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Before 1947, South Asia was for the most part a single state. Multiple states emerged thereafter, and then moved apart politically, culturally, and economically. The resulting interstate tensions are manifest in the countless "negative lists"-items that may not be traded, tariffs that must be paid, transport lines that cannot be crossed-that govern these nations' daily interactions. Intermittent armed conflict in the region only intensifies feelings of distrust.

At the beginning of the twenty-first century, interstate relations can be characterized by mutual wariness and circumspection. Failures in development and security cooperation have hurt South Asia, which contains two declared nuclear powers, India and Pakistan. Crossborder human trafficking and terrorism are increasing. Regional trade represents a paltry 5 percent of total trade. Globally, regional integration and prominent regional institutions-such as the European Union and the Association of Southeast Asian Nations-are gaining ground, but South Asia lags behind. It is almost as if South Asia, as a region, does not exist.

Given that South Asia contains India, one of the world's most dynamic, democratic economies, this is an anomaly. As shown in Europe, North America, Southeast Asia, and elsewhere, a "powerhouse" state can be the best guarantor of regional stability and integration. India's recent rise has prompted in some progress in regionalism, but it has been modest to date.
More can and must be done to understand regionalism's drivers, benefits, and barriers. Using a comparative perspective, this lively and broad-based volume draws on theories of trade, security, great-power influence, and domestic political theory to examine the prospects for South Asian regionalism. Does South Asia Exist? devotes particular attention to India, the largest power in the region, and analyzes the extent to which it enhances or blocks greater regional integration. As the distinguished contributors reveal with piercing honesty, the question at the heart of this provocative book defies easy answers.

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

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Prospects for Regional Integration

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Rafiq Dossani
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This research will examine the regulation of "Next Generation Telecommunications Technologies" in India, covering wireless broadband, with a focus on quality of service and universal access. The research will be undertaken during the period 2010 to 2015 in collaboration with the Indian telecommunications regulator, the Telecom Regulatory Authority of India, with whom a Memorandum of Understanding has been signed.

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Out-of-pocket payments are the principal source of health care finance in most Asian countries, and India is no exception. This fact has important consequences for household living standards. In this paper the author explores significant changes in the 1990s and early 2000s that appear to have occurred as a result of out-of-pocket spending on health care in 16 Indian states. Using data from the National Sample Survey on consumption expenditure undertaken in 1993–94 and 2004–05, the author  measures catastrophic payments and impoverishment due to out-of-pocket payments for health care. Considerable data on the magnitude, distribution and economic consequences of out-of-pocket payments in India are provided; when compared over the study period, these indicate that new policies have significantly increased both catastrophic expenditure and impoverishment.

Published in Economic and Political Weekly, November 19, 2011  Vol. XLVI No. 47, pp. 63 - 70

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Understanding the relationship between female employment and fertility is a vital ingredient for effective population policy. This column presents new findings from China based on well over 2000 women between 20 and 52 years old. It finds that non-agricultural jobs for women reduce the number of children per woman by 0.64 and the probability of having more than one child by 54.8%.

As the realities of an ageing population tick ever closer, policymakers have sharpened their focus on fertility. While low fertility in Europe has been labelled a crisis (Doepke et al. 2008), fertility in some high-income countries of East Asia, such as Japan and South Korea, is even lower. Fertility has also fallen significantly even in rapidly developing middle- and low-income economies, including those of China, India, Indonesia, and Vietnam (Figure 1). In China, the personal forces promoting fertility decline reinforce ongoing policies to curb population growth.

Also available in Chinese: "Gongzuo he zinü: Zhongguo nongcun nüxing jiuye he shangyulü."  Comparative Studies (Bijiao) 49(4) (Beijing: China CITIC Press): 1-7.

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Karen Eggleston
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This annual award, which carries a cash prize of $10,000, honors a journalist not only for a distinguished body of work, but also for the particular way that work has helped American readers to understand the complexities of Asia. It is awarded jointly by the Walter H. Shorenstein Asia-Pacific Center at Stanford University, and the Shorenstein Center on Press, Politics, and Public Policy at Harvard University, part of the Kennedy School of Government. Events have been hosted alternately at both centers.

