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PrescribingCultures front cover

Pharmaceutical policies are interlinked globally and at the same time deeply rooted in local culture. Prescribing Cultures examines how pharmaceuticals and their regulation play an important and often contentious role in the health systems of the Asia-Pacific.

The first section of this timely book analyzes pharmaceutical policy in China, Korea, Japan, Thailand, Taiwan, Australia, and India. The second section focuses on two cross-cutting themes: differences in "prescribing cultures" and physician dispensing; and the challenge of balancing access to drugs with incentives for innovation.

The book's contributors discuss important issues for U.S. policy. These include such hot-button topics as drug imports from Asia, regulation of global supply chains to assure drug safety and quality, new legislation to encourage development of drugs for neglected diseases, and the impact that decisions about pricing, regulation, and bilateral trade agreements have on access to medicines at home and abroad. In Prescribing Cultures, pharmaceutical policy reveals the economic trade-offs, political compromises, and historical trajectories that shape health systems.

Prescribing Cultures also illustrates how cultural legacies shape and are shaped by the forces of globalization, and thus will be of interest to students and scholars well beyond the confines of health policy.

Desk, examination, or review copies can be requested through Stanford University Press

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Ony Avrianto Jamhari taught the Indonesian language at Stanford in 2005-06 as a
Foreign Language Teaching Assistant (FLTA) under Fulbright sponsorship.  He was
active on campus in other ways as well, including organizing an Indonesian film festival. 
SEAF Director Don Emmerson enjoyed working with him on research projects in
Indonesia.  In 2009 Ony began teaching Indonesian language and culture at Woosong
University, Daejeon, South Korea.  He can be reached at ony_jamhari@yahoo.com.
 
In July 2009 he looked back on his time at Stanford and brought SEAF up to date on his
activities and interests since then:
 
“My time as an FLTA at Stanford was a blessing, an honor, and an incredible experience
for me.  Not only did I gain academic experience; my time at Stanford opened doors to
my future career. In addition to teaching Indonesian, I was able to learn about the
American system of higher education. This knowledge encouraged me to strive toward
the ultimate goal of my life:  to become an agent for change in the educational world.  
 
“In 2006 I left Stanford to return to Indonesia.  I continued teaching Indonesian (bahasa
Indonesia) in Jakarta.  Thanks to contacts with colleagues and friends, I was able to teach
the Indonesian language to many foreigners working and living in the capital city of
Indonesia.  Sudirman Street (Jalan Sudirman)—Jakarta’s main thoroughfare and business
area, became in effect my office, as I moved from one building to another from early
morning to late evening teaching Indonesian. I was also often asked by the Fulbright
committee in Jakarta to serve as a resource person helping to orient and train their new
grantees—Indonesians preparing to go to the US as FLTAs and Americans who had
come to teach English to Indonesia.
 
“My desire to focus and develop my personal skills in education also motivated me to
work at the Indonesian International Education Foundation (IIEF) as a program officer
for an International Fellowships Program (IFP) sponsored by the Ford Foundation. This
program provided opportunities for advanced study to individuals who would go on to
use their education to become leaders in their respective fields. My experience with IFP
broadened my knowledge and my network of colleagues and contacts, as I worked with
twenty-two international partners of the program in cities around the world. 
 
“In February 2009 I moved to South Korea to my present position teaching bahasa
Indonesia at Woosong University in Daejeon here in South Korea.  So far not many
students have signed up to take Indonesian.  Many Korean students prefer to take either
Japanese or Chinese, in addition to English, which is required.  It is a big challenge for
me to promote the study of Indonesian.  Fortunately, some professors and staff have been
very helpful in disseminating information about the availability of Indonesian classes.  I
expect there will be more students interested in learning the language next semester.  

