need, with pooled international procurement institutions particularly valuable when countries can plan well ahead of time.

Coauthor: Nahim Bin Zahur (Queen’s University).

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Lucy Xiaolu Wang 040424

Dr. Lucy Xiaolu Wang is a tenure-track Assistant Professor at University of Massachusetts Amherst, a Faculty Research Fellow at the Max Planck Institute for Innovation and Competition, Germany, and a Faculty Associate at the Canadian Centre for Health Economics. Her research focuses on the economics of innovation & digitization in health care markets (national and global), particularly in the biopharmaceutical and digital health industries. Dr. Wang earned her PhD in economics from Cornell University, her master’s degree in economics from Duke University, and her bachelor’s degree in applied economics (specialty: insurance) from Central University of Finance and Economics in Beijing, China. 

Karen Eggleston
Karen Eggleston, Director of the Stanford Asia Health Policy Program
Lucy Xiaolu Wang, University of Massachusetts Amherst; Max Planck Institute for Innovation and Competition; Canadian Centre for Health Economics
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Planet Earth in outer space with network connection and sunlight.

Highlights

  • Competition among the great powers is hindering the ability of multilateral cooperation to solve acute problems. The last true, successful multilateral agreement was probably the WTO's Uruguay Round in 1994.
  • The emergence of the COVID-19 pandemic illustrated the failure of a multilateral response.
  • "Minilateral" groups, like the Quad (Australia, India, Japan, and the United States) have received much attention recently, but they are not suited to global crises that require rapid action.
  • "Task Force Diplomacy," an approach that grew out of the pandemic, can be a useful approach for novel, acute global crises
  • Some features of Task Force Diplomacy include an urgent, concrete goal; 1–2 countries willing to take the lead; voluntary membership that is economically and regionally diverse; the inclusion of multilateral organizations when appropriate; senior official engagement in the effort; and the division of the problem into smaller pieces that each partner can tackle.


Summary

In an era of increasing great power competition between China, the United States, and Russia, multilateral cooperation to solve global problems has become measurably more difficult. Slow multilateral responses are particularly problematic in the face of acute problems requiring a strong, immediate response, as the failure of a comprehensive response to the recent global COVID-19 pandemic demonstrated. The evolving “minilateral” structures can aid in a response but are not flexible or comprehensive enough to coordinate a global response to many problems. Ad hoc voluntary coalitions of willing and capable states and organizations—“Task Forces”—sprang up to lead the COVID-19 response. This “Task Force Diplomacy” model proved to be a viable supplement to existing multilateral, minilateral, and bilateral groupings.  

Based on personal observations working on global cooperation aimed at addressing the COVID-19 pandemic, as well as a lifetime working on global and regional challenges, this is a first-cut effort to reflect on lessons learned that others can take as a starting point to move forward and embellish as we deal with mechanisms to address new fast-moving challenges in an evolving world characterized by great power competition. The intention is not to reinvent the international structure — indeed, the default response to global problems should remain multilateral, comprehensive cooperation — but rather to present a systemization of ways to deal with serious acute problems in which multilateral responses prove inadequate.

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 A Cooperation Model for the Era of Great Power Competition

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Laura Stone
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Flyer for the talk "Procurement Institutions and Essential Drug Supply in Low- and Middle-Income Countries" with headshot of speaker  Lucy Xiaolu Wang.

Note: This talk is also offered as an in-person seminar on April 5 at 12 p.m.

International procurement institutions have played an important role in drug supply. This paper studies price, delivery, and procurement lead time of drug supply for major infectious diseases (antiretrovirals, antimalarials, antituberculosis, and antibiotics) in 106 developing countries from 2007-2017 across four procurement institution types. We find that pooled procurement institutions lower prices: pooling internationally is most effective for small buyers and more concentrated markets, and pooling within-country is most effective for large buyers and less concentrated markets. Pooling can reduce delays, but at the cost of longer anticipated procurement lead times. Finally, pooled procurement is more effective for older-generation drugs, compared to intellectual property licensing institutions that focus on newer, patented drugs. We corroborate the findings using multiple identification strategies, including an instrumental variable strategy, the Altonji-Elder-Taber-Oster method, and reduced-form demand estimation. Our results suggest that the optimal mixture of procurement institutions depends on the trade-off between costs and urgency of need, with pooled international procurement institutions particularly valuable when countries can plan well ahead of time.

