-

In the four years since a State Council think tank, the Development Research Center, bluntly declared the failure of three decades of healthcare reform, China has placed a high political priority on designing, building and financing a modern, equitable health delivery system that serves every last one of its 1.3 billion people. As publisher of practice-building trade magazines for medical specialists in China and India, Jeffrey Parker has developed unique and valuable perspectives on what's wrong with China's healthcare system -- and how Indian practitioners are able to deliver results despite a per-capita GDP that is roughly half of China's. Through an unprecedented China-India training exchange, Mr. Parker has begun testing whether Indian models of self-financed grassroots medical startup practices can help doctors shake free of China’s Stalinist paralysis without having to wait for sweeping programmatic reforms that are always on the horizon, but seem never to come. What's more, would such grassroots empowerment models not create unprecedented opportunities for participation by international investors who up to now have been largely marginalized in China's healthcare development?

In this lunchtime colloquium, Mr. Parker reviews his experiences in China and India over the past six years and looks at several exciting recent developments in China. These include:

  • An ambitious rural reimbursement scheme that already has begun to complete a nationwide healthcare safety net. The program is creating a vast pool of funds to finance rural medical services, but how will Beijing populate the countryside with sustainable grassroots practices?
  • The first domestic healthcare IPO, by which Aier Ophthalmology raised some $50 million as one of 28 debut listings in the Shenzhen's new "ChiNext" Growth Enterprise Market. New wind in the sails of healthcare privatization?
  • Licensing reforms that have begun delinking doctors' certification from their "work unit" hospitals under trials in Beijing and Yunnan, removing a vexing obstacle to hands-on surgical training of young practitioners. Will the breaking of senior doctors' "skills monopoly" create opportunities for private-sector training programs that will shake up China's Soviet-style residency programs?

Jeffrey Parker has lived in Greater China since 1990, first as a journalist and since 2003 as a publisher. His transition from chronicler of China's historic rise to active proponent of its economic development gives him a unique perspective on the opportunities still opening up in China -- and the challenges facing anyone keen to participate. With a twin B.A. in Asian Studies and Geography from U.C. Santa Barbara and Masters training in Journalism from Columbia University, Parker trimmed his sails for a China career from an early age. After early editorial jobs in New York and Washington, D.C., he was dispatched to Beijing by United Press International as senior correspondent in 1990. During the next 10 years with UPI and then Reuters, he covered a wide range of political, economic and social stories from postings in Hong Kong, Taiwan and the Peoples Republic. In his final two years at Reuters, Parker got his first taste of media development, launching local-language multimedia news and video feeds in China, Japan, Korea, India and Southeast Asia. Since 2003, Parker has built up a family of world-class doctors' magazines serving more than 50,000 specialists in China and India from the Shanghai base of ILX Media Group, where he is editorial director, chief operating officer, a corporate director and investor. Among his objectives is to help foster a badly needed transformation of medical practice across China by inspiring grassroots doctors to deliver high-quality, cost-effective services in rural and less-developed communities left behind by government health care.

Daniel and Nancy Okimoto Conference Room

Jeffrey Parker Speaker ILX Media Group, Shanghai, PRC
Seminars
Authors
News Type
News
Date
Paragraphs

In five new books -- three of which were produced as part of Shorenstein APARC's in-house publishing program, distributed through the Brookings Institution Press -- Center academics tackle an array of issues related to Asia's past, present, and future, from both policy and historical perspectives.

All News button
1
Authors
News Type
Commentary
Date
Paragraphs

Daniel C. Sneider: Since the Democratic Party of Japan won in the country's August national election, Japan watchers have worried that the new government might try to upset the status quo and ease away from the United States. The DPJ is implementing a new paradigm -- but not the one people think.

Hero Image
japan dpj
All News button
1
Authors
Matthew Augustine
News Type
News
Date
Paragraphs
We are pleased to bring you the second dispatch of the year in our series of Shorenstein APARC Dispatches. This month's piece, "Forced Labor Redress in Japan and the United States" comes from Matt Augustine, the Northeast Asian History Fellow for 2009-10 at Shorenstein APARC.

