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For the past two decades China has been a poster child of successful globalization, integrating with the world and in the process lifting millions of citizens out of poverty. But China’s integration into the world economy and global trends drive and constrain Beijing’s ability to manage growing social, economic and political challenges. 

Global trends affect all nations, but China may be uniquely vulnerable to developments beyond its borders and beyond its control. Chinese leaders recognize the diversity and complexity of the challenges they face but appear determined to confront them individually and incrementally. How – and how well – they respond to those challenges will have significant consequences of China and the world. 

Many of these challenges center on rising expectations in the face of increasing competition.

Thanks to a fortuitous combination of wise decisions and good timing, China has made phenomenal progress in the three decades since Deng Xiaoping launched the policy of reform and opening to the outside world in 1978. More Chinese citizens live better today than ever before and many more expect to join the privileged ranks of the middle class. Aspirations and expectations have never been higher. That’s a very good situation to be in, but it also entails enormous challenges for China’s leaders because several trends indicate that meeting expectations could become increasingly difficult.

Chinese aspirations have never been higher, but meeting expectations could get increasingly difficult.

Specifically, China will find it increasingly difficult to sustain past rates of growth and improvements in living standards.

One visible trend results from the strategic decision to take on the easiest tasks first in order to produce an “early harvest” of tangible benefits that build experience and confidence to tackle the next set of challenges. By design, each successive set of challenges is more difficult than the ones that preceded it. There are many different manifestations of this phenomenon, including the decision to focus on the more developed coastal areas and move inward to less-developed regions characterized by less infrastructure, poorer nutrition and less education. Other manifestations include the consequences of joining international production chains as low-cost assemblers of goods that are designed, manufactured and marketed elsewhere. Sustained success requires moving up technical and managerial ladders to perform more demanding and better paying tasks. Other daunting challenges result from policies that have deliberately constrained domestic demand with predictable consequences that include increasing inflationary pressures and a nationwide property bubble.

A second category of challenges results from the fact that China now has, and will continue to have, more competition than in the past. When Deng announced the decision to pursue the longstanding goal of self-strengthening by following the model of Japan, Taiwan and other rapid modernizers, he was responding to a de facto invitation from the Carter administration for China to take advantage of “free world” economic opportunities without becoming an ally or having to change its political system. This gave China a 10-year head start with virtually no competition until the Soviet Union collapsed and the Cold War ended. China made good use of this opportunity and has since taken advantage of experience and ties forged with foreign partners before Central European states and the states of the former Soviet Union joined the game. 

India, Brazil, Indonesia and other “non-aligned” states stayed out of the game for a few years longer, thereby increasing China’s advantages. Now there are more players and potential competitors climbing the learning curve more rapidly than they otherwise might have done because they can learn from China’s experience. Foreign investors and international production chains now have far more options than they did when China was essentially the only large developing country in the game.

China now has, and will continue to have, more competition than in the past from other emerging economies.

A third set of challenges centers on demographic trends and implications. One is the oft-cited but nonetheless extraordinary challenge of being the first country in history to have a population that becomes old before it becomes rich. Many countries have graying populations – Japan and South Korea in Northeast Asia and most of Western Europe – but the others are much more highly developed than China and have extensive social safety nets to meet the needs of their senior citizens. China’s one-child-per-couple-policy has accelerated a demographic shift that normally occurs in response to higher standards of living, greater educational and employment opportunities for women, and the independent choices of millions of people. 

China must put in place an extensive and costly system to support its elderly – reducing the amount of money and other resources available for other goals – or live with the consequences of making individuals and couples responsible for the wellbeing of parents and grandparents. This challenge is compounded by the broader consequences of becoming a society in which there are few siblings, cousins, aunts, uncles or other relatives beyond the nuclear family.

A fourth challenge derives from the highly centralized character of China’s political system. For three decades, China arguably has been able to develop as quickly as it has because it is a unitary state – not a federal system in which the provinces have significant independent authority – with a single-party regime. This facilitates timely and decisive action in response to perceived needs and opportunities and makes it easier to coordinate multiple components of an increasingly complex system. There are advantages to this type of system, but also risks and costs. One set of risks results from the fact that “all” key decisions must be made at the apex of the system by a relatively small number of officials who have only finite time, attention and knowledge. As China has become more modern and prosperous, it has also become more diverse. Different locales, sectors of the economy, interest groups and other constituencies have diverse expectations of the political system. Keeping the many concerns and requirements straight, and successfully juggling and balancing competing demands, will continue to become more complex and difficult.

