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As part of health reforms announced in April 2009, China plans to expand and strengthen primary care (i.e., provision of first contact, person-focused, ongoing care over time, and coordinating care when people receive services from other providers). Other nations of Asia continue to grapple with how to promote population health and constrain healthcare spending. What is the evidence about the effectiveness of primary care in improving population health and making healthcare accessible and affordable?

In this talk, Dr. Starfield will speak about the robust evidence of the association between primary care and better health outcomes at lower cost; ways of measuring the effectiveness of primary care; how selected Asian countries compare in such rankings; and the broader implications of primary care research for health policy in Asia.

Dr. Starfield, a physician and health services researcher, is internationally known for her work in primary care; her books, Primary Care:  Concept, Evaluation, and Policy and Primary Care: Balancing Health Needs, Services, and Technology, are widely recognized as the seminal works in the field.  She has been instrumental in leading projects to develop important methodological tools, including the Primary Care Assessment Tool, the CHIP tools (to assess adolescent and child health status), and the Johns Hopkins Adjusted Clinical Groups (ACGs) for assessment of diagnosed morbidity burdens reflecting degrees of  co-morbidity.   She was the co-founder and first president of the International Society for Equity in Health, a scientific organization devoted to furthering knowledge about the determinants of inequity in health and ways to eliminate them.  Her work thus focuses on quality of care, health status assessment, primary care evaluation, and equity in health. She is a member of the Institute of Medicine and has been on its governing council, and has been a member ofthe National Committee on Vital and Health Statistics and many other government and professional committees and groups. She has a BA from Swarthmore College, an MD from the State University of New York, Downstate Medical Center, and an MPH from Johns Hopkins University School of Public Health.

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Barbara Starfield University distinguished professor and professor of health policy and pediatrics Speaker Johns Hopkins University
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The Walter H. Shorenstein Asia-Pacific Research Center is pleased to announce that Kevin Y. Kim has been awarded the Shorenstein APARC Predoctoral Fellowship for 2009-2010.

The Fellowship supports a Stanford University predoctoral student’s research within a broad range of topics related to the political economy of contemporary East Asia. Fellows whose main focus is Japan are called Takahashi Fellows, in honor of the Takahashi family, whose generous gift has made this fellowship possible. Fellows studying other regions are called Shorenstein APARC Fellows

Kevin Kim is a Ph.D. candidate in history at Stanford University. He specializes in 20th century U.S. foreign relations, with an emphasis on U.S.-Asia relations. He currently is completing a dissertation titled, “Forging the Free World: Korea, U.S. Leaders, and the World, 1948-1954.” This study examines the impact of the Korean War upon the evolution of U.S. national leaders’ foreign policy ideas on strategy, economy, race, and world politics. Influenced by “constructivist” approaches and traditional historical methods, his dissertation explores the Korean War period as a formative moment in the construction of contemporary U.S. liberal and conservative foreign policy beliefs.

Before entering graduate school, Kim was a Fulbright fellow in South Korea from 2001 to 2002, where he taught English in a Daejeon public middle school and studied Korean language and U.S.-Asia relations at various institutions. He also briefly pursued a career in journalism, and has written on culture, domestic politics, and international affairs for publications such as The Nation, The Progressive, Far Eastern Economic Review, South China Morning Post, and The Village Voice.

Kim received his M.A. in history from Stanford University and a B.A. in English and Comparative Literature from Columbia University. He was born and raised in the New York City metropolitan area.

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Young Kyung Do
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East and Southeast Asia are aging rapidly. South Korea, for example, has become one of the fastest aging societies in the world. In France, 115 years (1865–1980) were required for the proportion of population aged 65 and over to rise from 7 percent to 14 percent, but in South Korea, it is expected that a comparable change will occur in only eighteen years (2000–2018). More strikingly, it will take only eight years (2018–2026) for the proportion of South Korea’s elderly to increase from 14 percent to 20 percent. The nation’s old-age dependency ratio grew from 5.7 percent in 1970 to 12.6 percent in 2005, and is projected to further increase to 72.0 percent by 2050. At the macroeconomic level, these figures suggest an increasing burden on the working-age population to support the elderly population.

