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Flyer with headshot of Kimberly Kay Hoang for event: Entangled Oligarchies: The Hidden Deals Reshaping US-China Power Relations in Offshore Financial Centers

 

This talk uncovers the complex dynamics of Spiderweb Capitalism and Entangled Economies—the intricate financial networks that quietly shape global power. Through sovereign wealth funds, offshore financial centers, and cross-border networks, elites use spiderweb capitalism to remake economic and political landscapes. Focusing on the U.S., China, and Southeast Asia, the discussion will expose how sovereign wealth funds function as strategic tools of economic influence, reshaping America’s liberal democratic system and redefining the balance of global influence. Illuminating these opaque financial networks, this lecture provides a deeper understanding of global political economies and the entanglements of power, wealth, and influence across borders. Prof. Hoang will also bring the research process itself into the discussion. Working with a growing database of 236,000 files, this project uses a locally hosted large language model (LLM) to securely parse and analyze the data while ensuring privacy and accuracy. This talk draws our attention to the ethical considerations related to data handling will be discussed, emphasizing the importance of maintaining security when investigating these complex and often clandestine financial systems, analysis that reveals how these entangled economies affect global growth, sovereignty, and the balance of power in today’s interconnected world.

 

Speaker:

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Headshot Photo of Kimberly Hoang

Kimberly Kay Hoang is Professor of Sociology and the College at the University of Chicago. Her research examines deal-making in frontier and emerging economies. Dr. Hoang is the author of two books, Spiderweb Capitalism: How Global Elites Exploit Frontier Markets (Princeton University Press 2022) and Dealing in Desire: Asian Ascendancy, Western Decline, and the Hidden Currencies of Global Sex Work (University of California Press 2015). 

 

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The Japanese public is largely opposed to dispatching the Japan Self-Defense Forces (JSDF) to the Strait of Hormuz, but framing the issue in terms of Japan’s energy dependence substantially raises support for military involvement in Iran. By contrast, arguments invoking the Japan-U.S. alliance and legal legitimacy for military action have no such effect. These are the findings from a vignette experiment fielded by the Stanford Japan Barometer (SJB) in March, one month after Japan’s February 2026 general election.

The results also reveal that mentioning energy dependence moves opinion in favor of military deployment even among respondents who are told that diplomacy, not deployment, is the right response, suggesting that energy-dependence messaging changes minds regardless of policy recommendation. Alliance- and legal-focused messaging, by contrast, have no measurable effect.

SJB is a large-scale, multi-wave public opinion survey on political, economic, and social issues in Japan. A project of the Japan Program at Stanford University’s Shorenstein Asia-Pacific Research Center (APARC), SJB is led by Stanford sociologist Kiyoteru Tsutsui, the director of APARC and the Japan Program, and political scientist Charles Crabtree. The vignette experiment on the Japanese public's attitude toward military deployment in Iran was part of the final, three-wave panel survey SJB fielded around Japan’s February 2026 snap election, which focused on identifying public attitudes toward immigration.


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A Public Wary of War


The SJB experiment finds that, without any contextual framing, Japanese respondents lean against JSDF dispatch to the Strait of Hormuz, averaging a score of 2.00 on a four-point scale, where 1 represents "strongly oppose" and 4 represents "strongly support." 

This baseline skepticism reflects the Japanese public’s reluctance to deploy military forces abroad, rooted in Article 9 of the postwar constitution, and a broader wariness of entanglement in the Iran conflict. But the crisis in the Middle East has fueled deep economic fears in Japan, which relies on the region for over 90% of its crude oil imports, making it highly dependent on the Strait of Hormuz for energy security.

The SJB team wanted to know: Could this energy security argument shift the public’s baseline opposition to military deployment, and if so, how, compared with other justifications?

The Energy Argument Works Both Directions


The experiment randomly assigned respondents to read one of several short policy statements before answering whether they supported JSDF dispatch to the Strait of Hormuz. Some arguments favored deployment; others opposed it. Each invoked a different rationale: energy security, the Japan-U.S. alliance, and constitutional legitimacy.

The most striking change in attitude came from the energy-dependence framing.

Respondents who read a pro-dispatch energy argument – emphasizing that a blockade of the Strait of Hormuz would devastate Japan's economy and living standards, making military involvement necessary – showed a statistically significant increase in support for JSDF deployment, rising approximately 0.12 points above the control group.

Notably, respondents who read a con-dispatch energy argument – which presented the same energy-dependence facts but concluded that Japan should pursue diplomacy through its own channels with Iran rather than deploy forces – showed an even larger increase in support, rising approximately 0.28 points above the control group.

That is, simply mentioning Japan's vulnerability to an oil supply disruption raised support for JSDF involvement, even when the message explicitly argued against military action. “This pattern suggests that the energy-dependence information itself, rather than the normative conclusion drawn from it, is what moves opinion,” the researchers write on the SJB website.

Alliance and Legal Arguments Fall Flat


In contrast, two other commonly invoked arguments – obligations related to the Japan-U.S. alliance and constitutional authority – had virtually no effect on the Japanese public’s support of JSDF deployment.