Looming challenges are under study, increasing the likelihood of avoiding the most negative consequences.

As this happens, it will intensify another challenge, namely, the challenge of being “right” most of the time with little to no cushion for error. Systems with distributed authority are more cumbersome, but they avoid single points of failure. The danger of single-point failure increases as the complexity of issues, number of competing viewpoints and volume of information increases. Logically, the chance of mistakes increases as decisions become more demanding. Theoretically, there exists a point in any system at which the system can be overwhelmed by the magnitude of the task. The eurozone crisis may be a cautionary example.

Recognizing these challenges should not be read as a pessimistic prediction of inevitable failure. Indeed, the fact that looming but not yet imminent challenges are already the subject of study, deliberation and debate around the world increases the likelihood of avoiding the most negative or disruptive consequences; mitigating those that cannot be avoided entirely; and capitalizing on the many positive trends toward greater cooperation, acceptance of interdependencies and ability to learn from others’ experiences. 

Clearly discernible trends point to common interests and opportunities for cooperation as well as to challenges of unprecedented complexity. Whether China continues to eschew active engagement to address challenges at the global level in order to concentrate on domestic problems will shape possibilities for international cooperation. So, too, will actions of other nations that help or hinder China’s ability to solve its problems.

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Thomas Fingar
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After 10 years of rapid growth, China will undergo a major leadership transition later this year. Two recent Shorenstein Asia-Pacific Research Center edited volumes -- Going Private in China and Growing Pains -- put China’s development into context as the country prepares for the next decade of its future.
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Richard Nixon’s 1972 visit to China reshaped the global balance of power and opened the door to U.S.-China relations. The media coverage of this event is as important as the details of the diplomacy, and is brought to life through the new documentary: Assignment: China. Shorenstein APARC will screen the film on Feb. 7, followed by commentary from the film’s reporter and narrator Mike Chinoy.

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Walter. H. Shorenstein
Asia-Pacific Research Center
616 Serra St C332
Stanford University
Stanford, CA 94305-6055

(650) 725-0938 (650) 723-6530
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Visiting Associate Professor
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Fangcheng Yuan joins the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) during the 2011–12 academic year from the Institute of Political Science at Central China Normal University where he serves as an associate professor.

His research interests encompass Sino-foreign local governance; current reforms and innovations in contemporary rural China; and a comparative study of rural governance in Mainland China and Taiwan. During his time at Shorenstein APARC, Yuan will conduct research on community reconstruction: current reforms and innovations in China’s rural primary-level management system. He will contribute to a forthcoming research report on the subject.

Yuan is an editor of the Journal of Socialist Research, and contributes articles regularly to publications including CASS Journal of Political Science and Journal of Public Administration. He is also the author of Making Service Work (2008); Breakthrough: Xian’an Reform and the Transformation of China's Rural Grass-roots Governance (2009); and Working in Grass-Roots: A Close Observation of the Reforming of Rural China (2011).

Yuan holds a PhD and an MA in Chinese and foreign political systems from the Institute of Political Science at Central China Normal University, and a BA in political science from Wuhan University.

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What kind of a health care system do China’s 1.3 billion turn to when ill, injured, or in need of care? This article provides a brief overview of how China’s health system has transformed alongside China’s society and economy since the Mao era, including how the current system is financed, organized, regulated, and being reformed. It first provides a brief description of the Mao-era health system and China’s demographic and epidemiologic transitions. Then it gives an overview of China’s contemporary health care system, including the dramatic expansion of health insurance over the last eight years and the progress of national health system reforms initiated in 2009.

A condensed and revised version of this paper is published in The Milken Institute Review 2012 second quarter: 16-27. 

Published: Eggleston, Karen. "Health care for 1.3 billion: An overview of China’s health system." (2012).