“Besides teaching, I am also working for Prof. Lee Sung Joon, the Director of the Asia
Research Center at Woosong, to conduct research on Indonesian education. On 6-10 July
2009 I attended two conferences in Vietnam. Prof Lee and I presented a paper entitled
‘Higher Education as a Trade Service in Indonesia’ at one conference organized by the
Korea Research Academy of Distribution and Management and the Korea Logistics
Research Associations, Inc. At the other event, hosted by the Korean Education
Development Institute, I was a discussant of ‘Mid to Long Term Education Cooperation
Development in Indonesia,' a research paper presented by Prof. Lee Sung Joon. 
 
“I am hoping and expecting that my contribution in education will be useful for others, as
well as for my beloved country, Indonesia. 
 
“Looking forward, there are two things that I want to do in the near future: to work
toward a Ph.D in the field of education, and to write my first novel, entitled ‘International
Jomblo,’ about an individual who looks for better things in his life.”

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Pharmaceutical policies are interlinked globally, yet deeply rooted in local culture. The newly published book Prescribing Cultures and Pharmaceutical Policy in the Asia-Pacific, edited by Karen Eggleston, examines how pharmaceuticals and their regulation play an important and often contentious role in the health systems of the Asia-Pacific.

In this colloquium, contributors to Prescribing Cultures discuss how the book analyzes pharmaceutical policy in China, Korea, Japan, Thailand, Taiwan, Australia, and India, focusing on two cross-cutting themes: differences in “prescribing cultures” and physician dispensing; and the challenge of balancing access to drugs with incentives for innovation.

As Michael Reich of Harvard University says in his Forward to Prescribing Cultures,

“The pharmaceutical sector…promises great benefits and also poses enormous risks.… Conflicts abound over public policies, industry strategies, payment mechanisms, professional associations, and dispensing practices—to name just a few of the regional controversies covered in this excellent book.

The tension between emphasizing innovation versus access -- a topic of hot debate on today’s global health policy agenda -- is examined in several chapters…

This book makes a special contribution to our understanding of the pharmaceutical sector in China… Globalization is galloping forward, with Chinese producers pushing the pace at breakneck speed. More and more, our safety depends on China’s ability to get its regulatory act together…”

The colloquium features presentations by Naoko Tomita (Keio University), Anita Wagner (Harvard University), and Karen Eggleston (Stanford FSI Shorenstein Asia-Pacific Research Center). They will give specific examples of how pharmaceutical policy serves as a window into the economic tradeoffs, political compromises, and historical trajectories that shape health systems, as well as how cultural legacies shape and are shaped by the forces of globalization.

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Anita Wagner Speaker Harvard University
Naoko Tomita Speaker Keio University

Shorenstein APARC
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Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
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Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
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The Walter H. Shorenstein Asia-Pacific Research Center is pleased to announce that Mr. Byongwon Bahk, former Senior Advisor to President Lee Myung-bak of Korea, will join the Center as the recipient of the %fellowship1% in the Center's Korean Studies Program for 2009-2010 academic year.

Mr. Bahk served as the vice minister of the Ministry of Finance and Economy in Korea and was a senior advisor to President Lee Myung-bak briefly.  Bahk brings 24 years of experience in economic affairs.

While at the Center, Mr. Bahk will lead a research project on economic affairs of Korea in relations to the U.S., including organizing a policy-related conference that will bring Koreans, Americans, and potentially others from the region together to engage in high-level discussions aimed at producing a report for the policymaking community.  He will also teach a course and offer public lectures or seminars on his search at Stanford.

The Koret Fellowship, generously funded by the by Koret Foundation of San Francisco, was established at the Center in 2008 to bring leading professionals in Asia and the United States to Stanford to conduct research on contemporary U.S.-Korean relations, with the broad aim of fostering greater understanding and closer ties between the two countries.

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In an academic seminar sponsored by Pantech, held at the Press Center in Seoul, South Korea, Daniel C. Sneider says, "Neither the Obama administration, nor any future one, can afford to recognize North Korea as a nuclear weapons nation."

