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"'Critical Engagement': British Policy toward the DPRK" examines the United Kingdom's policy toward the Democratic People's Republic of Korea (DPRK). The policy known as "critical engagement" has been applied for over 14 years. 

"UK efforts are not going to have the immediate result we all want. However, they do show...that it is possible to carry out engagement and hopefully reduce the chasm between DPRK thinking and the rest of the world," author Mike Cowin writes. He suggests that the British approach is similar to that advised by a Stanford research team in Tailored Engagement.

Cowin wrote an earlier policy paper on relations between the DPRK and the European Union in March 2015.

Mike Cowin is the 2014-15 Pantech Fellow in the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center. Before coming to Stanford, he served as the deputy head of mission at the British Embassy in Pyongyang, North Korea. He has also served in the British embassies in Seoul from 2003 to 2007, and in Tokyo from 1992 to 1997.

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North Korea fired off short-range missiles last Tuesday close to the arrival of U.S. Secretary of Defense Ashton Carter to the region. Carter, who was on his inaugural trip to Asia as the newly confirmed Secretary of Defense, said the launch was a sign of the region’s continued tensions.

The United States consistently expresses concern over North Korea’s nuclear and missile capabilities, yet attempts to resume the Six-Party Talks, the negotiations to denuclearize North Korea which began in 2003, have been unsuccessful. The United Kingdom, although not an official participant in the Talks, has had diplomatic relations with North Korea since 2000, setting itself apart from many in the West, and from Japan which do not have formal diplomatic ties with the country. 

In a new policy brief, Mike Cowin, the 2014-15 Pantech Fellow at the Walter H. Shorenstein Asia-Pacific Research Center (APARC), discusses lesser-known channels of engagement between the United Kingdom and North Korea. 

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Cowin is the former deputy head of mission at the British Embassy Pyongyang, and implemented many of the programs he describes in the paper, "Critical Engagement": British Policy Towards the DPRK.

Typically small-scale and led largely in collaboration with European NGOs, the Embassy’s initiatives span from humanitarian aid – providing water supplies and sewage systems – to exchanges – hosting visiting delegations of North Korean paralympic athletes and English teachers.

The Embassy also works to build a stronger understanding of modern Britain in North Korea. They have shown films such as Wallace and Grommit and Philomena at the Pyongyang International Film Festival, and supplemented reading materials in the Grand People’s Study House, a central library in Pyongyang.

Cowin says that it’s not easy to construct these exchanges, but if established, they provide small steps in the right direction, and help set the stage for critical engagement in the future. The United Kingdom’s approach shares commonalities with the suggestions made by a Stanford research team in Tailored Engagement, he says.

“The United Kingdom’s efforts are not going to have the immediate result we all want. However, they do show that the DPRK is not completely isolated from the Western world and that it is possible to carry out engagement,” he says.

Cowin is also the author of an earlier policy brief on relations between North Korea and the European Union.

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Presenters on stage at the 13th annual Pyongyang International Film Festival in North Korea.
Mike Cowin
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Political fragmentation early on exacerbated the post-communist economic transitions in the Soviet Union and Eastern Europe, new Stanford research shows.

In a new paper, Stanford sociology professor Andrew Walder says that the neoliberal economic policies introduced in those former communist countries did not cause their economic collapses. Neoliberal is a modified form of liberal policies tending to favor free-market capitalism.

In an interview, Walder said, "Policy choices mattered, but they did not create the initial problems that they were intended to solve."

Rather, the longer the decline of the communist system before regime change and the greater the uncertainty over state ownership of assets, the more likely the country fell into prolonged decline.

The lesson for surviving communist or socialist regimes is that future transitions will be less economically damaging if they are rapid and political certainty exists about the ownership of state-owned assets, wrote Walder and co-authors Andrew Isaacson and Qinglian Lu, both Stanford graduate students in sociology.

The worldwide transformation of state socialism during the 1990s saw many of those countries plunge into recession, usually far beyond initial expectations, he said. Most analysts originally expected short-run hardships as those societies and their economies were restructured. It did not happen that way.

"Sharp recessions in the first states to emerge from the revolutions of 1989 were followed by much deeper economic crises in new states that emerged from the breakup of the Soviet Union," said Walder, the Denise O'Leary and Kent Thiry Professor in the Humanities and Sciences and a senior fellow at the Freeman-Spogli Institute for International Studies.

The few surviving communist autocracies that retooled their economies avoided recessions and grew more rapidly, despite once being considered the least promising places for market reform. China and Vietnam are two examples.

Recessions and politics

The researchers examined economic and growth-rate data from 31 countries for the period from 1989 to 2007. They analyzed three competing explanations for post-socialist economic performance – policy choice, initial economic circumstances and reform-era political institutions.

