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Noa Ronkin
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We are pleased to share that Professor of Sociology Kiyoteru Tsutsui, the Henri H. and Tomoye Takahashi Professor and Senior Fellow in Japanese Studies at the Walter H. Shorenstein Asia-Pacific Research Center (APARC), is the recipient of the 2022 Ishibashi Tanzan Award for his book Human Rights and the State: The Power of Ideas and the Realities of International Politics (Iwanami Shinsho, 2022).

Established in 1980 and presented by the Ishibashi Tanzan Memorial Foundation, the annual award recognizes excellence in the fields of politics, economics, international relations, society, and culture. It honors individuals who have contributed to advancing the legacy of former Japanese Prime Minister Ishibashi Tanzan and his ideas on liberalism, democracy, and international peace. Tsutsui’s book explores the paradox underlying the global expansion of human rights, examines Japan’s engagement with human rights ideas and instruments, and assesses their impacts on domestic politics around the world.

“I’m deeply honored to receive this prestigious award, especially in this historical moment in which commitment to the international liberal order is ever more critical,” says Tsutsui, who is also director of APARC’s Japan Program, APARC’s deputy director, a senior fellow at the Freeman Spogli Institute for International Studies, and the co-director of the Center for Human Rights and International Justice. “Among all the Japanese Prime Ministers in history, no one demonstrated a more unwavering commitment to liberalism than Ishibashi Tanzan, and I’m especially pleased that my book on global human rights has received this recognition bearing his name. There’s also a personal connection for me, as my father is the author of the first social science book on Ishibashi Tanzan and I helped with his research as a middle school student, making copies of relevant newspapers.”


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In an APARC interview about the book, Tsutsui explains the tension inherent in the diffusion of global human rights, which is rooted in states’ embracing these universal rights although they are grounded in principles that constrain their sovereignty. “The end of the Cold War enabled the United Nations to engage in human rights activities free from Cold War constraints, and now those states that committed to human rights without thinking about the consequences have to face a world in which their violations can become a real liability for them,” he notes.

Tsutsui believes that Japan has an opportunity to become a global leader in human rights. “The more inwardly oriented United States is creating a vacuum in promotion and protection of liberal values, especially with China’s influence surging, and Japan should carry the torch taking the mantle of human rights, democracy, and rule of law,” he argues.

Tsutsui’s research interests lie in political and comparative sociology, social movements, globalization, human rights, and Japanese society. His current projects examine issues including changing conceptions of nationhood and minority rights in national constitutions and in practice, populism and the future of democracy, the global expansion of corporate social responsibility, and Japan’s public diplomacy and perceptions of Japan in the world.

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New Book by Stanford Sociologist Kiyoteru Tsutsui Probes the Decoupling of Policy and Practice in Global Human Rights

In his new book, Shorenstein APARC’s Japan Program Director Kiyoteru Tsutsui explores the paradox underlying the global expansion of human rights and Japan’s engagement with human rights ideas and instruments. Japan, he says, has an opportunity to become a leader in human rights in Asia and in the world.
New Book by Stanford Sociologist Kiyoteru Tsutsui Probes the Decoupling of Policy and Practice in Global Human Rights
Shinzo Abe speaking from a lectern
Commentary

Reflections on the Assassination of Former Prime Minister of Japan Shinzo Abe

Abe was one of the most transformative political leaders in modern Japanese history, and his passing will change Japanese politics in a number of ways, most immediately shaking up internal politics within the ruling Liberal Democratic Party. To honor Abe’s legacy, we all need to reassert our resolve to protect our democracy in Japan, the United States, and all over the world.
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Kiyoteru Tsutsui and book cover of Human Rights and the State
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The Ishibashi Tanzan Memorial Foundation recognizes Tsutsui, the Henri H. and Tomoye Takahashi Professor and Senior Fellow in Japanese Studies at the Shorenstein Asia-Pacific Research Center, for his book 'Human Rights and the State.'

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Global Affiliate Visiting Scholar, 2022-24
Ministry of Finance, Japan
Makoto Shishido

Makoto Shishido is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2022-23 and 2023-24. Shishido served various positions at the Japanese Ministry of Finance (MoF), Cabinet Secretariat and Cabinet Office (CAO) and assumed several tasks related to Japanese economic policy during his career. Before joining Shorenstein APARC, Shishido served as the Deputy Director for Basic Principles on Fiscal management at CAO since 2021 where he was responsible for "Basic Policy on Economic and Fiscal Management and Reform". Prior to that, Shishido was a Section Chief of Growth Strategy, Council Bureau at Cabinet Secretariat from 2020 to 2021. He worked on economic growth strategy of Japanese government and dealt with many questions from Diet members for "Go To Campaign", which is one of the demand stimulation measures for industry affected by COVID-19. Shishido earned his Bachelor of Law from Kyoto University in 2012 and his Master of Public Policy from Kyoto University in 2015.