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Karen Eggleston
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At present, the tobacco industry produces some six trillion cigarettes worldwide every year. Six trillion cigarettes per annum, each ready to release smoke filled with highly addictive nicotine and powerful carcinogens. A third of all these sticks were produced in China last year. In 2011, the world’s largest cigarette maker by volume, the China National Tobacco Corporation, contributed an all-time high of U.S. $214 billion in profits and taxes to the Chinese government, up 22 percent year-on-year. Currently the greatest cause of preventable death in the world, the cigarette is likely to kill ten times as many people in the 21st century as it did in the 20th century, epidemiologists tell us, with China bearing the largest burden. Until now, much global health research and intervention has focused with limited success on the cigarette consumer—addressing how one or another variable prompts people to take up or quit smoking, whether the cue for the consumer is biological, psychological, spatial, financial or symbolic. What though of the industrial sources of tobacco-related diseases? Where are the six trillion cigarettes that are released into circulation each year manufactured? Where are they rolled, wrapped, and boxed for shipment? This presentation will introduce the Cigarette Citadels Project, an innovative application of participatory GIS. With special attention given to China’s network of cigarette factories, Matthew Kohrman will explain how the Cigarette Citadels Project not only reveals conceptual roadblocks in public health policy but also lacuna in social theory pertaining to the state and the politics of life.


Matthew Kohrman joined Stanford’s faculty in 1999. His research and writing bring multiple methods to bear on the ways health, culture, and politics are interrelated. Focusing on the People's Republic of China, he engages various intellectual terrains such as governmentality, gender theory, political economy, critical science studies, and embodiment. His first monograph, Bodies of Difference: Experiences of Disability and Institutional Advocacy in the Making of Modern China, examines links between the emergence of a state-sponsored disability-advocacy organization and the lives of Chinese men who have trouble walking. In recent years, Kohrman has been conducting research projects aimed at analyzing and intervening in the biopolitics of cigarette smoking and production. These projects expand upon analytical themes of Kohrman’s disability research and engage in novel ways techniques of public health.

This event is part of the China's Looming Challenges series

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Stanford University
Department of Anthropology
Building 50, Central Quad
Stanford, California 94305-2034

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Associate Professor of Anthropology
Senior Fellow, by courtesy, at the Freeman Spogli Institute for International Studies
Faculty Affiliate at the Walter H. Shorenstein Asia-Pacific Research Center
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
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Matthew Kohrman joined Stanford’s faculty in 1999. His research and writing bring multiple methods to bear on the ways health, culture, and politics are interrelated. Focusing on the People's Republic of China, he engages various intellectual terrains such as governmentality, gender theory, political economy, critical science studies, and embodiment. His first monograph, Bodies of Difference: Experiences of Disability and Institutional Advocacy in the Making of Modern China, examines links between the emergence of a state-sponsored disability-advocacy organization and the lives of Chinese men who have trouble walking. In recent years, Kohrman has been conducting research projects aimed at analyzing and intervening in the biopolitics of cigarette smoking and production. These projects expand upon analytical themes of Kohrman’s disability research and engage in novel ways techniques of public health.

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Richard Nixon’s visit to China in Feb. 1972 reshaped the global balance of power and opened the door to the establishment of relations between China and the United States.

It was also a milestone in the history of journalism. Since the communist revolution of 1949, Beijing had barred virtually all U.S. reporters from China. For the Nixon trip, however, it agreed to accept nearly 100 journalists, and to allow the most dramatic events—Nixon’s arrival in Beijing, Zhou Enlai’s welcoming banquet, and visits to the Great Wall and the Forbidden City—to be televised live.

The coverage was arguably as important as the details of the diplomacy. It profoundly transformed American and international perceptions of a long-isolated China, generated the public support Nixon needed to change U.S. policy, and laid the groundwork for Beijing’s gradual move to open China to greater international media coverage.

While the outlines of the Nixon trip are familiar, the behind-the-scenes story of how that momentous event was covered is much less well known. The U.S.-China Institute at the University of Southern California has produced a new documentary film: Assignment: China—The Week that Changed the World.

The Walter H. Shorenstein Asia-Pacific Research Center will present a special screening of Assignment: China, followed by commentary from the film’s reporter and narrator Mike Chinoy, who is currently a senior fellow at the U.S.-China Institute and formerly CNN’s senior Asia correspondent and Beijing bureau chief. Shorenstein Distinguished Fellow Michael Armacost will provide insight into the historical significance of Nixon’s 1972 visit.