The alliance framing emphasized that contributing to U.S. operations in the Strait of Hormuz is essential, given the centrality of the U.S.-Japan security partnership to Japan's defense. A counter-argument noted that many international observers view U.S. strikes on Iran as violations of international law and that most European allies are declining to participate.

Neither version significantly moved opinion on JSDF dispatch.

Similarly, arguments about whether the conflict legally qualifies for the exercise of collective self-defense – with one version arguing that new legislation could authorize dispatch and another arguing that no existing legal basis permits it – produced near-zero effects.

These null results are particularly striking given how frequently alliance obligations and constitutional legitimacy dominate elite debates over JSDF deployment in Japan. The data suggest that, at least in this scenario, these arguments resonate far more in policy circles than with the general public.

The findings carry important lessons for Japanese policymakers, who are walking a tightrope between the United States and Iran: “Concrete economic stakes are more resonant than foreign-policy abstractions,” note the SJB researchers. Still, the Japanese public’s default position is opposition to JSDF deployment in Iran. “The framing experiments shift opinion at the margins, but do not reverse the underlying skepticism toward JSDF dispatch.”

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A Tale of Two Approaches to Revitalize Japan's Semiconductor Industry

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A woman walks past signs displaying gasoline prices outside a gas station on March 13, 2026, in Kobe, Japan, after Prime Minister Takaichi Sanae announced Japan would release oil reserves to address the rise in gasoline and other petroleum product prices. The International Energy Agency (IEA) stated that its member countries agreed to release the largest volume of emergency oil reserves in its history, responding to the disruption in energy markets caused by the Middle East War.
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A Stanford Japan Barometer experiment reveals that invoking Japan's energy dependence on Middle Eastern oil, rather than the Japan-U.S. alliance, increases the Japanese public’s support of deploying the Self-Defense Forces to the Strait of Hormuz, but does not overcome the underlying opposition to military action in the crisis.

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Frontiers of Defense Tech in the Shifting US Alliances with Japan and Beyond: Space, Cyber, and AI flyer with imagery of drones, ships, and cyber technologies

This Conference will bring together international relations experts and policymakers with Silicon Valley technology leaders to consider the significant impact of new technologies on U.S. relationships with Japan and other powers in East Asia. Sessions will explore how critical emerging technologies in AI, cyber, defense, and space are forcing new strategies and approaches, requiring world leaders and policymakers to pivot rapidly to harness their benefits and avoid their dangers.

Browse the conference agenda, speaker biographies, parking information, and media advisory using the tabs below. On mobile, toggle the dropdown menu to access these sections.

9:00-9:15 a.m.
Welcome Remarks
Kiyoteru Tsutsui
Director, Shorenstein APARC, Stanford University


9:15-10:30 a.m. 
Panel 1: Pacific Alliances

Rui Matsukawa
House of Councilors, The National Diet of Japan
Ambassador J. Thomas Schieffer
Founder and CEO, Envoy International LLC and former U.S. Ambassador to Australia and Japan
Victor Cha
Center for Strategic and International Studies

Panel Moderator: 
Katherine Monahan
Adjunct Lecturer, Ford Dorsey Master's in International Policy, Stanford University and former U.S. Deputy Chief of Mission Japan


10:45-12:00 p.m. 
Panel 2: New Defense Tech

Michael Brown
Partner, Shield Capital and former Director of the Defense Innovation Unit (DIU), U.S. Department of Defense
Arthur Dubois
Co-Founder and CEO, Grid Aero
Jingo Kikukawa
Director-General of the Innovation and Environment Policy Bureau, Ministry of Economy, Trade and Industry, Japan


Panel Moderator: 
Suzanne Basalla
Partner, Geodesic Capital


12:00-12:30 p.m.
Lunch Break


12:30-1:30 p.m.
Keynote Fireside Chat

Masataka Okano
Former Japanese National Security Advisor and Foreign Ministry Vice Minister
Lt. General HR McMaster
Bernard and Susan Liautaud Visiting Fellow, Freeman Spogli Institute for International Studies and retired U.S. Army Lieutenant General and U.S. National Security Advisor

Moderated by
Colin Kahl
Director, Freeman Spogli Institute for International Studies


2:00-3:15 p.m.
Panel 3: Cyber and AI Threats

Michael Sulemeyer
Professor of the Practice and Director of Cyber Programs, Georgetown University and the first U.S. Assistant Secretary of Defense for Cyber Policy and the Principal Cyber Advisor to the Secretary of Defense
Andrew Grotto
Research Fellow and Co-Director, Stanford Program on Geopolitics, Technology, and Governance

Panel Moderator: 
Sanjeev Khagram
Visiting Scholar, Center for Democracy, Development, and the Rule of Law, Freeman Spogli Institute and Distinguished Visiting Fellow, Hoover Institution, Stanford University


3:30-4:45 p.m.
Space Technologies

General John W. "Jay" Raymond
First Chief of Space Operations, U.S. Space Force
Senior Managing Director, Cerberus Capital Management
Jeff Thornburg
CEO and Co-founder, Portal Space Systems