Last month, on October 23, the Nishimatsu Construction Company reached an agreement in the Tokyo Summary Court to set up a trust fund for Chinese who had been forced into labor in Japan during World War II. According to the Asahi Shimbun, the trust fund—worth ¥250 million—will compensate 360 Chinese citizens who were compelled to work at a hydroelectric power plant in Hiroshima Prefecture. Under the terms of the summary settlement, Nishimatsu acknowledged that these Chinese workers were forcibly brought to Japan and apologized for their suffering.This outcome was both overdue and unexpected, particularly since Japan's Supreme Court in 2007 rejected the original lawsuit that five Chinese plaintiffs brought against the construction company in 1998.  Nishimatsu officials maintain that they want to set a new precedent for "social responsibility" in the wake of the corporation's recent scandal involving political donations.  The timing of Nishimatsu's decision coincides with the rise of the new Hatoyama administration, which has promised to improve Japan's relations with China and other Asian neighbors.

Former forced laborers and their bereaved families have pursued litigation against the Japanese government and the corporations that employed them, not only in Japan but also in the United States. The Hayden Bill, which passed the California State Senate in July 1999, opened the door for Chinese and Korean victims to sue Japanese corporations and demand compensation for their hard labor in inhumane working conditions. Although the U.S. Supreme Court thus far has rejected such cases, the unresolved issue of Asian forced labor redress has now been introduced into the U.S. legal system, indicating that the United States has become involved in Japan’s historical disputes.

In fact, the United States was intimately involved in the issue of Asian forced laborers during the Allied Occupation of Japan between 1945 and 1952. U.S. Occupation forces initially attempted to retain Korean coal miners until Japanese repatriates replaced them, but riots in Hokkaido and elsewhere forced authorities to abandon this policy in November 1945. Responding to strong Korean demands, in May 1946 a military government team in Hokkaido gathered over ¥3 million worth of wages, bonuses, and death benefits owed to Korean miners. This amount was but a small fraction of the more than ¥215 million that corporations throughout Japan deposited into an account at the Bank of Japan by 1948. Occupation authorities made several unsuccessful attempts to persuade unwilling Japanese officials to pay back the financial assets owed to Koreans, while U.S. policy gradually changed to oppose reparations demands against Japan. Article 14(b) of the American-drafted San Francisco Peace Treaty signed in September 1951 waived all reparations claims, and the unpaid wage deposits of forced laborers remained a well-kept secret of the Japanese government.

When former forced laborers from South Korea and China began appearing in Japanese courts in the 1990s, their lawsuits helped to clarify the historical record of wartime abuse and postwar cover-up. Lawyers, journalists, and researchers supporting the redress movement dug up hidden official documents, such as the voluminous reports by the Foreign Ministry on Chinese forced labor and by the Welfare Ministry on the unpaid financial deposits of Korean laborers, both compiled in 1946. Although the Japanese government refuses to make such ministry reports public, the Tokyo High Court in 2005 confirmed that the state continues to hold the ¥215 million deposits, which have never been disbursed. While Japanese records remain largely closed, declassified American records can help to answer important questions, including how closely the United States was involved in the process of postwar Japan’s forgetting and neglecting Asian victims of forced labor.

An Asahi Shimbun editorial on October 24, 2009 admonished the Japanese state to take action in the wake of Nishimatsu settlement, since other corporations facing litigation have vowed not to pay reparations unless the government becomes involved. The new Hatoyama administration should first make an unambiguous apology, the editorial contends, then propose a new framework whereby the government and corporations can establish a joint trust fund to compensate former forced laborers and bereaved families. The United States can support this reconciliation process by revisiting the unresolved issue of forced labor—which also included Allied POWs—and reinterpreting the San Francisco Peace Treaty to enable these victims to file legal claims in American and international courts. Proactive U.S. involvement at the government level should also be matched by an enhanced effort toward nongovernmental cooperation between researchers in the United States and Northeast Asia. Shorenstein APARC has been contributing to this effort through its Divided Memories and Reconciliation research project, now in its third year. The Center will also host a colloquium series titled “The American Role in Northeast Asian Reconciliation” during the 2010 winter quarter.

 

-------------------

Shorenstein APARC Dispatches are regular bulletins designed exclusively for our friends and supporters. Written by center faculty and scholars, Shorenstein APARC Dispatches deliver timely, succinct analysis on current events and trends in Asia, often discussing their potential implications for business.

All News button
1
News Type
News
Date
Paragraphs
Tokyo and Washington are struggling to keep a feud over a U.S. military base from spoiling President Barack Obama's visit next month, but assuaging mutual anxiety as both allies adapt to China's growing clout will be an even harder task. "There is more raison d'etre to the alliance than ever before, but they have to reframe it and take it out of the Cold War context," said Daniel C. Sneider at Stanford University's Shorenstein Asia-Pacific Research Center.
All News button
1
Paragraphs

(excerpt) In our excitement over China’s ascent, we have forgotten to update our view of corporate Japan. This is understandable, because remnants of the “Old Japan” persist, and we have not yet trained ourselves to look for the “New Japan.” But the reality is that the old keiretsu no longer exist; main banks as bailout leaders have been supplemented by new laws and actors, such as equity funds; 80% of listed Japanese firms have switched to performance promotion and pay; the manufacturing industries have globalized to a point where subcontractor relations have been turned upside down; and global competition and discount mavericks have broken open the retail industry. The most important change of all is that in many industries the household names of Old Japan are no longer among the key players.

