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How do aging populations reshape health and innovation policies in Asian economies? What role can the private sector play in public health service delivery, and how do individual preferences affect the development of emerging technologies? Mai Nguyen and Jinseok Kim, the 2024-25 Asia health policy postdoctoral fellows at APARC, focus on these questions as part of their research into health care service adaptation and behavioral economics.

At a recent joint seminar, “Health, Aging, Innovation, and the Private Sector: Evidence from Vietnam and Korea,” they offered a comparative look at how Vietnam and South Korea navigate aging populations, rising healthcare demands, and rapid technological change. While Nguyen focuses on health system design in Vietnam and Kim explores innovation diffusion in Korea, they both use discrete choice modeling to understand how individuals make decisions within systems influenced by age, infrastructure, and policy.

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Nguyen and Kim’s work is supported by APARC’s Asia Health Policy Program (AHPP), which offers a postdoctoral fellowship each year to an early-career scholar conducting original research on health policy in the Asia-Pacific, particularly in low- and middle-income economies across the region. The fellowship demonstrates the program’s commitment to fostering the next generation of Asia-focused health policy researchers.

Vietnam’s Mixed Health System and the Role of Patient Choice


Mai Nguyen’s research centers around the role of private healthcare providers in Vietnam, especially for patients managing chronic diseases such as diabetes. She studies how patients choose between public and private healthcare providers, and what attributes of care they value most.

To analyze these preferences, she uses a method known as the Discrete Choice Experiment, which allows her to quantify the relative importance of various service attributes — such as appointment flexibility, doctor choice, quality of care, drug diversity, and cost coverage — in influencing patients’ decisions.

Despite potential downsides, such as increased costs, equity concerns, and profit-driven service delivery, my study finds that private healthcare helps relieve pressure on the public system and meets diverse patient needs.
Mai Nguyen

Nguyen’s interest in this topic began while she worked at Vietnam’s Ministry of Health. “That earlier work highlighted the growing contribution of the private sector in filling service delivery gaps, particularly in urban areas and for non-communicable diseases such as diabetes,” she says.

Her findings suggest that Vietnam’s private sector has become a necessary complement to public healthcare. “Despite potential downsides, such as increased costs, equity concerns, and profit-driven service delivery, my study finds that private healthcare helps relieve pressure on the public system and meets diverse patient needs.”

At APARC, Nguyen has sharpened the focus of her research under the mentorship of AHPP Director Dr. Karen Eggleston, a leading expert on public and private roles in Asian health systems. Nguyen also values her collaboration with Jinseok Kim. “Dr. Kim’s expertise provides valuable insights into how Korea is addressing the challenges of a rapidly aging population through innovative policy and service delivery models,” she notes.

Her time at Stanford has also broadened Nguyen’s horizons beyond traditional health economics. “I have developed a strong interest in the application of artificial intelligence to enhance the delivery of medical services,” she says. Looking forward, she plans to expand her research to Asian American populations in the United States, exploring how AI and digital health can improve diabetes care while also addressing barriers related to equity and access.

Innovation Adoption and the Aging Consumer in South Korea


Jinseok Kim investigates how aging affects new technology adoption and consumer behavior in South Korea, a country facing one of the fastest demographic shifts in the world.

“My current research involves looking at population aging and innovation diffusion, specifically in the context of the rapid aging trend in Korea,” Kim says. He studies how age influences consumer preferences in choosing new technologies such as electric vehicles, telemedicine, and generative AI platforms like ChatGPT.

By working out the relationship between consumer choice and population aging, I forecast the effect of the population aging trend on the diffusion of innovative products and provide the potential policy and marketing implications for government policy and corporate management.
Jinseok Kim

Understanding these preferences, Kim argues, is critical for both policy and market strategy. “By working out the relationship between consumer choice and population aging, I forecast the effect of the population aging trend on the diffusion of innovative products and provide the potential policy and marketing implications for government policy and corporate management.”

The challenge, he says, lies in making sense of a wide range of behaviors across age groups and product types. “The biggest challenge I had in my studies was finding the overarching trend in the relationship between consumer choice for particular innovative products and population aging and then translating this finding into meaningful implications for society and the economy.”

Kim credits his time at APARC, especially participating in the Stanford Next Asia Policy Lab (SNAPL) meetings, with broadening his perspective. “Working as a member of SNAPL gave me insights and perspectives I didn’t have before,” he says.

SNAPL, directed by Professor Gi-Wook Shin, is an interdisciplinary research initiative housed within APARC addressing pressing social, cultural, economic, and political challenges in Asia through comparative, policy-relevant studies. The lab cultivates the next generation of researchers and policy leaders by offering mentorships and fellowship opportunities for students and emerging scholars.

Kim sees APARC’s model as effectively bridging academia and policy. “There are so many opportunities to interact with other scholars, policymakers, and practitioners,” Kim says. “Scholars here not only research and write, but they also get to share their voice and research findings in real-world policy.”

His advice to early-career researchers is straightforward. “Be more down-to-earth with your studies and thinking,” Kim says. “Sometimes scholars tend to get caught up in their way of thinking and perspective, but it may not be practical in real life. That is why I think it is important to just get outside and observe real consumer choice and behavior.”

Kim plans to continue researching questions related to innovation and demographic change to help governments and businesses adapt to aging populations and shifting consumer needs.

Ground-Level Data, Big-Picture Impact


Mai Nguyen and Jinseok Kim approach shared societal challenges through distinct yet complementary lenses. Nguyen’s research reveals how patient preferences can guide more effective public-private collaboration in healthcare, ultimately shaping systems that are more responsive to real-world needs. Meanwhile, Kim examines how patterns of technology adoption — especially among older adults — can influence the trajectory of innovation in aging societies.

Both scholars emphasize the value of ground-level data in addressing large-scale issues. By centering real behaviors and preferences, their work helps inform smarter, more adaptive policy, whether in designing patient-centered care or planning for technology's role in future societies. At APARC, their research bridges theory and practice, offering fresh insight into how Asian countries can navigate the twin forces of demographic change and rapid innovation.