Barbara Crossette serves as United Nations correspondent for The Nation and is a freelance writer on foreign policy and international affairs. Her articles and essays have appeared periodically in World Policy Journal, published at the New School University in New York. "Will John Bolton Ruin the UN?" an article published in Foreign Policy, in the July/August 2006, presaged the campaign that led to the resignation of the ambassador.

Crossette was the New York Times bureau chief at the United Nations from 1994 to 2001. She was earlier a Times chief correspondent in Southeast Asia and South Asia and a diplomatic reporter in Washington. She has also reported from Central America, the Caribbean, and Canada, and been deputy foreign editor and senior editor in charge of the Times' weekend news operations. Before joining newspaper paper in 1973, Crossette worked for The Evening and Sunday Bulletin in Philadelphia and The Birmingham Post in Birmingham, England.

She is the author of several books on Asia, including So Close to Heaven: The Vanishing Buddhist Kingdoms of the Himalayas (1995) and The Great Hill Stations of Asia (1998). The latter was a New York Times notable book of the year in 1998. In 2000, Crossette wrote a survey of India and Indian-American relations, India: Old Civilization in a New World, for the Foreign Policy Association in New York. She is also the author of India Facing the 21st Century (1993). Most recently she was a co-author with George Perkovich of a section on India in the 2009 book Powers and Principles: International Leadership in a Shrinking World.

In 1999, Crossette received the Business Council of the United Nations' Korn Ferry Award for outstanding reporting on the organization, and in 2003 the United Nations Correspondents' Association's lifetime achievement award. In 2008, she was awarded a Fulbright prize for her contributions to international understanding.

Crossette has taught journalism, politics, and international affairs at a broad range of institutions, including the Columbia University Graduate School of Journalism, Punjab University, Princeton University, Bard College, and the Royal University of Phnom Penh. In 2004 and 2005 she also worked with journalists in Brazil as a Knight International Press Fellow.

Born in Philadelphia, Crossette received a BA in history and political science from Muhlenberg College. She is a member of the Council on Foreign Relations and the Women's Foreign Policy Group.

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While most Asian economies rode out the recession fairly well, disturbing human development statistics across the region persist. Rapidly increasing wealth is not being shared, and women and minority populations are often the most at risk of falling behind, especially in South Asia.

Barbara Crossette, a former foreign correspondent for The New York Times, is the author of several books on Asia, including So Close to Heaven: The Vanishing Buddhist Kingdoms of the Himalayas, published by Alfred A. Knopf in 1995 and in paperback by Random House/

Vintage Destinations in 1996, and a collection of travel essays about colonial resort towns that are still attracting visitors more than a century after their creation, The Great Hill Stations of Asia, published by Westview Press in 1998 and in paperback by Basic Books in 1999. In 2000, she wrote a survey of India and Indian-American relations, India: Old Civilization in a New World, for the Foreign Policy Association in New York. She is also the author of India Facing the 21st Century, published by Indiana University Press in 1993.

The Great Hill Stations of Asia was a New York Times notable book of the year in 1998. Conde Nast Traveler named it a Book of the Month.

Ms. Crossette is now United Nations correspondent for The Nation and a freelance writer on foreign policy and international affairs. Most recently she was a co-author with George Perkovich of a section on India in the 2009 book Powers and Principles: International Leadership in a Shrinking World. Her articles and essays have appeared periodically in World Policy Journal, published at the New School University in New York. Among her recent articles for the Journal are "Southeast Asia: A Reckoning Looms" [Fall 2006], on recent stumbles in a region that was once a shining model for the developing world; "Who Killed Zia? [Fall 2005], examining the continuing mystery of the death of a former Pakistani president and why the US keeps the records secret; "Hurting the World's Poor in Morality's Name" [Winter 2005], a look at the damaging Bush legacy in global social policies; "India's Sikhs: Waiting for Justice" [Summer 2004], an account of how and why politicians evade responsibility for massacres of minority groups; "What the Poets Thought: Antiwar Sentiment in North Vietnam" [Spring 2003], exclusive interviews with dissident writers who were repressed and imprisoned during the 'American' war; "Sri Lanka: In the Shadow of the Indian Elephant" [Spring 2002], an analysis of terrorism in Sri Lanka and its challenge to both Indian and, lately, American policymakers, and "Killing One's Progeny: America and the United Nations" [Fall 2002].

