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Highlights

 

  • Total DALYs increased across all five Asian societies between 2000 and 2019.
  • Population aging was identified as the primary driver of total DALY increases.
  • However, substantial decreases in DALYs per disease case were observed.
  • These trends were especially pronounced for non-communicable diseases.

 

Background

Rapid population aging in Asia has significantly increased the disease burden. However, there is limited research on the drivers of such changes in disability-adjusted life years (DALYs).

 

Objective

To examine the factors contributing to changes in DALYs in China, Japan, Singapore, South Korea, and Taiwan in 2000 and 2019.

 

Methods

We conducted a cross-sectional analysis using data from the Global Burden of Disease Study 2021. Changes in DALYs between 2010 and 2019 were decomposed into four factors: population size, age-sex structure, disease cases per person, and DALYs per disease case.

 

Results

From 2000 to 2019, total DALYs increased across all locations. While DALYs from injuries, communicable, maternal and neonatal conditions, and nutritional deficiencies decreased, DALYs from non-communicable diseases increased. Decomposition analysis identified population aging (changes in age-sex structure) as the primary driver of increases in total DALYs, contributing an average of 33.6%. Population growth accounted for 15.3% on average. However, these increases were partially offset by decreases in DALYs per disease case, which fell by an average of -29.4%. Contributions from disease cases per person were relatively modest, averaging -3.4%. Notably, the decline in DALYs per disease case was more pronounced for non-communicable diseases, despite an overall increase in disease cases per person.

 

Conclusions

The increase in DALYs across these Asian societies was primarily driven by population aging and growth. However, DALYs per disease case decreased, suggesting improvements in disease management. Given the growing burden of non-communicable diseases in these societies, maintaining a focus on effective interventions remains crucial.

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Journal Articles

Income-Based Inequalities in Health System Performance in the US and South Korea

Income-Based Inequalities in Health System Performance in the US and South Korea
Journal Articles

Dementia Care in a Rapidly Aging Society

Dementia Care in a Rapidly Aging Society
Journal Articles

The Evolution of Age-Friendly Jobs in a Rapidly Ageing Economy

The Evolution of Age-Friendly Jobs in a Rapidly Ageing Economy
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Cynthia Chen
Karen Eggleston
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Indo-Pacific nations are racing to adapt to a world in which the United States has become fundamentally unpredictable. The 2026 Oksenberg Conference, hosted by the Shorenstein Asia-Pacific Research Center (APARC), gathered scholars and foreign service veterans at Stanford University to assess how regional stakeholders are confronting what Canada's Prime Minister Mark Carney had famously named "a rupture, not a transition" in the post-World War II order. The conference took place as Carney was in the midst of an Indo-Pacific trip, visiting Australia, India, and Japan to forge "middle power" trade alliances, and as the United States joined Israel in a war against Iran.

“For Indo-Pacific countries, the question is no longer just how to balance between Washington and Beijing,” said APARC Director Kiyoteru Tsutsui in his welcome remarks, “but how to understand and respond to the emergence of a multipolar world in which the United States is less predictable, less committed to multilateral frameworks, less invested in alliance maintenance, and more willing to pursue narrowly defined national interests at the expense of broader international stability.”

The panelists agreed that, while the U.S. retreat from the eight-decade-old international order it had previously championed creates multiple opportunities for China, Beijing is not naturally filling the vacuum, and regional powers are not pivoting toward it but instead scrambling to diversify security and economic partnerships. The consensus is that the international system is moving toward multipolarity and the world toward an increasingly unstable period, and no one knows yet what will replace the disintegrating post-WWII order.


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China has a very low appetite for global governance or leadership [...] We want to be powerful and respected in the region.
Da Wei

China Sees Opportunity in Multipolarity


To commemorate the legacy of the late Michel Oksenberg, a renowned scholar of contemporary China and a pioneer of U.S.-Asia engagement, the Oksenberg Conference, an annual tradition sponsored by APARC and led by the center’s China Program, gathers individuals who have advanced U.S.-Asia dialogue to examine pressing issues affecting China, U.S.-China relations, and broader U.S. Asia policy.

At this year’s convening, the first panel, moderated by Shorenstein APARC Fellow Thomas Fingar, focused on how China perceives, interprets, and responds to the new vulnerabilities and opportunities in the international system.

Speaking via video link from the Stanford Center at Peking University, Da Wei is shown on a screen.
Da Wei Speaks via video link from the Stanford Center at Peking University. | Rod Searcey

Speaking via video link from Beijing, Da Wei, a professor in the Department of International Relations at Tsinghua University and the director of its Center for International Security and Strategy, said China views the current moment as neither ideal nor catastrophic but better than recent alternatives.

China has experienced three scenarios, Da explained. First, from the 1990s through the Obama era, China benefited greatly from the U.S.-led liberal order, but was increasingly criticized by the West. Second, during Trump's first term and the Biden administration, while facing mounting pressure of decoupling in a bipolar system, China was forced into a camp with Russia, which Da characterized as Beijing’s “worst scenario.” Now, under Trump's second term, the shift toward multipolarity has redirected pressure away from China and onto multilateral institutions and U.S. allies – "the least bad option" from Beijing’s perspective.