They found that by far the largest differences in growth rates across some 31 transitioning economies were due to wide differences in the initial years of the 1990s. After these initial crises passed in the mid-1990s, growth rates were similar.

They studied those countries that experienced no regime change, like China; those that experienced rapid regime change, like Poland; and those that experienced a prolonged and deep deterioration of political institutions before their eventual collapse.

The initial recessions were a result of the political disruption that accompanies regime change, and state socialist economies were particularly vulnerable to the collapse of communist parties. The political nature of state socialism makes it unusually vulnerable to this problem, Walder said.

"Communist parties played a central role in defining and enforcing the state's property rights over assets – especially important because almost all assets were the property of the state," the authors wrote.

So, when a communist party's ability to perform this function declined for a prolonged period, the economy was undermined by uncertainty over ownership claims.

"This was a problem in all communist regimes that collapsed shortly after 1988, but the political decline of the Soviet Union in its final years was far more protracted and severe than in other communist regimes, where regime change was much more abrupt," they wrote.

The big picture

In the big picture, Walder noted that at the time of the collapse of many post-Soviet economies in the 1990s, everyone's attention was focused on "what is to be done," and this pitted proponents of Chinese style "gradualism" versus "big bang" reforms prescribed by many Western economists.

"It later led to charges that neoliberal policy advice led to the collapse of economies, and to counter-arguments that it was a failure to properly carry out these policies – or something about a country's fundamentals – that was actually the cause of economic collapse," according to Walder.

In retrospect, he said, the worst economic crises were well advanced before any of these policy approaches were carried out, and the real causes were political in nature and rooted in different patterns of decline of communist parties in the prior period, something that eluded the attention of those on both sides of these debates.

It also shows that the heated debates about privatization – its speed and extent – were of secondary importance during the initial years of post-communism.

Walder said, "What mattered most was the capacity of a state to define and enforce property rights of any kind. This is the root cause of the economic collapse in so many of the former Soviet republics."

And so, the alleged merits of Chinese-style "gradualism" were confused with the advantage of not having political institutions collapse, he added.

Soviet Union collapse

The Soviet decline was far more prolonged and pronounced than in all of the other states where communist parties eventually surrendered power, said Walder. Two factors contributed to this:

One was a set of ill-conceived economic reforms that undermined the communist party's control over state assets several years before the Soviet collapse. The other factor was the fall of the Soviet communist party-state. By 1989, the party was already disintegrating, so ownership claims over state assets became unclear, Walder said.

"When communist parties deteriorated deeply over the medium run – as in the USSR – it set off a struggle to control assets, leading to deep economic crises that were intensified in states that broke apart into new entities, which in turn often led to hyperinflation and armed warfare," said Walder.

Clifton Parker is a writer for the Stanford News Service.

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People walk under balloons placed along the former Berlin Wall, part of a light installation 'Lichtgrenze' (Border of Light) to commemorate the 25th anniversary of the fall of the Berlin Wall in 2014.
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This is a time at which the global movement for universal health coverage (UHC) is under intense review.  As an isolated country which recently opened up to the world, Myanmar has endorsed the goal of achieving UHC by 2030. However, current evidence has shown that there will be significant challenges for Myanmar to achieve this target.  The Myanmar health system comprises a pluralistic mix of public and private systems both in financing and provision. It was ranked the second worst in terms of ‘overall health system performance’ by the WHO in 2000. According to World Bank (2012), the country’s out-of-pocket payment burden is one of the highest in the world, at 81% of total health expenditures, resulting in high levels of catastrophic health expenditure. About three-quarters of Myanmar’s citizens, including the poorest and most marginalized communities, find themselves with very limited access to essential health services. And too many of these same populations suffer a further burden of being pushed, or kept, in poverty because they have to pay for their health care. Recognizing the fragility of its health system, Myanmar launched some transformations in the health sector in 2011. The most significant changes were increasing the health budget four-fold since 2011, launching some health insurance programs in some areas, starting to collaborate with a diversity of actors in the health sector, and major structural changes in the Ministry of Health, Myanmar. This colloquium will reflect upon these transformations and discuss how the changes will shape Myanmar’s future health system, drawing upon comparisons with health reforms in other South East Asian countries.

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Phyu Phyu Thin Zaw is currently a visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC). Her research interests are reproductive health, equity, health policies and gender issues.  

