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The substantial social and economic burden attributable to smoking is well‐known, with heavy smokers at higher risk of chronic disease and premature mortality than light smokers and nonsmokers. In aging societies with high rates of male smoking such as in East Asia, smoking is a leading preventable risk factor for extending lives (including work‐lives) and healthy aging. However, little is known about whether smoking interventions targeted at heavy smokers relative to light smokers lead to disproportionately larger improvements in life expectancy and prevalence of chronic diseases and how the effects vary across populations.

Using a microsimulation model, the authors examine the health effects of smoking reduction by simulating an elimination of smoking among subgroups of smokers in South Korea, Singapore, and the United States. They find that life expectancy would increase by 0.2 to 1.5 years among light smokers and 2.5 to 3.7 years among heavy smokers. Whereas both interventions led to an increased life expectancy and decreased the prevalence of chronic diseases in all three countries, the life‐extension benefits were greatest for those who would otherwise have been heavy smokers. The authors' findings illustrate how smoking interventions may have significant economic and social benefits, especially for life extension, that vary across countries.

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The Sino-Japanese competition for influence in Asia is often overlooked by Western observers. While the US-Japan Alliance has been the cornerstone of security in East Asia for over a half-century, under Prime Minister Shinzo Abe, Japan has modernized its military, steadily enhanced it regional activities, and deepened relations with countries around the region. Economically, as well, Tokyo has offered a counterpart to Chinese investment and development aid. The alliance with the United States is a indispensable element in Japan's regional strategy, one which Beijing would like to disrupt. How has China pursued its goal of driving a wedge between Tokyo and Washington? From military buildup, through pressure in the East China Sea, to diplomatic initiatives, Beijing has sought to raise the perceived risk to both Japan and the United States of maintaining their unique relationship. What are the prospects for the future of the US-Japan alliance, especially in the post-Abe era?

 

SPEAKER

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Michael Auslin is the Payson J. Treat Fellow in Contemporary Asia at the Hoover Institution, Stanford University. A historian by training, he specializes in contemporary and historical U.S. policy in Asia and political and security issues in the Indo-Pacific region. A best-selling author, Dr. Auslin’s latest book is The End of the Asian Century:  War, Stagnation, and the Risks to the World’s Most Dynamic Region (Yale). He is a longtime contributor to the Wall Street Journal and National Review, and his writing appears in other leading publications, including The Atlantic, Financial Times, Foreign Affairs, and Politico. He comments regularly for U.S. and foreign print and broadcast media. Previously, Dr. Auslin was an associate professor of history at Yale University, a resident scholar at the American Enterprise Institute, and a visiting professor at the University of Tokyo.  He is a Fellow of the Royal Historical Society, and has been named a Young Global Leader by the World Economic Forum, a Fulbright Scholar, and a Marshall Memorial Fellow by the German Marshall Fund, among other honors, and serves on the board of the Wilton Park USA Foundation. He received a BSc from Georgetown University’s School of Foreign Service and his PhD in History from the University of Illinois at Urbana-Champaign.

 

PARKING

Please note there is significant construction taking place on campus, which is greatly affecting parking availability and traffic patterns at the university. Please plan accordingly. Nearest parking garage is Structure 7, below the Graduate School of Business Knight School of Management.
 

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This event is part of the Stanford Silicon Valley-New Japan Project Public Forum Series.

 

Consumption is a major driver of national economies, and scholars often study important differences across consumption patterns across countries, which influence many aspects of their societies and economies. Yet, the underlying business of logistics operations, and how they support countries’ respective retail industries, has as much, if not more impact than simply examining consumer behavior. In this public forum, Ryuichi Kakui, with deep expertise in eCommerce logistics, will explain how logistics are used in retail industries, comparing across the world’s three largest economies: the US, China, and Japan. He will introduce the concept of strategic logistics thinking and the “4C” framework and informs leading strategic logistics thinking. A conversation with Kenji Kushida, who examines how technologies and specific industry dynamics shape varying models of political economies around the world, will then link the area of logistics and retail to important systemic differences and underlying similarities across the world’s leading economies, which are pursuing contrasting models of social, economic, and political organization.

 

SPEAKERS

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Ryoichi Kakui is the founder of E-Logit, the leading eCommerce logistics company in Japan. He has published 29 books related to logistics, Amazon, and “omnichannel” distribution, which have been published in Japan, the US, China, Taiwan, South Korea, and Vietnam. He is a frequent commentator on television, radio, newspapers, magazines, and other media. Educated in Sophia University in Japan with an MBA from Golden Gate University, he founded UKETORU in 2015, a app addressing the issue of re-delivery, which escalated to a social issue in Japan.

