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In this session of the Shorenstein APARC Corporate Affiliate Visiting Fellows Research Presentations, the following will be presented:

Kazuhiko Ejima, "Will Japan Need a Tax Increase?"

Japan, the second largest economy in the world, is secretly facing a significant public debt problem with the worst debt-to-GDP ratio among developed countries. Despite the crisis, the country has long failed in introducing a tax increase. What obstacles are lurking in the country? Will they change in the future? Should the country try to overcome them? In Japan, it is widely believed that raising the consumption tax is the best approach to fixing the country’s finances. In contrast, based on the character of the obstacles, Ejima argues that any new budget reconstruction plan should focus more on economic growth through expenditure renovation rather than sticking to a tax increase.

Natsuki Kamiya, "Insolvent Municipalities:  Do They Need Bankruptcy?”

While municipalities can declare bankruptcy in the United States, there is no bankruptcy system for municipalities in Japan. Japanese cities in financial distress pay off all debts in full for long term, while American counterparts can seek bankruptcy protection. Kamiya examines what the differences are between the two countries. Kamiya attempts to answer the question – “Does Japan need legislation to allow municipalities to declare bankruptcy?”

Daisuke Maeda, "Long Tail Theory in Online Retail Commerce - Is It True or Not? Is It Profitable?"

The Long Tail is one of the most famous theories in online retail commerce.  Many start-ups in online commerce use this theory to justify themselves.  However, there are times when the Long Tail does not work and may have some constraints.  Maeda considers what the Long Tail is and what he would advise online retailers to do. 

Koji Toyoshima, "Quantitative Analysis and Possibility of Reduction of CO2 Emission from Passenger Transportation in Japan and the U.S."

The U.S. and Japan are the world largest and the second largest economy.  However, the CO2 emissions in these two countries are very different. The total U.S. CO2 emission per capita is more than twice of that in Japan. Twenty to thirty percent of CO2 emission comes from the transportation sector and sixty to seventy percent of them are passenger transportation in each country. The U.S. CO2 emission per capita in the passenger transportation sector is more than three times of that in Japan.  Toyoshima analyzes and compares the breakdown of CO2 emissions in the passenger transportation sector in Japan and the U.S. including the influences of public transportations to understand the trend and estimate the reduction possibility of CO2 emissions in these two countries.

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Corporate Affiliate Visiting Fellow
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Kazuhiko Ejima is a corporate affiliate visiting fellow at Shorenstein APARC for 2007-08 and 2008-09. Ejima graduated from the University of Tokyo (BA in Law) in 1990 and joined the Ministry of Finance. There, he has experienced a wide variety of areas, including budget and tax administrations, as well as privatization of public corporations. In his latest post, he was a deputy director in Ministerial Secretariat, where he worked together with the Minister and other key members in strategic management and coordination of the Ministry of Finance.

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Kazuhiko Ejima Corporate Affiliate Visiting Fellow, Ministry of Finance, Japan Speaker
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Corporate Affiliate Visiting Fellow
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Natsuki Kamiya is a corporate affiliate visiting fellow at Shorenstein APARC for 2007-08 and 2008-09. He works for the Shizuoka Prefectural Government, one of the local governments in Japan. He is interested in immigration policy in California. He graduated from Chuo University in Tokyo, where he majored in law.

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Natsuki Kamiya Corporate Affiliate Visiting Fellow, Shizuoka Prefecture Speaker
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Corporate Affiliate Visiting Fellow
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Daisuke Maeda is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. 
Prior to joining Shorenstein APARC, he has been with Sumitomo Corporation for twelve 
years. Most recently, Maeda served as the person in charge for merchandizing and fulfillment management for an online commerce web site. Maeda completed his undergraduate study at Keio University where he majored in Mathematics and Statistics.