Da argued that “culturally, China has a very low appetite for global governance or leadership.” China sees itself primarily as a regional power, he said. Rather than filling the vacuum left by the U.S. withdrawal from international institutions, "we want to be powerful and respected in the region. I don't think China has a very big appetite for leadership in faraway regions, except for economic interests." He contrasted this “Emperor's perspective,” demonstrated by China’s foreign policy, with the U.S. “boss perspective.”

Susan Shirk, a research professor at the University of California, San Diego’s School of Global Policy and Strategy and director emeritus of its 21st Century China Center, noted that China's response to Trump's trade war has been robust, muscular, but disciplined. "The Xi Jinping administration was operating in a more disciplined manner than it had previously," she said, contrasting this approach with what she called Xi's "rash reactions” to Japan and failure to engage Taiwan diplomatically.

Thomas Fingar, Susan Shirk, and Mark Lambert at the 2026 Oksenberg Conference.
L to R: Thomas Fingar, Susan Shirk, and Mark Lambert at the first panel of the 2026 Oksenberg Conference. | Rod Searcey

Shirk stated that, while Trump's alienation of U.S. allies through extreme tariffs and military interventions has created clear opportunities for China to expand its influence and further divide Washington from Europe and Asian partners, Beijing has only modestly exploited these openings.

She emphasized that Xi's support for Russia in its war against Ukraine represents "self-defeating overreach" that undermines China's ability to improve relations with Europe. "Russia represents an existential threat to Europe," she said. "Xi Jinping really doesn't grasp how important this is."

Mark Lambert, a recently retired U.S. State Department official who served as China coordinator and deputy assistant secretary in the Bureau of East Asia and Pacific Affairs, contrasted the Biden administration's China strategy with the current U.S. policy vacuum.

The Biden approach, he explained, was rooted in U.S. relations with five Asian treaty allies plus NATO and positioned China as the only country with the means and capabilities to reshape the post-World War II order. It required "all hands on deck" to address this challenge through what U.S. officials called a "lattice work of relations": the Quad involving India, AUKUS with Australia, the Camp David summit between South Korea and Japan, and strengthened linkages between NATO allies and East Asian partners. China's support for Russia's invasion of Ukraine unified Europeans in understanding the China challenge in ways never seen before. The administration also successfully reframed Taiwan's importance, emphasizing that Taiwan's chip dominance was vital to global prosperity.

Today, Lambert argued, the United States either has no China strategy or “one so classified that neither our allies nor our practitioners know what it is.” On security, trade, technology, and international cooperation, the United States has given China “fantastic opportunities,” he noted.

Laura Stone, Victor Cha, and Katherine Monahan at the 2026 Oksenberg Conference.
L to R: Laura Stone, Victor Cha, and Katherine Monahan at the second panel of the 2026 Oksenberg Conference. | Rod Searcey

Allies’ Transactional Coping Strategies


The second panel, moderated by Laura Stone, a retired U.S. ambassador and APARC's inaugural China Policy Fellow, turned to other regional states – South Korea, Japan, Russia, and India – and how they read the geopolitical landscape and devise strategies to shape the regional order.

Victor Cha, the D.S. Song-KF Chair and professor of government at Georgetown University and president of the Geopolitics and Foreign Policy Department at the Center for Strategic and International Studies (CSIS), noted that "every U.S. ally around the world is looking at a Plan B," pointing out that, in the first year of the second Trump administration, allies were not acting on these plans, but that "we’re now at a threshold where many of them are executing their Plan B's."

Cha identified seven types of behavior that U.S. partners have adopted when dealing with the Trump administration. These are drawn from a recent CSIS project on ally and partner responses to the paradigm shift in U.S. foreign policy. First is prioritizing face-to-face meetings with Trump himself, "because there's a recognition that the policy process in the United States is broken,” Cha said, “and that policy making is not being informed, as it traditionally has been, by foreign policy professionals. It's all happening at the leader level."

Other strategies include minimizing risk to avoid what Cha called "the Zelensky moment" – the public humiliation Ukraine's president suffered in the Oval Office in February 2025 – and preparing "trophy deliverables," such as South Korea's promise to buy Boeing airplanes and Japan's commitment to purchase Ford trucks.

“The America First policies have effectively put the custodial burden of maintaining the alliance on the partner,” Cha said. “Whether it's Japan, Korea, Taiwan, the Philippines, or whoever it might be, the burden traditionally has been on the United States, but now it's on the partner. They're the ones who have to try to maintain this relationship. So it's about minimizing risk.” 

We have two leaders in Korea and Japan that normally we would think would not get along [...], but because of the very difficult situation they're both in, they find a way to do it.
Victor Cha

South Korea's recent summit with Trump yielded a $350 billion investment package, yet soon after, U.S. immigration authorities raided a Hyundai facility, and Trump threatened 25% tariffs on Korea.

"Why take all this abuse?" Cha asked. His answer: South Korea and Japan see no alternative to the United States on security, and they secured previous concessions in areas such as nuclear submarines, ship building, and enrichment and reprocessing of spent nuclear fuel, which they do not want to renegotiate. 