Coauthor: Nahim Bin Zahur (Queen’s University).

Image
Lucy Xiaolu Wang 040424

Dr. Lucy Xiaolu Wang is a tenure-track Assistant Professor at University of Massachusetts Amherst, a Faculty Research Fellow at the Max Planck Institute for Innovation and Competition, Germany, and a Faculty Associate at the Canadian Centre for Health Economics. Her research focuses on the economics of innovation & digitization in health care markets (national and global), particularly in the biopharmaceutical and digital health industries. Dr. Wang earned her PhD in economics from Cornell University, her master’s degree in economics from Duke University, and her bachelor’s degree in applied economics (specialty: insurance) from Central University of Finance and Economics in Beijing, China. 

Karen Eggleston
Karen Eggleston, Director of the Stanford Asia Health Policy Program

Online via Zoom Webinar

Lucy Xiaolu Wang, University of Massachusetts Amherst; Max Planck Institute for Innovation and Competition; Canadian Centre for Health Economics
Seminars
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(Machine) Learning About Sudden Cardiac Death

Co-sponsored by Peking University's Institute for Global Health and Development and the Asia Health Policy Program

Every year, hundreds of thousands of people suffer sudden cardiac death. What makes these deaths so tragic is that many of them are preventable, with an implanted cardioverter defibrillator (ICD) — if only we could know who was at high risk before they died. Using a massive new dataset of electrocardiograms (ECGs) linked to death certificates, we predict sudden cardiac death far better than current methods, both in a hold-out set of Swedish patients and in a completely independent dataset from Taiwan. We also show that high-risk patients — and only high-risk patients — who receive ICDs have significantly lower mortality. Finally, we create a generative model of the ECG waveform to tie what the model is ‘seeing’ back to underlying cardiac electrophysiology.

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Obermeyer Z - 20240221

Ziad Obermeyer's research uses machine learning to help doctors make better decisions and help researchers make new discoveries — by ‘seeing’ the world the way algorithms do. His work on algorithmic racial bias has impacted how many organizations build and use algorithms, and how lawmakers and regulators hold AI accountable. He is a co-founder of Nightingale Open Science and Dandelion Health, a Chan Zuckerberg Biohub Investigator, and a faculty research fellow at the National Bureau of Economic Research. He was named one of the 100 most influential people in AI by TIME magazine. Previously, he was an assistant professor at Harvard Medical School and continues to practice emergency medicine in underserved communities.

Jianan Yang, Assistant Professor of Economics, Institute for Global Health and Development, Peking University

Online via Zoom Webinar

Ziad Obermeyer, Associate Professor, Blue Cross of California Distinguished Professor, UC Berkeley
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Michael Breger
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On January 13, 2024, Taiwan elected Lai Ching-te of the Democratic Progressive Party (DPP) as its next president. Mr. Lai received 40.05% of the vote, the lowest winning percentage since 2000. In addition to the DPP’s losing control of parliament, President-elect Lai will face a litany of practical and existential challenges during his presidency, chief among them the looming threat of Chinese military and economic coercion. As Taiwan looks to the United States for support in deterring China, the United States, in turn, must continue to shore up its alliance network in East Asia, particularly with Japan, the most consequential partner in the region.

How should we assess efforts to adapt the U.S.-Japan security and technology alliance to meet these challenges? What should we look for in 2024 given Taiwan’s election results and the political uncertainty in the United States and Japan? The Japan Program at Shorenstein APARC and the Sasakawa Peace Foundation USA convened a panel discussion, titled “U.S.-Japan Alliance Adaptation to Intensifying Strategic Competition with China,” to weigh in on these questions.