"Will John Bolton Ruin the UN?" an article published in Foreign Policy, in the July/August 2006, presaged the campaign that led to the resignation of the ambassador.

Ms. Crossette was The New York Times bureau chief at the United Nations from 1994 to 2001. She was earlier a Times chief correspondent in Southeast Asia and South Asia and a diplomatic reporter in Washington. She has also reported from Central America, the Caribbean and Canada, and been deputy foreign editor and senior editor in charge of the Times’ weekend news operations. Before joining newspaper paper in 1973, Ms. Crossette worked for The Evening and Sunday Bulletin in Philadelphia and The Birmingham Post in Birmingham, England.

In 1991, Ms. Crossette won the George Polk Award for foreign reporting for her coverage of the assassination in India of a former prime minister, Rajiv Gandhi. In 1998, she won the 25-year achievement award of The Silurians, a society of New York journalists, and the award for international reporting from InterAction, a coalition of more than 150 international nonprofit aid and development organizations. In 1999, she received the Business Council of the United Nations’ Korn Ferry Award for outstanding reporting on the organization, and in 2003 the United Nations Correspondents’ Association’s lifetime achievement award.

In 2008, Ms. Crossette was awarded a Fulbright prize for her contributions to international understanding.

Ms. Crossette has been a member of the adjunct faculty of the Columbia University Graduate School of Journalism, and in 1980-81 was a Fulbright teaching fellow in journalism at Punjab University in Chandigarh, India. In 1994, she was the Ferris Visiting Professor on Politics and the Press at Princeton University, and later taught a seminar on writing on international affairs for Bard College. In 2003, she led an advanced workshop in journalism at the Royal University of Phnom Penh for writers and editors from Vietnam, Cambodia, Laos and Burma. In 2004-2005 she worked with journalists in Brazil as a Knight International Press Fellow.

Born in Philadelphia on July 12, 1939, Ms. Crossette received a B.A. in history and political science from Muhlenberg College in 1963. She is a member of the Council on Foreign Relations and the Women’s Foreign Policy Group.

She lives in Bucks County, Pennsylvania, where her writing on colonial era inns led to her being named founding editor in 1980 of the guidebook America's Wonderful Little Hotels and Inns.
 

The Shorenstein Journalism Award, which carries a cash prize of $10,000, honors a journalist not only for a distinguished body of work, but also for the particular way that work has helped American readers to understand the complexities of Asia. It is awarded jointly by the Walter H. Shorenstein Asia-Pacific Center in the Freeman Spogli Institute at Stanford University, and the Shorenstein Center on Press, Politics and Public Policy in the Kennedy School of Government at Harvard University. This year’s recipient is Barbara Crossette.

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Barbara Crossette Former foreign correspondent for South Asia Speaker New York Times
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Since the Democratic Party of Japan came to power in August 2009, upsetting fifty years of conservative rule, U.S.-Japan relations have been on rocky ground. It would seem that the DPJ is upending decades old policies, hewing its own path with the United States, China, and the Asia-Pacific region. As Shorenstein APARC Director for Research Daniel Sneider notes, Japan’s new tack not only has caught the United States flat-footed, but also has other countries in the Asia-Pacific worried. Most importantly, Tokyo seems to be making uncharacteristically friendly overtures to Beijing. But it would be wrong to assume that Sino-Japan relations are really much improved. From oil and gas rights in the East China Sea to China’s military modernization there are still plenty of points of contention. Moreover, the much-contested issue of U.S. marines stationed on Okinawa remains the biggest deterrent to North Korean aggression and Chinese expansion – two fears not far from Tokyo’s mind. This is not to say U.S.-Japan relations will return to the status quo, but that the interlocutors are likely to recall the reason for such a persistent alliance.

The dramatic end to Japan's half-century of conservative rule in a late August election led almost immediately to a public spat with the United States. An inward-looking Japan that had reflexively followed the American lead suddenly was no longer an obedient ally.

At a time when the US was trying to woo a recalcitrant China to become a "strategic partner", Japan's insistence on reopening an agreement over US military bases seemed to upset the regional balance. But there are recent signs of a concerted effort on both sides to put underlying strategic interests back in the forefront, propelled in part by the recent eruption of frictions between China and the US.

