Stanford University

Aging Asia now available

News Type
News
Date
Paragraphs

In conjunction with its launch of a three-year research initiative to study the effects of demographic change in Asia, the Walter H. Shorenstein Asia-Pacific Research Center is pleased to announce the publication of Aging Asia: The Economic and Social Implications of Rapid Demographic Change in China, Japan, and South Korea. The book covers a diverse range of issues of demographic change, including intergenerational transfers in Japan, marriage and the elderly in China, pension reform in South Korea, and the Asia-Pacific diabetes epidemic.

Hero Image
AgingAsiaChrisLeeNews2
The median age of China's population will soon surpass that of the United States.
Chris Lee
All News button
1

Private Health Insurance in South Korea: An International Comparison

-

In this event, Dr. Jaeun Shin will discuss the historical and policy background of expanded private health insurance in South Korea. Looking at the public-private mix of health care financing and its impacts, Shin conducted a comparative study of thirty member countries of the Organization for Economic Co-operation and Development (OECD) during the period 1980 to 2007 to ask whether private health insurance can counterbalance limited government financing, high out-of-pocket payments, and the persistent financial deficit of South Korea’s National Health Insurance system.

The panel analyses of OECD Health Data from 2009 suggest that private health insurance financing is unlikely to reduce government spending on health care and social security. Also, Shin found little evidence that out-of-pocket payments will be replaced by private health insurance payments. Private health insurance payments, however, are found to have a statistically significant positive association with total spending on health care, which indicates that the coverage effect of private health insurance—in addition to national health insurance—may exceed the efficiency gain through the market competition that private insurers may deliver to the health care sector. These findings leave it unclear whether private initiatives in health care financing will be as effective as the policy advocates hope for, in dealing with the challenges of national health insurance in South Korea. Shin suggests that further studies of how public and private insurers, and providers and consumers interplay in response to  a given structure of private-public mix in financing are warranted to decide the right balance between private coverage and publicly provided universal coverage.

Daniel and Nancy Okimoto Conference Room

Jaeun Shin Associate Professor of Economics Speaker KDI School of Public Policy and Management, South Korea
Seminars

Private Health Insurance in South Korea: An International ComparisonPrivate Health Insurance in South Korea: An International Comparison

In this study, we discuss the historical and policy background of expanded private health insurance in South Korea. Looking at the public-private mix of health care financing and its impacts, we conduct a comparative study of 30 member countries of the Organisation for Economic Co-operation and Development (OECD) over the period 1980–2007 to ask whether private health insurance can counterbalance limited government financing, high out-of-pocket payments, and the persistent financial deficit of South Korea’s National Health Insurance system. The panel analyses of OECD Health Data 2009 suggest that private health insurance financing is unlikely to reduce government spending on health care and social security. Also we find little evidence that out-of-pocket payments will be replaced by private health insurance payments. Private health insurance payments, however, are found to have a statistically significant positive association with total spending on health care, which indicates that the coverage effect of private health insurance—in addition to national health insurance—may exceed the efficiency gain through the market competition that private insurers may deliver to the health care sector. These findings leave it unclear whether private initiatives in health care financing will be as effective as the policy advocates hope for, in dealing with the challenges of national health insurance in South Korea. Further studies of how public and private insurers, and providers and consumers interplay in response to  a given structure of private-public mix in financing are warranted to decide the right balance between private coverage and publicly provided universal coverage.

Philippines Conference Room

Jaeun Shin Associate Professor of Economic Speaker KDI School of Public Policy and Management

Kenji E. Kushida

0
Former Research Scholar, Japan Program
kenji_kushida_2.jpg MA, PhD
Kenji E. Kushida was a research scholar with the Japan Program at the Walter H. Shorenstein Asia-Pacific Research Center from 2014 through January 2022. Prior to that at APARC, he was a Takahashi Research Associate in Japanese Studies (2011-14) and a Shorenstein Postdoctoral Fellow (2010-11).
 
Kushida’s research and projects are focused on the following streams: 1) how politics and regulations shape the development and diffusion of Information Technology such as AI; 2) institutional underpinnings of the Silicon Valley ecosystem, 2) Japan's transforming political economy, 3) Japan's startup ecosystem, 4) the role of foreign multinational firms in Japan, 4) Japan's Fukushima nuclear disaster. He spearheaded the Silicon Valley - New Japan project that brought together large Japanese firms and the Silicon Valley ecosystem.

He has published several books and numerous articles in each of these streams, including “The Politics of Commoditization in Global ICT Industries,” “Japan’s Startup Ecosystem,” "How Politics and Market Dynamics Trapped Innovations in Japan’s Domestic 'Galapagos' Telecommunications Sector," “Cloud Computing: From Scarcity to Abundance,” and others. His latest business book in Japanese is “The Algorithmic Revolution’s Disruption: a Silicon Valley Vantage on IoT, Fintech, Cloud, and AI” (Asahi Shimbun Shuppan 2016).