The speakers included Larry Diamond, the Mosbacher Senior Fellow in Global Democracy at the Freeman Spogli Institute for International Studies and the William L. Clayton Senior Fellow at the Hoover Institution; Matake Kamiya, professor of international relations at the National Defense Academy of Japan; Oriana Skylar Mastro, Center Fellow at the Freeman Spogli Institute for International Studies; and Jim Schoff, senior director of the US-Japan NEXT Alliance Initiative at Sasakawa Peace Foundation USA. APARC Deputy Director and Japan Program Director Kiyoteru Tsutsui moderated the discussion.

The panelists assessed the state of the U.S.-Japan security and technology alliance, examined current initiatives aimed at bolstering military cooperation, proposed additional measures to be taken, and considered various economic security policies related to supply chains, export controls, and high-tech industries. The speakers all acknowledged that Japan is the critical swing player in the gathering geopolitical storm in the Taiwan Strait and agreed that Japan's choices in responding to the increasing security challenge will be consequential, if not decisive. While each panelist suggested some form of strategic promotion and coordination of policies to address rising threats to the economic and national security of the United States and Japan, they asserted that enhanced communication with other like-minded partners is needed to achieve this objective.

A Consequential Election

Diamond noted that domestic issues were at the forefront of Taiwan’s elections. While the island's semiconductor industry is booming, other sectors struggle to keep pace, and citizens cite rising inequality, elder care, and energy policy as major domestic policy issues.

We need to learn from history and take threats seriously in terms of rhetoric, action, and ideology.
Larry Diamond
Mosbacher Senior Fellow in Global Democracy, FSI

However, for Diamond, Taiwan’s active security challenge supersedes these domestic concerns, and Taiwan faces a grim reality. The U.S., Japan, and Taiwan are not prepared militarily, economically, or psychologically for a potential blockade or military confrontation with China, he said. Diamond argued that Taiwan must have more robust defenses to withstand pressure from Beijing.

Diamond invoked 20th-century history, issuing a warning: “I cannot underscore enough that this is a dangerous situation. We need to learn from the experience of the 1930s. Russia is trying to swallow Ukraine, a country with sovereignty. China, Russia, and Iran are cooperating. North Korea is sending supplies to Russia. We need to learn from history and take threats seriously in terms of rhetoric, action, and ideology. China is preparing for war against Taiwan; it is preparing to push the U.S. out of Asia, and it will likely happen in this decade.”

Diamond argued that Chinese intervention in Taiwan would not be the terminus of their expansion and suggested that “if you want to deter war, you better prepare for it. Anyone who believes that China would stop with Taiwan is breathtakingly naïve. We are running out of time. Urgent appeals are needed to get the U.S., Japan, Taiwan, and the European public to exit from their wishful thinking and slow pace of preparation.”

Japan’s Role and Relevance

Kamiya remarked upon recent changes in Japan’s military stance, citing the residual influence of Japan's postwar pacifism. According to Kamiya, the Japanese public has gradually accepted the reactivation of its self-defense forces and a dramatic increase in defense spending over the coming years.

For Kamiya, increased military spending is ushering in new levels of strategic alignment and unlocking new opportunities for the U.S.-Japan collaboration. He asserted that the future success of the U.S.-Japan alliance in countering China depends on whether Japan can maintain its current changes to its defense policy and whether both nations can ensure the preservation of rules-based international order. The military has a role of deterrence in establishing peace, he said.

Ensuring a Collaborative Approach

Schoff agreed that increased interdependence is necessary in an era of strategic competition but asked, “How can we compete effectively without undermining other partners? There is a consensus that national security consists of territorial and economic aspects, so maintaining an advantage means maintaining and advancing technological development and economic security.”

Schoff argued that U.S.-Japan leaders' summits would help achieve such collaboration, citing “two plus two” meetings of the Japan-U.S. Economic Policy Consultative Committee (EPCC) as particularly relevant. He highlighted semiconductor collaboration, government agency cooperation, and information sharing as some of the most helpful tools to confront this challenge.