About the Film

Assignment: China—The Week that Changed the World contains remarkable and previously unreleased footage of the Nixon visit, interviews with Chinese officials, people who worked for Nixon, as well as many of the journalistic luminaries who accompanied the president. These include Dan Rather and Bernard Kalb of CBS, Ted Koppel and Tom Jarriel of ABC, Barbara Walters of NBC, Max Frankel of the New York Times, Stanley Karnow of the Washington Post, photographer Dirck Halstead of UPI, and many others.

Reported and narrated by Mike Chinoy, the film offers a fascinating and previously untold perspective on one of the most important historical moments of the 20th century.

Speakers

Mike Chinoy Mike Chinoy

Mike Chinoy
Senior Fellow, U.S.-China Institute, University of Southern California

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Michael H. Armacost
Shorenstein Distinguished Fellow, Shorenstein Asia-Pacific Research Center, Stanford University

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Mike Chinoy Speaker U.S.-China Institute, University of Southern California
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Former Shorenstein APARC Fellow
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Michael Armacost (April 15, 1937 – March 8, 2025) was a Shorenstein APARC Fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) from 2002 through 2021. In the interval between 1995 and 2002, Armacost served as president of Washington, D.C.'s Brookings Institution, the nation's oldest think tank and a leader in research on politics, government, international affairs, economics, and public policy. Previously, during his twenty-four-year government career, Armacost served, among other positions, as undersecretary of state for political affairs and as ambassador to Japan and the Philippines.

Armacost began his career in academia, as a professor of government at Pomona College. In 1969, he was awarded a White House Fellowship and was assigned to the Secretary and Deputy Secretary of State. Following a stint on the State Department's policy planning and coordination staff, he became a special assistant to the U.S. ambassador in Tokyo from 1972 to 74, his first foreign diplomatic post. Thereafter, he held senior Asian affairs and international security posts in the State Department, the Defense Department, and the National Security Council. From 1982 to 1984, he served as U.S. ambassador to the Philippines and was a key force in helping the country undergo a nonviolent transition to democracy. In 1989, President George Bush tapped him to become ambassador to Japan, considered one of the most important and sensitive U.S. diplomatic posts abroad.

Armacost authored four books, including, Friends or Rivals? The Insider's Account of U.S.–Japan Relations (1996), which draws on his tenure as ambassador, and Ballots, Bullets, and Bargains: American Foreign Policy and Presidential Elections (2015). He also co-edited, with Daniel Okimoto, the Future of America's Alliances in Northeast Asia, published in 2004 by Shorenstein APARC. Armacost served on numerous corporate and nonprofit boards, including TRW, AFLAC, Applied Materials, USEC, Inc., Cargill, Inc., and Carleton College, and he currently chairs the board of The Asia Foundation.  

A native of Ohio, Armacost graduated from Carleton College and earned his master's and doctorate degrees in public law and government from Columbia University. He received the President's Distinguished Service Award, the Defense Department's Distinguished Civilian Service Award, the Secretary of State's Distinguished Services Award, and the Japanese government’s Grand Cordon of the Order of the Rising Sun.

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China's economy has averaged an impressive 9 percent annual growth over the past 30 years. In a recent Policy Review article, Henry S. Rowen says that as a result of this growth major political and economic changes are possible in China before 2020.
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Since Kim Jong Il’s death on Dec. 17, North Korea has a young new leader: Kim’s 28-year-old son Kim Jong Un. What does the new leadership hold in store for the future of the Korean Peninsula, U.S.-Korea relations, and the stability of Northeast Asia? David Straub, who attended the seventh U.S.-Korea West Coast Strategic Forum in Seoul just days before Kim’s death, shares highlights from the Forum and offers insight into the current North Korea situation.

Straub is associate director of the Korean Studies Program at Stanford University and a retired senior U.S. foreign service official with over 30 years of Northeast Asia experience.

The U.S.-Korea West Coast Strategic Forum is held semi-annually, alternating between Stanford and the Sejong Institute in Seoul.

The West Coast Forum opened with a discussion about the current situation in North Korea. After Kim Jong Il’s death, how much do you think that picture will change?

Most Forum experts believe there will be relative stability in North Korea for some time to come.

The reason Kim Jong Il chose Kim Jong Un as his successor is because he is the least controversial person in North Korea to succeed him. Anyone else would be the object of great suspicion and jealousy within the elite there.