Such figures, however, do not tell the whole story about the burden shouldered by the working-age population. The lives of elderly and working-age individuals are not separate but rather, are linked by the institution of the family. Working-age adult children often take on the role of caring for elderly parents, who may have functional limitations and cognitive impairments. Such informal family caregiving is embedded in traditional Korean culture, as it is in many Asian societies that uphold traditional norms of filial piety.

As the elderly population grows, the demand for elderly long-term care will increase sharply. The supply of informal care, however, is decreasing for a number of reasons. Declining fertility rates have already diminished the potential pool of family caregivers. Further reducing the availability of family caregivers is an array of socioeconomic changes, such as increased migration, decreasing rates of intergenerational co-residence, and increasing labor force participation rates among women, who have historically served as the main family caregivers. Adult children, therefore, will increasingly experience a conflict between parental care responsibilities and their own work. Anecdotal evidence suggests that many daughters or daughters-in-law give up their professional employment to care for their disabled parent(s) or parent(s)-in-law. The work-family conflict also has important implications for the economy—informal caregiving may have additional negative effects on the labor force participation of the already shrinking working-age population.

I recently conducted a study using data from the Korean Longitudinal Study of Aging. My study indicated that providing at least ten hours of care per week reduces the probability of female labor force participation by 15.2 percentage points. I concluded that informal care is already an important economic issue in South Korea even though its population aging is still at an early stage. If the current trend continues, the labor market costs of informal caregiving will increase as the country experiences the full force of the demographic transition. One of the expected benefits of the public long-term care insurance implemented in July 2008 is to help family caregivers participate more easily in the labor force. In Japan, there is some evidence that long-term care insurance positively affects female labor force participation, but such beneficial effects have not yet materialized clearly in Korea. In both countries, there is much to learn from early experience with long-term care insurance.

In most parts of Asia, informal caregivers remain invisible on the policy agenda, not only because of cultural norms that perpetuate family-centered care but also because informal care incurs no public cost. However, the demographic transition, coupled with socioeconomic changes in the region, underscores the need to examine whether informal care is really without costs, at both individual and societal levels. Throughout Asia, the challenge for public policy will be finding the optimal mix of informal, family-based and formal, socially supported elder care.

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

Jun Ding, “Corporate Social Responsibility in State-Owned Enterprises”

State-owned enterprises (SOEs) play an important role in China’s industrialization achievement and support social service functions in the planning era.  After China entered the marketing era, SOEs declined substantially and are in need of reform.  Ding believes SOEs should be restructured and that supernumeraries and social services functions should be separated from the primary mission of SOEs into society.  Ding’s research emphasizes recommendations found in corporate social responsibility that exists in China.


Mitsutoshi Kumagai “Impact on Growing On-line Video Services on Pay TV Business Model”

Recently, YouTube is not the only online video service many people enjoy.  Big players of traditional broadcasting industries are making strategic approaches in online space.  Kumagai’s presentation reviews and assesses those challenges in TV industries and its value as advertisement media.

Tadashi Ogino, “Smart Meters in the United States and Japan”

A smart meter is an advanced electric meter that measures the electricity usage in more detail than a conventional meter. Utility companies and customers can use this data for energy efficiency. A smart meter is a key component for the next generation electric grid.  Many smart meters have already been installed in the US, but smart meters are not used in Japan. Ogino analyzes the current situation of smart meter projects in the US and in Japan. He tries to understand why smart meters are not prominent in Japan.

Ayaka Takashima, "Women Entrepreneurs in Japan and the United States”

Recently in Japan, women entrepreneurs have been becoming one of the career choices for women. As an employee of Nissouken, which provides entrepreneurship program, Takashima is trying to reveal women entrepreneurs' habitat and tendency through comparative research.

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Jun Ding is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. He is also currently the vice president of Petrochina Lanzhou petrochemical company.  After receiving his bachelors degree, he joined the Lanzhou petrochemical company. During this time, he received his MBA from Dalian Technology University and his Doctorate in Chemical Physics at the University of Chinese Academy of Sciences.  Most recently, Ding has been studying at Chemical Technology University in Beijing for the past four years, majoring in Polymer Chemical Engineering.

