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As the world reacts to the death of Kim Jong Il, Stanford’s Gi-Wook Shin talks about the transition of power in North Korea. He discusses what’s in store for relations between Pyongyang and Washington, and what to expect of what is perhaps Kim’s most troubling legacy: his nuclear weapons program.

Shin is a senior fellow at Stanford's Freeman Spogli Institute for International Studies, and director of FSI's Shorenstein Asia-Pacific Research Center and its Korean Studies Program. The sociology professor is also the Tong Yang, Korea Foundation, and Korea Stanford Alumni Chair of Korean Studies.

Kim Jong Il’s son, Jong Un, is set to take over North Korea’s leadership. What do we know about him, and what can we expect from his leadership?

Unlike his father, who had been groomed as a successor for many years, Kim Jong Un was designated as a successor only recently. As a result, it is questionable whether he is ready to take over the failing regime. Kim Jong Il’s death was not entirely unexpected, but still came sooner than many experts had thought.

Jong Un is only 28 years old without much experience in politics and governance and has not yet been able to consolidate his power. Although his status as a new leader is not likely to be challenged, it won’t be easy at all to establish himself as a strong leader like his father, let alone like his grandfather, Kim Il Song. 

In the years to come, his in-laws—such as Jang Seong Taek—will play an important role behind Kim. The military will also be a key player in the post-Kim Jong Il era.

You were in South Korea when Kim Jong Il died. What was the mood and reaction to the news?

People were taken by surprise but there was no panic. The government is handling the situation well, while many citizens wonder what will happen to North Korea with the passing of Kim Jong Il.

How can the United States deal with this transition in power? Will there be any change in relations between Washington and Pyongyang?

Representatives of North Korea and the U.S. recently met in Beijing to discuss food aid and nuclear issues. There was some optimism with the prospect to improve the bilateral relations. However, any direct talks between the two countries to discuss major issues will be on hold for a while as the northern regime mourns the loss of its leader and focuses on internal stability. The U.S. should pay keen attention to the transitional process and needs to support a smooth transition in power. That should entail close collaboration with neighboring countries, especially South Korea and China. And it should include providing food aid that the U.S. has been considering.

How does Kim Jong Il's death fit in with other key political transitions happening throughout the world in the coming year?

There is a great deal of uncertainty on the Korean peninsula. Besides this transition in power in North Korea, there will also be power transitions in China and Russia next year. And there will also be presidential elections in the U.S., South Korea, and Taiwan in 2012. Japan may have a new prime minister too, adding more uncertainty to the situation. 

On the other hand, uncertainty does not necessarily mean a crisis—it is unlikely that the North will provoke tensions on the peninsula. The coming year is a very important one for North Korea as it celebrates itself as a “mighty, prosperous nation.” But it faces many challenges.

I don’t expect any significant change in inter-Korean relations until perhaps 2013, when South Korea elects a new administration and North Korea is stabilized with a new political leadership. 

What does Kim Jong Il’s death mean for North Korea’s nuclear program?

North Korea has nuclear weapons and an enriched uranium program that could produce nuclear bombs. Very few expect the North to give up its nuclear bombs. Added uncertainty over the transition of power and heightened concern about regime survival will only increase the value that North Korea sees in possessing nuclear weapons. 

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People read an extra edition of a newspaper reporting the death of North Korean leader Kim Jong Il in Seoul.
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Health systems provide a rich field for testing hypotheses of institutional economics. The incentive structure of current healthcare delivery systems have deep historical and cultural roots, yet must cope with rapid technological change as well as market and government failures. This paper applies the economic approach of comparative and historical institutional analysis (Aoki, 2001; Greif, 2006) to health care systems by conceptualizing physician control over dispensing revenues as a social institution. The theory developed—emphasizing the interplay between cultural beliefs, interest groups, technological change, insurance expansion and government financing—offers a plausible explanation of reforms since the 1960s separating prescribing from dispensing in societies such as Japan, South Korea, Taiwan and China. Technological change and adoption of universal coverage trigger reforms by greatly increasing the social opportunity costs of physician over-prescribing and reshaping the political economy of forces impinging on the doctor–patient relationship.

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Journal of Institutional Economics, FirstView Article
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Karen Eggleston
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When Siyan Yi was a medical student in Cambodia 12 years ago, he volunteered with a collaborative government-NGO project to provide young women at high risk for HIV/AIDS—the victims of sexual exploitation—with housing, vocational training, medical care, and psychological support. Cambodia at that time had one of Asia’s highest HIV-infection rates.

That rate has dropped by half, thanks to government policy measures, international NGO support, and the efforts of medical professionals like Yi. Cambodia’s government must now find ways to curb HIV infection in new segments of the population, says Yi, who is the Shorenstein Asia-Pacific Research Center’s inaugural Developing Asia Health Policy Fellow. Sustaining funding for the long-term care of HIV-infected individuals also poses a future challenge, he explains, and new health issues associated with development are beginning to crop up.