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As Asian economies grapple with aging populations, rising healthcare demands, and rapid technological change, APARC’s 2024-25 Asia Health Policy Program Postdoctoral Fellows Mai Nguyen and Jinseok Kim study large-scale health care structural and policy challenges from the lens of individual decision-making.

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This interview first appeared in the Brazilian newspaper Folha de S.Paolo, on April 6. The following English version was generated using machine translation and subsequently edited for accuracy and clarity.


WASHINGTON — The tariff hike against all countries announced last week by President Donald Trump may bolster China's image, but that doesn't mean China or any other country is poised to replace the United States, says Thomas Fingar, Shorenstein APARC Fellow at the Freeman Spogli Institute at Stanford University.

Fingar, a former chief of the State Department's China Division, among other roles in the U.S. Foreign Service and national intelligence, believes that Trump's tariffs will be bad for all nations.

"I hesitate to predict how other countries will react, except that this has more or less given everyone an incentive to bypass the U.S.," he tells Folha.

Donald Trump announced tariffs this week against virtually every country. China has already announced retaliation, imposing a 34% tariff on American products. Are we facing a trade war?

I don't think the war metaphor works for me. I don't know what Trump is trying to do. One could say that this is a game of imposing an outrageous tariff in the hope that specific targets, which are basically all countries, might give in to what they say are their demands. In doing so, they would reduce barriers to trade with the United States. To me, it doesn't make sense with the vast majority of targets of the 10% tariffs.

Why?

I hesitate to predict how other countries will react, except that this has more or less given everyone an incentive to bypass the U.S., to make the U.S. a supplier of last resort, to hold the line, to have a kind of united front to compete with each other.

If the assessment is that the Dutch or the French or the Germans or the Brazilians or somebody else is talking about doing something to eliminate a 10% tariff to gain a comparative advantage in accessing the U.S. market, if that's the logic, then fine. Maybe there's something rational about that, but I think it's more likely that the targets of those low tariffs are just getting together.

My main trade competitor has the same or higher tariffs levied against them. Why should I give in if we are competing on a level playing field?

I think Trump is going to make the U.S. pay a huge geopolitical price. But what he thinks he will gain from this, I don't know. Is it likely that he will achieve anything really significant from it? I doubt it.

You mentioned a geopolitical price tag for the United States. What would it be?

The tendency of much of the world, most of the time, was to try to work with the United States, to the extent that they couldn't automatically do what Washington wanted, but they were inclined to cooperate because they saw it as benign, if not beneficial, to their interests. I think Trump has reversed that. This is going to lead to a disinclination to work with us, an incentive to try to bypass us. I think the inclination now is going to be: I'm not going to vote with the Americans, I'm going to look elsewhere first, for my investment, for my capital, for the market, for what I'm doing, for partners.

But I don't think that these measures are necessarily going to play in favor of any particular country. Maybe China in some places, the European Union in some places, Japan in some places. It's going to be a very different environment for the United States, for American companies and diplomats to operate in. It's going to be much more difficult.

This tariff strategy that you say is hard to understand is seen by some analysts as part of Trump's isolationist policy.

As my kids would say, this is so last century. This is really 19th century, the idea of bringing industries, manufacturing back to the United States. Very little manufacturing, I think, is going to come back to the United States. We have 4% unemployment. We can't fill the jobs that we have now, imagine bringing back manufacturing of basic commodities like shoes, toys, that kind of thing.

That left the United States a long time ago and went to Japan, moved from Japan to Taiwan, moved from Taiwan to South Korea, moved from South Korea to somewhere else, and then moved to China and then to Vietnam. Those things are not coming back here because there's not enough profitability to justify investing in robots and mechanizing those things to bring them back to the United States. Our workforce is small relative to the size of the economy. It's not coming back.

It's already moving from China because labor costs are so high. The fallacy in Trump's logic is that things like furniture, construction, textiles, clothing, and manufacturing would come back. And the people who would actually do the work are the people he's persecuting with his ridiculous immigration policies.

Trump has argued that he imposed the tariffs to curb alleged abuses against the United States that would benefit China. Is he containing Beijing with this move?

I don't think he really cares about containing China. But the answer is no. These moves boost China's image. Beijing has seized on the rhetoric of defending the open, globalized international trading order that the United States has attacked. They will take advantage of that as much as they can. I don't think the tariffs are part of the U.S. rivalry with China. China's rise has not disadvantaged the United States economically — it has done so to Japan, and, to some extent, South Korea and Taiwan, but not the United States. So Trump is using this argument with false, exaggerated, and distorted statements.

Could we witness a change in the world order, the end of the American era and the beginning of a Chinese era?

No.

Not even as a consequence of tariffs?

Absolutely not. Part of the problem is that China's economy is closed. One of the reasons is that it doesn't have a consumer society because people don't have enough income. That's because of the amount of wealth that the state extracts to pay for high-speed rail, military structures, and energy development. Some of that is good, some of it is excess.

U.S. tariffs won’t create a market that can rival the size and influence of the United States. It would have to be somewhere else that is very rich, and China is not very rich. China is barely in the middle-income category, it has a per capita income at a level that Mexico has been at for decades. It's not binary. So, the U.S. retreat from its leadership position in the world order, which I don't necessarily see as a bad thing, doesn't automatically hand that role over to China, Russia, the European Union, Japan, Brazil, the BRICS, or any other set of players.

Can China gain ground by investing more in countries that are affected by tariffs?

China has invested more in countries that are affected by tariffs, like Indonesia and Vietnam. These countries are very wary of Chinese investment for various historical reasons, and to some extent for ethnic reasons. But China is actually cutting back on its overseas investments because its own population is asking: Why are we giving money to countries that are richer than us? That is a reasonable question.