The row began with the newly elected Prime Minister Yukio Hatoyama's call for more "equal" relations with the US, his advocacy of an East Asian Community à la the EU, and his focus on repairing ties with China. Put together, some saw a nascent urge to abandon the post-war security alliance. A senior State Department official went so far as to tell the Washington Post in late October that the "the United States had ‘grown comfortable' thinking about Japan as a constant in US relations in Asia. It no longer is, he said, adding that ‘the hardest thing right now is not China, it's Japan.'"

The trigger was growing frustration over the Hatoyama government's handling of the relocation of the US Marine air base at Futenma on Okinawa. The Democratic Party of Japan (DPJ) consistently opposed the deal to relocate the base elsewhere within Okinawa, expressing sympathy for the disproportionate burden of the US military presence in Japan born by Okinawans. American officials were loathe to reopen an agreement that had taken years to negotiate and believed the Japanese government exaggerated its domestic political constraints.

At the same time, Japan seems eager to hew its own course with China, to improve relations and begin to build the foundation for a new Asian community. If one is to believe US officials, alarm bells have been ringing among their allies and others in Asia over the rift with Japan. The talk of building a regional organization that might exclude the US made Singapore, Australia, South Korea, the Philippines and even Vietnam worried that this would only aid Chinese ambitions.

Meanwhile, the Obama administration itself was ardently wooing China. President Obama, on the eve of a trip in November, spoke of creating a "strategic partnership." In Beijing, the President avoided public finger wagging. Discussion of difficult issues such as human rights, Tibet and sanctions against Iran were conducted largely, if at all, behind closed doors.

Given their own pursuit of Chinese partnership, American officials could hardly object to Tokyo's efforts along the same lines. In public, they said this is not a zero sum game, that an easing of Sino-Japanese tensions could aid security and stability in the region for everyone. But some US officials soon saw evidence of Sino-Japanese collusion to push the US out of Asia. Privately they pointed to what was considered a telling moment following a trilateral summit of Chinese, Japanese and South Korean leaders in Tianjin in October. Talking to reporters after the meeting, Hatoyama had spoken about Japan's desire to lessen its "dependence" on the US. American officials considered Hatoyama's actions a gross display of obeisance to the Chinese.

Accusations that Japan was drifting into Chinese arms grew louder after DPJ Secretary General Ichiro Ozawa led a group of about 140 lawmakers on an adulatory visit to China in early December. Then Hatoyama and Ozawa raised hackles when they pushed for the Emperor to receive a visiting Chinese senior official, the heir apparent for leadership, Xi Jinping. However, these depictions of Tokyo lurching toward Beijing ignore the gradual evolution of Japanese policy and the deep-seated rivalry that persists.

Sino-Japanese relations reached a low point five years ago after anti-Japan demonstrations were apparently sanctioned by Chinese authorities. Unresolved wartime historical issues drove those outbursts, prompted by Prime Minister Junichiro Koizumi's visits to the Yasukuni shrine, which honors Japan's war dead. Disputes over oil and gas rights in the East China Sea threatened to explode. And China launched a campaign to block Japan's bid for permanent membership in the UN Security Council.

Japanese policymakers began to worry about the impact of these tensions on Japan's growing economic interdependence with China. They were critical of Koizumi's one-sided focus on the US-Japan security alliance.

"To weather the wild seas of the 21st century, Japan's diplomacy must have two elements: the Japan-US alliance and a Japan-China entente," wrote Makoto Iokibe, a defense specialist who now heads the Japanese Defense Academy, in the summer of 2006. "A combination of a gas field accord and a depoliticized Yasukuni issue would provide Japan and China with a clear view for the joint management of East Asia."

Beginning in late 2006, a succession of Japanese administrations has made concerted efforts to repair ties with Beijing and Seoul. Though the atmosphere with China has improved, substantive differences remain. In January, Japan's foreign minister warned that Tokyo would take action if China continued to violate a 2008 deal to develop oil and gas fields jointly. When Ozawa met the Chinese defense minister in December, he said the Japanese see China's military modernization as a threat. Ozawa suggested that if such fears were not eased, Japan might be prompted to undertake its own arms build up.