Schoff also discussed U.S.-Japan joint security initiatives and some of the challenges to the U.S. presence in the Indo-Pacific, including malware targeting critical infrastructure organizations in Guam and elsewhere carried out by Volt Typhoon, a state-sponsored actor based in China that typically focuses on espionage and information gathering. He argued that the United States and Japan must collaborate on information sharing to address this and other cyberthreats.

Schoff also commented on Japan’s development of a new joint force command, the nation’s first. “As Japan builds this capability, we can more effectively leverage U.S. forces in Japan with an operational command in Japan. We can plan together, train together, and exercise together, but it depends on how much INDOPACOM wants to participate,” he said.

Deterrence and Force

Mastro, like Diamond, painted a solemn portrait of the escalating tensions in the region. She indicated that over the past 25 years, the Chinese military has rapidly modernized, stating that “this isn't the 1990s; the military balance of power used to be in Taiwan's favor.”

Dealing with a forceful China that has come to accept that aggression is a good way of doing business is bad in the long term.
Oriana Skylar Mastro
Center Fellow, FSI

Mastro also ruled out any sort of diplomatic resolution to the situation, arguing that there is nothing Taiwan or the DPP can do to placate Beijing. “It looks like a very real possibility of war over the Taiwan Strait. The conditions for peace and reunification have already failed.”

Citing U.S. deterrence as the most important action to defend Taiwan, Mastro asserted that “there is nothing more important than Japan for U.S. deterrence. The southern islands of Japan are the only options close to the conflict zone, as Australia and South Korea are too far away.” Being the only country with a geographic location and potential for aggregate military, naval, and air power, Japan is the critical nation in the equation.

“If Japan and the U.S. were to join the fight, China would never attack Taiwan, but if China does not attack Japan, Japan will not join,” Mastro said. “If the Chinese attack Taiwan, they will likely tell Japan not to worry and that the Senkaku islands are safe.” She added that any guarantees of non-aggression from China are not necessarily trustworthy.

When considering "how bad it would be for Japan and the international system if we lost Taiwan,” Mastro replied that “Dealing with a forceful China that has come to accept that aggression is a good way of doing business is bad in the long term.” She argued that a Taiwan contingency would directly affect Japan and that China and Russia are building a relationship to counter the U.S.-Japan security partnership.

As for the practical details of the U.S.-Japan security partnership, Mastro suggested that the United States would not make Japan a joint command unless the nation was “all in.” Mastro also provided a timeline for preparations, stating that, “we have to be ready by 2027 if we want this war to be prevented.”

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Panelists discuss the US-Japan alliance
Left to right: Larry Diamond, Matake Kamiya, Jim Schoff, Oriana Skylar Mastro
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A panel discussion co-hosted by Shorenstein APARC and the Sasakawa Peace Foundation USA examined the key dynamics at play in the unfolding regional competition over power, influence, and the fate of Taiwan.

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Flyer for the seminar "Resistance, Diplomacy, Democracy, and the Future of Myanmar" with a portrait of speaker H.E. Daw Zin Mar Aung, Union Minister of Foreign Affairs​, Minister of Foreign Affairs for the National Unity Government of Myanmar.

Co-sponsors:
Southeast Asia Program, Shorenstein Asia-Pacific Research Center (APARC) and the
Center on Democracy, Development, and the Rule of Law (CDDRL)
in the
Freeman Spogli Institute for International Studies (FSI)
Stanford University

Discussants:
Larry Diamond, Mosbacher Senior Fellow of Global Democracy, FSI
Scot Marciel, Oksenberg-Rohlen Fellow, APARC 