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Jun Ding Corporate Affiliate Visiting Fellow, PetroChina Speaker
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Mitsutoshi Kumagai is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. Prior to joining Shorenstein APARC, he has worked at Sumitomo Corporation since 1993. He has been in charge of the international tradings, marketing of IT devices and developing new business as well as venture investment in the IT industry.  He received his BS in Economics at Nagoya University in Japan.

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Mitsutoshi Kumagai Corporate Affiliate Visiting Fellow, Sumitomo Corporation Speaker
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Tadashi Ogino is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-2009.
Ogino started his career as a researcher of Mitsubishi Electric Corporation, Tokyo, Japan.
After being involved in basic software research, he designed the software architecture
of the Mitsubishi Midrange Server, which was one of the most successful computer products
in Mitsubishi. He then worked on many software projects such as wireless base stations, digital right management (DRM) systems, RF-ID systems and others. He also has experience in marketing and planning sections. Currently, he is interested in business incubation in Japan especially in the software field. He received hi BS, MS, and Ph.D in computer engineering from The University of Tokyo.

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Tadashi Ogino Corporate Affiliate Visiting Fellow, Mitsubishi Electric Speaker
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Ayaka Takashima is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. She is also an assistant manager of Nissoken which provides corporate clients with educational services for top management, middle management and other employees to align them to the corporate direction and strategies. As an employee of Nissoken, she will research the alignment between the company and the individual through the theory, case studies, empirical studies, etc.
 

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Ayaka Takashima Corporate Affiliate Visiting Fellow, Nissoken Speaker
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In this session of the Shorenstein APARC Corporate Affiliate Visiting Fellows Research Presentations, the following will be presented:

Jiecheng Cheng, “Knowledge Management of the Petroleum Enterprise”

Knowledge management as an effective tool to retain, capture, share and reuse organization knowledge.  This is important in dealing with the problem of lost knowledge caused by a company’s growth, employee turnover, retirement, and the quandary caused by information explosion.  Petroleum enterprises are more knowledge intensive and could benefit from knowledge management.  Cheng’s research presents the concept and theory of knowledge management, the needed technologies, the role of the people, the key practical issues, and the future of knowledge management. 

Yoshiko Moriguchi, “Demand Response by Smart Meters”

A smart meter is generally defined as a type of advanced electrical meter that enables to monitor the energy consumption at real time base or near real time base. It has the additional features more than simple automated meter reading and can provide customers with the feedback to encourage their actions for saving energy and money.  In North America and Europe, many studies have been conducted to address the relation of data feedback and customer’s behaviors. Japanese utilities just started to consider installation of smart meters, therefore, this research will address the topics that can be referred to demand response by smart meters for residential customers in Japan.

Boyoung Shin, “Korea's Public Policy Profile Amidst Regime Change: Analysis of President Noh's  Real Estate Policy”

After nearly half a century of conservatives in power, Korea’s center left party (the NCNP and the MDP ) won the presidential elections in 1997 and 2002 consecutively and became the ruling party until the beginning of 2008. This major transformation of power struggle structure in Korea subsequently led characteristic changes in the public policy making tendency of its administration. Yet, Korea still was in the midst of the Neo-liberalized way of economical and social structural reform that was guided by IMF since the1997 financial crisis.  In his research Shin examines the Noh administration’s challenge to compensate its supporters by exploring its particular public policy:  “Real Estate Policy of Noh Administration”.

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Jiecheng Cheng Corporate Affiliate Visiting Fellow, PetroChina Speaker
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Yoshiko Moriguchi is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. 
Prior to joining Shorenstein APARC, she has worked at The Kansai Electric Power Company, Inc. (KEPCO) for fifteen years. She was involved in designing environmental equipments of power plants from the aspect of chemical engineering for more than 10 years. She also has comprehensive experience in operation and management of fossil power plants including management of energy efficiency. Her current interests are demand side managements utilizing methods of energy conservation. She graduated from Kyoto University with a BA in Chemical Engineering.

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Yoshiko Moriguchi Corporate Affiliate Visiting Fellow, Kansai Electric Power Company Speaker
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Boyoung Shin is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09 and 2009-10. Boyoung graduated from the University of Southern California (BA in Econ) in 1990 and received his MBA from Yonsei University. He also has military experience as a Marine Officer serving 3.5 years. He had been elected as a Kyong-gi provincial council man twice. There, he had roles of the Chairman of the Special Committee of Budgets and Accounts, the Chairman of the Special Committee of Free Trade Agreements, the Chairman of the Intelligence Committee and others.