High-level American envoys visiting Seoul say they are cooperating with regional allies to dissuade North Korea from the path of nuclear weaponry and back to dialogue aimed at disarmament. The delegation is making stops around Asia for consultations on how to respond to last month's nuclear weapon test by the North.

Daniel Sneider is with Stanford University's Shorenstein Asia-Pacific Research Center. He says neither the Obama administration, nor any future one, can afford to recognize North Korea as a nuclear weapons nation.

"It would, for one thing, undermine our alliances with South Korea and Japan.. and, frankly it would set an increasing risk of serial proliferation in this region," he said. "It would give further encouragement to those - in Iran, first and foremost - who are on a similar path, who have sought and gotten the help of North Korea to get there. So we can't do that."

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In recent months, North Korea has put on trial two young American journalists working for former Vice President Al Gore’s Current TV, launched a long-range rocket, and tested its second nuclear device. It has renounced the Beijing Six-Party nuclear talks and the 1953 Korean armistice agreement. It will likely soon fire another long-range rocket and may test a third nuclear device and stage limited military attacks against South Korea.

The regime’s actions are a source of serious concern. North Korea might transfer nuclear weapons technology to rogue states or terrorist groups. It has long sold its missiles to many countries in the troubled Middle East and South Asia, and two years ago the Israelis destroyed a nuclear facility that the North Koreans were building in Syria, possibly in coordination with Iran.

North Korea’s pursuit of reliable nuclear weapons and the long-range missiles with which to launch them constitutes a direct threat not only to the United States but even more so to U.S. allies Japan and South Korea. The Japanese and South Koreans may eventually feel forced to build their own nuclear arsenals, which could destroy the balance of power with China in East Asia.

Pyongyang has often engaged in provocative behavior, but lately the pace and tone of its threats have worsened considerably. After suffering a stroke last fall, North Korean leader Kim Jong-Il seems to have begun the process of naming his 26-year-old third son, Kim Jong-un, as his successor. The nuclear and rocket tests may have been aimed at boosting nationalistic enthusiasm for the move. Even in North Korea there may be those who question the legitimacy of yet another dynastic succession there.

But while extreme and anachronistic, North Korean leaders are not irrational. Fundamentally, they feel they must have a nuclear “deterrent,” as they call it, to re-balance their relationship with South Korea. North Korean leaders believe theirs to be the legitimate Korean regime on the peninsula, but they know that democratic South Korea is decades ahead of them, economically, diplomatically, and in conventional military terms.

Information about North Korea is scarce but two decades of dealing with North Korea have given American policymakers a much better understanding of the regime. The North’s brinkmanship playbook is now well known, and the Obama administration is determined not to play that game anymore. It has made clear it is willing to deal fairly with North Korea but that it will increase diplomatic, financial, and military pressures on the regime until it agrees to abandon its nuclear weapons program.

The United States will need to proceed very carefully. There is no perfect North Korea policy, no silver bullet that will suddenly end all of the challenges the regime poses. Although North Korea is basically a failing country, its artillery arrayed along the Demilitarized Zone just north of Seoul could cause hundreds of thousands of casualties there. Over the past decades, the North Koreans have come to believe that they almost always win when they engage in a game of chicken with the United States and South Korea. They will almost certainly continue their provocations until they think they have won the latest match.

The United States and its allies must game-out the many possible scenarios on the Korean Peninsula and be prepared for continuing North Korean provocations, something previous U.S. administrations have not done well. The aim should be gradually to limit North Korean room for maneuver and eventually force them to abandon their nuclear weapons and long-range missile programs. At the same time, the United States should ignore calls for drastic steps that risk war on the Korean Peninsula. North Korea’s nuclear and rocket programs are still primitive; the regime is weak. There is still time for stronger and smarter diplomacy - including both sticks and carrots - to work.

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Two weeks before President Lee Myung-bak’s first full-fledged summit meeting with President Barack Obama, Pantech Fellow alumni of Stanford University’s Shorenstein Asia-Pacific Research Center (Shorenstein APARC) will present their research findings on U.S.-South Korean relations and North Korea at a forum at the Seoul Press Center on June 2 from 2-5 P.M.