One positive outcome, Cha pointed out, has been the unexpectedly warm bilateral relationship between Japan and Korea. Despite having leaders who would normally clash – a far-right conservative in Japan and a progressive in South Korea – the uncertain geopolitical environment has brought the two countries together.

He predicted China would eventually use economic coercion against South Korea over the U.S.-Korea nuclear submarine agreement, just as it did during the 2016-17 THAAD dispute and is currently doing to Japan. "It's not happening now because I don't think China wants bad relations with Japan and Korea at the same time, but it's coming," he said, adding that this development will likely push South Korea closer to the United States and Japan.

Economically, Japan was always talking about de-risking from China. You're not hearing that language anymore. I'm starting to hear about balancing trade with China.
Katherine Monahan

Japan Reconsiders Alliance Dependence as Its "Too Big to Fail" Status Proves No Shield


Katherine Monahan, a 2025-26 visiting scholar and Japan Program Fellow at APARC and a foreign service officer with the U.S. Department of State, said Japan's relationship with the United States is "too big to fail," but that has not prevented serious strain between the two allies.

Having served in Tokyo as deputy chief of mission at the U.S. Embassy in Japan until April 2025, Monahan shared that, when Trump's Liberation Day tariffs hit Japan with a 25% rate, the Japanese could not believe that was the figure next to their name, while other allies were at 20% and 15%. They wondered, “Don't we have any special relationship at all?”

Monahan called attention to a recent Foreign Affairs article by Masataka Okano, Japan's former national security advisor, in which he argues that Japan needs to take strategic autonomy more seriously. When made by a former Japanese official, such a statement represents a significant shift in the nation’s mindset, she said. 

Japan is also reconsidering previously used language around "de-risking" from China in favor of diversifying trade with multiple partners, including China, Canada, and Europe. This shift is happening on the backdrop of the current war with Iran, as 90% of Japanese oil comes through the Strait of Hormuz. “Japan has to start balancing sources and supply chains,” Monahan argued.

From left to right: Laura Stone, Victor Cha, Katherine Monahan, Kathryn Stoner, and Emily Tallo at a panel of the 2026 Oksenberg Conference.
The second panel at the 2026 Oksenberg conference brought together (L to R) Laura Stone, Victor Cha, Katherine (Kemy) Monahan, Kathryn Stoner, and Emily Tallo. | Rod Searcey
Putin wants multipolarity [...] Reclaiming Imperial Russia is really the goal.
Kathryn Stoner

Russia Exploits American Unreliability


Russia expert Kathryn Stoner, the Satre Family Senior Fellow at Stanford’s Freeman Spogli Institute for International Studies, said America’s unpredictability under Trump represents pure opportunity for Vladimir Putin.

"Putin knows Trump. He gets him," Stoner said. "They have a not-completely dissimilar worldview." Trump's red carpet welcome for Putin at last year's Alaska summit, despite the Russian leader's indictment by the International Criminal Court for war crimes, sent a powerful message, Stoner asserted. So did Trump's lack of concern for democratic values and his criticism of U.S. allies.

She reminded the audience that Putin has been in power for 26 years and has watched multiple U.S. presidents come and go, adapting successfully to each. Putin wants multipolarity, she said, and Trump’s actions have emboldened him. Putin’s goal is to “reclaim Imperial Russia as a global power and restore what he views as its proper sphere of influence,” extending through Ukraine and Belarus into Poland, up to German borders in the west and to the south, through Moldova, Serbia and Bulgaria, to the Black Sea in the east, all the way to the Kamchatka Peninsula. 

According to Stoner, the Russia-China relationship is significantly more durable than many believe. The relationship between the two powers extends beyond oil sales to investment, defense coordination, and sophisticated military exercises. “It kind of doesn't matter whether there's love lost or not. There's an opportunity to be gained on both sides."

"Russia's economy is actually not on the verge of collapse," Stoner added. "It has completely retooled toward the military."

India wants to be a regional power aligned with but not allied with the United States [...] They want to be considered as the United States’ main partner in Asia and a major counterbalance to China.
Emily Tallo

India Feels Betrayed


Emily Tallo, a postdoctoral fellow at Stanford’s Center for International Security and Cooperation, who studies how political elites structure foreign policy debates in democratic countries, especially in India, explained that New Delhi felt especially betrayed by Trump's foreign policy pivot.

The first Trump administration had centered India as a key partner against China. In May 2025, however, when an India-Pakistan conflict flared up, Trump claimed credit for brokering peace, but India took issue with his threat of trade measures to bring an end to the conflict. He then hosted Pakistan's army chief at the White House and signed deals with Islamabad. "This was a twist of the knife for India," Tallo said.

Trump also imposed 50% tariffs on India, including a penalty for buying Russian crude oil, which was not applied to China, and backed out of a QUAD summit in New Delhi.

India now views China as its primary security threat, and the recent India-Pakistan crisis, in which China supplied all of Pakistan's weapon systems and possibly intelligence, made New Delhi’s two-front threat fears a reality. "India is really sensitive to any hints of U.S. retreat in the Indo-Pacific, and any acceptance of Chinese Hegemony in the region," according to Tallo.