After receiving her MBBS degree from the University of Medicine (Mandalay), Phyu Phyu worked for two years at a public hospital. In 2009, she became an active researcher at the Department of Medical Research (Upper Myanmar). As a researcher, she participated in various clinical and public health researches and presented papers at national and international conferences. She was also actively involved in the welfare of underprivileged groups in Myanmar. She earned her PhD in Epidemiology from the Prince of Songkla University, Thailand in 2013. After her PhD, she continued her work at DMR (Upper Myanmar) as a research officer as well as a member of the secretariat of the Academic Committee. She was also as a field supervisor in two national surveys on HIV and RH commodities and services in Myanmar. She has also published journal articles on equity, gender differences and RH services utilization among the poor.

At APARC, Phyu Phyu will study the current trends of Myanmar health policies in general, as well as the specific sex education programs of the country. She will investigate how Myanmar/Burmese culture affects the objectives of the current sex education programs at schools based on the perceptions of adolescent students, teachers and parents.

 

The Philippines Conference Room

Encina Hall 3rd Floor Central

616 Serra Street

Stanford, CA 94305

Phyu Phyu Thin Zaw 2014-2015 Walter H. Shorenstein Asia-Pacific Research Center Visiting Scholar
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China has a relatively weak primary healthcare system as well as the highest absolute disease burden of diabetes in the world, accounting for almost one in three diabetes patients globally. An estimated 74.2% of the 114 million Chinese patients with diabetes are untreated. Extending treatment will add a heavy burden on the health care system. As the most developed Chinese city that spends a modest 5.1% GDP on health with excellent outcomes, Hong Kong may serve as a cost-effective model for strengthening primary  care for chronic disease management, with diabetes care as an example.

In this seminar, Professor Leung will discuss the health system in Hong Kong, the importance of primary care, and recent research assessing the ‘value for money’ of care for all 631,469 patients with diabetes who attended the public sector in Hong Kong between 2006 and 2013.  He argues that the publicly funded and provided integrated model of Hong Kong may serve as a useful value-for-money reference as mainland China scales up to address the national epidemic of chronic disease like diabetes.  

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Gabriel Leung became the fortieth Dean of the Li Ka Shing Faculty of Medicine in August 2013. Leung, a clinician and a respected public health authority, concurrently holds the Chair of Public Health Medicine. Previously he was Professor and Head of Community Medicine and served as Hong Kong’s first Under Secretary for Food and Health and fifth Director of the Chief Executive's Office in government.

Leung specialises in the field of public health medicine, a statutorily accredited specialty that covers the full range of public health sciences and their constituent disciplines.

Within the broad scope of public health medicine, his major interests revolve around topics that 1) have major population health impact locally, 2) where Hong Kong is a reliable and unique epidemiologic sentinel for mainland China, or 3) where Hong Kong is particularly endowed and best placed to address the fundamental science at hand. As such his research crosses the traditional boundaries of individual disciplines or fields of enquiry.

Philippines Conference Room

Encina Hall 3rd. Floor Central

616 Serra Street,

Stanford, CA 94305

Gabriel M. Leung Division of Health Economics, Policy and Management, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China
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The Asian Liver Center and the Asia Health Policy Program joint event.

Current Status of the Health System in Mongolia
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Asian Liver Center

780 Welch Road, CJ 130

Palo Alto, CA

Enkhbold Sereenen Deputy Director, National Center for Communicable Disease, Ministry of Health, Mongolia
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Anne Mills will speak about primary healthcare and the private sector in low- and middle-income Countries, drawing from her wide-ranging expertise and careful empirical evaluation of health policies in a range of countries in Asia, Africa, and other parts of the developing world. Linking themes of good health at low cost and equitable paths toward universal coverage, Professor Mills will argue how policymakers might best strengthen healthcare systems in the Asia-Pacific region, including the opportunities for health and efficiency improvements and the opportunity costs of continuing hospital-centric delivery systems. Professor Mill embodies a distinctive ability to combine broad thinking on the role of primary care with specific examples of how to harness the private sector toward public health objectives, an inter-linked theme the Asia Health Policy Program’s colloquium series and policy research. 

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Dame Anne Mills DCMGCBEFRS  Vice Director and Professor of Health Economics and Policy at the London School of Hygiene and Tropical Medicine. In 2014 she became a Fellow of the Royal Society and was made a Dame in the 2015 New Year's Honors. Her main research interests are: (1) issues concerned with the financing and organization of health care in low and middle income countries, including the impact on demand, utilization, equity and efficiency, and the private health sector; (2) the economics of tropical disease control; and (3) how to encourage the use of economic thinking and analysis in decision making. Professor Mills has been active in making economic evaluation techniques accessible to a non-specialist audience, as well as initiatives to build capacity in health economics. She chaired the Board of the Alliance for Health Policy and Systems Research, based in WHO; was a member of the Commission on Macroeconomics and Health; and co-chaired Working Group 1 of the High Level Taskforce on Innovative International Financing for Health Systems.  Dr. Mills was President of the International Health Economics Association for 2012-13, and is currently a Board member of Health Systems Global.