The public event, “The United States and Korea: Toward a Shared Future,” will feature Dr. Thomas Fingar, a Distinguished Lecturer at Stanford and the former U.S. Deputy Director of National Intelligence for Analysis, who will deliver a keynote address on “The United States and Northeast Asia.” National Assembly Speaker Kim Hyong O, American Ambassador Kathleen Stephens, and the Shorenstein APARC Director, Stanford University Professor Gi-Wook Shin, will offer congratulatory remarks.

Stanford Pantech Fellowships alumni will participate in two panels on U.S.-South Korean relations and North Korea. Scott Snyder, director of the Asia Foundation’s Center for U.S.-Korea Policy, will discuss his recent report, “Pursuing a Comprehensive Vision for the U.S.–South Korea Alliance.” David Straub, Korean Studies Program acting director at Shorenstein APARC, will review the work and findings of the “New Beginnings” policy research group on U.S.-South Korean relations. Donald Macintyre, Time Magazine’s first bureau chief in Seoul (2001-2006), will show how life in North Korea is changing at the grassroots level and what these changes mean for the international community's approach toward Pyongyang. Daniel Sneider, Shorenstein APARC associate director for research, will analyze North Korea as a peninsular, regional and global problem and discuss how it fits into the Obama administration’s overall foreign and security policy. The panels will be moderated by Seoul National University Professor Yoon Young-kwan, a former foreign minister, and Korea University Professor Hyug Baek Im.

The Pantech Group is a major supporter of the Korean Studies Program (KSP) at Stanford’s Shorenstein APARC and its programs of policy research on Korea and U.S.-Korean relations and the fostering of next-generation leaders in Korean affairs. Since the inception of the Pantech Fellowships for Mid-Career Professionals in 2004, nine experts on Korean policy affairs from government, journalism, and academia have each spent a year at Stanford’s Shorenstein APARC engaged in cutting-edge research.
The forum will be conducted in English. Interpretation will not be provided.

The Press Center, Seoul, Korea

Shorenstein APARC
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Senior Fellow at the Freeman Spogli Institute for International Studies
Professor of Sociology
William J. Perry Professor of Contemporary Korea
Professor, by Courtesy, of East Asian Languages & Cultures
Gi-Wook Shin_0.jpg PhD

Gi-Wook Shin is the William J. Perry Professor of Contemporary Korea in the Department of Sociology, senior fellow at the Freeman Spogli Institute for International Studies, and the founding director of the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center (APARC) since 2001, all at Stanford University. In May 2024, Shin also launched the Taiwan Program at APARC. He served as director of APARC for two decades (2005-2025). As a historical-comparative and political sociologist, his research has concentrated on social movements, nationalism, development, democracy, migration, and international relations.

In Summer 2023, Shin launched the Stanford Next Asia Policy Lab (SNAPL), which is a new research initiative committed to addressing emergent social, cultural, economic, and political challenges in Asia. Across four research themes– “Talent Flows and Development,” “Nationalism and Racism,” “U.S.-Asia Relations,” and “Democratic Crisis and Reform”–the lab brings scholars and students to produce interdisciplinary, problem-oriented, policy-relevant, and comparative studies and publications. Shin’s latest book, The Four Talent Giants, a comparative study of talent strategies of Japan, Australia, China, and India to be published by Stanford University Press in the summer of 2025, is an outcome of SNAPL.

