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In this fourth session of the Forum, former senior government officials and other leading experts from the United States and South Korea will discuss current developments in North Korea and North Korea policy, the future of the U.S.-South Korean alliance, and a strategic vision for Northeast Asia.

Bechtel Conference Center

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A new AHPP working paper contributes to an important debate in law and health policy

Malpractice liability, along with medical technology and payment system distortions, regularly figures among the most-cited reasons for escalating health-care spending in the United States. On the one hand, Harvard economist Amitabh Chandra conservatively estimates that upwards of $60 billion, or 3 percent of total health care costs ($1.8 trillion), is spent annually as a result of direct litigation and indi­rect defensive medicine costs. On the other hand, tort reform advocates place the figure at $200 billion by extrapolating, to the entire U.S. population, the results of research conducted by Stanford professor Dan Kessler and Mark McClellan. Their 1996 study shows that tort reforms reduced provider liability costs for Medicare heart patients by 5 to 9 percent.

 

At the heart of these debates is the following question. Does medical malpractice liability achieve its dual goal of compensating victims of medical injuries and deterring medical errors, or does it merely encourage wasteful defensive medicine without improving patient health? Despite considerable empiri­cal research, there is little evidence that malpractice litigation deters medical negligence. The evidence is much stronger—though still hotly debated—that malpractice fears actually encourage physicians to engage in defensive medicine.

 

The newest release in the Asia health Policy Program working paper series, AHPP working paper #13 by Brian Chen, explores whether malpractice pressures affect physician behavior, patient health, and health care costs in Asia. Studying physicians’ response to legal changes in Taiwan, he finds that greater malpractice liability may, under certain circumstances, prompt physicians to perform more services without necessarily improving patient health.

 

Dr. Chen investigates how physicians’ test-ordering behavior and propensity to perform cesarean sections were affected first by a series of court rulings in Taiwan that increased physicians’ liability risks, and then by a subsequent amendment to the law that reversed the courts’ rulings. He finds that physicians faced with higher malpractice pressure increased laboratory tests as expected but unexpectedly reduced cesarean sections. The reduction in cesarean deliveries may be due to the fact that liability risks were more closely aligned with physicians’ standard of care after the court rulings. After the law was amended to negate the court decisions, physicians reversed their previous behavior, reducing laboratory tests and increasing cesarean deliveries. This pattern of behavior strongly suggests that physicians in Taiwan practice defensive medicine.

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The New York-based Korea Society and Stanford University's Walter H. Shorenstein Asia-Pacific Research Center launched the nonpartisan "New Beginnings" policy study group on January 10, 2008, to offer recommendations on how U.S. policymakers could expand and strengthen the alliance between the United States and the Republic of Korea (ROK, or South Korea). Composed of former senior U.S. government officials, scholars, and other American experts on U.S.-Korean relations, the New Beginnings project team premised its efforts on the belief that the inauguration of a new South Korean president in February 2008 and a new American president in January 2009 would provide a special opportunity for the two countries to increase mutual understanding and transform the alliance into a global partnership. In a coincidence occurring only once every twenty years, the two new presidents' terms of office would overlap for a full four years. Moreover, the alliance needed renewal and revitalization after years of strain and tension that arose from divergent worldviews of progressive governments in Seoul and a conservative administration in Washington.

Since its establishment, the New Beginnings policy study group has issued a report to the U.S. administration each year. New Beginnings' reports and recommendations reflect insights gained from group conferences as well as individual members' continuing engagement with U.S.-Korean affairs.

Washington D.C.

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David Straub
Heather Ahn
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The "New Beginnings" policy study group has released its 2010 recommendations to the Obama administration for strengthening U.S.-South Korean relations. The report is available for download.

The New York-based Korea Society and Stanford University's Walter H. Shorenstein Asia-Pacific Research Center launched the nonpartisan "New Beginnings" policy study group on January 10, 2008, to offer recommendations on how U.S. policymakers could expand and strengthen the alliance between the United States and the Republic of Korea (ROK, or South Korea). Composed of former senior U.S. government officials, scholars, and other American experts on U.S.-Korean relations, the New Beginnings project team premised its efforts on the belief that the inauguration of a new South Korean president in February 2008 and a new American president in January 2009 would provide a special opportunity for the two countries to increase mutual understanding and transform the alliance into a global partnership. In a coincidence occurring only once every twenty years, the two new presidents' terms of office would overlap for a full four years. Moreover, the alliance needed renewal and revitalization after years of strain and tension that arose from divergent worldviews of progressive governments in Seoul and a conservative administration in Washington.

Since its establishment, the New Beginnings policy study group has issued a report to the U.S. administration each year. New Beginnings' reports and recommendations reflect insights gained from group conferences as well as individual members' continuing engagement with U.S.-Korean affairs.