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Global Affiliate Visiting Scholar, 2022-23
Japan Air Self Defense Force
Kazunobu Sakuma

Lt. Col. Kazunobu Sakuma is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2022-23. Sakuma has over 25 years of experience in the Japan Air Self Defense Force (Koku-Jieitai) with a background in strategy education and research, defense policy and planning and aircraft maintenance. Additionally, he served as associate professor at the National Defense Academy of Japan and U.N. peacekeeper of the United Nations Disengagement Observer Force. He received his PhD in security studies at the Graduate School of Security Studies, National Defense Academy of Japan. His research interest covers organizational behavior, U.S.-Japan defense relationship, and technology, society and warfare.

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Global Affiliate Visiting Scholar, 2022-23
Development Bank of Japan
Daisuke Saginoue

Daisuke Saginoue is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2022-23. Saginoue has over 20 years of experiences with the Development Bank of Japan focusing mainly on investment activities and M&A advisory services in Japan and Vietnam. He earned his Bachelor degree at Waseda University and his Master degree at Osaka University. 

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Global Affiliate Visiting Scholar, 2022-23
Japan Patent Office
Hideyuki Koshimoto

Hideyuki Koshimoto is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2022-23. Koshimoto joined the Patent Office in 2007 and has worked as a patent examiner, handling patent applications mainly in the field of chemistry. In 2012, he was in charge of Trial and Appeal affairs, especially with respect to the international conference with foreign governments about the Trial and Appeal system. In 2016, he transferred to the Ministry of Economy, Trade and Industry (METI) and was in charge of measures against counterfeit products particularly in dealing with the training of government officials in the developing countries. In 2019, he was also in charge of the information systems affairs with a focus on the system development for patent examiners.

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Global Affiliate Visiting Scholar, 2022-23
Ministry of Economy, Trade & Industry, Japan
Takuya Hirata

Takuya Hirata is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2022-23. Hirata has over 12 years of experience working for the Ministry of Economy, Trade and Industry of Japan, mainly in charge of energy and environmental policy making and promoting Japanese industries such as the robotics and space industries. Most recently, he was responsible for tax system reform and business succession of small and medium enterprise including promoting M&A. He received his Master and Bachelor degree of Engineering from Kyoto University in Japan. 

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Published in Shoji Homu, the leading business law journal in Japan, this article analyzes problematic aspects of a recent, controversial Japanese Supreme Court decision on the approval by a vote of the majority-of-the-minority shareholders (known as "MoM") of a "poison pill" defense against an activist shareholder. The coauthors point out that MoM was borrowed from Delaware corporate law, where it is used in a very different context, and highlight MoM's potential for abuse by target company management in Japan’s prevailing corporate governance environment.

They conclude by proposing a new form of a poison pill for Japanese companies that protects shareholders against structurally coercive bids and is consistent with existing Japanese judicial doctrine requiring shareholder approval of defensive measures, while simultaneously promoting all cash, all shares tender offers to improve economic returns to shareholders.

Title in Japanese: "Tokyo kikai seisakusho jiken ga teikishita mondai to shin J-Pill no teian"

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Curtis J. Milhaupt
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Kiyoteru Tsutsui
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At the APARC Japan Program, we are deeply saddened by the news of the assassination of Shinzo Abe, former prime minister of Japan and still an influential political figure domestically and globally. We strongly condemn this senseless act of violence. We also sincerely hope that we will all strive to stop the 21st-century world from conjuring the memories of a pre-World War II days, bringing back the invasion of a sovereign nation for no reason (Russia’s invasion of Ukraine), violent attack on democracy based on disinformation (the January 6 uprising in the United States), and assassination of an influential leader of a stable democracy (the death of Abe). Having served longer than any other prime minister in Japanese history, Abe had his admirers and detractors. Regardless of one’s evaluation of his legacy, however, this act of violence needs to be condemned in no uncertain terms, and every effort should be made to prevent similar acts of terror.