Chair: Donald K. Emmerson, Director, Southeast Asia Program, APARC

Optimism marked the New Year’s Day statement released on 1 January 2024 by Myanmar’s opposition-in-exile — the National Unity Government (NUG) and the advisory National Unity Consultative Council (NUCC). The “daily expansion” of territory controlled by inter-ethnic “revolutionary forces” and the “steady shrinking of military-controlled areas” were attributed to the “key success” of the Burmese people’s “defensive war.” Reportedly, as of December 2023, the junta’s forces may have ceded more than 180 outposts and strongpoints in the country to trans-ethnic rebel militias bent on overthrowing the regime. Meanwhile, NUG is working internationally to gain recognition and support while trying to persuade the junta’s foreign backers to desist. Leading those and related efforts is NUG’s Minister of Foreign Affairs Daw Zin Mar Aung. In this webinar, she will address the challenges met, the progress achieved, and the chances of undercutting and overthrowing Myanmar’s brutal dictatorship for the benefit of the country’s long-suffering people.

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Daw Zin Mar Aung

Daw Zin Mar Aung, in addition to her service as NUG’s foreign minister, is a member of the committee that represents Myanmar’s elected parliament as it was before its dispersal by the military junta that seized power on 1 February 2021. In democratic contests prior to the termination of democracy, she was twice elected to parliament. Honors she has received include nomination by the World Economic Forum as a World Global Leader (2014) and selection as a CDDRL Draper Hills Summer Fellow at Stanford (2013). She received an International Women of Courage Award from the US State Department in 2012 after having spent eleven years in Burmese prisons for her activism on behalf of democracy and human rights. She is also a co-founder of the Yangon School of Political Science.

Donald K. Emmerson
Donald. K. Emmerson

Online via Zoom Webinar

Daw Zin Mar Aung, Union Minister of Foreign Affairs, National Unity Government of Myanmar (NUG)
Seminars
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Bringing AI from Code to Clinic

Please note that this event is now webinar only

In this seminar, three presenters from Google Health will share their perspectives on what it takes to bring a medical AI product from “code to clinic” in Southeast Asia. Google Health’s mission is to help everyone, everywhere be healthier, applying cutting-edge artificial intelligence (AI) technologies to improve patient outcomes and care delivery and incubate new AI-based products from initial research to clinical deployment. Representing different facets of a multidisciplinary team of experts (Product, Partnerships, and Program Management), the presenters will discuss the journey of developing and deploying a diagnostic AI solution that addresses an unmet need for the detection of diabetic blindness in Southeast Asia, real-world challenges and opportunities (particularly in the context of low- and middle-income countries), and the importance of building strategic partnerships and trust.

Tiwari 012324

Richa Tiwari's work focuses on driving research on Google’s health innovations and working with partners on real-world deployment of digital and AI solutions in APAC and Africa. Richa holds a PhD in Molecular Biology and has over a decade of experience in Pharma, bringing cancer treatments to market and running clinical trials. An accidental technologist and a scientist at heart, Richa is passionate about bringing forward cutting-edge health tech innovations to address healthcare challenges

Virmani 012324

Sunny Virmani, during his time at Google and Verily Life Sciences, has focused on translating machine learning research into real-world clinical applications working with key opinion leaders and partners globally. His team’s pioneering research in the field of diabetic retinopathy screening using machine learning has helped advance the technology in this field significantly. Previously, he has held Product Management positions at Carl Zeiss Meditec and Philips Healthcare building products in the field of medical imaging. By education, he is an engineer with a Masters degree in Biomedical Engineering.

Sawhney 012324

Rajroshan Sawhney leads Partnerships for Google Research (Health AI & Sustainability). During his time at Google, Raj has focused on catalyzing the adoption of human-centered AI in healthcare by driving strategic partnerships across both public and private sector in APAC, working closely with regulators, policy makers and academic partners to improve health outcomes in low-resource environments, and to develop go-to-market strategies to graduate research into real-world deployments.  Prior to Google, Raj was the Head of Strategic Partnerships and Corporate Development at a leading Computer Vision startup based out of San Francisco and Singapore. Raj holds a Computer Science BE (Hons) degree from BITS-Pilani, is a member of Mensa International and the India Young Leaders Forum.