They have real problems meeting the expectations, demands, and needs of their own population, which is now largely urban. The cities have to function, you can't say, "Go back to the farm and do sustainable agriculture." That phase is long gone in China. So they have to spend more. Half of the population still has rural identity cards. That means they don't get free education beyond primary school. That means 50% of the future workforce won't have more than a primary school education. This is a country with enormous challenges. Can they manage them? Probably yes, but there is not much room for maneuver. Their own slowing economy will be hurt by these tariffs. I don't think that's Trump's intention, but it will hurt them.

What impact might the tariffs have on Brazil and Latin America? Do you think China will become more attractive?

I don't know specific commodities from specific places, but my general starting point is that a 10% distribution across Latin America won't have much of an impact on the price for consumers in those countries. You'll export the same amount; we'll pay more for whatever the commodity is, flowers from Colombia, grapes, wine from Argentina or Chile. Since the tariff is general, it doesn't give Chile an advantage on wine over Argentina, because they both have the same amount. Most of what Latin America exports to the United States doesn't go to China.

In short, what are the main consequences of tariffs in terms of the geopolitical landscape and the domestic landscape?

It destabilizes the international trading system that has benefited most countries for a long time. It will force adjustments, that is number one. And number two is that it undermines the image of the United States, and therefore its influence as a stabilizing, predictable, and broadly beneficial member of the international community. It disrupts economies and undermines American influence and attractiveness.

In the end, does anyone benefit from Trump's tariff policies?

No one. This is not a policy that works to anyone's obvious benefit. It upsets everyone. And there is no alternative to the United States, in the sense that the Soviet Union was during the Cold War. China is not that, and China does not want to be that.

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President Trump's tariff policy will serve no one's interests, says Thomas Fingar, a Shorenstein APARC Fellow at Stanford University's Freeman Spogli Institute for International Studies.

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This interview first appeared in The Paper on April 4, 2025. The following English version was generated using machine translation and subsequently edited for accuracy and clarity.


It has been 122 days since South Korean President Yoon Suk Yeol issued an "emergency martial law" order on December 3, 2024. On the morning of April 4, the Constitutional Court of Korea will issue a ruling on Yoon’s impeachment case. From the National Assembly’s motion to impeach to 11 court hearings and now the final verdict, 111 days have passed—far more than for former Presidents Roh Moo-hyun and Park Geun-hye. Over these four months, the divide between the ruling and opposition parties — and within Korean society — has become increasingly apparent. Whether the Constitutional Court can safeguard the Constitution and public trust has become a major focus of public opinion in South Korea.

"I’ve long believed in the resilience of South Korean democracy, but over the past two or three months, I’ve started to worry. In the face of this current political stalemate, I wonder whether Koreans can still accept decisions that contradict their positions," said Gi-Wook Shin, Professor of Sociology at Stanford University, founding director of the Korea Program, and Director of the Walter H. Shorenstein Asia-Pacific Research Center, in an interview with The Paper. He noted that there are no signs South Korea will escape its current political polarization anytime soon — and that the situation may worsen.

Shin entered Yonsei University’s Sociology Department in the late 1970s. In the early 2000s, he founded the Korea Program at Stanford, focusing on social movements and nationalism. In 2024, he published Korea’s Democracy in Crisis: The Threats of Liberalism, Populism, and Polarization, a book whose concerns — resurgent populism and societal polarization — are now vividly reflected in real life.

On December 3, 2024, Yoon declared a state of emergency and described his political opponents as "anti-state forces." The language he used in his televised emergency address was directly reminiscent of the Cold War era. Meanwhile, during Yoon’s administration, opposition parties submitted a record 29 motions for impeachment. These episodes highlight deep rifts in Korean politics, intensifying the fierce struggle between the left and right across all levels of society.

The roots of South Korea’s political divide trace back to the post-WWII era. Under global pressures, political elites on the Korean peninsula quickly split into left-wing, right-wing, and various centrist groups, each hoping to build the country according to their ideals. After the United States and Soviet Union occupied different parts of the peninsula, a sharp ideological confrontation emerged, and the left and right failed to unite to establish a single nation.

During the military rule in South Korea, U.S.-backed authoritarian strongmen governed the country, laying the groundwork for today’s conservative political parties. Meanwhile, leftist forces were strengthened by decades of street protests. Since democratization in 1987, South Korean politics have swung between the left and the right. Under President Yoon, this shift toward the right has become even more pronounced.

Amid the growing hostility between conservatives and progressives, Yoon’s martial law declaration and subsequent impeachment proceedings have amplified South Korea’s political polarization and left-right conflict. Yoon’s supporters have launched massive demonstrations. Conservative voices have grown louder, with many chanting U.S.-style slogans like “Stop the Steal” in homage to Trump’s MAGA movement. Shin warns that among Asian countries, South Korea may be the only one to experience a phenomenon akin to “Trumpism.” A recent survey by Korea’s Center for Conflict Resolution found that most South Koreans see ideological division as the country’s most pressing social issue.

Today’s political confrontation in South Korea is filled with resentment and hostility. That’s why compromise is so difficult. The two sides no longer see each other as legitimate political rivals but as enemies to be defeated at all costs.
Gi-Wook Shin

Conservative Voices Grow Louder, More Extreme


The Paper: From your observations, what changes has this political storm — from emergency martial law to the president’s impeachment — brought to South Korean society?

Gi-Wook Shin: Regarding presidential impeachment, Roh Moo-hyun’s case in 2004 was dismissed by the Constitutional Court, and Park Geun-hye was removed from office in 2017. Both previous cases strictly followed legal procedures with clear rules. But this time, the situation is far more chaotic, with fiercer partisan conflict. In a sense, we’re witnessing a threat to the rule of law.

On the other hand, mass mobilization by both the left and the right is very active, especially the anti-impeachment forces, whose scale and influence are significant. This shows that political polarization has deepened, and social division has worsened — developments that deeply concern me.

The Paper: In this wave of political turmoil, what is the core conflict between conservatives and progressives?