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Kenji Kushida is a research scholar at the Japan Program at the Walter H. Shorenstein Asia-Pacific Research Center at Stanford University. One of this research themes examines how IT technologies shape political economies around the world, and how varying national political economic models shape the development trajectories of technologies. He leads the Silicon Valley – New Japan Project, a sustained platform for research and collaboration between Silicon Valley and the new and emerging aspects as Japan transforms itself.

 

PARKING

Please note there is significant construction taking place on campus, which is greatly affecting parking availability and traffic patterns at the university. Please plan accordingly. Open parking at Stanford University available starting 4:00pm unless otherwise marked. Nearest parking garage is Structure 7, below the Graduate School of Business Knight School of Management.

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James Green, former Minister Counselor for Trade Affairs at the U.S. Embassy in Beijing, gave a talk titled “U.S.-China Diplomacy: 40 Years of What’s Worked and What has Not” before a Stanford China Program audience on May 6. Green is currently Senior Research Fellow at Georgetown University and is the creator of the new U.S.-China Dialogue Podcast, which features in-depth interviews with approximately two dozen former U.S. ambassadors, cabinet-level secretaries and other senior officials who were at the forefront of U.S.-China negotiations.

He recounts salient takeaways from these conversations regarding pivotal moments in U.S.-China relations, including normalization of relations, anti-Soviet cooperation in the 1980s, Tiananmen Square crackdown in 1989, Taiwan Strait crisis of 1995-1996, WTO accession in 2001, Belgrade bombing and EP-3 incident in 1999 and 2001, respectively; global financial crisis of 2008, the Beijing Olympics and the current U.S.-China trade tensions.  Among his many motivations for beginning this podcast series include his desire to question the notion circulating among U.S. foreign policy experts today that U.S. policy of engagement towards China had somehow failed. To Green, who has been active in U.S.-China relations since the mid-1990’s, U.S. policy had never been about transforming China from a one-Party, authoritarian system into a liberal democracy. In order to more accurately pinpoint what U.S. goals have been, Green stated, he undertook the project and interviewed those who had played key roles during pivotal moments in U.S.-China bilateral relations.

His interviewees have included, among others, such luminaries as Ambassador J. Stapleton Roy, who in 1978 participated in secret negotiations that led to the establishment of U.S.-P.R.C. diplomatic relations; John Negroponte, first director of national intelligence and deputy secretary of state in the late 2000s during China’s rise; and Ambassador Michael Froman, former U.S. Trade Representative under President Obama. His talk at the Stanford China Program includes key lessons he has derived from these interviews even as we enter into one of the most volatile times in U.S.-China bilateral relations.

The recording and transcript are available below.  

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James Green, Senior Research Fellow at Georgetown University, speaks at the Asia-Pacific Research Center's China Program on May 6th, 2019.
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Truth to Power, the first-ever history of the U.S. National Intelligence Council (NIC), is told through the reflections of its eight Chairs in the period from the end of the Cold War until 2017. Co-editors Robert Hutchings and Gregory Treverton add a substantial introduction placing the NIC in its historical context going all the way back to the Board of National Estimates in the 1940s, as well as a concluding chapter that highlights key themes and judgments.

APARC Fellow Thomas Fingar, who chaired the NIC from 2005 to 2008, is one of the contributors to the book. In his chapter “New Mission, New Challenges”, Fingar discusses some of the challenges during his service with the agency. In particular, he reflects on two specific obstacles he faced during his tenure: executing the intelligence reforms drafted in the wake of 9/11, and repairing damage done to the NIC’s credibility by the failures of the National Intelligence Estimate (NIE) on Iraqi weapons of mass destruction (WMD).

 

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Formed in 1979, the National Intelligence Council (NIC) works to provide policymakers with the U.S. intelligence community’s best judgments on crucial international issues. As a locus for coordinated intelligence analysis, the NIC’s work reflects the coordinated judgments of multiple agencies and departments in the broader intelligence community. But while it may be less shrouded in secrecy than many other intelligence offices, in some respects it is less well known.

In Truth to Power, published by Oxford University Press, editors Robert Hitchings and Gregory Treverton shed light on this little-understood intelligence agency. The volume provides the first-ever history of the NIC as recounted through the reflections of its eight chairs in the period from the end of the Cold War until 2017. APARC Fellow Thomas Fingar, who chaired the NIC from 2005 to 2008, is one of the contributors to the book.

In his chapter “New Mission, New Challenges”, Fingar discusses some of the challenges during his service with the agency. In particular, he reflects on two specific obstacles he faced during his tenure: executing the intelligence reforms drafted in the wake of 9/11, and repairing damage done to the NIC’s credibility by the failures of the National Intelligence Estimate (NIE) on Iraqi weapons of mass destruction (WMD).