Cambodia’s first HIV case was detected in 1991 in a blood donor, and the rate of HIV/AIDS increased dramatically throughout the decade. HIV/AIDS hit Thailand slightly earlier, and was spread through the commercial sex trade. The epidemic reached an even greater scale there than it ever did in Cambodia.

Thailand’s government struck back with a 100-percent condom use promotion program, which Cambodia successfully adopted in the late 1990s. Brothels are illegal in Cambodia, but the government worked cooperatively with owners to provide basic HIV/AIDS education to sex workers. These efforts significantly reduced the transmission of HIV.

Since then, a more indirect form of prostitution has sprung up in places such as karaoke halls, massage parlors, restaurants, and even in factories. HIV prevalence remains high among some sentinel groups such as female sex workers, beer promoters, men who have sex with men (MSM), injected-drug users, and migrant workers.

Yi advocates that the government expand the scope of its HIV/AIDS prevention programs to encompass these new at-risk populations. He even suggests that the government consider creating a system of licensed brothels such as previously existed in Hong Kong and Taiwan. “It would provide the government with an easier means of controlling prostitution, and allow it to work with brothel owners to control HIV-infection rates,” states Yi.

HIV increases the risk of contracting or developing symptoms of tuberculosis; a large proportion of Cambodia’s population carries the disease but shows no signs of it. Tuberculosis went largely undetected during the decades of the Khmer Rouge regime, but with the advent of HIV/AIDS it has become more prevalent. Yi has been involved in government-NGO projects to provide tuberculosis screening for HIV patients, including a tuberculosis control project with the Japan International Cooperation Agency.

Tuberculosis screening and HIV treatment advances may greatly prolong the life—and even improve the health—of patients. But heartening as Cambodia’s success against HIV/AIDS has proven in the past decade, the government largely bears the responsibility for funding the expensive treatment and care for the low-income individuals most affected by it. A critical portion of government funding for its HIV/AIDS prevention programs comes from external organizations. 

“I think that the main issue for the government of Cambodia in the battle against HIV and AIDS is financial sustainability,” says Yi, who worries that donor agencies will withdraw support as the HIV-infection rate continues to improve. Prevention is less expensive, he explains, but long-term care is costly to a developing country such as Cambodia.

Yi, however, feels less concerned now about the HIV/AIDS epidemic and speaks hopefully of working to help the government find ways to measure and treat non-communicable diseases associated with economic development, such as diabetes and hypertension. While he is at Stanford, he will collaborate with Asia Health Policy Program researchers to move his work toward solving Cambodia’s new health challenges.

Inaugurated in 2011, the Siyan Yi is designed to bring leading health policy experts from low-income Asian countries to Stanford for three to 12 months. Fellows will work on conceptualizing and launching collaborative research on a topic of importance for health policy in their country. Details about the 2011–12 application will become available during Winter Quarter 2012.

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Local NGO staff teaching sex workers about the risk of HIV/AIDS, Cambodia.
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A condensed version of this paper is published in the Journal of Institutional Economics (2012) 8(2): 247-270.

Abstract: Health systems provide a rich field for testing hypotheses of institutional economics. The incentive structure of current healthcare delivery systems have deep historical and cultural roots, yet must cope with rapid technological change as well as market and government failures. This paper applies the economic approach of comparative and historical institutional analysis (Aoki, 2001; Greif, 2006) to health care systems by conceptualizing physician control over dispensing revenues as a social institution. The theory developed -- emphasizing the interplay between cultural beliefs, interest groups, technological change, insurance expansion and government financing -- offers a plausible explanation of reforms since the 1960s separating prescribing from dispensing in societies such as Japan, South Korea, Taiwan, and China. Technological change and adoption of universal coverage trigger reforms by greatly increasing the social opportunity costs of physician overprescribing and reshaping the political economy of forces impinging on the doctor-patient relationship.

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Karen Eggleston
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Phillip Lipscy, an assistant professor of political science and a center fellow at the Freeman Spogli Institute of International Studies, is currently conducting research on energy efficiency and financial crisis response. Here he discusses his recent research within the context of contemporary Japan, and comments on current social and political conditions in Japan after the March 2011 disaster.

What is the primary focus of your research right now?

One focus is on the politics of energy efficiency. I am exploring the question: Why do some countries, like Japan, pursue very aggressive efficiency measures, while others, like the United States, choose not to?  

I am also researching the politics of financial crisis response. My key research questions include: What political factors determine the speed and effectiveness of crisis response? When do countries act decisively? What policies are chosen and under what conditions?

In your recent research about energy-efficient policymaking, what are some of the cases and issues in Asia that you have explored?

Japan is a very important case. Its economy is one of the most energy efficient in the world based on measures such as energy intensity. There are a lot of questions, however, about whether any of that is due to policy measures.