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Boyoung Shin Corporate Affiliate Visiting Fellow, Kyungmin College Speaker
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In this session of the Shorenstein APARC Corporate Affiliate Visiting Fellows Research Presentations, the following will be presented:

Hiroyuki Koyano, "The Strategy for Accerlation of Patent Examination - Focusing on Human Resource Management"

The number of patent application filings has increased across the world as a result of the globalization of the world economy. In addition, technology has become more complex and the demands for a quality patent has grown. Working against this trend, the period of patent examination has become longer, so patent offices have adopted plans to remedy the situation and accelerate patent examination. Hiroyuki Koyano attempts to compare the United States Patent and Trademark Office’s (USPTO) plans with those of JPO’s and analyze the problems focusing mainly on human resource management.

Mitsue Kurihara, "The Recent M&A Boom in Japan"

Mergers and Acquisitons in Japan have been booming since the late 1990s. What initially started as a method for industrial rehabilitation, today, M&A is put to use by many companies as part of their corporate strategy. Utilizing her experiences as an advisor for M&A, Kurihara researches the remarkable trend in the boom of Japanese M&A over the last ten years, as well as the future of Japanese M&A market in terms of where it should be headed.

Bhavna Sharma, “Polymorphisms in Breast Cancer Mutation Carriers: Comparative Studies in Caucasian and Hong Kong Population”

Breast cancer rates differ significantly in Asia compared to the United States and other western countries.  Lifestyle and genetic differences between these populations are probably causes of this variation.  Sharma presents findings from her study that hypothesized that the genetic breast cancer risk factors that differ between BRCA1/2 mutation carriers in Asia and the U.S. may result in a different magnitude of breast cancer risk among Asians versus Caucasians who carry BRCA1/2 mutations.

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Hiroyuki Koyano is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. He joined the Japan Patent Office (JPO), government of Japan in 1994 and has worked for JPO as a patent examiner, handling patent applications mainly in the field of construction and housing equipments. In 2003, he was in charge of researching trends on patent applications in the fields of physics, optics and construction. In 2006, he was also assigned to a position where he managed the outsourcing of prior art searches for expediting the examination process. He received his BS in agriculture from the University of Tokyo.

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Hiroyuki Koyano Corporate Affiliate Visiting Fellow, Japan Patent Office Speaker
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Mitsue Kurihara is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09 and 2009-10. Prior to joining Shorenstein APARC, she worked at the Development Bank of Japan (DBJ) for twenty years. She has comprehensive experience in policy-based financing, in addition to having been involved in the merger of Japan Development Bank with Hokkaido-Tohoku Development Finance Public Corporation into DBJ during her term in the Treasury Department. Over the past five years, she has leveraged her wide network of regional bank and enterprise connections to provide advice on various industrial restructuring and other M&A deals. Kurihara’s latest position at the DBJ was as director in the Department for Business Development (in charge of advisory services for mergers, acquisitions, divestitures, and corporate strategy planning). 

Kurihara was also assigned for a time at the Ministry of Education, Culture, Sports, Science and Technology. She graduated from Hitotsubashi University with a BA in law.

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Mitsue Kurihara Corporate Affiliate Visiting Fellow, Development Bank of Japan Speaker
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Bhavna Sharma is a corporate affiliate visiting fellow at Shorenstein APARC for 2008-09. Prior to joining Shorenstein APARC, she has been working for Reliance Life Sciences in Navi Mumbai (India), as Laboratory Manager, Molecular Medicine. Her job responsibilities include Laboratory Management - allocation of routine diagnostic tests, review & approval of diagnostic test results, documentation preparation for standard operating procedures, protocol of analysis, test report formats, validation documents, planning for inter/intra -laboratory validation & quality control testing, and organizing plans for training. Sharma is doing her post-graduate work in Microbiology and previously worked in Molecular Medicine at Jaslok Hospital and Research Centre, Laboratory of Cancer Genes at Cancer Research Institute prior to joining Reliance Life Sciences in June 2001.

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Bhavna Sharma Corporate Affiliate Visiting Fellow, Reliance Industries, India Speaker
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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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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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