Shin: When martial law was declared, the right tried to assert control over state power and justified their actions with claims that pro-North Korean forces needed to be purged from the country. Their stance clearly supports the South Korea-U.S. alliance. In their protests, you’ll often see both Korean and American flags, as well as images of Trump and Yoon Suk-yeol side by side.

The left, by contrast, believes that this emergency declaration is essentially destroying the democracy that South Koreans fought so hard to achieve. They see the right not just as opponents, but as anti-state and anti-people forces.

Today’s political confrontation in South Korea is filled with resentment and hostility. It has become a kind of “identity politics.” That’s why compromise is so difficult. The two sides no longer see each other as legitimate political rivals, but as “evil forces” or enemies to be defeated at all costs.

The Paper: It’s been over three months since the martial law controversy began. As time passes, conservative voices have grown louder, the ruling People Power Party's approval ratings have rebounded, and anti-impeachment rallies are massive. Are we seeing signs of an expanding conservative base?

Shin: Large-scale protests aren’t new in South Korea. In the past, they were usually led by liberal or progressive groups. In recent years, however, right-wing and conservative forces have increasingly mobilized for protests. This is a new trend. You could already see this during the 2022 presidential election: it was extremely close, with Yoon and Lee Jae-myung separated by less than 1 percent of the vote. Conservatives realized the importance of mobilizing public support to counterbalance the left.

Indeed, conservative voices have grown louder and more extreme. We’re even seeing cases of storming courts and self-immolation. But that doesn’t necessarily mean their numbers are increasing. Overall, South Korea’s population is roughly divided into 30 percent liberals, 30 percent conservatives, and about 40 percent swing voters. Sometimes conservatives use “bluffing” to create the impression of overwhelming influence and suppress progressive mobilization.

The Paper: The far right is now active on the political frontlines, loudly supporting the conservative camp. Some far-right individuals even stormed the court. Right-wing YouTubers have become among Yoon’s most fervent defenders. In this context, will the People Power Party continue shifting further right, or even toward the far right?

Shin: What’s visible now is that the ruling People Power Party has some connection to the far-right forces in the current street protests. Especially in the wake of the martial law declaration and impeachment, the far right has taken the lead in organizing massive demonstrations, mobilizing hundreds of thousands every weekend.

There is latent cooperation between the ruling party and the far right. But now that the impeachment has triggered an early presidential election, the People Power Party must also appeal to a broader base, which means distancing itself from the far right — creating a dilemma.

If the People Power Party continues working with the far right, it may retain its base and ensure right-wing support. But elections are won by swing voters. Distancing from the far right helps avoid being labeled “extreme” and attracts moderates.

Given that the election will happen within 60 days of the impeachment, the ruling party has little time to adjust its campaign strategy. They must quickly decide how to handle their relationship with far-right street forces: should they continue cooperating or distance themselves? This will be a core political challenge in the coming weeks.

South Korea’s current democratic crisis is part of a global trend. [...But ] among Asian countries, it may be the only one to experience something like “Trumpism.”
Gi-Wook Shin

South Korea’s Democratic Crisis Reflects a Global Trend


The Paper: At conservative protests, many people carry signs with slogans like “Stop the Steal,” borrowed from Trump supporters. Trump had the “Make America Great Again” movement. Yoon has the Taegeukgi Budae movement (a far-right group of older conservatives, many of them fundamentalist Christians who strongly support Yoon). How do you see Trump’s influence on Korean politics?

Shin: It’s interesting. Among Asian countries, South Korea may be the only one to experience something like “Trumpism.” Two factors are worth noting.

First, there are organizational similarities between the Korean and American contexts. Yoon and Trump supporters share common traits, especially religious ones. That’s not the case in other Asian countries. For example, the Philippines is Catholic, others are predominantly Muslim or Buddhist. South Korea is the only Asian country where fundamentalist Christians have strong political influence. (Editor’s note: According to Yonhap, Korea’s Yoido Full Gospel Church is currently the largest Christian church in the world.) There seems to be a connection or sense of identification between American evangelicals and Korean Christian fundamentalists.

Second, ideologically, Korea’s right resembles America’s right. Their fondness for slogans like “Stop the Steal” reflects their belief in election fraud conspiracies. YouTube’s influence in Korea is possibly stronger than in most of the world, especially among the far right. It has become a vital tool for mobilization and organizing large-scale protests.

The Paper: South Korea’s democratization was closely tied to the U.S. export of democracy. After the Korean War, with U.S. support, South Korea adopted a democratic constitution and a relatively modern political framework. How has foreign influence shaped Korean democracy? Is it connected to the current democratic crisis?

Shin: U.S. influence on Korean democracy is complex. Until the 1980s, the United States supported South Korea’s military dictators like Park Chung-hee and Chun Doo-hwan. Only after 1987 did the United States back democratic development. But ultimately, it was the Korean people who fought for democracy. That’s why so many opposed the martial law declaration on December 3. They don’t want to give up hard-won freedoms. Many made great sacrifices for democracy.

South Korea has been democratic for over 40 years. What we see today may be tense or even extreme, but many places worldwide are also experiencing democratic backsliding. It’s unclear whether the United States is doing any better, especially in the Trump era. Many European countries — France, Italy, Hungary, the Netherlands, Spain — are facing similar crises.

South Korea’s current democratic crisis is part of a global trend. It’s just that the martial law announcement drew special attention. But populism, polarization, and identity politics are global issues.

The Paper: After democratization, South Korea again saw emergency martial law, fierce clashes between the president and law enforcement, and general chaos. Yet parliament quickly revoked the martial law order, the impeachment process followed legal procedure, and there were no bloodshed or full societal collapse. What has maintained this relative order?

Shin: South Korea has experienced many legal and political crises before. Also, civic engagement is very high: many LGBTQ+ and minority groups are highly politically active, perhaps even more than in the United States. That’s part of why political clashes are so intense, but it also shows a deep sense of civic participation.