I have been examining Japan’s transportation sector with Lee Schipper, a senior research engineer at Stanford’s Precourt Energy Efficiency Center, and our findings are counterintuitive. Most of Japan's relative advantage in transportation sector efficiency is not due to automobile fuel economy, which is what the Japanese government tends to play up. Instead, Japan is characterized by an abnormally high rail share and less total distance traveled. [A great loss to the Stanford community, Dr. Schipper recently passed away. More information is available here.]

What I show in my research is that Japan's efficiency achievements are closely tied to traditional pork barrel politics. High costs have been imposed on the general public—for example, through automobile taxes and highway tolls. The revenue from these measures was traditionally redistributed to key constituencies of the Liberal Democratic Party (LDP), namely rural residents and the construction industry.

This arrangement worked nicely for several decades, reducing energy consumption while also helping to keep the LDP in power. These arrangements, however, have become unsustainable with political changes since the 1990s, particularly the coming to power of the Democratic Party of Japan. These political changes have put Japan's energy efficiency policy in a state of flux. The current electoral system makes it more difficult to impose diffuse costs on the public—such as through gasoline or CO2 taxes—but there is no obvious alternative mechanism.

A young boy helps with clean-up efforts after the March 11 earthquake and tsunami. (Flickr/DJ Milky)
A young boy helps with clean-up efforts after the March 11 earthquake and tsunami. (Flickr/DJ Milky)

As far as you can speculate at this point, what impact do you think that the Fukushima nuclear disaster will have on Japan’s future energy policy?


Before the Fukushima disaster, Japan had planned to increase electricity generated by nuclear power to 50 percent by 2030. These plans are almost certainly going to be shelved. Prime Minister Naoto Kan recently announced plans to gradually move away from nuclear power in the coming years.

This discussion is not unique to Japan. Germany, Italy, and Switzerland have all recently announced anti-nuclear policies in response to Fukushima. On a recent trip to Taiwan, I found a similar discussion underway there. Taiwan, however, is very similar to Japan in terms of its high dependence on energy imports. This dependence creates a dilemma.

Japan's economy is already one of the most energy efficient in the world, making it more difficult to realize incremental energy savings through efficiency gains. Oil and natural gas are volatile and subject to geopolitical shocks. Renewables are not yet able to meet the kind of energy demand you have in a large economy like Japan. For the foreseeable future, less nuclear energy means higher costs and greater dependence on fossil fuels. That is going to have negative implications for energy security and climate change.

You recently returned from a trip to Japan. What is your perception of the way that everyday people are dealing with the triple disaster that took place in March? What is your assessment of the political situation?

The most remarkable thing is how quickly the Japanese people came together to support disaster victims and conserve energy. There was an outpouring of help, especially volunteer activities and financial contributions. People are taking energy conservation seriously, keeping air conditioning off even during the unbearably humid summer.

The situation at Fukushima was a big blow to the national psyche though. There have been some media reports overplaying the dangers of radiation, and people are deeply concerned about food safety.

Unfortunately, the political situation has been truly tragic. Even for a political scientist like myself, the inability of Japanese leaders to come together after the disaster is troubling. It took less than a month after the earthquake for bickering and squabbling to return full force. On a more positive note, local government leaders and some private sector actors have filled the void to some degree.

It was striking to find how much the Japanese private sector was stepping in to take over functions that we generally associate with government—things like disaster relief, provision of supplies, and screening food for radiation contamination.


A view of the floor of the Tokyo Stock Exchange. (Flickr/Stefan)

What publications are you currently working on?

I just finished a manuscript, co-authored with my former student Philippe de Koning, on how Japan's defense establishment has dealt with fiscal austerity over the past decade. Now that the United States and Europe are dealing with similar pressures to cut back defense spending, we wanted to see how Japan had managed. We found that Japan's defense planners have fared relatively well within the domestic budgetary process, but they are in an extremely tough situation. Without a major change in  policy, when the short-term coping measures being implemented today run  their course over the next decade, Japan will face a sharp reduction in its military capabilities.

In addition, I collaborated during the past academic year with Hirofumi Takinami, a Shorenstein APARC Visiting Fellow from Japan’s Ministry of Finance, to examine lessons from Japan’s financial crisis in the 1990s. We looked at the extent to which the United States took these lessons into account when it encountered its own economic downturn in 2008. We found that Japan's crisis influenced the U.S. response quite a bit, but there was some variation by policy area based on the degree of politicization. For example, in monetary policy, which is technocratic and politically insulated, the lessons from Japan were implemented quickly. It was slower for financial sector bailouts though, and especially so for fiscal policy.

In this coming academic year what are the courses that you will be teaching?

I will be teaching a graduate seminar on political economy, primarily intended for PhD students in political science, as well as an undergraduate course on the politics of financial crisis.

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