She concluded that, like other regional powers, India is committed to preserving the U.S. partnership but is diversifying and seeking a “Plan B.” It finalized free trade agreements with the European Union and the United Kingdom, agreed to purchase French Dassault Rafale jets, and conducted a pragmatic reset with China, citing U.S. unreliability as cover to stabilize a difficult bilateral relationship.

“India wants to be a regional power aligned with but not allied with the United States [...] They want to be considered as the United States’ main partner in Asia and a major counterbalance to China.”

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Chinese President Xi Jinping is applauded by senior members of the government and delegates.
News

A World Safe for Autocracy: How Chinese Domestic Politics Shapes Beijing's Global Ambitions

China studies expert Jessica Chen Weiss of the Johns Hopkins School of Advanced International Studies reveals how the Chinese Communist Partyʼs pursuit of domestic survival, which balances three core pillars, drives Beijingʼs assertive yet pragmatic foreign policy in an evolving international order.
A World Safe for Autocracy: How Chinese Domestic Politics Shapes Beijing's Global Ambitions
Oriana Skylar Mastro (left), Map of Venezuela (center), and Larry Diamond (right)
Commentary

U.S. Venezuela Operation Likely Emboldens China, Risks Strategic Neglect of Indo-Pacific, Stanford Scholars Caution

Speaking on the APARC Briefing video series, Larry Diamond and Oriana Skylar Mastro analyze the strategic implications of the U.S. operation in Venezuela for the balance of power in the Taiwan Strait, Indo-Pacific security, America’s alliances, and the liberal international order.
U.S. Venezuela Operation Likely Emboldens China, Risks Strategic Neglect of Indo-Pacific, Stanford Scholars Caution
CP_David_Meale
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The Future of U.S.-China Relations: A Guardedly Optimistic View

Eurasia Group’s David Meale, a former Deputy Chief of Mission at the U.S. Embassy in Beijing, reflects on the last 30 years and describes how the two economic superpowers can maintain an uneasy coexistence.
The Future of U.S.-China Relations: A Guardedly Optimistic View
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Panelists gather for a group photo at the 2026 Oksenberg Conference.
Panelists gather for a group photo at the 2026 Oksenberg Conference. Photo Credit: Rod Searcey
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At the 2026 Oksenberg Conference, scholars and foreign policy experts assessed how Indo-Pacific powers are coping with a less predictable United States as China pursues selective leadership and Russia exploits Western divisions.

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Key Points

 

Question

How do income-related inequalities in health system performance differ between the US and South Korea?

Findings 

In this cross-sectional study of 224 168 US adults and 179 452 South Korean adults, higher-income adults had lower health care spending, greater preventive care use, greater access to care, fewer behavioral risk factors, and better self-reported health than lower-income adults in both countries. These inequalities were generally more pronounced in the US.

Meaning 

The findings suggest that income is associated with disparities in health system performance in the US and South Korea, with larger differences by income in the US.

 

Abstract

 

Importance 

Income is a key social determinant of health, yet its influence on health system performance may differ across settings. Cross-national comparisons can help identify where income-related disparities are most pronounced and inform targeted policy responses; the US and South Korea are 2 members of the Organisation for Economic Co-operation and Development with high poverty rates but different health systems.

Objective 

To compare health system performance and income-related inequalities in health system performance between the US and South Korea.

Design, Setting, and Participants 

This repeated cross-sectional study including nationally representative samples of noninstitutionalized adults from the US and South Korea used data from the Medical Expenditure Panel Survey (MEPS; 2010-2019), National Health and Nutrition Examination Survey (NHANES; 2009-2018), Korean Health Panel Study (KHPS; 2010-2019), and Korean National Health and Nutrition Examination Survey (KNHANES; 2010-2019). Data were analyzed from March 2024 to March 2025.

Exposures 

Annual household income, categorized into country-specific deciles.

Main Outcomes and Measures 

The main outcomes were 30 indicators across 6 domains: health care spending, health care utilization, access to care, health status, behavioral risk factors, and clinical outcomes. To evaluate income-related inequalities in outcomes, adjusted mean values across income deciles were estimated using regression models.

Results 

The sample included 224 168 US adults (female: 51.1% in MEPS, 51.7% in NHANES) and 179 452 South Korean adults (female: 52.4% in KHPS, 56.1% in KNHANES). Mean (SD) age was 46.6 (18.0) years in MEPS, 46.5 (17.4) years in NHANES, 47.7 (16.2) years in KHPS, and 50.5 (17.1) years in KNHANES. US adults had higher mean total health care spending (lowest income decile: $7852 [95% CI, $7456-$8247]; highest decile: $6510 [95% CI, $6218-$6802]) than South Korean adults (lowest decile: $1184 [95% CI, $1105-$1263]; highest decile: $1025 [95% CI, $950-$1100]) despite similar levels of self-reported good health. A 1-decile increase in income was associated with a difference of −$142 (95% CI, −$179 to −$104) in total health care spending in the US compared with −$33 (95% CI, −$41 to −$25) in South Korea. A 1-decile increase in income was associated with an increase of 2.4 (95% CI, 2.3-2.5) percentage points (pp) in self-reported good health in the US compared with 1.5 (95% CI, 1.4-1.6) pp in South Korea. Income-related disparities in preventive service use were also larger in the US, ranging from 0.2 (95% CI, 0.2-0.2) pp for cervical cancer screening to 4.0 (95% CI, 3.9-4.1) pp for dental checkups. In South Korea, disparities ranged from 0.6 (95% CI, 0.4-0.8) pp for dental checkups to 2.0 (1.8-2.2) pp for routine checkups. Similar income gradients were observed in access to care and behavioral risk factors. Differences in clinical outcomes were modest in both countries.