Panel Moderator: 
Naohiko Kohtake
Professor, Graduate School of System Design and Management, Keio University and former space systems engineer with the Japan Aerospace Exploration Agency (JAXA) and Visiting Professor at the Center for Design Research, Stanford University


4:45-5:00 p.m.
Closing Remarks

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Indo-Pacific nations are racing to adapt to a world in which the United States has become fundamentally unpredictable. The 2026 Oksenberg Conference, hosted by the Shorenstein Asia-Pacific Research Center (APARC), gathered scholars and foreign service veterans at Stanford University to assess how regional stakeholders are confronting what Canada's Prime Minister Mark Carney had famously named "a rupture, not a transition" in the post-World War II order. The conference took place as Carney was in the midst of an Indo-Pacific trip, visiting Australia, India, and Japan to forge "middle power" trade alliances, and as the United States joined Israel in a war against Iran.

“For Indo-Pacific countries, the question is no longer just how to balance between Washington and Beijing,” said APARC Director Kiyoteru Tsutsui in his welcome remarks, “but how to understand and respond to the emergence of a multipolar world in which the United States is less predictable, less committed to multilateral frameworks, less invested in alliance maintenance, and more willing to pursue narrowly defined national interests at the expense of broader international stability.”

The panelists agreed that, while the U.S. retreat from the eight-decade-old international order it had previously championed creates multiple opportunities for China, Beijing is not naturally filling the vacuum, and regional powers are not pivoting toward it but instead scrambling to diversify security and economic partnerships. The consensus is that the international system is moving toward multipolarity and the world toward an increasingly unstable period, and no one knows yet what will replace the disintegrating post-WWII order.


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China has a very low appetite for global governance or leadership [...] We want to be powerful and respected in the region.
Da Wei

China Sees Opportunity in Multipolarity


To commemorate the legacy of the late Michel Oksenberg, a renowned scholar of contemporary China and a pioneer of U.S.-Asia engagement, the Oksenberg Conference, an annual tradition sponsored by APARC and led by the center’s China Program, gathers individuals who have advanced U.S.-Asia dialogue to examine pressing issues affecting China, U.S.-China relations, and broader U.S. Asia policy.

At this year’s convening, the first panel, moderated by Shorenstein APARC Fellow Thomas Fingar, focused on how China perceives, interprets, and responds to the new vulnerabilities and opportunities in the international system.

Speaking via video link from the Stanford Center at Peking University, Da Wei is shown on a screen.
Da Wei Speaks via video link from the Stanford Center at Peking University. | Rod Searcey

Speaking via video link from Beijing, Da Wei, a professor in the Department of International Relations at Tsinghua University and the director of its Center for International Security and Strategy, said China views the current moment as neither ideal nor catastrophic but better than recent alternatives.

China has experienced three scenarios, Da explained. First, from the 1990s through the Obama era, China benefited greatly from the U.S.-led liberal order, but was increasingly criticized by the West. Second, during Trump's first term and the Biden administration, while facing mounting pressure of decoupling in a bipolar system, China was forced into a camp with Russia, which Da characterized as Beijing’s “worst scenario.” Now, under Trump's second term, the shift toward multipolarity has redirected pressure away from China and onto multilateral institutions and U.S. allies – "the least bad option" from Beijing’s perspective.

Da argued that “culturally, China has a very low appetite for global governance or leadership.” China sees itself primarily as a regional power, he said. Rather than filling the vacuum left by the U.S. withdrawal from international institutions, "we want to be powerful and respected in the region. I don't think China has a very big appetite for leadership in faraway regions, except for economic interests." He contrasted this “Emperor's perspective,” demonstrated by China’s foreign policy, with the U.S. “boss perspective.”

Susan Shirk, a research professor at the University of California, San Diego’s School of Global Policy and Strategy and director emeritus of its 21st Century China Center, noted that China's response to Trump's trade war has been robust, muscular, but disciplined. "The Xi Jinping administration was operating in a more disciplined manner than it had previously," she said, contrasting this approach with what she called Xi's "rash reactions” to Japan and failure to engage Taiwan diplomatically.

Thomas Fingar, Susan Shirk, and Mark Lambert at the 2026 Oksenberg Conference.
L to R: Thomas Fingar, Susan Shirk, and Mark Lambert at the first panel of the 2026 Oksenberg Conference. | Rod Searcey

Shirk stated that, while Trump's alienation of U.S. allies through extreme tariffs and military interventions has created clear opportunities for China to expand its influence and further divide Washington from Europe and Asian partners, Beijing has only modestly exploited these openings.

She emphasized that Xi's support for Russia in its war against Ukraine represents "self-defeating overreach" that undermines China's ability to improve relations with Europe. "Russia represents an existential threat to Europe," she said. "Xi Jinping really doesn't grasp how important this is."

Mark Lambert, a recently retired U.S. State Department official who served as China coordinator and deputy assistant secretary in the Bureau of East Asia and Pacific Affairs, contrasted the Biden administration's China strategy with the current U.S. policy vacuum.