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Daisuke Maeda Corporate Affiliate Visiting Fellow, Sumitomo Corporation Speaker
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Corporate Affiliate Visiting Fellow
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Koji Toyoshima is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. He received his BS and MS in mechanical engineering from The University of Tokyo and joined the Ministry of Economy, Trade and Industry (METI), government of Japan in 1995. He has experienced a variety of policy making in Japan. He engaged in policy making about global warming and recycling of home appliances and he is interested in environmental policies and energy policies. He also has experience in science and technology policy making and the execution of information disclosure law in Japan.

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Koji Toyoshima Corporate Affiliate Visiting Fellow, Ministry of Economy, Trade & Industry, Japan Speaker
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AHPP sponsors special journal issue on health service provider incentives

The Director of the Asia Health Policy Program, Karen Eggleston, served as guest editor of the International Journal of Healthcare Finance and Economics for the June 2009 issue. The eight papers of that issue evaluate different provider payment methods in comparative international perspective, with authors from Hungary, China, Thailand, the US, Switzerland, and Canada. These contributions illustrate how the array of incentives facing providers shapes their interpersonal, clinical, administrative, and investment decisions in ways that profoundly impact the performance of health care systems.

The collection leads off with a study by János Kornai, one of the most prominent scholars of socialism and post-socialist transition, and the originator of the concept of the soft budget constraint. Kornai’s paper examines the political economy of why soft budget constraints appear to be especially prevalent among health care providers, compared to other sectors of the economy.

Two other papers in the issue take up the challenge of empirically identifying the extent of soft budget constraints among hospitals and their impact on safety net services, quality of care, and efficiency, in the United States (Shen and Eggleston) and – even more preliminarily – in China (Eggleston and colleagues, AHPP working paper #8).

The impact of adopting National Health Insurance (NHI) and policies separating prescribing from dispensing are the subject of Kang-Hung Chang’s article entitled “The healer or the druggist: Effects of two health care policies in Taiwan on elderly patients’ choice between physician and pharmacist services” (AHPP working paper #5).

In “Does your health care depend on how your insurer pays providers? Variation in utilization and outcomes in Thailand” (AHPP working paper #4), Sanita Hirunrassamee of Chulalongkorn University and Sauwakon Ratanawijitrasin of Mahidol University study the impact of multiple provider payment methods in Thailand, providing striking evidence consistent with standard predictions of how payment incentives shape provider behavior. For example, patients whose insurers paid on a capitated or case basis (the 30 Baht and social security schemes) were less likely to receive new drugs than those for whom the insurer paid on a fee-for-service basis (civil servants). Patients with lung cancer were less likely to receive an MRI or a CT scan if payment involved supply-side cost sharing, compared to otherwise similar patients under fee-for-service. (This article is open access.)

The fourth paper in this special issue is entitled “Allocation of control rights and cooperation efficiency in public-private partnerships: Theory and evidence from the Chinese pharmaceutical industry” (AHPP working paper #6). Zhe Zhang and her colleagues use a survey of 140 pharmaceutical firms in China to explore the relationships between firms’ control rights within public-private partnerships and the firms’ investments.

Hai Fang, Hong Liu, and John A. Rizzo delve into another question of health service delivery design and accompanying supply-side incentives: requiring primary physician gatekeepers to monitor patient access to specialty care (AHPP working paper #2).

Direct comparisons of payment incentives in two or more countries are rare. In “An economic analysis of payment for health care services: The United States and Switzerland compared,” Peter Zweifel and Ming Tai-Seale compare the nationwide uniform fee schedule for ambulatory medical services in Switzerland with the resource-based relative value scale in the United States.

Several of the papers featured in this special issue were presented at the conference “Provider Payment Incentives in the Asia-Pacific” convened November 7-8, 2008 at the China Center for Economic Research (CCER) at Peking University in Beijing. That conference was sponsored by the Asia Health Policy Program of the Shorenstein Asia-Pacific Research Center at Stanford University and CCER, with organizing team members from Stanford University, Peking University, and Seoul National University.