Conclusions and Relevance

 In this cross-sectional study, income was associated with disparities in health system performance in both the US and South Korea, with larger differences by income in the US. The findings suggest that structural and systemic policy efforts are needed to address income-based health inequalities, particularly in the US.

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JAMA Health Forum
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Karen Eggleston
Young Kyung Do
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Reactionary Politics in South Korea -April 15 at 12 pm pt

The rise of the illiberal, far-right politics threatens democratic systems throughout the world. Former South Korean President Yoon Suk-yeol’s martial law declaration stunned the world in December 2024. More puzzling is that Yoon’s insurrection unexpectedly gained substantial support from the ruling right-wing party and ordinary citizens. Why do ordinary citizens support authoritarian leaders and martial law in a democratic country? What draws these citizens to extreme actions and ideas? Through eighteen months of field research and drawing from rich qualitative data, this talk will provide an in-depth account of the ideas and practices of far-right groups and organizations to help understand the roots of current democratic regression.

Speaker:
Myungji Yang is an associate professor of sociology at the University of Hawai‘i-Mānoa. A political sociologist and social movement scholar, she is interested in the issues of power, inequality, civil society, and democracy. Her research has appeared in Nations and Nationalism, Politics and Society, Mobilization: An International Inquiry, Urban Studies, and Sociological Inquiry, among other venues. She is the author of two books, From Miracle to Mirage (2018, Cornell University Press) and Reactionary Politics in South Korea: Historical Legacies, Far-Right Intellectuals, and Political Mobilization (2025, Cambridge University Press). She is currently developing a research project on young men’s radicalization and anti-feminist politics.

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Philippines Conference Room (C330)
Encina Hall, 3rd Floor
616 Jane Stanford Way, Stanford, CA 94305

Myungji Yang, Associate Professor of Sociology, University of Hawai‘i at Mānoa
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Visiting Scholar at APARC, 2026
eunjung_lim.png Ph.D.

Eunjung Lim joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting scholar from April 2026 to February 2027 from Kongju National University (KNU), where she serves as Professor in the Division of International Studies. She previously served as Vice President for International Affairs and as Dean of the Institute of Korean Education and Culture and the Institute of International Language Education at KNU (June 2021–May 2023).

Her research focuses on international cooperation in the Indo-Pacific, comparative and global governance, and energy, nuclear, and climate change policies in East Asia. She previously served as a board member of the Korea Institute of Nuclear Nonproliferation and Control (KINAC) from May 2018 to July 2024 and currently serves on the Policy Advisory Committee for the Ministry of Unification. She is also a member of the governing board of the Asia-Pacific Leadership Network (APLN) and a member of the Subcommittee on Energy and Just Transition of the Presidential Commission on Carbon Neutrality and Green Growth.

Before joining KNU, Dr. Lim was an Assistant Professor at the College of International Relations, Ritsumeikan University in Kyoto, Japan. She has also taught at several universities in the United States and Korea, including Johns Hopkins University, Yonsei University, and Korea University. In addition, she has been a researcher and visiting fellow at various academic institutions, including the Center for Contemporary Korean Studies at the University of Tokyo, the Institute of Japanese Studies at Seoul National University, the Institute of Japan Studies at Kookmin University, and the Institute of Energy Economics, Japan (IEEJ).

She received a B.A. from the University of Tokyo, an M.I.A. from Columbia University’s School of International and Public Affairs, and a Ph.D. from Johns Hopkins University’s School of Advanced International Studies.

Main Publications:

  • “Multilateral Approach to the Back End of the Nuclear Fuel Cycle in Asia-Pacific?” Energy Policy Vol. 99 (2016): 158-164.
  • “Japan’s Energy Policy under Abe: Liberalization of the Energy Market and Nuclear U-turn,” Seoul Journal of Japanese Studies Vol. 4, No. 1 (2018): 103-131.
  • “Energy and Climate Change Policies of Japan and South Korea,” in Ashley Esarey, Mary Alice Haddad, Joanna I. Lewis and Stevan Harrell Eds. Greening East Asia The Rise of the Eco-developmental State (Seattle: University of Washington Press, 2020).
  • “A Comparative Study of Power Mixes for Green Growth: How South Korea and Japan See Nuclear Energy Differently,” Energies Vol.14, no. 18 (2021): 5681.
  • “Japan’s Energy Security,” in Keiji Nakatsuji Ed. Japan’s Security Policy (Routledge, 2023).
  • “The Emergence of Multipolarity and the Future of Alliances: Thinking about Sustainability of the Korea-US-Japan Strategic Triangle,” Korea Europe Review No. 7. DOIhttps://doi.org/10.48770/ker.2025.no7.52.
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Visiting Scholar at APARC, 2026
Ph.D.