Kushida has appeared in media including The New York Times, Washington Post, Nihon Keizai Shimbun, Nikkei Business, Diamond Harvard Business Review, NHK, PBS NewsHour, and NPR. He is also a trustee of the Japan ICU Foundation, alumni of the Trilateral Commission David Rockefeller Fellows, and a member of the Mansfield Foundation Network for the Future. Kushida has written two general audience books in Japanese, entitled Biculturalism and the Japanese: Beyond English Linguistic Capabilities (Chuko Shinsho, 2006) and International Schools, an Introduction (Fusosha, 2008).

Kushida holds a PhD in political science from the University of California, Berkeley. He received his MA in East Asian Studies and BAs in economics and East Asian Studies with Honors, all from Stanford University.

Asian Biotech: Ethics and Communities of Fate

-

Asian Biotech:  Ethics and Communities of Fate is the title of a new book that Prof. Ong has co-edited with Nancy N. Chen.  It offers the first overview of Asia’s emerging initiatives in the biosciences.  Its case studies include blood collection in Singapore and China; stem-cell research in Singapore, South Korea, and Taiwan; genetically modified foods in China; and clinical trials in India.  Such projects vary by country, as do the policies that are associated with them.  Discernible nevertheless is a significant trend toward state entrepreneurialism in Asian biotechnology.  Prof. Ong will also explore how political thinking and ethical reasoning are converging around the biosciences in Asia.  Copies of Asian Biotech will be available for signing and purchase at the talk.

Aihwa Ong studies how the interactions of capitalism, technology, politics, and ethics crystallize global situations, frame spaces of problematization, and generate situated solutions.  With these matters in mind, she has done field research in Southeast Asia, Southern China, and California.  A forthcoming volume is Worlding Cities:  Asian Experiments and the Art of Being Global.  Prior publications include Spirits of Resistance and Capitalist Discipline (2nd ed., 2010); Privatizing China:  Socialism from Afar (co-edited, 2008); Global Assemblages: Technology, Politics, and Ethics as Anthropological Problems (co-edited, 2005); Flexible Citizenship:  The Cultural Logics of Transnationality (1999); Neoliberalism as Exception:  Mutations in Citizenshipand Sovereignty (2006); and Buddha is Hiding:  Refugees, Citizenship, the New America (2003).  Prof. Ong has received many awards and has lectured at universities around the world.  She chairs of the US National Committee for the Pacific Science Association.  Her 1982 PhD is from Columbia University.

Philippines Conference Room

Aihwa Ong Professor of Socio-cultural Anthropology and Asian Studies Speaker University of California, Berkeley
Seminars

Inspectors would see only part of the picture in North Korea, says Straub

News Type
News
Date
Paragraphs
Looking into the new year at prospects for making progress on the North Korean issue, David Straub, associate director of Stanford KSP, recently spoke with Voice of America's (VOA) Korean Service. Straub outlined North Korea's strategy in dealing with the United States and South Korea, explaining, for example, why the North's reported willingness to allow International Atomic Energy Agency inspectors back to North Korea is not necessarily a good idea. Inspectors would almost certainly have access to only some North Korean nuclear facilities, he contended, while others would remain hidden, and North Korea would use the presence of the international inspectors to try to give the international community the impression that their nuclear program is legitimate. The full text of the Korean-language interview is available on the VOA Korean Service website, and the full audio is on iTunes (VOA Korean Evening Broadcast, Jan. 3, 2011, minute 13:09 to minute 22:19).
Hero Image
IAEALISTS
In 2007, IAEA inspectors returned to North Korea after a period of absence of more than four years. An Agency inspector showing the equipment available for use in North Korea. Vienna, Austria, July 6, 2007.
Dean Calma/IAEA
All News button
1

Inter-Korean relations

Authors
Gi-Wook Shin
News Type
Commentary
Date
Paragraphs
Gi-Wook Shin, director of Shorenstein APARC and Stanford KSP, speculates on what inter-Korean relations will be like after the sinking of the Cheonan and the artillery firing at Yeonpyeong island, in a column in the The Korea Times. While predicting that tension and reconciliation efforts will go side-by-side with one another in the inter-Korean relations in the next few months, Shin further contends that the Lee Myung-bak administration should take on the task of improving inter-Korean relations by diplomatic solutions, not by military means, and that this strategy should be approached in a broader context which takes into account U.S.-Korea relations and the relations among Northeast Asian countries.
Hero Image
GWLogo
Gi-Wook Shin, director of Shorenstein APARC and Stanford KSP
All News button
1

Thomas Fingar analyzes China and the global system

News Type
News
Date
Paragraphs

Despite all of the rhetoric, it is clear from the numbers that China's ascendency has not been at the expense of the United States.