Karen Eggleston

Webinar via Zoom

Richa Tiwari, Sunny Virmani, Rajroshan Sawhney
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Nonprofits supply many tax-financed services like healthcare and education. Yet nonprofits are absent from the canonical property rights theory of ownership. Extending the government “make or buy” decision to nonprofits and ex post frictions based on contracts as reference points suggests that contracting out to a nonprofit can be optimal when “mission” alignment credibly signals adherence to the spirit and not just the letter of the contract in unforeseen contingencies. The model sheds light on differential nonprofit presence across the spectrum of basic services, as illustrated by an application to the health sector.

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Asia Health Policy Program working paper # 67

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Asia Health Policy Program working paper # 67
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Karen Eggleston
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Michael Breger
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From the League of Nations to the United Nations, multilateral institutions have come to define the landscape of modern international relations. Large and diverse groupings like the Asia-Pacific Economic Cooperation (APEC) have served as a venue for facilitating regional collaboration. Yet, as the world enters a new era of great power competition between the United States and China, many question the relevance of these institutions and multilateralism more broadly. The declining quality and quantity of multilateral deliverables and the increasing prevalence of so-called “minilaterals'' has spurred numerous scholarly inquiries into the future relevance of groups like APEC.

On December 5, in the wake of the APEC 2023 convening in San Francisco, the China Program at Shorenstein APARC presented “The Future of Multilateral Institutions in the Era of Great Power Competition,” the concluding session in the Center's autumn 2023 seminar series on APEC's role in facilitating regional cooperation.

The speakers included Matthew P. Goodman, a distinguished fellow for global economic policy and Director of the Greenberg Center for Geoeconomic Studies at the Council on Foreign Relations (CFR), and Michael McFaul, director at the Freeman Spogli Institute for International Studies, the Ken Olivier and Angela Nomellini Professor of International Studies in the Department of Political Science, and the Peter and Helen Bing Senior Fellow at the Hoover Institution. APARC China Policy Fellow Laura Stone moderated the conversation.

The panel opened with a discussion of how, in the past, APEC was deemed especially relevant and productive as it generated agreements such as the Trans-Pacific Partnership (TPP), fostered cooperation on initiatives aimed at encouraging women’s participation in the economy, and facilitated some of the first regional sustainability policy protocols.

Goodman provided background context of the current debate around APEC’s relevance, stating that “advancing APEC’s agenda is very hard and always has been […] you are dealing with 21 diverse economies.” The upside, said Goodman, is that the convergence of representatives of multiple countries holds significant influence. “[APEC] is very powerful when it comes to sharing best practices and interacting with the business community, something hardwired into APEC via the business advisory council.”

Goodman sees multiple positive outcomes from this year’s convening in San Francisco, such as coordination on the Alliance for Just Energy Transformation (AJET), food security initiatives, women's empowerment initiatives, and “lots of sustainability work, with a specific mandate of tripling energy capacity […] This sets an agenda and creates a mandate for bureaucracies.”

McFaul elaborated on Goodman’s analysis by providing anecdotal context from his time serving in the Obama administration, stating that “Obama was committed to multilateralism, particularly in Asia, and his theory was that multilaterals are a way for us to advance economic security and U.S. interests.”

McFaul proceeded to describe some of the outcomes of this approach, including the TPP, the Open Government Partnership (OGP), and nonproliferation efforts, stating that the early Obama era represented “a moment focused on multilaterals, and was needed to manage the financial catastrophe of 2008.”

“What we see in 2023 is weak tea in comparison to 2009, yet compared to how things were going over the last few years, this year represents a great achievement.”

For McFaul, APEC 2023 was a success because there was “no hollering, no walkouts, and no drama, but the actual deliverables were modest. The Golden Gate Declaration is better than nothing, but it is not great.”

McFaul described some of the leaders' meetings as the pivotal aspects of the 2023 convening, emphasizing that, more broadly, multilateral events create opportunities for meaningful bilateral meetings. “We need to create opportunities for Biden and Xi to meet, even if these confabs produce only modest outcomes, just to get them in the room is a success,” he said.