Korea is a relatively well-governed country, with a strong bureaucratic system. I used to believe strongly in the resilience of Korean democracy, but over the past two or three months, I’ve started to worry. Can people still accept outcomes that contradict their positions?

In 2017, the Constitutional Court upheld Park Geun-hye’s impeachment, and most Koreans accepted it and moved on. But this time, it’s unclear whether Yoon’s supporters will accept a guilty verdict — they’re already challenging the court’s legitimacy. On the other hand, if the impeachment fails, opponents may also refuse to accept the result.

The political turbulence may persist for months, or even years.

There are no signs that Korea will overcome its political confrontation and polarization anytime soon. The divide may worsen. In the long term, I call for political reform. [...] What truly worries me is that in the next year or two, social division may grow even worse.
Gi-Wook Shin

How to Heal a Divided Society


The Paper: Beyond left-right ideology, what other messages are South Korean protesters trying to express? Also, Korean pop culture has entered these events: people are playing K-pop music and waving glowsticks. How do you see this unique cultural phenomenon?

Shin: Today, there are many legal disputes and procedural questions between the Constitutional Court, regular courts, the Corruption Investigation Office, prosecutors, and police. Sometimes the legal process is inconsistent or fragmented, which confuses the public and weakens faith in the legal system.

But Koreans have a long history of protest culture. They know how to demonstrate in an orderly way. Protests aren’t always serious or violent, sometimes they feel festive or recreational, with music, dancing, and food stalls. Some elderly people even travel from rural areas to Seoul for a day just to enjoy the atmosphere and social gathering.

Also, Korea is a highly centralized society — everything is concentrated in Seoul, and issues can quickly become national news.

The Paper: This political crisis has deepened Korea’s ideological rifts. A recent survey shows that ideological conflict is now seen as the most urgent social problem, even ahead of gender or wealth inequality. What can be done to prevent further division or begin healing?

Shin: There are no signs that Korea will overcome its political confrontation and polarization anytime soon. The divide may worsen. In the long term, I call for political reform.

Korea should adopt a parliamentary system. The current presidential system is “winner-takes-all,” so even if someone wins by less than 1 percent of the vote, they gain total control. A parliamentary system might encourage more cooperation and compromise. But I don’t think Korea currently has the political atmosphere to make that shift.

The electoral system also needs reform. Right now, each district elects just one representative — sometimes by a single vote — giving them total power.

Civic education is another area for reform. Koreans need to learn how to share and compromise. In Korean, “compromise” often carries a negative connotation. But in a democracy, compromise is essential. No one can get everything they want.

These are long-term reforms and there’s a long road ahead. What truly worries me is that in the next year or two, social division may grow even worse.

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Interview: Gi-Wook Shin on South Korea's Political and Institutional Crisis

The martial law episode — and all that followed — “reflects a broader global pattern of democratic erosion but also showcases Korea’s unique strengths," Stanford sociologist Gi-Wook Shin says in an interview with The Diplomat magazine.
Interview: Gi-Wook Shin on South Korea's Political and Institutional Crisis
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Korea’s Bumpy Road Toward Democracy

The historical and sociopolitical contexts of President Yoon’s declaration of martial law and its aftermath
Korea’s Bumpy Road Toward Democracy
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Protesters opposed to impeached South Korean president Yoon Suk Yeol gather near the Constitutional Court on April 04, 2025, in Seoul, South Korea.
Protesters opposed to impeached South Korean president Yoon Suk Yeol gather near the Constitutional Court on April 04, 2025, in Seoul, South Korea.
Chung Sung-Jun/Getty Images
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In an interview with the Chinese newspaper The Paper, Gi-Wook Shin, the director of APARC and the Korea Program, discusses the risks posed by South Korea’s division and polarization following President Yoon’s impeachment, the global trend of democratic decline, and actionable reforms to advance and secure South Korea’s democratic future.

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Event Flyer for Hyungjoon Park talk

The share of the South Korean population living alone has substantially increased over the last four decades, sparking public concerns about loneness and its broader effects on individuals and society. In this talk Dr. Hyunjoon Park analyzes trends in living alone in Korea from 1980 to 2020. Analyses show a divergence in solo living between those with more and less education in both younger and older age groups but in oppositive directions. Among young men and women aged 25-34, those with a bachelor’s degree or higher are increasingly more likely to live alone than their peers with a high school education or less. In contrast, among older adults aged 65-74, individuals with the lowest level of education are increasingly more likely to live alone. Dr. Park discusses the implications of solo living trends for family dynamics and inequality in Korea.

Hyunjoon Park's headshot

Hyunjoon Park is Korea Foundation Professor of Sociology and Director of the James Joo-Jin Kim Center for Korean Studies at the University of Pennsylvania. Park is interested in family and social stratification in cross-national comparative perspective, focusing on South Korea and other East Asian societies. He has studied changes in marriage, divorce, and living arrangements as well as consequences of demographic and economic trends for education, well-being, and socioeconomic outcomes of children, adolescents, and young adults in Korea. He was the director of the Korean Millennials Research Lab, a multiyear and multidisciplinary project team tasked with investigating the transition to adulthood among young adults in South Korea and Korean Americans in the US. His publications include the single-authored book Re-Evaluating Education in Japan and Korea: De-mystifying Stereotypes (Routledge, 2013); the coauthored book Diversity and the Transition to Adulthood in America (University of California Press, 2022), and the coedited volume Korean Families Yesterday and Today (University of Michigan Press, 2020). 

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Encina Hall, 3rd Floor
616 Jane Stanford Way, Stanford, CA 94305

Hyunjoon Park, Korea Foundation Professor of Sociology, University of Pennsylvania
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Can the Impeachment Crisis Lead to Political Reform in South Korea?