Shin is also the author/editor of twenty-six books and numerous articles. His books include Korean Democracy in Crisis: The Threat of Illiberalism, Populism, and Polarization (2022); The North Korean Conundrum: Balancing Human Rights and Nuclear Security (2021); Superficial Korea (2017); Divergent Memories: Opinion Leaders and the Asia-Pacific War (2016); Global Talent: Skilled Labor as Social Capital in Korea (2015); Criminality, Collaboration, and Reconciliation: Europe and Asia Confronts the Memory of World War II (2014); New Challenges for Maturing Democracies in Korea and Taiwan (2014); History Textbooks and the Wars in Asia: Divided Memories (2011); South Korean Social Movements: From Democracy to Civil Society (2011); One Alliance, Two Lenses: U.S.-Korea Relations in a New Era (2010); Cross Currents: Regionalism and Nationalism in Northeast Asia (2007);  and Ethnic Nationalism in Korea: Genealogy, Politics, and Legacy (2006). Due to the wide popularity of his publications, many have been translated and distributed to Korean audiences. His articles have appeared in academic and policy journals, including American Journal of SociologyWorld DevelopmentComparative Studies in Society and HistoryPolitical Science QuarterlyJournal of Asian StudiesComparative EducationInternational SociologyNations and NationalismPacific AffairsAsian SurveyJournal of Democracy, and Foreign Affairs.

Shin is not only the recipient of numerous grants and fellowships, but also continues to actively raise funds for Korean/Asian studies at Stanford. He gives frequent lectures and seminars on topics ranging from Korean nationalism and politics to Korea's foreign relations, historical reconciliation in Northeast Asia, and talent strategies. He serves on councils and advisory boards in the United States and South Korea and promotes policy dialogue between the two allies. He regularly writes op-eds and gives interviews to the media in both Korean and English.

Before joining Stanford in 2001, Shin taught at the University of Iowa (1991-94) and the University of California, Los Angeles (1994-2001). After receiving his BA from Yonsei University in Korea, he was awarded his MA and PhD from the University of Washington in 1991.

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Director of the Korea Program and the Taiwan Program, Shorenstein Asia-Pacific Research Center
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Gi-Wook Shin Director, APARC Speaker

Freeman Spogli Institute for International Studies
Stanford University
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Shorenstein APARC Fellow
Affiliated Scholar at the Stanford Center on China's Economy and Institutions
tom_fingar_vert.jpg PhD

Thomas Fingar is a Shorenstein APARC Fellow in the Freeman Spogli Institute for International Studies at Stanford University. He was the inaugural Oksenberg-Rohlen Distinguished Fellow from 2010 through 2015 and the Payne Distinguished Lecturer at Stanford in 2009.

From 2005 through 2008, he served as the first deputy director of national intelligence for analysis and, concurrently, as chairman of the National Intelligence Council. Fingar served previously as assistant secretary of the State Department’s Bureau of Intelligence and Research (2000-01 and 2004-05), principal deputy assistant secretary (2001-03), deputy assistant secretary for analysis (1994-2000), director of the Office of Analysis for East Asia and the Pacific (1989-94), and chief of the China Division (1986-89). Between 1975 and 1986 he held a number of positions at Stanford University, including senior research associate in the Center for International Security and Arms Control.

Fingar is a graduate of Cornell University (A.B. in Government and History, 1968), and Stanford University (M.A., 1969 and Ph.D., 1977 both in political science). His most recent books are From Mandate to Blueprint: Lessons from Intelligence Reform (Stanford University Press, 2021), Reducing Uncertainty: Intelligence Analysis and National Security (Stanford University Press, 2011), The New Great Game: China and South and Central Asia in the Era of Reform, editor (Stanford University Press, 2016), Uneasy Partnerships: China and Japan, the Koreas, and Russia in the Era of Reform (Stanford, 2017), and Fateful Decisions: Choices that will Shape China’s Future, co-edited with Jean Oi (Stanford, 2020). His most recent article is, "The Role of Intelligence in Countering Illicit Nuclear-Related Procurement,” in Matthew Bunn, Martin B. Malin, William C. Potter, and Leonard S Spector, eds., Preventing Black Market Trade in Nuclear Technology (Cambridge, 2018)."

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Thomas Fingar Payne Distinguished Lecturer, CISAC Keynote Speaker

No longer in residence.