During his tenure, Fingar wore not one but two hats; along with the NIC chairmanship, he concurrently served as deputy director of national intelligence for analysis (DDNI/A). He describes actions taken not only to restore confidence in the intelligence community, but also to effectively execute its expanded brief. For instance, having national intelligence officers take the DDNI’s seat at meetings afforded senior officials the opportunity to perceive their value and thereby rebuild confidence in the broader intelligence community.

The Council’s reforms would soon be put to the test by way of the production of an NIE on Iranian WMD. Fingar recognized that the estimate would be a strong indicator of whether the NIC had learned its lessons following the flawed 2002 Iraq WMD estimate, and that policymakers were certain to finely examine the end product for flaws (whether made unintentionally or with political purposes in mind). As such, Fingar needed to produce an NIE that was accurate, timely, and non-political, all while handling and incorporating newly received intelligence. Through the Iran NIE, Fingar found an opportunity to redress the often-fraught relationship between Congress and the intelligence community.

Fingar closes with a review of the NIC’s pathbreaking work in the area of climate change. At the behest of a U.S. senator, the NIC took on the task of producing an NIE on the strategic implications of climate change. The resulting study categorized countries according to both their vulnerabilities and ability to manage impacts, as well as the broader implications it had for U.S. national security over the next twenty years. And while policymakers ultimately did not use the report as Fingar had hoped, he takes justified comfort in pointing out how it laid the groundwork for additional reports that followed, such as the National Research Council’s 2013 report Climate Change and Social Stress: Implications for Security Analysis.

 

Read Fingar's Chapter

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Karl Eikenberry, director of the U.S.-Asia Security Initiative, spoke with "Bloomberg Markets: Asia" about the ongoing trade disputes between the U.S. and China. Video of his interview—conducted on the sidelines of the Morgan Stanley China Summit in Beijing—is posted below.

 

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People today can generally expect to live longer and, in some parts of the world, healthier lives. The substantial increases in life expectancy underlying these global demographic shifts represent a human triumph over disease, hunger, and deprivation, but also pose difficult challenges across multiple sectors. Population aging will have dramatic effects on labor supply, patterns of work and retirement, family and social structures, healthcare services, savings, and, of course, pension systems and other social support programs used by older adults. Individuals, communities, and nations around the world must adapt quickly to the demographic reality facing us and design new approaches to financing the many needs that come with longer lives.

This imperative is the focus of a newly published special issue of The Journal of the Economics of Ageing, entitled Financing Longevity: The Economics of Pensions, Health and Long-term Care. The special issue collects articles originally written for and discussed at a conference that was dedicated to the same topic and held at Stanford in April 2017 to mark the tenth anniversary of APARC’s Asia Health Policy Program (AHPP). The conference convened top experts in health economics and policy to examine empirical and theoretical research on a range of problems pertinent to the economics of aging from the perspective of sustainable financing for long lives. The economics of the demographic transition is one of the research areas that Karen Eggleston, APARC’s deputy director and AHPP director, studies. She co-edited the special issue with Anita Mukherjee, a Stanford graduate now assistant professor in the Department of Risk and Insurance at the Wisconsin School of Business, University of Wisconsin-Madison.

The Financing Longevity conference was organized by The Next World Program, a Consortium composed of partners from Harvard University, Fudan University, Stanford University, and the World Demographic and Aging Forum, and was cosponsored by AHPP, the Stanford Institute for Economic Policy Research, and the Stanford Center on the Demography and Economics of Aging.

The contributions that originated from the conference and are collected in the Journal’s special issue cover comparative research on more than 30 European countries and 17 Latin American countries, as well as studies on Australia, the United States, India, China, and Japan. They analyze a variety of questions pertinent to financing longevity, including how pension structures may exacerbate existing social inequalities; how formal and informal insurance interact in securing long-term care needs; the ways in which the elderly cope with caregiving and cognitive decline; and what new approaches might help extend old-age financial security to those working outside the formal sector, which is a major concern in low-income countries.

Another challenge of utmost importance is the global pension crisis, caused due to committed payments that far exceed the saved resources. It is a problem that Eggleston and Mukherjee highlight in their introduction to the special issue. By 2050, they note, the pension gap facing the world’s eight largest pension systems is expected to reach nearly US $400 trillion. The problem cannot be ignored, as “the financial security of people leading longer lives is in serious jeopardy.” Indeed four of the eight research papers in the special issue shed light on pensions and inequality in income support for older adults. The other four research papers focus on health and its interaction with labor force participation, savings, and long-term care.

The issue also features two special contributions. The first is an interview with Olivia S. Mitchell, a professor at the University of Pennsylvania’s Wharton School and worldwide expert on pensions and ageing. Mitchell explains the areas offering the most promise and excitement in her field; discusses ways to encourage delayed retirement and spur more saving; and suggests several priority areas for future research. The latter include applying behavioral insights to questions about retirement planning, improving financial literacy, and advancing innovations to help people imagine themselves at older ages and save more for their future selves.

