Authors
News Type
News
Date
Paragraphs

Edited by SEAF Director Don Emmerson and co-published in 2008-09 by APARC at Stanford and ISEAS in Singapore, Hard Choices: Security, Democracy, and Regionalism in Southeast Asia continues to attract attention. Excerpted below are two differing but equally thoughtful recent reviews:

Noel M. Morada is a professor of political science at the University of the Philippines-Diliman and director of the Philippines Progamme in the Asia Pacific Centre for the Responsibility to Protect (R2P) at the University Queensland in Brisbane, Australia.

Writing in Kasarinlan: Philippine Journal of Third World Studies, 23: 2 (2008), pp. 119-122, Prof. Morada found the title of Hard Choices “apt” because its authors “ask hard questions—including philosophical ones—on the merits and demerits of pushing for a more ‘people-centered’ ASEAN, the challenges and constraints in implementing Responsibility to Protect (R2P) principles in the region, as well as the possible directions that ASEAN may take in the near future.”

A “good thing” about the book, in his view, “is that the reader is left to make his or her own conclusions” about “the issues and arguments” that it presents. He notes the variety of backgrounds of the authors: from scholars based far from Southeast Asia, through local analysts on Track II, to an official from inside the ASEAN secretariat itself. Their chapters, in his judgment, contribute significantly to current debates about what balance that ASEAN should strike between “state-centered and society-centered conceptions of security,” including “the dilemmas and constraints” that state and societal actors face in pursuing a more “participatory” kind of regionalism in Southeast Asia.

Among the issues featured in Hard Choices, Morada cites “the thorny problem of intervention in the domestic affairs of [ASEAN] members,” including the challenge to regionalism posed by Myanmar’s rulers, and whether or not the ASEAN Charter can facilitate a response or may itself be an obstacle to reform. While highlighting the relative optimism of Mely Caballero-Anthony’s chapter on non-traditional security, he finds a consensus among the book’s authors that “ASEAN’s traditional norms—i.e., state sovereignty and non-interference—still rule.”

Prof. Morada ends his review thus: “This should be a required reading for graduate students specializing in Southeast Asia and a must have for ASEAN specialists and observers. More importantly, civil society groups would benefit immensely from reading this volume as part of their education about ASEAN, on which many remain uninformed. Many of my friends in the academic community in the region have in fact been quite disappointed with many civil society groups who simply want to push their agenda but have not done their homework on the workings of ASEAN. This book should help enlighten them further.”

Lee Jones is a lecturer in the Department of Politics at the College of Queen Mary, University of London.

Writing for a future issue of the ASEASUK Newsletter, a publication of the Association of Southeast Asian Studies in the United Kingdom, Dr. Jones, unlike Prof. Morada, misses a firmer editorial hand. “Theoretical engagement is relatively sparse,” writes Jones, “and the book would have benefited from an overarching framework to help structure and guide the contributions. Particularly given many contributors’ focus on Myanmar, ASEAN’s policies towards it, and ASEAN’s recent institutional evolution, an early chapter agreeing [to] a collective account of these matters would have left more space for analysis and argumentation.”

Jones singles out the chapter by “veteran official Termsak Chalermpalanupap” as “a highly informative overview of ASEAN’s institutional development which will be useful for all students of ASEAN.” Chapters by Simon Tay (on air pollution) and Michael Malley (on nuclear energy) are also praised by Jones as demonstrating that “democratisation does not (as other contributors imply) automatically produce either more liberal policies or enhanced regional cooperation.” On the contrary, writes Jones, “democratisation can give vent to illiberal, nationalist and uncooperative sentiments, particularly when dominated (as ASEAN polities are) by cynical oligarchs. It is disappointing, therefore, that none of the chapters engages in systematic analysis of the domestic social forces at work in ASEAN states.”

“On balance,” for Jones, “the evidence in Hard Choices seems to favour the pessimist viewpoint. The basis for concluding that civil society has shattered elites’ monopoly on policymaking is rather weak. None of the pro-intervention authors sufficiently counter[s] the pragmatist challenge that ASEAN coherence could not withstand the adoption of a more liberal-interventionist posture. However, this is a contingent judgment which should not lead us simply to endorse the status quo. … [T] he fate of individual countries and the overall direction and content of ASEAN regionalism depends ultimately on the struggles of ASEAN’s own citizens.

Concludes Jones: “A clear-sighted analysis of the respective strengths and weaknesses of the force of movement and reaction, without succumbing to the defeatism of endorsing authoritarianism or the romanticism of believing that democratic institutions alone imply the victory of civil society (or that ASEAN can do much to create such institutions), is therefore vital for understanding the region’s prospects.”

Hero Image
HardChoices final front cover
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

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 725-6459
0
2009-10 visiting scholar
Tong_Ki_Woo.jpg

Dr. Woo, former president of Yeungnam University in Korea, is a 2009-2010 Fulbright Senior Research Schlar.  He was a board member of Korean Council for University Education, and a member of Personnel and Policy Advisory Committee of the Civil Service Commisson of Korea.