Abe was one of the most transformative political leaders in modern Japanese history, whose foreign policy accomplishments made him a leading protector of the liberal international order at a time when China’s authoritarian model and the U.S.’s isolationist tendencies began to threaten the rules-based international order. He consolidated U.S.-Japan relations by deftly handling the polar opposite personalities of Presidents Obama and Trump during his second term. He made lasting contributions to international politics, having invented new influential concepts such as Free and Open Indo-Pacific and Data Free Flow with Trust, which were later embraced by many democratic allies in the region, most notably by the United States.

Abe's passing will change Japanese politics in a number of ways. Most immediately, internal politics within the ruling Liberal Democratic Party will be shaken up.

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Abe's diplomatic prowess was predicated on his domestic power base, evidenced by six straight victories in national elections during his second term. Even after stepping down as Prime Minister, he wielded powerful influence in national politics, particularly in defense and foreign affairs. His passing will change Japanese politics in a number of ways.

Most immediately, internal politics within the ruling Liberal Democratic Party (LDP) will be shaken up. The LDP was poised to win the Upper House election held on Sunday, July 10, but the margin of victory likely grew because of national sympathy for Abe’s death. With this victory, Prime Minister Kishida now has “the Golden Three Years” in which he does not need to hold any national election. This puts him in a position to execute his policy agenda.

In the economic realm, Prime Minister Kishida no longer has to go out of his way to defend Abenomics and emphasize that his economic policy is an extension of Abe’s. He also does not face the same level of internal pressure to increase the defense budget, take a strong stance against China, and work toward a constitutional revision. At the same time, with Abe no longer uniting the conservative constituencies for Kishida, they might become more critical of Kishida, pushing him to pursue Abe’s policy agenda such as constitutional revision.

Prime Minister Kishida will likely be emboldened to shake up the cabinet and bring in people he finds useful. He no longer needs to consider Abe’s preferences, which he did to a certain extent in forming his first cabinet.

Abe’s faction is the largest in the LDP, and it will have to find a successor who can keep it together and exert influence within the LDP. Prime Minister Kishida will likely be emboldened to shake up the cabinet and bring in people he finds useful. He no longer needs to consider Abe’s preferences, which he did to a certain extent in forming his first cabinet. This will likely lead to surprising appointments in the next cabinet shuffle such as a long-term partner of Abe’s becoming Kishida’s close ally.

The U.S.-Japan alliance will remain strong, and Americans should not expect any major changes that would impact them directly in the short term. A stable leadership in an important ally is always welcome, and somebody like Kishida who is sensible and careful, if not dynamic, makes for a reliable partner. Abe’s interpersonal skills are hard to replicate but the geopolitical environments will continue to push American and Japanese leaders to work closely and remain friendly.

One concern for Japan is that a copycat event is common after a violent incident like this. The fact that the gun used in the assassination was made by the perpetrator speaks to the efficacy of gun control measures in Japan but it also serves as a warning that others with similar skills and intentions could use hand-made guns for other acts of violence. Japan experienced a wave of political violence in the period leading up to World War II, and the political instability provided fertile ground for the destructive military expansion that resulted in the devastating defeat in 1945. It might seem too early to worry about such dire outcomes, but we can never be too careful in working to preserve our precious democracy. The United States is learning this lesson the hard way, as it has had to deal with all the demagogies and disinformation that seem to persist with no end in sight.

Shinzo Abe was killed while on a campaign trail in the last few days of the Upper House election period. While the assassin’s motivation was more personal than political, it is still alarming that election campaigns were the site of this violent attack. If this can happen in Japan, widely viewed as the least likely place for violence in general and gun violence in particular, then it could happen anywhere to undermine democracy. To honor Abe’s legacy, we all need to reassert our resolve to protect our democracy in Japan, the United States, and all over the world.

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Kiyoteru Tsutsui

Henri H. and Tomoye Takahashi Professor of Japanese Studies, Professor of Sociology, Director of the Japan Program and Deputy Director at APARC, Senior Fellow at the Freeman Spogli Institute for International Studies, Stanford University
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Shinzo Abe speaking at Stanford University in 2015.
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Abe was one of the most transformative political leaders in modern Japanese history, and his passing will change Japanese politics in a number of ways, most immediately shaking up internal politics within the ruling Liberal Democratic Party. To honor Abe’s legacy, we all need to reassert our resolve to protect our democracy in Japan, the United States, and all over the world.

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This press release was originally published by the University of Tokyo. It discusses a new study, published by Lancet Public Health and co-authored by researchers from the University of Tokyo along with FSI Senior Fellow Karen Eggleston, director of the Asia Health Policy Program at APARC, and Jay Bhattacharya, Professor of Health Policy and director of the Center for Demography and Economics of Health and Aging at Stanford.