Philippines Conference Room

Encina Hall, 3rd Floor Central

616 Serra Street,

Stanford, CA 94305

Anne Mills Vice Director and Professor of Health Economics and Policy London School of Hygiene and Tropical Medicine
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Each year the Walter H. Shorenstein Asia-Pacific Research Center offers fellowship opportunities to recent graduates to further their research and engage with scholars at Stanford. Postdoctoral fellows have the opportunity to develop their dissertations for publication, present their research to the Stanford community, and participate in Center activities.

Fellows often go on to pursue teaching positions and advisory roles at top universities and research organizations around the world. Into the future, they remain engaged with the Center and continue to contribute to Shorenstein APARC publications, conferences and related activities.

Shorenstein APARC is pleased to welcome three postdoctoral fellows for the 2015-16 academic year:

Asia Health Policy Fellow

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Darika Saingam

Saingam’s research interests are public health, substance abuse, drug policy and Southeast Asia. While at Shorenstein APARC, she will research the evolution of substance-abuse control measures and related policy in Thailand.

Saingam seeks to identify potentially effective policy directions suitable for Thailand, and other developing countries in Southeast and East Asia.

“There are a lot of lessons to be learned from substance abuse policy implementations in other countries…coping and dealing with substance abuse is a complex story and cannot respond successfully with only one strategy.”

Saingam completed her doctorate in epidemiology at the Prince of Songkla University in 2012, and has served as a researcher at the University’s epidemiology unit since, as well as a researcher at the Thailand Substance Abuse Academic Network since 2014.

Shorenstein APARC Postdoctoral Fellows

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Booseung Chang

Chang’s research interests are comparative policy analysis and political institutions in East Asia, mainly South Korea and Japan. While at Shorenstein APARC, Chang will conduct research on how countries respond differently to the same external challenges, and how institutions are interpreted and applied in different ways.

His dissertation, which he seeks to build upon, is titled “The Sources of Japanese Conduct: Asymmetric Security Dependence, Role Conceptions, and the Reactive Behavior in response to U.S. Demands.” It is a qualitative comparative case study of how key U.S. allies in Asia – namely Japan and South Korea – and major powers in Europe - the United Kingdom and France responded to the U.S.-led Persian Gulf War and the Iraq War.

“East Asia is a treasure island of new theory building because some of the big challenges facing East Asia – finding a new role for Japan, denuclearization of North Korea, unification of the Korean peninsula, democratization of China and reconfiguration of its relations with the world, and development and integration of Southeast Asian countries – are truly new ones…”

Chang completed his doctorate in political science from the Paul H. Nitze School of Advanced International Studies at Johns Hopkins University in 2014.

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Nico Ravanilla

Ravanilla’s research interests are political economy and governance, comparative politics and Southeast Asia. While at Shorenstein APARC, Ravanilla will research how political selection impacts governance, and evaluate possible routes for incentivizing capable and virtuous citizens to run for public office.

His project titled “Nudging Good Politicians” looks at the case of the Sangguniang Kabataan, a governing body in the Philippines comprised of elected youth leaders. Ravanilla aims to apply his research to develop and scale up programs for politicians, especially those at the onset of their careers, which would include specialized leadership training and merit-based endorsement.

“If we could design a policy that screens-in and incentivizes competent and honest citizens to run for office, would it play a catalytic role in improving the quality of the political class, and ultimately, the quality of government?”

Ravanilla is also a Southeast Asia Research Group (SEAREG) Young Southeast Asia Fellow for 2015-16. He will complete his doctorate in political science and public policy from the University of Michigan in summer 2015.

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View of Hoover Tower from Stanford's main quad.
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Monday, May 4, 2015

4:30pm – 5:45pm Seminar
5:45pm - 6:15pm Reception

 

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Masako Mori (Liberal Democratic Party) is in her second term as a member of House of Councillors of Japan’s Diet (roughly equivalent of U.S. Senate).  She represents Fukushima prefecture.  From December 2012 to September 2014, she served as Minister in charge of Support for Women's Empowerment and Child-Rearing, Minister of State for Consumer Affairs and Food Safety, Minister of State for Declining Birthrate and for Gender Equality in the Cabinet led by Prime Minister Shinzo Abe.  As a central policy maker in Abe Administration’s “womenomics,” she will discuss the progress on women’s empowerment in Japan and the road ahead.

 

Bechtel Conference Center
Encina Hall
616 Serra St., 1st floor
Stanford University
Stanford, CA 94305

Masako Mori Member of House of Councillors of Japan's Diet
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