-Thomas Fingar

China unquestionably occupies a significant place in the world's U.S.-led economic and political system. Will it continue to participate in the system that it has benefited from and contributed to, adapting its policies and practices in order to do so? Or, will it attempt to overturn the current system at some point in an effort to gain global dominance? Thomas Fingar, the Oksenberg/Rohlen Distinguished Fellow at Stanford University's Freeman Spogli Institute for International Studies, will address these core questions in a new research project, arguing that the situation is neither so polarized, nor so simplistic. Former chairman of the National Intelligence Council, Fingar takes an empirical approach to his research, examining whether there have been recurring patterns to China's involvement in the global order; what drives, shapes, and constrains Chinese initiatives; and how others have responded to Chinese actions.

Fingar asserts that there have been patterns to China's participation in international economics and politics over the past 30 years, including a pendular quality to the U.S.-China relationship. According to him, relations between the two countries were largely instrumental during the Cold War era when the United States was at odds with the Soviet Union and China was undergoing a period of self strengthening. U.S.-China relations cooled following the Tiananmen Square incident, the timing of which coincided roughly with the fall of the Soviet Union. Trust between the two countries deteriorated as China displayed its more authoritarian side, and the United States responded with sanctions that did not significantly impede China's economic growth, but did change the relationship in ways that still shape perceptions of one another.

Economics are now the primary focal point of discussions about U.S.-China relations, with a negative light frequently cast on China. "Despite all of the rhetoric, it is clear from the numbers that China's ascendency has not been at the expense of the United States," states Fingar. Trade with China, in fact, creates jobs in the United States, but trade-related jobs are dispersed and therefore not clearly visible. "They are not concentrated in a place where a factory closed, often for reasons that that have nothing to do with China," says Fingar, "but the pain and the political impact is local. I would predict that when our economy turns around, the pendulum will swing further back in a less-worried, less-critical direction."

While China has a legal system and has adopted many international standards, Fingar asserts that "it is still not a society governed by law," and that it in fact does not always measure up to global or even to its own standards. He cites China's record of undesirable practices and issues, such as currency manipulation, government corruption, and intellectual property violation, which complicate and confuse understanding of its involvement in the global system.

Fingar does not believe that the U.S.-China relationship will ever return to the "honeymoon" era of the Cold War, but he says, "The swings of the pendulum and the perturbations in the relationship are less intense and of shorter duration; that is the pattern." Quoting Anne-Marie Slaughter, director of policy planning at the U.S. Department of State, Fingar suggests that the best vision for the global order is "a world in which there are more partnerships and fewer alliances." He cautions against disregarding important, long-time alliances, such as the U.S.-Korea relationship. He notes, however, the crucial fact that alliances assume that there is an adversary, which can marginalize and threaten regional neighbors, such as China, or put allies in the uncomfortable position of having to choose between siding with a neighbor or a distant ally. "We must find a way so that no one has to choose," says Fingar.

On January 6, Fingar outlined the primary points of his new research project at a public lecture co-sponsored by the Stanford China Program and the Center for East Asian Studies, part of the China in the World series. He will also lead Stanford students through an examination of related key issues and questions in "China on the World Stage" (IPS 246), a course that he is teaching during the current winter quarter.

Hero Image
JacksonLawrenceHuLOGOLIST
President Hu Jintao of China waits in a hallway before the start of a bilateral meeting with President Barack Obama, during the Nuclear Security Summit at the Washington Convention Center in Washington, D.C., April 12, 2010.
Official White House photo by Lawrence Jackson
All News button
1

Private Health Insurance in South Korea: An International Comparison

Paragraphs

OUR APOLOGIES: THIS WORKING PAPER HAS BEEN TEMPORARILY REMOVED PENDING PEER REVIEW FOR PUBLICATION.

In this study, we discuss the historical and policy background of expanded private health insurance in South Korea. Looking at the public-private mix of health care financing and its impacts, we conduct a comparative study of 30 member countries of the Organisation for Economic Co-operation and Development (OECD) over the period 1980–2007 to ask whether private health insurance can counterbalance limited government financing, high out-of-pocket payments, and the persistent financial deficit of South Korea’s National Health Insurance system. The panel analyses of OECD Health Data 2009 suggest that private health insurance financing is unlikely to reduce government spending on health care and social security. Also we find little evidence that out-of-pocket payments will be replaced by private health insurance payments. Private health insurance payments, however, are found to have a statistically significant positive association with total spending on health care, which indicates that the coverage effect of private health insurance—in addition to national health insurance—may exceed the efficiency gain through the market competition that private insurers may deliver to the health care sector. These findings leave it unclear whether private initiatives in health care financing will be as effective as the policy advocates hope for, in dealing with the challenges of national health insurance in South Korea. Further studies of how public and private insurers, and providers and consumers interplay in response to  a given structure of private-public mix in financing are warranted to decide the right balance between private coverage and publicly provided universal coverage.

Published: Shin, Jaeun. "Private health insurance in South Korea: An international comparison." Health Policy 108.1 (2012): 76-85.

All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
Asia Health Policy Program working paper #22
Authors
Subscribe to South Korea