The Biden approach, he explained, was rooted in U.S. relations with five Asian treaty allies plus NATO and positioned China as the only country with the means and capabilities to reshape the post-World War II order. It required "all hands on deck" to address this challenge through what U.S. officials called a "lattice work of relations": the Quad involving India, AUKUS with Australia, the Camp David summit between South Korea and Japan, and strengthened linkages between NATO allies and East Asian partners. China's support for Russia's invasion of Ukraine unified Europeans in understanding the China challenge in ways never seen before. The administration also successfully reframed Taiwan's importance, emphasizing that Taiwan's chip dominance was vital to global prosperity.

Today, Lambert argued, the United States either has no China strategy or “one so classified that neither our allies nor our practitioners know what it is.” On security, trade, technology, and international cooperation, the United States has given China “fantastic opportunities,” he noted.

Laura Stone, Victor Cha, and Katherine Monahan at the 2026 Oksenberg Conference.
L to R: Laura Stone, Victor Cha, and Katherine Monahan at the second panel of the 2026 Oksenberg Conference. | Rod Searcey

Allies’ Transactional Coping Strategies


The second panel, moderated by Laura Stone, a retired U.S. ambassador and APARC's inaugural China Policy Fellow, turned to other regional states – South Korea, Japan, Russia, and India – and how they read the geopolitical landscape and devise strategies to shape the regional order.

Victor Cha, the D.S. Song-KF Chair and professor of government at Georgetown University and president of the Geopolitics and Foreign Policy Department at the Center for Strategic and International Studies (CSIS), noted that "every U.S. ally around the world is looking at a Plan B," pointing out that, in the first year of the second Trump administration, allies were not acting on these plans, but that "we’re now at a threshold where many of them are executing their Plan B's."

Cha identified seven types of behavior that U.S. partners have adopted when dealing with the Trump administration. These are drawn from a recent CSIS project on ally and partner responses to the paradigm shift in U.S. foreign policy. First is prioritizing face-to-face meetings with Trump himself, "because there's a recognition that the policy process in the United States is broken,” Cha said, “and that policy making is not being informed, as it traditionally has been, by foreign policy professionals. It's all happening at the leader level."

Other strategies include minimizing risk to avoid what Cha called "the Zelensky moment" – the public humiliation Ukraine's president suffered in the Oval Office in February 2025 – and preparing "trophy deliverables," such as South Korea's promise to buy Boeing airplanes and Japan's commitment to purchase Ford trucks.

“The America First policies have effectively put the custodial burden of maintaining the alliance on the partner,” Cha said. “Whether it's Japan, Korea, Taiwan, the Philippines, or whoever it might be, the burden traditionally has been on the United States, but now it's on the partner. They're the ones who have to try to maintain this relationship. So it's about minimizing risk.” 

We have two leaders in Korea and Japan that normally we would think would not get along [...], but because of the very difficult situation they're both in, they find a way to do it.
Victor Cha

South Korea's recent summit with Trump yielded a $350 billion investment package, yet soon after, U.S. immigration authorities raided a Hyundai facility, and Trump threatened 25% tariffs on Korea.

"Why take all this abuse?" Cha asked. His answer: South Korea and Japan see no alternative to the United States on security, and they secured previous concessions in areas such as nuclear submarines, ship building, and enrichment and reprocessing of spent nuclear fuel, which they do not want to renegotiate. 

One positive outcome, Cha pointed out, has been the unexpectedly warm bilateral relationship between Japan and Korea. Despite having leaders who would normally clash – a far-right conservative in Japan and a progressive in South Korea – the uncertain geopolitical environment has brought the two countries together.

He predicted China would eventually use economic coercion against South Korea over the U.S.-Korea nuclear submarine agreement, just as it did during the 2016-17 THAAD dispute and is currently doing to Japan. "It's not happening now because I don't think China wants bad relations with Japan and Korea at the same time, but it's coming," he said, adding that this development will likely push South Korea closer to the United States and Japan.

Economically, Japan was always talking about de-risking from China. You're not hearing that language anymore. I'm starting to hear about balancing trade with China.
Katherine Monahan

Japan Reconsiders Alliance Dependence as Its "Too Big to Fail" Status Proves No Shield


Katherine Monahan, a 2025-26 visiting scholar and Japan Program Fellow at APARC and a foreign service officer with the U.S. Department of State, said Japan's relationship with the United States is "too big to fail," but that has not prevented serious strain between the two allies.

Having served in Tokyo as deputy chief of mission at the U.S. Embassy in Japan until April 2025, Monahan shared that, when Trump's Liberation Day tariffs hit Japan with a 25% rate, the Japanese could not believe that was the figure next to their name, while other allies were at 20% and 15%. They wondered, “Don't we have any special relationship at all?”

Monahan called attention to a recent Foreign Affairs article by Masataka Okano, Japan's former national security advisor, in which he argues that Japan needs to take strategic autonomy more seriously. When made by a former Japanese official, such a statement represents a significant shift in the nation’s mindset, she said. 