Ki Soon Park joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting scholar beginning spring 2026 from Sungkyunkwan University, where he serves as Adjunct Professor in the Graduate School of Chinese Studies. While at APARC, he will be conducting research on economic security and industrial policy, with a focus on the U.S., China, and South Korea.

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Flyer for the 2026 Oksenberg Conference, titled "Coping with a Less Predictable United States," including an image of President Trump board Air Force One.

The content, consistency, and predictability of U.S. policy shaped the global order for eight decades, but these lodestars of geopolitics and geoeconomics can no longer be taken for granted. What comes next will be determined by the ambitions and actions of major powers and other international actors.

Some have predicted that China can and will reshape the global order. But does it want to? If so, what will it seek to preserve, reform, or replace? Choices made by China and other regional states will hinge on their perceptions of future U.S. behavior — whether they deem it more prudent to retain key attributes of the U.S.-built order, with America playing a different role, than to move toward an untested and likely contested alternative — and how they prioritize their own interests.

This year’s Oksenberg Conference will examine how China and other Indo-Pacific actors read the geopolitical landscape, set priorities, and devise strategies to shape the regional order amid uncertainty about U.S. policy and the future of global governance.
 

PANEL 1 

China’s Perceptions and Possible Responses 


Moderator 

Thomas Fingar 
Shorenstein APARC Fellow, Freeman Spogli Institute for International Studies, Stanford University 

Panelists 

Da Wei 
Professor and Director, Center for International Security and Strategy, Tsinghua University 

Mark Lambert 
Retired U.S. Department of State Official, Formerly China Coordinator and Deputy Assistant Secretary 

Susan Shirk 
Research Professor, School of Global Policy and Strategy, University of California San Diego 


PANEL 2 
Other Asia-Pacific Regional Actors’ Perceptions and Policy Calculations 


Moderator 

Laura Stone 
Retired U.S. Ambassador and Career Foreign Service Officer; Inaugural China Policy Fellow at APARC, Stanford University 

Panelists

Victor Cha 
Distinguished University Professor, D.S. Song-KF Chair, and Professor of Government, Georgetown University 

Katherine Monahan 
Visiting Scholar and Japan Program Fellow 2025-2026, APARC, Stanford University 

Kathryn Stoner 
Satre Family Senior Fellow, Freeman Spogli Institute for International Studies, Stanford University 

Emily Tallo 
Postdoctoral Fellow, Center for International Security and Cooperation, Stanford University 

Thomas Fingar, Laura Stone
Victor Cha, Da Wei, Mark Lambert, Katherine Monahan, Susan Shirk, Kathryn Stoner, Emily Tallo
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This talk examines how age and generational differences shape smartphone adoption patterns in South Korea, one of the world's most rapidly aging societies. Using discrete-time hazard models, the analysis investigates whether digital divides reflect temporary life stage effects or persistent generational differences that accompany cohorts throughout their lives. Preliminary results reveal striking heterogeneity both across and within age cohorts, suggesting that neither age nor cohort membership alone fully explains adoption patterns. Motivated by these findings, the talk concludes by introducing an age-period-cohort framework designed to separate the distinct effects of aging, different formative experiences (cohort effect), and changing environment (period effect) on technology adoption.

Speaker:

Jinseok Kim headshot

Jinseok Kim is a Visiting Postdoctoral Fellow at Stanford’s Shorenstein Asia-Pacific Research Center (APARC) and the Stanford Next Asia Policy Lab (SNAPL). His research examines economic decision-making and technology adoption through the lens of behavioral and applied microeconomics. Using econometric modeling and experimental approaches, he studies consumer behavior, innovation diffusion, and the interaction between policy, markets, and demographic change. His work contributes to understanding how psychological factors and institutional contexts shape economic choices and the adoption of new technologies.

 

Directions and Parking > 

Philippines Conference Room (C330)
Encina Hall, 3rd Floor
616 Jane Stanford Way, Stanford, CA 94305

Jinseok Kim, Visiting Postdoctoral Fellow, APARC, Stanford University
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Woman shopping in an outdoor market in Seoul, Korea

 

South Korea’s two-decade effort to establish local human rights protection systems through municipal ordinances shows significant progress: all 17 metropolitan governments and 54 percent of basic local governments have enacted human rights ordinances by 2024. Yet implementation remains uneven, with stark urban-rural and regional disparities.

Three factors impede development: absence of national human rights legislation, narrow and conflicting understandings of human rights (particularly regarding sexual minorities), and weak social consensus. Political orientation heavily influences outcomes, with conservative forces often opposing ordinances while progressive governments advance them. Several cases demonstrate how ordinances were abolished or weakened following electoral shifts.

The author, seeing strengthening local democracy as crucial for human rights advancement, calls for measures including electing rights-conscious leaders, ensuring resident participation, establishing dedicated human rights institutions, and building social consensus around protection systems. Local human rights committees and specialized bureaus—mandated by many ordinances but poorly implemented—must function as genuine governance bodies rather than rubber-stamp mechanisms.

Local democracy and human rights protection must develop simultaneously in a mutually reinforcing relationship, with democratic processes enabling rights advancement and robust rights protections strengthening democratic institutions.