The unifying thread behind these myriad changes is the last decade’s transformation from diversification to focus. Instead of each firm like Panasonic (formerly Matsu- shita) producing all products, from toasters to semiconductors, they are focusing on “fewer, but better.” The gestation period is still underway, but the core transformation has already occurred.

All Publications button
1
Publication Type
Commentary
Publication Date
Journal Publisher
Oriental Economist Report
Authors
Ulrike Schaede
News Type
News
Date
Paragraphs

John D. Ciorciari was a Shorenstein Fellow at APARC in 2007-08 and an affiliate of APARC and SEAF in 2008-09 while a National Fellow at the Hoover Institution.   Upon leaving Stanford he took up a position as an assistant professor in the Gerald R. Ford School of Public Policy at the University of Michigan.

A main purpose of the Shorenstein Fellowship is to enable post-docs to revise their dissertations for publication.  John did exactly that.  In 2010 Georgetown University Press will publish The Limits of Alignment in the Global South:  Southeast Asia since 1975.  Congratulations, John!

During his association with SEAF John also finished co-editing and co-authoring a monograph on the (in)famous Khmer Rouge trials in Cambodia.  In 2009 the Documentation Center of Cambodia published the result:  On Trial: The Khmer Rouge Accountability Press.

On Trial is dedicated to “the victims of [Pol Pot’s grossly misnamed] Democratic Kampuchea and to promoting a legal accountability process that will honor their memories and provide their families with justice.”

Sophal Ear, an assistant professor at the US Naval Postgraduate School (Monterey) and himself a survivor of Pol Pot’s regime praised On Trial as an “excellent,” “thoughtful,” “timely,” and “essential book.”

The renowned historian of Cambodia David Chandler—a professor emeritus at Monash University (Australia) and a former SEAF speaker—also lauded the book: 

“This invaluable collection of essays, sponsored by the Cambodian NGO that has pioneered research on the Khmer Rouge era, provides a wealth of information about the so-called Khmer Rouge Tribunal.  On Trial is accessible, well researched, and passionately engaged with the innumerable tragedies of the Khmer Rouge period.  Its authors argue that the ongoing trials may possibly lead toward deeper reconciliation and certainly a deeper knowledge of what happened throughout the country in those horrific years.”

Other publications stemming from John’s time at Stanford include these three wide-ranging titles, all published in January 2009: 

“The Balance of Great-power Influence in Contemporary Southeast Asia,” International Relations of the Asia-Pacific (9: 1), pp. 157-196; International Politics and the Mess in Myanmar, JPRI Working Paper No. 114, Japan Policy Research Institute; and An Asian Monetary Fund in the Making? SCID Working Paper No. 378, Stanford Center for International Development.

While at Stanford in 2008-09 John also gave off-campus presentations on topics including Asian security, Cambodian history, and alignment politics at Columbia, Princeton, and Chicago, among other universities, and the International Studies Association, among other professional-society venues.

Future Shorenstein Fellows take note:  John Ciorciari is a tough act to follow.  SEAF wishes him the best of success in his future endeavors.

All News button
1
Authors
Karen Eggleston
News Type
News
Date
Paragraphs

How do countries in the vast and diverse Asia-Pacific region differ in “prescribing cultures”? How do health systems in the region balance access to pharmaceuticals with incentives for innovation? How do the forces of globalization shape, and in turn are shaped by, cultural legacies about health and health care? These are the key questions addressed by the new Asia Health Policy Program book, Prescribing Cultures and Pharmaceutical Policy in the Asia Pacific.

AHPP held a book launch event September 23rd with three authors of the book detailing how pharmaceutical policies are interlinked globally and at the same time deeply rooted in local culture. 

All News button
1
Authors
Phillip Lipscy
News Type
News
Date
Paragraphs

In July 2009, Shorenstein APARC Professor Phillip Lipscy spoke to CSIS in Washington, DC about the dynamics of Asian cooperation as the region rebuilds after the financial crisis.

All News button
1
Subscribe to Japan