Japan is also reconsidering previously used language around "de-risking" from China in favor of diversifying trade with multiple partners, including China, Canada, and Europe. This shift is happening on the backdrop of the current war with Iran, as 90% of Japanese oil comes through the Strait of Hormuz. “Japan has to start balancing sources and supply chains,” Monahan argued.

From left to right: Laura Stone, Victor Cha, Katherine Monahan, Kathryn Stoner, and Emily Tallo at a panel of the 2026 Oksenberg Conference.
The second panel at the 2026 Oksenberg conference brought together (L to R) Laura Stone, Victor Cha, Katherine (Kemy) Monahan, Kathryn Stoner, and Emily Tallo. | Rod Searcey
Putin wants multipolarity [...] Reclaiming Imperial Russia is really the goal.
Kathryn Stoner

Russia Exploits American Unreliability


Russia expert Kathryn Stoner, the Satre Family Senior Fellow at Stanford’s Freeman Spogli Institute for International Studies, said America’s unpredictability under Trump represents pure opportunity for Vladimir Putin.

"Putin knows Trump. He gets him," Stoner said. "They have a not-completely dissimilar worldview." Trump's red carpet welcome for Putin at last year's Alaska summit, despite the Russian leader's indictment by the International Criminal Court for war crimes, sent a powerful message, Stoner asserted. So did Trump's lack of concern for democratic values and his criticism of U.S. allies.

She reminded the audience that Putin has been in power for 26 years and has watched multiple U.S. presidents come and go, adapting successfully to each. Putin wants multipolarity, she said, and Trump’s actions have emboldened him. Putin’s goal is to “reclaim Imperial Russia as a global power and restore what he views as its proper sphere of influence,” extending through Ukraine and Belarus into Poland, up to German borders in the west and to the south, through Moldova, Serbia and Bulgaria, to the Black Sea in the east, all the way to the Kamchatka Peninsula. 

According to Stoner, the Russia-China relationship is significantly more durable than many believe. The relationship between the two powers extends beyond oil sales to investment, defense coordination, and sophisticated military exercises. “It kind of doesn't matter whether there's love lost or not. There's an opportunity to be gained on both sides."

"Russia's economy is actually not on the verge of collapse," Stoner added. "It has completely retooled toward the military."

India wants to be a regional power aligned with but not allied with the United States [...] They want to be considered as the United States’ main partner in Asia and a major counterbalance to China.
Emily Tallo

India Feels Betrayed


Emily Tallo, a postdoctoral fellow at Stanford’s Center for International Security and Cooperation, who studies how political elites structure foreign policy debates in democratic countries, especially in India, explained that New Delhi felt especially betrayed by Trump's foreign policy pivot.

The first Trump administration had centered India as a key partner against China. In May 2025, however, when an India-Pakistan conflict flared up, Trump claimed credit for brokering peace, but India took issue with his threat of trade measures to bring an end to the conflict. He then hosted Pakistan's army chief at the White House and signed deals with Islamabad. "This was a twist of the knife for India," Tallo said.

Trump also imposed 50% tariffs on India, including a penalty for buying Russian crude oil, which was not applied to China, and backed out of a QUAD summit in New Delhi.

India now views China as its primary security threat, and the recent India-Pakistan crisis, in which China supplied all of Pakistan's weapon systems and possibly intelligence, made New Delhi’s two-front threat fears a reality. "India is really sensitive to any hints of U.S. retreat in the Indo-Pacific, and any acceptance of Chinese Hegemony in the region," according to Tallo.

She concluded that, like other regional powers, India is committed to preserving the U.S. partnership but is diversifying and seeking a “Plan B.” It finalized free trade agreements with the European Union and the United Kingdom, agreed to purchase French Dassault Rafale jets, and conducted a pragmatic reset with China, citing U.S. unreliability as cover to stabilize a difficult bilateral relationship.

“India wants to be a regional power aligned with but not allied with the United States [...] They want to be considered as the United States’ main partner in Asia and a major counterbalance to China.”

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The Future of U.S.-China Relations: A Guardedly Optimistic View

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Panelists gather for a group photo at the 2026 Oksenberg Conference. Photo Credit: Rod Searcey
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At the 2026 Oksenberg Conference, scholars and foreign policy experts assessed how Indo-Pacific powers are coping with a less predictable United States as China pursues selective leadership and Russia exploits Western divisions.

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Key Points

 

Question

How do income-related inequalities in health system performance differ between the US and South Korea?

Findings 

In this cross-sectional study of 224 168 US adults and 179 452 South Korean adults, higher-income adults had lower health care spending, greater preventive care use, greater access to care, fewer behavioral risk factors, and better self-reported health than lower-income adults in both countries. These inequalities were generally more pronounced in the US.

Meaning 

The findings suggest that income is associated with disparities in health system performance in the US and South Korea, with larger differences by income in the US.

 

Abstract

 

Importance 

Income is a key social determinant of health, yet its influence on health system performance may differ across settings. Cross-national comparisons can help identify where income-related disparities are most pronounced and inform targeted policy responses; the US and South Korea are 2 members of the Organisation for Economic Co-operation and Development with high poverty rates but different health systems.

Objective 

To compare health system performance and income-related inequalities in health system performance between the US and South Korea.