As Eggleston notes in the guest editorial to the special issue, AHPP and the other scholars associated with the issue “hope that these papers will contribute to more intellectual effort on how provider payment reforms, carefully designed and rigorously evaluated, can improve ‘value for money’ in health care.”

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The objective of this paper is to examine the ‘soft power' exercised by associations formed by the Indian diaspora in the United States, as it relates to: (a) building up the image of India as a deserving member of the global elite - politically, culturally and economically, and, then, (b) using that image to achieve certain goals for their country of origin. The term "association" is used to denote both formal non-profit organizations, such as trade associations, and informal non-profit organizations. The latter includes informal networks created by e-mail groups, as well as initiatives of limited life-span created to achieve specific aims, such as reducing anti-dumping tariffs on steel imports from India or passing the US-India nuclear fuel agreement.

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Rafiq Dossani
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This event is co-sponsored by the Consulate General of Japan, San Francisco and the US-Asia Technology Management Center, Stanford University

The United States ushered in new leadership at the same time as an economic crisis swept over the globe. Responding to today’s crisis is an urgent task, but we simultaneously face the question of what kind of world order to create after the crisis. What is Japan’s core orientation as it looks to the future? Can America resume its role as moral leader once again?

About the Speaker

Yotaro Kobayashi is former Chairman of the Board, Fuji Xerox Co., Ltd. and serves on the boards of Callaway Golf Company, Nippon Telegraph and Telephone Corporation (NTT), American Productivity & Quality Center (APQC) and Sony Corporation. He is also the Pacific Asia Chairman of the Trilateral Commission, Chairman of the Aspen Institute Japan, and Chairman of International University of Japan.

After receiving his B.A. in economics from Keio University and his M.B.A. from the University of Pennsylvania’s Wharton School of Finance and Commerce, he joined Fuji Photo Film Co., Ltd., in 1958 from where he was assigned to Fuji Xerox Co., Ltd. in 1963. He became President and CEO in 1978, and Chairman and CEO in 1992. He served as Chairman of the Board from 1999 till March 2006 to become Chief Corporate Advisor in April the same year, and retired from that position in March 2009.

Mr. Kobayashi was awarded the Medal with Blue Ribbon (Japan) in 1991, the Insignia of Commander First Class of the Royal Order of the Polar Star (Sweden) in 1995, and the Royal Norwegian Order of Merit (Norway) in 1997.

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Yotaro Kobayashi Former Chief Corporate Advisor and Chairman of the Board Speaker Fuji Xerox Co., Ltd.
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North Korea’s nuclear weapon test in October 2006 and the subsequent “debate” in Japan about whether or not to ponder its own nuclear future brought renewed attention to the subject of Japan and nuclear weapons.  Pundits and policy makers in both the United States and Japan contemplated the implications of Pyongyang’s nuclear breakout, and many wondered if this marked the beginning of fundamental change in Japanese thinking on these issues.  Just as North Korea’s long-range missile test over Japanese airspace in 1998 was a major catalyst leading to Japan’s full-fledged embrace of America’s missile defense (MD) development program a few years later, might the 2006 nuclear test eventually prove to be a similar watershed moment in Japanese defense policy?  Would there be a rising tide of Japanese sentiment in favor of reexamining the three non-nuclear principles of non-possession, non-manufacture, and non-introduction? 

In pursuit of answers to these questions, the Institute for Foreign Policy Analysis (IFPA) conducted an extended research effort over the past two years to examine not only Japan’s propensity and capacity to “go nuclear,” but also to explore the overarching issue of how deterrence is functioning and changing in the context of the U.S.-Japan alliance.  It is these latter questions in particular regarding deterrence and extended deterrence that proved most interesting and, we think, particularly important to U.S. policy makers, given the dramatic changes underway in the regional security environment in East Asia and relevant proposals in the areas of non-proliferation and arms control.  Mr. Schoff's presentation will describe the results of IFPA's study and offer steps that the allies can take to reshape extended deterrence for the twenty-first century in ways that strengthen and diversify the bilateral relationship, and ultimately contribute to regional stability and prosperity.