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Gi-Wook Shin
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This essay was first published by Seoul National University's Institute for Future Strategy. You can also view the Korean version.



Technological hegemony surrounding artificial intelligence (AI) has emerged as a central facet of national economies and security. Global competition among countries and corporations to secure high-level talent has intensified into a matter of survival. Worldwide demand for AI talent now exceeds supply by more than threefold. In Silicon Valley, AI dominates the discussion, and competition among big tech firms to attract talent is escalating. Ultimately, the rivalry between the United States and China will be decided not only by capital or technology but by who succeeds in attracting and retaining global talent.

In South Korea, concerns over talent outflows from Korea are growing. Last year, Korea ranked fourth among the 38 OECD countries in terms of AI talent outflow. Compared to other advanced economies, Korea’s AI industrial ecosystem remains underdeveloped, while overseas firms offer better compensation and research environments. The recent phenomenon of 56 Seoul National University professors relocating abroad over the past four years, a “new brain drain,” must be understood in this broader structural context.

This reality is also clearly reflected in the Global Talent Competitiveness Index, published annually by INSEAD. Korea ranked 31st this year, a position disproportionately low relative to its economic standing, and fell seven places compared to two years ago. In particular, Korea performed poorly in attracting and retaining talent, ranking 55th and 37th, respectively. These findings suggest that, beyond economic incentives, social, cultural, and environmental factors play a decisive role in talent mobility.

Korea’s talent outflow is especially alarming because it coincides with record-low fertility rates and rapid population aging. Before this convergence hardens into irreversible decline, Korea must establish a Ministry of Human Resources to oversee a comprehensive national talent strategy and devise systemic measures for talent development, attraction, and utilization.
 

Talent Portfolio Theory
 

Cover of the book "The Four Talent Giants" by Gi-Wook Shin.

In a recent book published by Stanford University Press, The Four Talent Giants, I proposed a framework titled “talent portfolio theory.” Just as financial investment strategies adopt a portfolio approach, national talent strategies should also be portfolio-based, emphasizing diversification to minimize risk and continuous adjustment (rebalancing). In other words, just as financial portfolios are composed of cash, stocks, real estate, and bonds, talent portfolios consist of four elements—the “4B's”: brain train, brain gain, brain circulation, and brain linkage.

Moreover, just as investors design different portfolios, each country’s talent portfolio varies depending on its economic needs as well as cultural and institutional contexts. Japan, Australia, China, and India (all discussed in the book) include all four B's but have constructed distinct portfolios that contributed to their respective economic development. A portfolio approach transcends the traditional binary of “brain drain versus brain gain” and offers a more comprehensive and flexible framework for understanding national talent strategy, one that is particularly relevant for Korea.

First, “brain train” refers to developing domestic human resources through education and training. It is a fundamental element of any portfolio. In Japan’s portfolio in particular, homegrown talent accounts for a large share. Japan has favored domestically educated and trained talent over foreign or overseas-trained individuals, making them the backbone of its economic development.

By contrast, Australia places greater emphasis on “brain gain.” Brain gain involves importing foreign labor, and approximately 30 percent of Australia’s workforce is foreign-born. Until the 1970s, Australia upheld the “White Australia” policy, but a major shift toward multiculturalism subsequently elevated brain gain to a central position in its portfolio. Brain gain pathways include the study-to-work route, where international students remain for employment, and the work-to-migration route, where individuals enter on work visas and later settle. Australia has effectively utilized both pathways.

“Brain circulation” involves bringing back nationals who were educated or employed abroad, and it has been critical to China’s portfolio. Following China’s opening in the 1980s, Chinese nationals came to represent the largest share of participants in the global talent market, including international students. Approximately 80 percent of them returned to China after the 2000s. Known as haigui (sea turtles), these returnees played prominent roles in China’s science, technology, education, and economy, supported by numerous central and local government programs designed to promote talent circulation.

“Brain linkage” refers to those who do not return home after studying or working abroad but instead serve as bridges between their host countries and their homeland. By leveraging their local networks, social capital, they support their home country from abroad, making this a key component of India’s portfolio. India refers to them as a “brain bank” or “brain deposit,” exemplified by leaders of Silicon Valley big tech firms such as Google CEO Sundar Pichai.

However, all talent portfolios carry inherent risks. When adjustment is delayed or fails, risks can escalate into crises with negative effects on the broader economy. The experiences of the four countries illustrate this point.

Japan has faced two major risks. A talent strategy centered on domestic talent weakened its global competitiveness, while demographic decline reduced its labor pool. Although Japan actively attracted foreign students to increase brain gain, its exclusive social and cultural environment limited their integration into the workforce after graduation. While there are many reasons behind Japan’s “lost 30 years” since the 1990s, one factor was its failure to adjust a portfolio overly concentrated on domestic talent in a timely manner.

Australia has confronted rising anti-immigration sentiment and tensions with China. Public concern grew over excessive immigration and perceived threats to national identity, prompting the government to tighten immigration policies. Amid conflict with China, Australia diversified its foreign talent sources from China to India and Southeast Asia. The pandemic, which restricted cross-border mobility, dealt a severe blow to Australia’s talent attraction efforts.