Design, Setting, and Participants 

This repeated cross-sectional study including nationally representative samples of noninstitutionalized adults from the US and South Korea used data from the Medical Expenditure Panel Survey (MEPS; 2010-2019), National Health and Nutrition Examination Survey (NHANES; 2009-2018), Korean Health Panel Study (KHPS; 2010-2019), and Korean National Health and Nutrition Examination Survey (KNHANES; 2010-2019). Data were analyzed from March 2024 to March 2025.

Exposures 

Annual household income, categorized into country-specific deciles.

Main Outcomes and Measures 

The main outcomes were 30 indicators across 6 domains: health care spending, health care utilization, access to care, health status, behavioral risk factors, and clinical outcomes. To evaluate income-related inequalities in outcomes, adjusted mean values across income deciles were estimated using regression models.

Results 

The sample included 224 168 US adults (female: 51.1% in MEPS, 51.7% in NHANES) and 179 452 South Korean adults (female: 52.4% in KHPS, 56.1% in KNHANES). Mean (SD) age was 46.6 (18.0) years in MEPS, 46.5 (17.4) years in NHANES, 47.7 (16.2) years in KHPS, and 50.5 (17.1) years in KNHANES. US adults had higher mean total health care spending (lowest income decile: $7852 [95% CI, $7456-$8247]; highest decile: $6510 [95% CI, $6218-$6802]) than South Korean adults (lowest decile: $1184 [95% CI, $1105-$1263]; highest decile: $1025 [95% CI, $950-$1100]) despite similar levels of self-reported good health. A 1-decile increase in income was associated with a difference of −$142 (95% CI, −$179 to −$104) in total health care spending in the US compared with −$33 (95% CI, −$41 to −$25) in South Korea. A 1-decile increase in income was associated with an increase of 2.4 (95% CI, 2.3-2.5) percentage points (pp) in self-reported good health in the US compared with 1.5 (95% CI, 1.4-1.6) pp in South Korea. Income-related disparities in preventive service use were also larger in the US, ranging from 0.2 (95% CI, 0.2-0.2) pp for cervical cancer screening to 4.0 (95% CI, 3.9-4.1) pp for dental checkups. In South Korea, disparities ranged from 0.6 (95% CI, 0.4-0.8) pp for dental checkups to 2.0 (1.8-2.2) pp for routine checkups. Similar income gradients were observed in access to care and behavioral risk factors. Differences in clinical outcomes were modest in both countries.

Conclusions and Relevance

 In this cross-sectional study, income was associated with disparities in health system performance in both the US and South Korea, with larger differences by income in the US. The findings suggest that structural and systemic policy efforts are needed to address income-based health inequalities, particularly in the US.

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JAMA Health Forum
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Karen Eggleston
Young Kyung Do
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Visiting Scholar at APARC, 2026
Ph.D.

Ki Soon Park joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting scholar beginning spring 2026 from Sungkyunkwan University, where he serves as Adjunct Professor in the Graduate School of Chinese Studies. While at APARC, he will be conducting research on economic security and industrial policy, with a focus on the U.S., China, and South Korea.

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Visiting Scholar at APARC, 2026

Taro Hamada joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting scholar beginning spring 2026. He currently serves as Professor in the Faculty of Law at Senshu University. While at APARC, he will be conducting research on labor and trade policy, focusing on the U.S. and Japan as well as the Asia-Pacific region.

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Noa Ronkin
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The optimistic assumptions that shaped the wave of globalization at the turn of the 21st century have given way to geoeconomics, also known as economic statecraft, or the use of economic leverage to advance the geopolitical interests of nation-states. In this environment of "weaponized interdependence," corporations have become actors on the frontlines of the U.S.-China rivalry, the Russia-Ukraine war, China-Taiwan tensions, and other national security conflicts in which they are organizationally ill-suited to play a central role, cautions APARC Faculty Affiliate Curtis J. Milhaupt, the William F. Baxter-Visa International Professor of Law and a senior fellow at the Freeman Spogli Institute for International Studies. 

Milhaupt, an internationally recognized expert on comparative corporate governance, delivered a keynote speech titled Corporate Governance in an Era of Geoeconomics at the Corporate Governance Conference in Milan, Italy, on February 12, 2026. He described the era of geoeconomics as representing a dramatic departure from early 2000s thinking, when capital markets were viewed as politically neutral, shareholder identity was considered irrelevant, and scholars predicted global convergence on Western corporate governance models. All three assumptions have collapsed, posing significant repercussions for firm-specific legal risks and governance challenges. Watch Milhaupt's presentation:

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Heightened Compliance Risk


The U.S.-China rivalry has created a particularly complex challenge for corporate governance, says Mihaupt. The United States has enacted multiple laws to curtail technology transfers to China, with China responding in a tit-for-tat fashion. The resulting, rapidly shifting and conflicting legal environment makes it "virtually impossible for a compliance department to comply with both U.S. and Chinese regulations."