The second unique contribution is a perspective on the challenges of financing longevity in Japan, based on the keynote address delivered at the 2017 Stanford conference by Mr. Hirotaka Unami, then senior Director for policy planning and research of the Minister’s secretariat of the Japan Ministry of Finance and currently deputy director general with the Ministry’s Budget Bureau.

In Japan, decades of improving life expectancy and falling birth rates have produced a rapidly aging and now shrinking population. Data released by Japan’s Statistics Bureau ahead of Children's Day on May 5, 2019 reveal that Japan’s child population (those younger than 15) ranks lowest among countries with a total population exceeding 40 million. In his piece, Unami focuses on the difficult tradeoffs Japan faces in responding to the increase in oldest-old population (people aged 75 and over) and the overall population decline. Japan aspires to do so through policies that are designed to restore financial sustainability for the country’s social security system, including the medical care and long-term care insurance systems.

Unami argues that Japan must simultaneously pursue a combination of increased tax revenues, reduced benefit growth, and accelerated economic growth. He notes that these three-pronged efforts require action in five areas: review Japan’s pension policies; reduce the scope of insurance coverage in low-risk areas; increase the effectiveness of health service providers; increase a beneficiary’s burden according to their means; and enhance policies for preventive health care for the elderly.

The aging of our world’s population is a defining issue of our time and there is pressing need for research to inform policies intended to improve the financial well-being of present and future generations. The articles collected in the Financing Longevity special issue and the ongoing work by APARC’s Asia Health Policy Program point to multiple areas ripe for such future research.

View the complete special issue >>

Learn more about Dr. Karen Eggleston’s work in the area of innovation for healthy aging >>

 

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SCHWEDT, GERMANY: Medical doctor Amin Ballouz chats with local residents while making housecalls on April 30, 2013 in the village of Gartz an der Oder near Schwedt, Germany. Ballouz was born in Lebanon and moved to Germany as a child, and has had a general practitioner's practice in the small, east German town of Schwedt since 2010. Many of his patients are elderly and live in small villages in the region around Schwedt and Ballouz travels daily in one of his five Trabant cars to pay housecalls. Eastern Germany faces a chronic shortage of country doctors to serve rural communities.
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Does the current trade-talk stalemate between the U.S. and China portend a larger confrontation? Oksenberg-Rohlen Fellow David Lampton says yes, and shared with VOA Asia reasons for why the two countries find themselves so much at odds. Listen below (first 8 minutes):

 

 

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OAKLAND, CALIFORNIA - MAY 13: Trucks line up to enter a shipping berth at the Port of Oakland on May 13, 2019 in Oakland, California. China retaliated to U.S. President Donald Trump's 25 percent tariffs on $250 billion of Chinese goods entering the United States with a 25 percent tariff on $60 billion of U.S. goods entering China. The Dow Jones Industrial Average plunged over 700 points on the news in morning trading.
Trucks line up to enter a shipping berth at the Port of Oakland
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“We are now entering not just a post-American but post-Western era.  In many ways the contours of the emerging world order are unclear.  But one aspect of them is certain: China will play a larger and the U.S. a lesser role than before in global and regional governance.” -   Ambassador Freeman

On May 3, the China Program’s colloquia series “A New Cold War?: Sharp Power, Strategic Competition, and the Future of U.S.-China Relations” closed with a seminar by Ambassador Chas W. Freeman. Ambassador Freeman discussed how President Trump’s trade war has impacted Sino-American relations on multiple levels, and how—for better or ill—Washington appears poised to dismantle China’s interdependence with the American economy, limit its role in global governance, counter its investments, and block its technological advances.

Audio from the event, as well as copy of the ambassador’s prepared remarks, is now available:


Ambassador Chas W. Freeman, Jr. is a senior fellow at Brown University's Watson Institute for International and Public Affairs. He is the former assistant secretary of defense for international security affairs (1993–1994), ambassador to Saudi Arabia (1989–1992), principal deputy assistant secretary of state for African affairs (1986–1989), and chargé d'affaires at Bangkok (1984–1986) and Beijing (1981–1984). He served as vice chair of the Atlantic Council (1996-2008); co-chair of the United States China Policy Foundation (1996–2009); and president of the Middle East Policy Council (1997–2009). He was the principal American interpreter during President Nixon's path-breaking 1972 visit to Beijing, the editor of the Encyclopedia Britannica article on diplomacy, and the author of America’s Continuing Misadventures in the Middle East; Interesting Times: China, America, and the Shifting Balance of Prestige; America’s Misadventures in the Middle East; The Diplomat’s Dictionary; and Arts of Power: Statecraft and Diplomacy. A compendium of his speeches is available at chasfreeman.net

 

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Ambassador Chas Freeman at Podium Alexander Quan, APARC
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