About the Speaker:

James L. Schoff is the Associate Director of Asia-Pacific Studies at the Institute for Foreign Policy Analysis (IFPA) in Cambridge, MA, where he specializes in East Asian security issues, U.S. alliance relations, international crisis management cooperation, and regional efforts to stem WMD proliferation. He also contributes to IFPA’s U.S. government and military contract work relating to East Asia. Some of his recent publications include Realigning Priorities: The U.S.-Japan Alliance and the Future of Extended Deterrence (IFPA 2009); Nuclear Matters in North Korea: Building a Multilateral Response for Future Stability in Northeast Asia (Potomac Books 2008) (co-author); In Times of Crisis: Global and Local Civil-Military Disaster Relief Coordination in the United States and Japan (IFPA, 2007); “Transformation of the U.S.-Japan Alliance,” in The Fletcher Forum of World Affairs (Winter 2007); Political Fences and Bad Neighbors: North Korea Policy Making in Japan and Implications for the United States (IFPA, 2006); and Tools for Trilateralism: Improving U.S.-Japan-Korea Cooperation to Manage Complex Contingencies (Potomac Books, 2005).

Mr. Schoff joined IFPA in 2003, after serving as the program officer in charge of policy studies at the United States-Japan Foundation. Prior to that he was the business manager for Bovis Japan and Bovis Asia Pacific, and international construction and project management firm. Mr. Schoff graduated from Duke University and earned an M.A. in International Relations from The Johns Hopkins University School for Advanced International Studies (SAIS). He also studied for one year at International Christian University (ICU) in Tokyo, Japan, and he lectured at Boston University in 2007.

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James Schoff Associate Director Speaker Asia-Pacific Studies, Institute for Foreign Policy Analysis
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Japan has been hit unexpectedly hard by the global economic  recession.  Although Japanese financial institutions were not  seriously damaged by the initial financial crisis in the United  States, the economy has been staggered by an unprecedented drop in  exports.  With the economy likely to shrink by five to six percent  in 2009, Japan faces the worst economic downturn in over a half  century.  Policy responses to this situation have been complicated  by the uncertain political situation, with an unpopular prime  minister and a looming election for the lower house of the national  Diet.

What does all this mean for relations with the United States?   There are several important developments.  First, one impact of the  crisis is a shrinkage of Japan's current-account surplus, implying  that (at least in 2009) Japan will be a much smaller net supplier  of capital to the United States and the rest of the world.  Second,  the government appears to be willing to respond to the crisis with  strong fiscal stimulus, which should please the Obama  administration.  Third, even with stimulus in Japan, economic  recovery will lag behind that of the United States because real  recovery will depend on an upturn in exports.  Fourth, it is China,  not Japan, that will be the key among Asian countries.  China will  continue to grow, and is also applying fiscal stimulus, so it will  likely play a significant global role in enabling an end to the  recession.
All of these factors will play into bilateral relations,  complicated by the political uncertainty in Japan.  Bilateral  relations are close, and will remain so in the Obama  administration.  But the administration is likely to view Japan as  playing only a limited role in the global effort to cope with the  consequences of the financial and economic crisis.

About the Speaker:

Edward J. Lincoln joined NYU in 2006 to be director of the Center for Japan-U.S. Business and Economic Studies and clinical professor of Economics at the Stern School of Business. Professor Lincoln teaches courses on the global economy.