Milhaupt introduced the concept of "ESG + G," adding geoeconomics to the Environmental, Social, and Governance framework used by investors and companies to assess a company's sustainability, ethical impact, and risk management beyond mere financial performance. Like ESG, geoeconomics involves corporations taking on roles traditionally played by governments. "I think in many respects private companies have become national security partners of their home country governments," he said.

Milhaupt's review of the disclosures of risk factors in the securities filings of public companies in the United States over the past 20 years shows the dramatic shift in corporate risk perception. Mentions of geopolitical risks related to export controls, the China-Taiwan conflict, and supply chain vulnerabilities have spiked sharply since 2020, with a particularly dramatic increase following Russia's invasion of Ukraine.

Despite these challenges, corporations appear to be unprepared for the exploitation of the vulnerabilities created by economic interdependence in the era of geoeconomics. Only 5% of Russell 3000 companies disclose information on how they monitor geopolitical risk, Milhaupt finds. Among those that do, most provide no details about their strategies. Meanwhile, the expertise necessary for geopolitical risk assessment is declining as a percentage of S&P 500 boards of directors.

Divergent Governance Paths


In the era of globalization, corporate governance systems worldwide largely converged around the liberal vision of shareholder primacy. In today’s geoeconomic era, however, a different kind of convergence may be emerging: one shaped less by market ideology and more by the shared political values and strategic priorities of the home governments of globally active firms. Thus, we are witnessing increasing concern with the national identity of corporations and their shareholders, Milhaupt observes. "The standard legal tests for corporate national identity – jurisdiction of incorporation, or the real seat doctrine – are in danger of being overriden by political determinations such as the one that was applied to TikTok in the United States."

At the same time, Milhaupt argues, we may be witnessing the beginning of a movement in the opposite direction to the Western model of corporate governance: "the spread of what might be thought of as state capitalism in the West." To illustrate this trend, Milhaupt cites the case of the U.S. government's "golden share" in U.S. Steel as a condition for allowing its merger with Japanese company Nippon Steel.

While Milhaupt recognizes the necessity of government actions to protect national security in the corporate sector, he warns against ad hoc informal interventions in the private sector. "I don't think that these are really the answer to competition with Beijing," he said. "I'm particularly concerned about the impact of these government interventions on global investment, which relies on a predictable legal regulatory enforcement regime."

Milhaupt concludes that the era of geoeconomics is "the new normal," and both companies and governments must adapt to a world where economic and national security concerns are inextricably linked.

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Corporate Governance in an Era of Geoeconomics

Corporate Governance in an Era of Geoeconomics
Traders work on the floor of the New York Stock Exchange (NYSE).
Blogs

The Political Economy of Global Stock Exchange Competition [ Harvard Law School Forum on Corporate Governance]

Global stock exchanges today operate in a transformed environment. They remain commercial enterprises competing for listings, but they are also strategic assets deeply embedded in state policy and geopolitical rivalry.
The Political Economy of Global Stock Exchange Competition [ Harvard Law School Forum on Corporate Governance]
U.S. President Donald Trump (L) listens as Nvidia CEO Jensen Huang speaks in the Cross Hall of the White House during an event on "Investing in America" on April 30, 2025 in Washington, DC.
Commentary

Lawless State Capitalism Is No Answer to China’s Rise

Invoking national security and the economic rivalry with China, the Trump administration is pursuing legally dubious interventions and control of private industry, with potentially high costs for US dynamism. Like the panic over Japan's rise in the 1980s, the administration's response is unwarranted and counterproductive.
Lawless State Capitalism Is No Answer to China’s Rise
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Curtis Milhaupt delivers a speech at a podium.
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No longer insulated from statecraft, corporations have been thrust onto the front lines of geopolitical rivalry, while governance structures have not caught up, cautions Stanford Law Professor Curtis Milhaupt in a keynote speech delivered at the 2026 Corporate Governance Conference.

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Poster for the documentary "Atomic Echoes."

Two friends, connected by family histories on opposite sides of World War II, set out to explore the lasting trauma of the Hiroshima and Nagasaki bombings. While Japanese hibakusha (survivors) endure lifelong health complications and psychological scars, American atomic veterans who witnessed the bombings’ aftermath also struggle with radiation-related illnesses and PTSD.

As the world approaches the 81st anniversary of the atomic bombings of Hiroshima and Nagasaki, much of the American public remains unaware of the psychological and physical toll left on both sides of the war. For Karin and Victoria, it is a part of history that’s close to home.

Karin’s great-great-uncle was from Hiroshima and dedicated his life to peace-building after the bomb, serving as the first president of Hiroshima University. Victoria’s grandfather, an American veteran who served as a medic in Nagasaki, was haunted by his experiences and suffered from post-traumatic stress disorder. He died young from PTSD-related alcoholism.

Together, Karin and Victoria seek answers from family members and historians, and speak with the last remaining survivors, before time runs out. Through their travels, conversations, and acts of reconciliation, they offer a new perspective on the nuclear age and its enduring consequences, urging reflection and peace as the global nuclear threat continues to grow. 