The abrupt declaration of martial law by South Korean President Yoon Suk Yeol triggered a political crisis marked by immediate and decisive legislative condemnation, public protests for and against the president, and general political instability due to the vacuum in leadership. South Korea's Constitutional Court has upheld Yoon's impeachment and removed him from office, and it was just announced that the country will hold a presidential election on June 3. Yet public opinion remains highly polarized, reflecting a deeply divided nation.

In this talk, Kim Jin-Pyo, former Speaker of the National Assembly of the Republic of Korea, takes stock of the current moment while providing clear and tangible suggestions for constitutional reforms designed to strengthen the foundations of South Korea's democracy.

portrait of Speaker Jin-Pyo Kim

Speaker Kim Jin-Pyo served 5 terms as a Member of National Assembly for two decades (2004-24). He previously served  as Deputy Prime Minister of Economy (2003-04) and Deputy Prime Minister of Education (2005-06), and had held various high-level government offices.

This talk event will be moderated by Gi-Wook Shin, William J. Perry Professor of Contemporary Korea and director of Shorenstein Asia-Pacific Research Center at Stanford University.

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Gi-Wook Shin

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

Kim Jin-Pyo, former Speaker of the National Assembly of the Republic of Korea
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A Fractured Liberation

With the collapse of the Japanese Empire in August 1945, the Korean peninsula erupted with hopes and dreams that had been bottled up for nearly forty years. Kornel Chang's new book, A Fractured Liberation: Korea under U.S. Occupation (Cambridge: Belknap Press of Harvard University Press, 2025), tells the story of how Koreans—from political leaders and activists to ordinary peasants, workers, and women—experienced the shock of liberation, what they thought it might bring, the great expectations, and the opportunities and challenges they faced as a newly emancipated people. The book also looks at how the entry of American forces complicated, and ultimately, narrowed possibilities for liberation. U.S. officials fought over how to best fulfill Korean aspirations and how they should be prioritized among competing objectives in Korea. An eclectic group of American and Korean reformers—New Deal liberals, Christian socialists, and trade unionists—proposed an agenda of democratization and reform as an alternative to the rigid anti-communism of the military high command. Their stories reveal the paths not taken. In telling them, A Fractured Liberation restores contingency to a narrative that looks ahead to war and division as an inevitable endpoint.
 

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Kornel Chang is Associate Professor of History and American Studies and Chair of the History Department at Rutgers University-Newark. His first book Pacific Connections: The Making of the U.S.-Canadian Borderlands is a history of Asian migration to the Pacific Northwest, revealing how their movements sparked some of the first battles over the border in North America. It won the Association for Asian American Studies History Book Prize and was a finalist for the John Hope Franklin Book Prize. His second book, A Fractured Liberation: Korea under U.S. Occupation, recently published by Belknap Press of Harvard University Press, is a narrative history of southern Korea in the aftermath of World War II, when the collapse of the Japanese Empire ushered in an extraordinary moment of promise and possibility that ultimately ended in political tragedy.

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

Kornel Chang, Associate Professor of History and American Studies and Chair of the History Department at Rutgers University-Newark
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[Book Talk] A Fractured Liberation: Korea under U.S. Occupation
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In the February 2025 issue of The Diplomat magazine, APARC and Korea Program Director Gi-Wook Shin, professor of sociology and the William J. Perry Professor of Contemporary Korea, discusses the political crisis in South Korea following President Yoon's ill-fated attempt to impose military rule and its implications for the country's future.

On January 26, 2025, the impeached and arrested Yoon was formally indicted on insurrection charges. Separately, the Constitutional Court has begun deliberations on whether to dismiss him as president or reinstate him. The national reaction to Yoon’s martial law declaration "underscores how South Koreans’ hard-won democracy is not taken for granted,” Shin, an expert on social movements and democracy in South Korea, says. "This episode highlights both the fragility and resilience of Korea’s young democracy."

In this interview with The Diplomat's Editor-in-Chief Shannon Tiezzi, Shin explains how sharp political polarization in Korea set the stage for the marital law episode of December 2024 and how the country can start bridging these gaps, how the prolonged political upheaval is impacting Korean economy and society, and what's ahead for the ruling People Power Party and the opposition Democratic Party.



How did South Korea’s history as a dictatorship – and past experiences of martial law – inform both Yoon’s decision to declare martial law and the public response?

South Korea’s painful history with dictatorship and martial law casts a long shadow over contemporary politics. I entered college in 1979, a year marked by the assassination of Park Chung Hee in late October and a period of intense political instability ensued under martial law. In fact, President Yoon Suk Yeol entered a college in the same year as me and it is hard to understand how he could forget these shared experiences and decided to declare martial law.

When Yoon declared martial law last December, it triggered an immediate and decisive public backlash, driven by a collective memory of decades of struggle against autocratic regimes. This reaction underscores how South Koreans’ hard-won democracy is not taken for granted. Civic groups, citizens, and lawmakers mobilized swiftly, reversing the martial law decision within six hours and passing the motion to impeach Yoon 10 days later. Despite recent backsliding, proactive civic engagement demonstrates that their experiences have informed strong commitment to safeguarding democratic principles.

Read the complete interview in The Diplomat magazine (subscription) >



Additional Media Commentary and Analysis

In recent weeks, Professor Shin has commented on and analyzed the evolving political situation in Korea via the following media outlets:

“For a United States that Remembers the Capitol Riots, Korea’s Turmoil Isn’t Someone Else’s Business”
Shindonga, January 8, 2025 (interview – Korean)

South Korea Needs to Move On from This Crisis
Bloomberg, January 8, 2025 (quoted)

It’s a Challenge for a Weakened Political Leadership in South Korea to Handle Trump Presidency
CNBC Squawk Box Asia, January 7, 2025 (interview)

South Koreans Adopt Trump's “Stop the Steal” Slogan for Impeached Yoon
AFP, January 6, 2025 (quoted)

South Korea: “The Crisis Risks Lasting Beyond the Next Presidential Election”
Les Echos, January 6, 2025 (interview)

South Korea Divided Over Yoon Standoff
BBC News - The Context, January 3,  2025 (interview)