North Korea has already had one succession—from founder Kim Il Sung to his son Kim Jong Il—and that went smoothly. The succession from Kim Jong Il to his youngest son Kim Jong Un is natural within that context—it is a dynastic succession. As with other dynastic successions, the easiest person to accept is normally someone who represents a continuation of the person in power.

Do you foresee possible areas for improvement in relations between North and South Korea or for negotiations over North Korea’s nuclear program?

Apr. 15 is the 100th anniversary of Kim Il Sung’s birth, which is going to be a large celebration. North Korea probably will want to commemorate it without a lot of distractions. The North Korean leadership also wants to provide more food and supplies to its people, and provocations toward South Korea would make it harder to get international aid. 

A number of Forum experts are concerned that North Korea might conduct another nuclear or long-range missile test this year. Most tests so far have not been fully successful, so from a military and technology perspective they probably want to try again. North Korea has been slapped with international trade sanctions for its previous tests, but China has always stepped in to help. Sanctions will probably not deter the North Koreans from conducting future tests.

As far as inter-Korean relations are concerned, it is unlikely that North Korea will take any major new initiatives toward the South. The leadership does not like conservative South Korean President Lee Myung-bak because he came into office saying that he would not continue giving large-scale aid to North Korea until it abandoned its nuclear weapons program. That was contrary to the Sunshine Policy of his two progressive predecessors.

President Lee’s term is almost up, and South Korea will hold a hold a presidential election on Dec. 19 this year. North Korea probably hopes that the progressives will win the election and restore the Sunshine Policy.

Will North Korea be a major issue for debate in South Korea’s upcoming 2012 presidential election?

Current polling shows that North Korea is the top concern of only 8 percent of the South Korean electorate. As in the past, the main issues for voters there are the economy, their standard of living, and social welfare issues. North Korea will not be the top issue unless something very dramatic happens between now and the election. On the other hand, if the race is close, feelings about North Korea policy could help to decide the outcome.

Among South Korean citizens, is there more fear or hope—or maybe a mixture of both—about North Korea’s new leadership?

Recent opinion polls show that 80 percent of South Koreans feel that North Korea will not give up its nuclear weapons. There is not much reason for optimism. That being said, most South Koreans are concerned about North Korea’s 2010 attack of Yeonpyeong Island and hope for improved relations. And, of course, Kim Jong Un is a different leader and most South Koreans hope he will move in a more positive direction. But they feel it is unlikely to happen in the next few years—if ever.

Does uncertainty over the future of North Korea have the potential to impact or strengthen any aspects of the U.S.-South Korea alliance?

This year, the U.S. and South Korean administrations will likely focus on managing the North Korean situation and continue to prioritize the U.S.-South Korea alliance. The two countries closely cooperate on North Korea policy.

The real question for the alliance in terms of North Korea policy will be who is elected as president in both countries. If a progressive South Korean candidate wins, that person will probably pursue some variation of the Sunshine Policy. Especially if a Republican is elected in the United States, we may see echoes of the difficult U.S.-South Korea relationship we had during the George W. Bush administration.

If President Obama is re-elected, another South Korean Sunshine Policy would also pose challenges. The administration has taken a very firm position that the United States will not significantly improve relations with North Korea until it gives up its nuclear weapons program. South Korea’s Sunshine Policy focuses on embracing North Korea in the hope that relations will improve over time and that North Korea will eventually voluntarily give up its nuclear weapons in that long-term context. 

China, the country in Northeast Asia with the most influence over North Korea, recently issued a statement in support of Kim Jong Un. Does this signify any major change in relations between these two countries?

The Chinese government has particular interest in North Korea. China is focused on developing its own economy, including the relatively poor northeastern area that borders North Korea. The last thing China wants is instability on the Korean Peninsula, which would detract from its economic development.

China does not believe it can force North Korea to give up its nuclear weapons without risking instability. In the absence of progress in the Six Party negotiations over North Korea’s nuclear program, China has unilaterally increased economic and diplomatic support for North Korea. Its support is independent of who serves as the North Korean leader.

China tried very hard to get Kim Jong Il to open up the North Korean economy more, but did not succeed, primarily because Kim feared that doing so would also allow in more outside information and undermine his regime. China probably hopes that the younger Kim Jong Un may eventually have not only the power but also the desire to reform the economy.  

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