In China’s case, despite aggressive brain circulation policies, top-tier global talent has remained hesitant to return, as relinquishing careers built abroad is not easy. China accordingly shifted its focus toward brain linkage for these elite individuals. At the same time, brain circulation and linkage strategies became a source of friction with the United States, and rising anti-immigration and anti-China sentiment in the U.S. and Europe reduced opportunities for study and employment abroad. Recently, China has adjusted its portfolio to strengthen domestic talent development.

India, despite its strong brain linkage, remains vulnerable to brain drain. However, as economic opportunities expand domestically, return migration has increased, gradually reshaping its portfolio composition.
 

What Should Korea’s Talent Portfolio Strategy Be?


What, then, about Korea? Let us examine Korea’s situation by comparing it with the four countries through the lens of talent portfolio theory.

Brain train: Human resources have been critical to Korea’s economic development, with the government playing a central role. Key examples include preferential policies for technical and commercial high schools during the 1970s under the Park Chung Hee administration to support industrialization, and efforts to internationalize universities in the 1990s as part of globalization. While less dominant than in Japan, brain train has constituted a significant share of Korea’s talent portfolio.

Brain gain: Korea has imported low- and semi-skilled labor from China and Southeast Asia to fill so-called 3D jobs, but attraction of global high-level talent has remained limited. As in Japan, social exclusivity and cultural barriers continue to impede integration.

Brain circulation: Comparable to China, brain circulation has played a vital role in Korea’s economic development. Overseas education and experience have carried strong premiums, and China explicitly benchmarked Korea and Taiwan when designing its own policies.

Brain linkage: Compared to brain circulation, brain linkage has, until recently, occupied a relatively small share of Korea’s portfolio.

Facing the AI era, low fertility, and the crisis of a new brain drain, what strategy should Korea pursue in the global competition for talent? As noted above, rather than fragmented and ad hoc measures, Korea must comprehensively review and continuously adjust its talent strategy through a portfolio approach.

Brain train: Korea must cultivate talent for future industries, particularly in science and engineering. Training should be aligned with AI-related fields to better match university output with corporate demand. The excessive concentration of top students in medical schools must be corrected. Support mechanisms to retain domestic talent should be strengthened. A recent Bank of Korea survey of 1,916 science and engineering master’s and doctoral degree holders working domestically found that 42.9 percent of science and engineering master’s and doctoral graduates are considering overseas employment within three years—an alarming signal. While brain train will remain vital, its relative share is likely to decline.

Brain gain: As demographic crises intensify and the share of brain train diminishes, the necessity and importance of brain gain will grow. In particular, Korea must actively utilize the more than 300,000 foreign students currently in the country as human and social capital. At present, universities focus merely on filling enrollment quotas, and most foreign students either leave Korea immediately after graduation or remain employed only briefly. This, too, constitutes a form of brain drain. To increase the share of brain gain in the portfolio, foreign students must be managed holistically from selection to graduation and employment. While immigration is ultimately inevitable, it must be approached cautiously and deliberately, considering its impact on the domestic labor market and anti-immigration sentiment. Australia’s successful experience offers useful lessons.

Brain circulation: Although it occupies a relatively modest share of Korea’s portfolio, a certain level should be maintained. With declining numbers of students studying abroad and reduced inclination among overseas Koreans to return, care must be taken to prevent a sharp drop in this component. Otherwise, Korea risks losing global competitiveness, as Japan’s experience warns.

Brain linkage: Alongside brain gain, brain linkage is crucial to Korea’s portfolio adjustment. Key target groups include departing domestic talent (the new brain drain), foreign students, and the diaspora. Although their likelihood of reemployment in Korea is low, their potential for exchange and collaboration with Korea remains open. Like India, Korea should foster and support brain linkage by treating them as a “brain bank” or “brain deposit.”
 

Toward the Establishment of a Ministry of Human Resources


At the national level, a control tower is needed to design an optimal talent portfolio and make timely adjustments. Korea should establish a Ministry of Human Resources by consolidating functions currently dispersed across the Ministry of Education (universities and graduate schools), the Ministry of Science and ICT (R&D), and the Ministry of Employment and Labor (foreign employment support). It is worth recalling that Singapore, ranked first globally in talent competitiveness, established its Ministry of Manpower early on. Expanded and reorganized from the Ministry of Labor in 1998, it played a pivotal role in transforming Singapore into a talent powerhouse. Through education and development investments, Singapore strengthened domestic talent competitiveness while opening its doors to multinational talent, and it also implemented policies to promote talent circulation and linkage. From the perspective of talent portfolio theory, Singapore represents a successful case of diversification and continuous adjustment. In the increasingly fierce global competition for talent in the AI era, nations and firms that fall behind cannot secure their future. Korea is no exception.

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Japan, Australia, China, and India include all four components (four B's) of a Talent Portfolio Theory – brain train, brain gain, brain circulation, and brain linkage – but have constructed distinct portfolios that contributed to their respective economic development.
Courtesy of the Institute for Future Strategy, Seoul National University.
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To survive in the global competition for talent while facing the AI era, low fertility, and the crisis of a new brain drain, South Korea must comprehensively review and continuously adjust its talent strategy through a portfolio approach.

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