Is South Korea a Beacon of Global Democracy?
The Korea Times, December 30, 2024 (author - Korean)

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Blogs

Korea’s Bumpy Road Toward Democracy

The historical and sociopolitical contexts of President Yoon’s declaration of martial law and its aftermath
Korea’s Bumpy Road Toward Democracy
Protesters demonstrate against the country's president as police stand guard on December 04, 2024 in Seoul, South Korea.
Commentary

Turmoil in South Korea After Brief Martial Law: Stanford’s Gi-Wook Shin Weighs In

As political chaos plays out in South Korea following President Yoon Suk Yeol's short-lived martial law attempt, Stanford sociologist Gi-Wook Shin, the director of APARC and its Korea Program, analyzes the fast-moving developments.
Turmoil in South Korea After Brief Martial Law: Stanford’s Gi-Wook Shin Weighs In
Gi-Wook Shin receiving the Korean American Achievement Award.
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Gi-Wook Shin Honored with Korean American Achievement Award

The award recognizes Shin’s contributions to advancing Korean studies and strengthening U.S.-Korea relations through scholarship and bridge-building.
Gi-Wook Shin Honored with Korean American Achievement Award
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Anti-Yoon Suk Yeol protesters participate in a rally against impeached President Yoon Suk Yeol in Seoul, South Korea.
Anti-Yoon Suk Yeol protesters participate in a rally against impeached President Yoon Suk Yeol on January 25, 2025, in Seoul, South Korea.
Chung Sung-Jun / Getty Images
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The martial law episode — and all that followed — “reflects a broader global pattern of democratic erosion but also showcases Korea’s unique strengths," Stanford sociologist Gi-Wook Shin says in an interview with The Diplomat magazine.

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book cover by Yale University Press

Victor Cha of Georgetown University and Ramon Pacheco Pardo of King's College, London team up to explore the history of modern Korea, from the late nineteenth century, Japanese occupation, and Cold War division to democratization, nuclear weapons, and BTS. A country situated amongst the world’s largest powers—including China, Japan, Russia, and the United States—Korea’s fate has been affected by its geography and the strength of its leadership and society. Cha and Pardo shed light on the evolving identities of the two Koreas, explaining the sharp differences between North and South, and prospects for unification.

Portrait of Victor Cha

Victor Cha is president of the Geopolitics and Foreign Policy Department and Korea Chair at the Center for Strategic and International Studies (CSIS). He is also the distinguished university professor and professor of government at Georgetown University. He was appointed in 2021 by the Biden administration to serve on the Defense Policy Board in an advisory role to the secretary of defense. From 2004 to 2007, he served on the National Security Council (NSC) and was responsible for Japan, Korea, Australia/New Zealand, and Pacific Island nations. Dr. Cha was U.S. deputy head of delegation at the Six Party Talks and received two outstanding service commendations during his tenure at the NSC. He is the author of eight books, including the award-winning Alignment Despite Antagonism: The United States-Korea-Japan Security Triangle (Stanford, 1999) (winner of the 2000 Ohira Book Prize), The Impossible State: North Korea, Past and Future (Ecco, 2012) selected by Foreign Affairs as a “Best Book on the Asia-Pacific for 2012", Powerplay: Origins of the American Alliance System in Asia (Princeton, 2018), Korea: A New History of South and North (Yale, 2023), and The Black Box: Demystifying the Study of Korean Unification and North Korea (Columbia University Press, 2024). He serves on the board of the National Endowment for Democracy and is a senior fellow at the George W. Bush Institute. He is also a foreign affairs contributor for MSNBC and NBC News. Professor Cha received his PhD, MIA and BA degree from Columbia University and a BA Honors from Oxford University.

Portrait of Ramon Pacheco Pardo

Ramon Pacheco Pardo is Professor of International Relations at King’s College London and the KF-VUB Korea Chair at the Brussels School of Governance of Vrije Universiteit Brussel. He is also King's Regional Envoy for East and South East Asia, helping to shape and implement the university's strategy for the region. He is also Adjunct Fellow (Non-Resident) with the Korea Chair at CSIS, Scientific Council member at Elcano Royal Institute, Steering Committee member at CSCAP EU, Advisory Committee member at Jeju Forum and Advisory Committee member at the Reset Korea Campaign of JoongAng Ilbo, a major Korean newspaper. He has held visiting positions at Korea University, the Lee Kuan Yew School of Public Policy and Melbourne University. His publications include the books North Korea: Survival of a Political Dynasty (Agenda Publishing, 2024), Korea: A New History of South & North (Yale University Press, 2023; with Victor Cha), South Korea's Grand Strategy: Making Its Own Destiny (Columbia University Press, 2023), Shrimp to Whale: South Korea from the Forgotten War to K-Pop (Hurst and Oxford University Press, 2022) and North Korea-US Relations from Kim Jong Il to Kim Jong Un (Routledge, 2019). Prof Pacheco Pardo has participated in track 1.5 and 2 dialogues with China, Japan, North Korea, South Korea and the United States. He has testified before the European Parliament and consulted and advised NATO, the OECD and the governments of Canada, the EU, South Korea, Spain, the UK and the United States as well as several private firms, among others. Professor Pacheco Pardo is a regular columnist with JoongAng Ilbo. He is also a frequent media commentator on North East Asian and affairs and Europe-East Asia and Europe-Indo-Pacific relations.

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

Victor Cha, Professor of Government, Georgetown University; Korea Chair, CSIS Professor, Asian American Studies and Labor Studies, UCLA
Ramon Pacheco Pardo, Professor of International Relations, King's College, London
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Book Talk: A Major New History of North and South Korea: From the Late 19th Century to the Present
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Key Points


Question
What is the value of increased health care spending in South Korea (Korea), quantified through disability-adjusted life-years (DALYs)?