 

Speakers:

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Headshot photo of Karin Tanabe, taken by Tim Coburn

Karin Tanabe is a producer of the 2025 PBS documentary Atomic Echoes: Untold Stories from World War II. A Japanese American nisei, her grandmother’s uncle Morito Tatsuo was Japan’s post-war Minister of Education and in 1950, the first president of Hiroshima University, helping build an institution dedicated to peace.

A novelist, journalist, and speechwriter, Karin is the author of seven novels published by St. Martin’s Press and Simon & Schuster, and is currently at work on her eighth work of fiction. Several of her books have been optioned for film and television, including The Gilded Years to Sony/Tristar (through Reese Witherspoon’s Hello Sunshine), and most recently A Woman of Intelligence to NBC Universal. As a speechwriter, she often writes for U.S. ambassadors on foreign policy. A former Politico reporter, she also remains a frequent contributor to The Washington Post.

Karin is an honors graduate of Vassar College and lives in Washington, D.C. 

 

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Headshot Photo of Victoria Kelly

Victoria Kelly is a producer of the 2025 PBS documentary Atomic Echoes: Untold Stories from World War II. Her grandfather, a Navy medic, was one of the first American troops to enter Nagasaki after the atomic bomb. 

 

Victoria is the author of four books of fiction and poetry: Homefront (University of Nevada Press), Mrs. Houdini (Simon & Schuster), When the Men Go Off to War (Naval Institute Press), and Prayers of an American Wife (Autumn House Press). Her fiction and poetry have appeared in Best American PoetryThe Autumn House Anthology of Contemporary American Poetry, Prairie Schooner, Southwest Review and dozens of other journals and anthologies. She is also a consultant for corporate and nonprofit thought leadership.

 

Victoria graduated Summa Cum Laude from Harvard University. She received her M.F.A. in Creative Writing from the Iowa Writers’ Workshop, and her M.Phil. in Creative Writing from Trinity College Dublin, where she was a U.S. Mitchell Scholar. She lives in Virginia with her three daughters. 

 

Moderator:


 

Square portrait photo of Kiyoteru Tsutsui

Kiyoteru Tsutsui is the Henri H. and Tomoye Takahashi Professor, Professor of Sociology, Senior Fellow at the Freeman Spogli Institute for International Studies, and Director of the Walter H. Shorenstein Asia-Pacific Research Center, where he is also Director of the Japan Program and Co-Director of the Southeast Asia Program. Tsutsui’s research interests lie in political/comparative sociology, social movements, globalization, human rights, and Japanese society. His most recent publication, Human Rights and the State: The Power of Ideas and the Realities of International Politics (Iwanami Shinsho, 2022), was awarded the 2022 Ishibashi Tanzan Award and the 44th Suntory Prize for Arts and Sciences.

Kiyoteru Tsutsui

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Portrait of Jun Akabane. Flyer for the seminar "Japan's Economic Security and the Semiconductor Industry."
In this talk, Prof. Akabane presents research that examines the background behind the recent emphasis on economic security, the history of Japan's semiconductor industry, and the validity of Japan's ongoing semiconductor industry revitalization strategy.
 
Economic security gained prominence globally starting in the late 2010s as the U.S.-China economic rivalry became apparent, leading to related legislative developments. Furthermore, the semiconductor shortage that emerged in 2020 impacted production and social activities globally, leading to semiconductors being positioned as strategic materials. Under the banner of economic security, nations are now working to strengthen their semiconductor industry supply chains.
 
Japan's semiconductor industry held a high market share in the Dynamic Random Access Memory (DRAM) sector during the 1980s. However, it lost competitiveness in the 1990s due to a misjudgment of market trends and changes in the external environment, such as the Japan-U.S. trade friction and yen appreciation. Its logic integrated circuit (IC) micro-processing technology stalled at 40nm in the 2010s. Against this backdrop, the semiconductor shortage that emerged in 2020 caused the Japanese government to recognize the need to revitalize its semiconductor industry, leading to the launch of two major projects currently underway: TSMC Kumamoto and Rapidus.
 
A comparative analysis, however, reveals strikingly different outcomes for supply chain resilience – a core component of economic security. TSMC Kumamoto strengthened linkages with Japan's equipment, materials, automotive, and electronics sectors, raising expectations that it would bolster Japan's domestic supply chain. Rapidus, by contrast, signals Japan's entry into the global supply chain for advanced logic ICs – a domain it had previously not participated in – rather than primarily reinforcing domestic resilience.
 
June Akabane
Jun Akabane joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as a visiting scholar beginning spring 2025 through winter 2026. He currently serves as Professor at Chuo University in the Department of Economics. While at APARC, he will be conducting research analyzing business strategies in the era of economic security from the perspective of global value chains, environmental and human rights issues, with a particular focus on companies in the U.S. and Asia.
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Visiting Scholar, March 2025-March 2026
Jun_Akabane.jpg Ph.D.

Jun Akabane joined the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting scholar beginning spring 2025 through winter 2026. He currently serves as Professor at Chuo University in the Department of Economics. While at APARC, he conducted research analyzing business strategies in the era of economic security from the perspective of global value chains, environmental and human rights issues, with a particular focus on companies in the U.S. and Asia.

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Jun Akabane
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