A new detailed microsimulation, using a database of 40 million people, has examined the future of Japan’s aging population up to 2043. It projects that more people will live longer, and that overall years spent living with dementia will decrease. However, the model highlighted the diversity of impacts on different segments of the population, as Japanese women with a less than high school education aged 75 and over may be disproportionately affected by both dementia and frailty. Better understanding where health gaps like this exist can help inform public health planning, to minimize future economic costs and support those most in need.

Taking care of the older members of society is a common concern around the world. Japan is famous for its long-lived residents, the number of which continues to rise. In 2020, almost 30% of the Japanese population was aged 65 years or older, and this age group is not projected to peak until 2034. Caring for people with age-related ailments, such as dementia and frailty, poses a challenge both to individuals and public health care systems.

Microsimulation models, which are computer models that can provide detailed analysis on an individual basis, are currently used to project future population health in some countries, such as the U.K. and the U.S. Professor Hideki Hashimoto and researchers at the University of Tokyo, along with researchers from Stanford University in the U.S., wanted to create a new microsimulation model for Japan, which would take into account more diverse conditions than had been considered before.

“We developed a new Japanese microsimulation model that accounts for 13 chronic conditions (including heart disease, stroke, diabetes, depression and dependency), as well as frailty and dementia,” explained Hashimoto. “Using an ultralarge data system, we were able to ‘follow’ a virtual cohort of more than 40 million people aged 60 and over from 2016 to 2043.”

According to Hashimoto, projections of aging in Japan usually rely on the “average” status of older people and so don’t consider the diversity of the population. “I believe that problems of aging are a matter of health gaps over the course of people’s lives,” he said. “Our projection brings attention to a widening health gap among older people. It highlighted that women with a less than high school education aged 75 or over are more likely to be affected.”

Identifying where health gaps like this exist could be used to better inform public policy, not only about health care but other influential aspects of life. “Japan’s case may suggest that improvement in educational attainment, as well as population health, could be a key to making a healthier and more manageable aging society,” said Hashimoto.

Positively, this study shows hope for a future where many people live longer and more healthy lives. “People might believe that an increase in cases of dementia is inescapable, given population aging. However, in this study we found that in Japan, despite an aging population, the number of people with dementia is expected to decrease over the next two decades,” said Hashimoto. “Population aging does not necessarily mean an increase of social burden for care, but it does bring a diversity of problems that requires careful study and science-based policy attention, to close the health gap.”

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Karen Eggleston

Senior Fellow at FSI and Director of the Asia Health Policy Program, Shorenstein APARC
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A new microsimulation projects that over the next 20 years, Japanese people will live longer without dementia, but older women with a less than high school education will benefit less than men.

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Background

Dementia and frailty often accompany one another in older age, requiring complex care and resources. Available projections provide little information on their joint impact on future health-care need from different segments of society and the associated costs. Using a newly developed microsimulation model, we forecast this situation in Japan as its population ages and decreases in size.

 

Methods

In this microsimulation modelling study, we built a model that simulates an individual's status transition across 11 chronic diseases (including diabetes, coronary heart disease, and stroke) as well as depression, functional status, and self-reported health, by age, sex, and educational strata (less than high school, high school, and college and higher), on the basis of nationally representative health surveys and existing cohort studies. Using the simulation results, we projected the prevalence of dementia and frailty, life expectancy with these conditions, and the economic cost for formal and informal care over the period 2016–43 in the population of Japan aged 60 years and older.

 

Findings

Between 2016 and 2043, life expectancy at age 65 years will increase from 23·7 years to 24·9 years in women and from 18·7 years to 19·9 years in men. Years spent with dementia will decrease from 4·7 to 3·9 years in women and 2·2 to 1·4 years in men. By contrast, years spent with frailty will increase from 3·7 to 4·0 years for women and 1·9 to 2·1 for men, and across all educational groups. By 2043, approximately 29% of women aged 75 years and older with a less than high school education are estimated to have both dementia and frailty, and so will require complex care. The expected need for health care and formal long-term care is anticipated to reach costs of US$125 billion for dementia and $97 billion for frailty per annum in 2043 for the country.

 

Interpretation

Japan's Government and policy makers should consider the potential social challenges in caring for a sizable population of older people with frailty and dementia, and a widening disparity in the burden of those conditions by sex and by educational status. The future burden of dementia and frailty should be countered not only by curative and preventive technology innovation, but also by social policies to mitigate the health gap.

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A Microsimulation Modelling Study

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The Lancet Public Health
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Karen Eggleston
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