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Associate Director of the Korea Program
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David Straub was named associate director of the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) on July 1, 2008. Prior to that he was a 2007–08 Pantech Fellow at the Center. Straub is the author of the book, Anti-Americanism in Democratizing South Korea, published in 2015.

An educator and commentator on current Northeast Asian affairs, Straub retired in 2006 from his role as a U.S. Department of State senior foreign service officer after a 30-year career focused on Northeast Asian affairs. He worked over 12 years on Korean affairs, first arriving in Seoul in 1979.

Straub served as head of the political section at the U.S. embassy in Seoul from 1999 to 2002 during popular protests against the United States, and he played a key working-level role in the Six-Party Talks on North Korea's nuclear program as the State Department's Korea country desk director from 2002 to 2004. He also served eight years at the U.S. embassy in Japan. His final assignment was as the State Department's Japan country desk director from 2004 to 2006, when he was co-leader of the U.S. delegation to talks with Japan on the realignment of the U.S.-Japan alliance and of U.S. military bases in Japan.

After leaving the Department of State, Straub taught U.S.-Korean relations at the Johns Hopkins University's School of Advanced International Studies in the fall of 2006 and at the Graduate School of International Studies of Seoul National University in spring 2007. He has published a number of papers on U.S.-Korean relations. His foreign languages are Korean, Japanese, and German.

David Straub Associate Director of Korean Studies Program, APARC Panelist
Daniel C. Sneider Associate Director of Research, APARC Panelist

Shorenstein APARC
Stanford University
Encina Hall, Room E301
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(650) 723-6530
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Pantech Fellow
MA

Scott Snyder is a senior associate in the International Relations program of The Asia Foundation and Pacific Forum CSIS, and is based in Washington, DC. He spent four years in Seoul as Korea Representative of The Asia Foundation between 2000 and 2004. Previously, he served as a program officer in the Research and Studies Program of the U.S. Institute of Peace, and as acting director of the Asia Society's Contemporary Affairs Program. He has recently edited, with L. Gordon Flake, a study titled Paved With Good Intentions: The NGO Experience in North Korea (2003), and is author of Negotiating on the Edge: North Korean Negotiating Behavior (1999).

Snyder received his BA from Rice University and an MA from the Regional Studies East Asia Program at Harvard University. He was the recipient of an Abe Fellowship, administered by the Social Sciences Research Council, in 1998-99, and was a Thomas G. Watson Fellow at Yonsei University in South Korea in 1987-88.

Scott Snyder Former Pantech Fellow at APARC Panelist

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

(650) 736-0685 (650) 723-6530
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Pantech Fellow
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Donald Macintyre is a 2006-2007 Pantech Fellow at Shorenstein APARC. He is researching and writing a book on how life in North Korea is changing at the grassroots level and what these changes mean for the international community's approach toward Pyongyang. He is also organizing a conference on the impact of the U.S. and South Korean media on U.S.-ROK relations.

Macintyre was Time Magazine's Seoul bureau chief from 2001-2006, covering general news, politics and culture in North and South Korea. He has traveled to North Korea six times and made numerous trips to China's border with North Korea to interview defectors, refugees and traders.

Before setting up Time Magazine's first permanent bureau in Seoul in 2001, Macintyre was a correspondent and Internet columnist for Time in Tokyo. Previously, he worked for Bloomberg Financial News as a reporter, editor and feature writer. He has also reported from Italy for Vatican Radio and Canada's CBC Radio.

The New York State Society of Certified Public Accountants awarded Macintyre its Excellence in Financial Journalism Award in 1996. He received an Honorable Mention from the Overseas Correspondents Club in the category of best newspaper reporting from abroad the same year.

Donald Macintyre Former Pantech Fellow at APARC Panelist
Hyug Baeg Im Professor, Korea University Panelist
Hyung O Kim Speaker of Korea National Assembly Speaker
Young Kwan Yoon Professor, Seoul National University Panelist
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