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The United States belongs to various organizations and networks that encompass countries on both sides of the Pacific Ocean. The East Asia Summit (EAS) is not among them. Should the US try to join? This working paper by Donald K. Emmerson answers that question with a qualified yes: Despite formidable difficulties affecting President Obama's schedule of foreign travel, his administration should try to "ease" the US into the Summit, initially as a guest of the host country.
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Between 2009 and 2010, major new developments in and around the Korean Peninsula profoundly affected the context of U.S.-South Korean relations. The global economy, led by Northeast Asia, began slowly to recover from the economic recession that followed the U.S. financial crisis. As China’s economy continued its dramatic development, East Asian countries strengthened the architecture of regional cooperation. The international community focused increasingly on multilateral problems such as climate change and environmental issues. The United States maintained its focus on terrorism and the Middle East and South Asia. President Obama initiated a global nonproliferation campaign, but little progress was made in curbing the Iranian and North Korean nuclear programs. 

The members of the New Beginnings policy study group on U.S.-Korean relations offer the following major recommendations to the Obama administration:

  • Seek immediate Congressional approval of the KORUS FTA
  • Bolster alliance security arrangements, and review the U.S.-Korean agreement on the transfer of wartime operational control
  • Increase international pressure on North Korea to engage seriously in Six Party Talks on ending its nuclear weapons program, and strengthen international measures against North Korean proliferation
  • Closely coordinate with the ROK a strong and effective bilateral and international response to the Cheonan sinking, depending on the findings of the investigation
  • Highlight the human rights situation in North Korea; facilitate increased private exchanges with North Korea; and press China to take a humanitarian approach to North Korean refugees on its territory
  • Identify additional opportunities for U.S.-South Korean global cooperation 
  • Increase support for the Work, English Study and Travel (WEST) student exchange program, and seek full Congressional funding for a new U.S. embassy chancery and residential facilities in Seoul. 
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Shorenstein APARC
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Michael H. Armacost
Gi-Wook Shin
David Straub
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This paper reviews the history of relations between Korea and the United States from the mid-nineteenth century to early 2008. The paper focuses on the growth and expansion of anti-American sentiment in South Korea-and the social movements to which this sentiment gave rise-after Korea's liberation in August 1945. Its primary argument is that anti-American sentiment and movements in South Korea were a product of the country's domestic politics. Two political forces are discernible in South Korea: "conservative-rightist" and "progressive-leftist." The former generally adopts a pro-America and anti-North Korea stance, while the latter tends to be anti-America and pro-North Korea. A significant portion of the progressive-leftist forces regard the United States as a barrier to Korean reconciliation and the unification of the Korean peninsula. During the George W. Bush administration, this group perceived that the United States was preparing to go to war against North Korea. During the period when the conservative-rightist forces assumed political power, the progressive-leftist forces were suppressed, through laws and even state violence. When the progressive-leftist forces controlled the government, between 1998 and 2008, when democratization was well underway, legal restrictions were substantially lifted and state violence could not be exercised. Accordingly, this group could-and did-express its anti-U.S. sentiment more freely.

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Shorenstein APARC
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Hakjoon Kim
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On February 26 and 27, 2010, the SPRIE-Stanford Project on Japanese Entrepreneurship hosted its second annual conference, "Entrepreneurship and Innovation in Japan" at the Bechtel Conference Center in Encina Hall at Stanford University, made possible through generous support from Cisco Systems and The Miner Foundation.

Scholars from universities across Japan and the United States gathered to present and discuss new papers seeking to understand the trends and dynamics of business and innovation in Japan through the lens of entrepreneurial companies, and institutions that affect those companies.

The conference agenda is below; presentation and other files will be linked as they are available.

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George Krompacky
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On May 10 and 11  a select group of government, business, and academic leaders from the United States and Asia will be attending the invitation-only "Smart Green Cities: New Technologies, New Strategies, New Practices" conference for two days of expert presentations and fruitful discussion at Stanford University. The conference will enable participants to better lead to improved strategy, action, and outcomes for building the next generation of smart green cities.

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The Korean Studies Program (KSP) of the Walter H. Shorenstein Asia-Pacific Research Center (APARC) is pleased to announce that Mr. John Everard will join the Center for the 2010-2011 academic year. Mr. Everard's research will be on North Korean life and society. During his fellowship at the Center, he will hold seminars related to his research project and will be involved in various projects on Korea.

With frequent appearances on BBC discussing North Korea, Mr. Everard, former British Ambassador to North Korea, 2006-2008, will bring extensive knowledge of North Korea, China and South America to APARC.  He served as British Ambassador to Uruguay in 2001-2005, and was head of the Political Section in Beijing 2000-2001.  He was responsible for political relations with the troubled states of West Africa and managed mutinational efforts to restore democracy to Bosnia, 1995-1998.  He became the youngest British Ambassador to Belarus in 1993.

Mr. Everard studied French, German and Chinese at Emmanuel College, Cambridge, and studied Chinese history and economics at Bejing University. He holds an MA from Manchester Business School.

Pantech Fellowships, generously funded by Pantech Group of Korea, are intended to cultivate a diverse international community of scholars and professionals committed to and capable of grappling with challenges posed by developments in Korea. We invite individuals from the United States, Korea, and other countries to apply.

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