Professor Lincoln’s research interests include contemporary structure and change in the Japanese economy, East Asian economic integration, and U.S. economic policy toward Japan and East Asia. His latest book, on the underappreciated importance of economic issues in international relations and American foreign policy, is Winners Without Losers: Why Americans Should Care More About Global Economic Policy, published in 2007. He is the author of eight other books and monographs, including East Asian Economic Regionalism (The Council on Foreign Relations and the Brookings Institution, 2004), Arthritic Japan: The Slow Pace of Economic Reform (Brookings, 2001), and Troubled Times: U.S.-Japan Economic Relations in the 1990s (Brookings, 1998). An earlier book, Japan Facing Economic Maturity (Brookings, 1988) received the Masayoshi Ohira Award for outstanding books on the Asia-Pacific region.

Before joining NYU, Professor Lincoln was a senior fellow at the Council on Foreign Relations, and earlier a senior fellow at the Brookings Institution. In the mid-1990s, he served as Special Economic Advisor to Ambassador Walter Mondale at the American Embassy in Tokyo. He has also been a professorial lecturer at the Johns Hopkins University School of Advanced International Studies.

Professor Lincoln received his Bachelor’s degree from Amherst College, his M.A. in both economics and East Asian Studies at Yale University, and his Ph.D. in economics also at Yale University.

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Edward J. Lincoln Director, Professor of Economics, Japan-U.S. Business Center Speaker New York University
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Is Japan Adrift?

The political drift in Japanese politics and the meteoric rise of China have led many analysts to begin discounting Japan as a major player in the international system. However, beneath the frustration caused by Prime Minister Taro Aso's abysmal poll ratings and opposition leader Ichiro Ozawa's campaign finance scandal, Japan continues moving steadily forwrd in pursuit of a more active national security strategy. While Japanese poliics are in structural paralysis, Japanese political thought is not. Indeed, a consensus is apparent in a series of unofficial strategic documents issued by scholars and politicians this last year. Meanwhile, the Japan Self Defense Forces have recently stood up their first fully independent and joint operational commands to deal with the North Korean missile launch and Somali pirates.

Japan has always been a conservative society, slow to change well established institutions and patterns of behavior in the face of new strategic circumstances. But Japan has also historically been finely attuned to three strategic coordinates:the power of the world's leading hegemon, the power of China, and the threat from the Korean peninsula. All three are in flux, and so too is Japan's future strategic trajectory

 

About the Speaker

Michael Green is a senior adviser and holds the Japan Chair at CSIS, as well as being an associate professor of international relations at Georgetown University. He served as special assistant to the president for national security affairs and senior director for Asian affairs at the National Security Council (NSC) from January 2004 to December 2005. He joined the NSC in April 2001 as director of Asian affairs with responsibility for Japan, Korea, and Australia/New Zealand. From 1997 to 2000, he was senior fellow for Asian security at the Council on Foreign Relations, where he directed the Independent Task Force on Korea and study groups on Japan and security policy in Asia. He served as senior adviser in the Office of Asian and Pacific Affairs at the Department of Defense in 1997 and as consultant to the same office until 2000. From 1995 to 1997, he was a research staff member at the Institute for Defense Analyses, and from 1994 to 1995, he was an assistant professor of Asian studies at the Johns Hopkins University School of Advanced International Studies (SAIS), where he remained a professorial lecturer until 2001.

Green speaks fluent Japanese and spent over five years in Japan working as a staff member of the National Diet, as a journalist for Japanese and American newspapers, and as a consultant for U.S. business. He graduated from Kenyon College with highest honors in history in 1983 and received his M.A. from Johns Hopkins SAIS in 1987 and his Ph.D. in 1994. He also did graduate work at Tokyo University as a Fulbright fellow and at the Massachusetts Institute of Technology as a research associate of the MIT-Japan Program. He is a member of the Council on Foreign Relations, The International Institute for Strategic Studies, and the Aspen Strategy Group and is vice chair of the congressionally mandated Japan-U.S. Friendship Commission. He serves on the advisory boards of the Center for a New American Security and Australian American Leadership Dialogue.

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Michael Green Japan Chair, CSIS/Associate Professor Speaker Georgetown University
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