He received a Ph.D. in Socio-Economic Planning from University of Tsukuba, Japan, an M.S. in Human Settlements Development from Asian Institute of Technology, Thailand, and a B.A. in Public Administration from Yeungnam University, Korea.

-

Under what conditions are autocratic regimes apt to break down when popular protests against them break out?  Prof. Lee will showcase and explain the decisive role of armed forces in reinforcing or undermining the prolongation of authoritarian rule.  He will offer a theoretical framework and illustrate it with two contrasting cases:  the June 1989 massacre at Tiananmen Square, where the Chinese military suppressed protesters and safeguarded the regime; and the People Power revolt in Manila in February 1986, when the Philippine military swung its weight in favor of liberalization.

Terence Lee is associate editor of Armed Forces and Society.  His writings have appeared in Asian Survey, Armed Forces and Society, Comparative Political Studies, and Foreign Policy.  He studies civil-military relations, military organizations, and international security; other interests include Southeast Asian politics and political science theories.  He was formerly an assistant professor in the S. Rajaratnam School of International Studies at Nanyang Technological University (Singapore), and a postdoctoral fellow in the John M. Olin Institute for Strategic Studies at Harvard.  His PhD and MA are in political science from the University of Washington, Seattle.  Other degrees include a master’s in strategic studies from NTU and a University of Wisconsin-Madison BA (with Distinction) in political science and Southeast Asian Studies.

Daniel and Nancy Okimoto Conference Room

Terence Lee Assistant Professor, Department of Political Science Speaker National University of Singapore
Seminars
Paragraphs

Aims The prevalence of Type 2 diabetes mellitus (DM) has grown rapidly, but little is known about the drivers of inpatient spending in low- and middle-income countries. This study aims to compare the clinical presentation and expenditure on hospital admission for inpatients with a primary diagnosis of Type 2 DM in India, China, Thailand and Malaysia.

Methods We analysed data on adult, Type 2 DM patients admitted between 2005 and 2008 to five tertiary hospitals in the four countries, reporting expenditures relative to income per capita in 2007.

Results Hospital admission spending for diabetic inpatients with no complications ranged from 11 to 75% of per-capita income. Spending for patients with complications ranged from 6% to over 300% more than spending for patients without complications treated at the same hospital. Glycated haemoglobin was significantly higher for the uninsured patients, compared with insured patients, in India (8.6 vs. 8.1%), Hangzhou, China (9.0 vs. 8.1%), and Shandong, China (10.9 vs. 9.9%). When the hospital admission expenditures of the insured and uninsured patients were statistically different in India and China, the uninsured always spent less than the insured patients.

Conclusions With the rising prevalence of DM, households and health systems in these countries will face greater economic burdens. The returns to investment in preventing diabetic complications appear substantial. Countries with large out-of-pocket financing burdens such as India and China are associated with the widest gaps in resource use between insured and uninsured patients. This probably reflects both overuse by the insured and underuse by the uninsured.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Diabetic Medicine
Authors
Karen Eggleston
-

Although its people are mainly Muslim, Malaysia is notably diverse.  Many communities of faith live together in relative harmony.  Yet ethnic tensions and decades of authoritarian rule have undermined national unity and a sense of shared purpose.  Since the watershed election of 2008, a revived political opposition and an active civil society have increasingly challenged the divisive politics of race and religion in Malaysia.  But severe obstacles still thwart full democratization and genuine pluralism. 

In his talk, Nik Nazmi Nik Ahmad will analyze the complexities of Malaysia’s race-based political system, the prospects of the country’s multiracial opposition, and what these dynamics imply for the future of democracy in Malaysia.

Nik Nazmi Nik Ahmad was elected to the Selangor State Assembly in Malaysia in March 2008 as a candidate of the opposition People’s Justice Party (Partai Keadilan Rakyat).  His roles in Keadilan include membership in the party’s National Youth Executive Committee.  In 2006-08 he served as private secretary to Keadilan’s de facto leader at the time, Anwar Ibrahim. 

Nik Nazmi is a columnist at the Malaysian Insider and the founder of SuaraAnum.com, a web magazine for young Malaysians.  He has been widely published in, and interviewed by, Malaysian and international media.  He read law and earned his LLB (Honors) from King's College, University of London.  While in London he joined British Muslims in protesting the occupation of Palestine and the war in Iraq.  His undergraduate work was done at the UEM Foundation College in Selangor, where he was elected president of the Student Council.  His secondary education was at the Malay College of Kuala Kangsar, which has been called “the Eton of the East.”  During his student career, he was active in multiple extra-curricular settings, including Muslim and social-service organizations and English-language debating teams.  He was born in Malaysia in 1982.

Daniel and Nancy Okimoto Conference Room

Nik Nazmi Nik Ahmad Selangor State Assemblyman and Political Secretary to the Chief Minister of Selangor, Malaysia Speaker
Seminars
Subscribe to Southeast Asia