McFaul also remarked on the strong showing of the United States as a host, stating that “APEC is an opportunity for the hosts to highlight who we are, and we did a good job showing off San Francisco and Silicon Valley […] the traffic of various world leaders to Stanford and Silicon Valley is a deliverable unto itself.”

After the event, APARC Visiting Scholar Michael Beeman, former assistant U.S. trade representative for Japan, Korea, and APEC at the Office of the U.S. Trade Representative, weighed in on APARC’s fall series and noted key takeaways from APEC 2023. According to Beeman, APARC’s series effectively highlighted the rich and diverse economic engagement still taking place among APEC's 21 members, coming against the backdrop of increasing regional tensions.

For Beeman, an important takeaway is the fact that “APEC members still meet over a hundred times a year at the technical level to engage, learn, and cooperate. This underscores APEC's value as a stabilizing and positive force, albeit one with less ambition than in prior decades.”

Like Goodman and McFaul, Beeman sees APEC 2023 as a modest success, indicating that “bilateral meetings like the one between Presidents Biden and Xi on the margins of APEC often overshadow the formal APEC announcements, and this year was no different. With new, high-level political commitments for APEC increasingly difficult to come by, the official APEC announcements were predictably modest.”

As for the outcomes of the convening, Beeman considers the most important to be a renewed leader-level commitment to supporting and furthering APEC's pursuit of economic cooperation, most of which takes place at the technical level. “APEC would be well served to more understandably demonstrate how its diverse work can improve the lives of people in the region,” he said.

Despite the relative decline of multilateralism in an era defined by geopolitical rivalry, the analysts agreed that the existing mechanisms are efficient in fostering cooperation between leaders and providing frameworks for high-level deliverables that drive progress in individual member states’ bureaucracies. While the dynamism of these groupings has diminished, they still play  a significant role in the geopolitical arena.

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World leaders sit around a table during the APEC 2023 summit in San Francisco.
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APEC Summit Dominated by U.S.-China Relations, Policy Challenges

The Asia-Pacific Economic Cooperation summit in San Francisco, which concluded the 2023 APEC host year for the United States, included a highly-anticipated meeting between U.S. President Joe Biden and Chinese President Xi Jinping. Shorenstein APARC scholars weigh in on the significance of the meeting in the context of China’s geopolitical ambitions, the outcomes of the APEC summit, and other topics.
APEC Summit Dominated by U.S.-China Relations, Policy Challenges
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Scholars and Experts Discuss APEC’s Role in Addressing Energy Challenges in Asia

The third installment of Shorenstein APARC’s fall seminar series examined energy challenges in the Asia-Pacific region and the role of the Asia-Pacific Economic Cooperation in facilitating collaborative clean energy solutions.
Scholars and Experts Discuss APEC’s Role in Addressing Energy Challenges in Asia
Kiran Gopal Vaska, CK Cheruvettolil, and Siyan Yi at the panel discussion on digitial health initiatives
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Expert Panel Discusses Digital Health Innovations in South/Southeast Asia

Shorenstein APARC continued its APEC seminar series with the second installment, Asia-Pacific Digital Health Innovation: Technology, Trust, and the Role of APEC, a panel discussion that focused on how India’s digital health strategy has evolved and its lessons for other countries creating their own.
Expert Panel Discusses Digital Health Innovations in South/Southeast Asia
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L to R: Laura Stone, Matthew Goodman, Michael McFaul
L to R: Laura Stone, Matthew Goodman, Michael McFaul
Michael Breger
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The fourth installment of Shorenstein APARC’s fall seminar series examined the future of multilateral institutions in the Asia-Pacific region and beyond, focusing on the Asia-Pacific Economic Cooperation.

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Visiting Scholar at APARC, 2024
huixia_wang_2024_headshot.jpg Ph.D.

Huixia Wang joined the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as a visiting scholar for the 2024 calendar year. She is currently Associate Professor of Economics at Hunan University. While at APARC, she conducted research examining the effects of air pollution on healthcare expenditure and children's health in China.

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