Findings
This cross-sectional study of the total population of Korea found that while health care spending increased from $55.0 billion in 2010 to $92.0 billion in 2019 (52.9% per person), DALYs decreased by 233.4% per person. Assuming that at least half of the health improvements were associated with increased spending, the cost per DALY averted was an estimated $20 678 per person.

Meaning
These findings indicate that health care spending in Korea provided a relatively good value from 2010 to 2019, and continuing to quantify its value is essential for assessing the health care system’s performance as it faces a rapidly aging population.


Abstract


Importance 
Health care spending in South Korea (hereafter Korea) nearly doubled from 2010 to 2019. However, little is known about the drivers and effectiveness of these spending increases in terms of changes in disability-adjusted life-years (DALYs).

Objectives
To evaluate the factors contributing to changes in health care spending and DALYs and estimate the value of health care spending from 2010 to 2019 in Korea.

Design, Setting, and Participants
This cross-sectional study of the population of Korea used 2010 and 2019 data from the National Health Insurance Service for health care spending, and from the Global Burden of Disease 2019 for DALYs. Changes from 2010 to 2019 were decomposed into changes in several factors, including population size, aging, and per-person measures of spending or DALYs. Data analyses were performed from April 2023 to June 2024.

Main Outcomes and Measures
Health care spending was calculated as the total expenditure on medical and long-term care, and health gains were measured as DALYs averted. The value of health care spending was estimated as the ratio of changes in spending per person to changes in DALYs per person.

Results
Total health care spending in Korea increased from $55.0 billion in 2010 to $92.0 billion in 2019. Increases in spending per person accounted for 52.9% of the increase, followed by population aging and population size (35.6% and 11.4%). Total DALYs increased from 11.4 million to 12.2 million. Population aging accounted for 269.4% of the increase, followed by population growth (64.0%). However, DALYs per person decreased (−233.4%), reflecting a lower per capita health burden given the country’s age structure. Assuming 50% and 80% of these health improvements could be attributed to health care spending, the estimated spending per DALY averted was $20 678 and $12 924, respectively. The estimate was slightly larger when excluding DALYs not directly impacted by medical care ($23 687). Korea’s spending per DALY averted is at the lower range of estimates and comparable to that of other high-income countries.

Conclusions and Relevance
This cross-sectional study indicates that increased spending per person, which accounted for half of the total health care spending increase, was associated with improved overall health, evidenced by substantially fewer DALYs. These findings contribute to understanding and evaluating the value of health care spending in Korea.

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The Shorenstein Asia-Pacific Research Center (APARC) is delighted to share that Stanford Sociologist Gi-Wook Shin, the William J. Perry Professor of Contemporary Korea, director of APARC, and founding director of the Korea Program at APARC, is the recipient of the Korean American Achievement Award for his contributions to promoting Korean Studies, strengthening U.S.-Korea relations, and fostering transnational collaboration. The award was presented at the 122nd anniversary celebration of Korean American Day in San Francisco on January 11, 2025.

The Korean American Achievement Award recognizes individuals who have made outstanding contributions to the Korean American community’s academic, cultural, and civic development. Shin, a historical-comparative and political sociologist who is also a senior fellow at the Freeman Spoglli Institute for International Studies, has dedicated himself to addressing Korea’s contemporary challenges and bridging the United States and Korea. His work combines rigorous research with actionable policy insights, focusing on democracy, nationalism, societal development in Korea, migration, and international relations. He is also a sought-after media commentator on Korean affairs and U.S.-Korea ties.

Shin is the author and editor of 25 books and numerous articles. His most recent book is Korean Democracy in Crisis: The Threat of Illiberalism, Populism, and Polarization (Shorenstein APARC, 2022). Stanford University Press will publish his next book, The Four Talent Giants: National Strategies for Human Resource Development Across Japan, Australia, China, and India, in July 2025.

Under Shin’s leadership as its founding director, the Korea Program has become a renowned Stanford hub for interdisciplinary research and dialogue on contemporary Korea. The program celebrated its 20th anniversary in 2022, marking two decades of promoting education and exchange on Korea’s political, economic, and social evolution. Beyond academia, the program is a platform for fostering the next generation of leaders dedicated to advancing Korea’s future and strengthening Korea-U.S. ties.

Shin also spearheads the Stanford Next Asia Policy Lab (SNAPL), an initiative committed to addressing emergent social, cultural, economic, and political challenges in Asia through interdisciplinary, policy-relevant, and comparative studies and publications.

The Korean American Day commemorates the arrival of the first Korean immigrants in the United States on January 13, 1903. The 122nd anniversary of Korean American Day was co-hosted by the Consulate General of the Republic of Korea in San Francisco, the San Francisco & Bay Area Korea Center, and Korean organizations in Northern California. The event was held at the San Francisco & Bay Area Korea Center.

Congratulations to Professor Shin on this well-deserved honor! It is a testament to his leadership and contributions that enrich the Korea Program and APARC’s mission to deepen the understanding of Asia and strengthen U.S.-Asia relations.

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Gi-Wook Shin, Evan Medeiros, and Xinru Ma in conversation at the Center for Strategic and International Studies.
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Stanford Next Asia Policy Lab Engages Washington Stakeholders with Policy-Relevant Research on US-China Relations and Regional Issues in Asia

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Stanford Next Asia Policy Lab Engages Washington Stakeholders with Policy-Relevant Research on US-China Relations and Regional Issues in Asia
Dafna Zur
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Dafna Zur Awarded South Korea’s Order of Culture Merit

The award, the highest recognition bestowed by the government of the Republic of Korea, honors Zur for her contributions to promoting the Korean writing system, Hangeul.
Dafna Zur Awarded South Korea’s Order of Culture Merit
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Gi-Wook Shin receiving the Korean American Achievement Award.
Gi-Wook Shin (center) receiving the Korean American Achievement Award at the 122nd Korean American Day commemoration ceremony in San Francisco, January 11, 2025.
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The award recognizes Shin’s contributions to advancing Korean studies and strengthening U.S.-Korea relations through scholarship and bridge-building.

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