The Hatoyama government has also moved to upgrade ties, including security links, with Asian powers that share a fear of China, including India, Indonesia and South Korea. Ozawa stopped in Seoul after his visit to China where he apologized for Japan's colonial rule in Korea and pledged to push through legislation granting voting rights to Korean residents in Japan, an issue of great importance to Koreans and opposed by conservatives in Japan.

Recent events seem to have caused the US to reassess its handling of relations in Northeast Asia. There is growing evidence of an emboldened China that seems to interpret America's bid for a strategic embrace with the country as a sign of weakness. The authorities in Beijing took a tougher line toward internal dissent, openly clashed with the US at the climate change talks in Copenhagen, balked at cooperation on sanctions against Iran, and brushed off American protests over evidence of cyber attacks on Western firms.

After all this, America has begun to soften its tone toward Tokyo. Officials pledge patience as the new government looks for a solution to the base problem, while also mounting a public effort to convince Japan that the Marine presence in Okinawa is key to "deterrence" of North Korea and China. There is a renewed emphasis on broadening the security agenda to include other issues, from cyber security to climate change. Hatoyama, too, has emphasized that the Japan-US alliance remains "a cornerstone for Japan to enhance its cooperative relations with other Asian countries, including China."

Whether any real lessons have been learned in Tokyo or Washington remains to be seen. But perhaps the turn in Sino-US relations has reminded people in Tokyo and Washington that there remains a strategic purpose to the alliance.

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We examine the role that buyers in global supply chains play in helping vendors uncover productivity-enhancing labor management innovations. We report on a buyer-directed NGO-coordinated factory-based program targeting intestinal parasites and anemia in seven Bangalore apparel factories. Raw pre-post productivity comparisons were confounded by factory organizational changes that were implemented in anticipation of the termination of the Multi Fiber Arrangement (MFA). Using a difference-in-difference-in-difference (DDD) estimator, a full complement of medically appropriate treatment was found to increase individual productivity.

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World Development
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Karen Eggleston
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In the four years since a State Council think tank, the Development Research Center, bluntly declared the failure of three decades of healthcare reform, China has placed a high political priority on designing, building and financing a modern, equitable health delivery system that serves every last one of its 1.3 billion people. As publisher of practice-building trade magazines for medical specialists in China and India, Jeffrey Parker has developed unique and valuable perspectives on what's wrong with China's healthcare system -- and how Indian practitioners are able to deliver results despite a per-capita GDP that is roughly half of China's. Through an unprecedented China-India training exchange, Mr. Parker has begun testing whether Indian models of self-financed grassroots medical startup practices can help doctors shake free of China’s Stalinist paralysis without having to wait for sweeping programmatic reforms that are always on the horizon, but seem never to come. What's more, would such grassroots empowerment models not create unprecedented opportunities for participation by international investors who up to now have been largely marginalized in China's healthcare development?

In this lunchtime colloquium, Mr. Parker reviews his experiences in China and India over the past six years and looks at several exciting recent developments in China. These include:

  • An ambitious rural reimbursement scheme that already has begun to complete a nationwide healthcare safety net. The program is creating a vast pool of funds to finance rural medical services, but how will Beijing populate the countryside with sustainable grassroots practices?
  • The first domestic healthcare IPO, by which Aier Ophthalmology raised some $50 million as one of 28 debut listings in the Shenzhen's new "ChiNext" Growth Enterprise Market. New wind in the sails of healthcare privatization?
  • Licensing reforms that have begun delinking doctors' certification from their "work unit" hospitals under trials in Beijing and Yunnan, removing a vexing obstacle to hands-on surgical training of young practitioners. Will the breaking of senior doctors' "skills monopoly" create opportunities for private-sector training programs that will shake up China's Soviet-style residency programs?

Jeffrey Parker has lived in Greater China since 1990, first as a journalist and since 2003 as a publisher. His transition from chronicler of China's historic rise to active proponent of its economic development gives him a unique perspective on the opportunities still opening up in China -- and the challenges facing anyone keen to participate. With a twin B.A. in Asian Studies and Geography from U.C. Santa Barbara and Masters training in Journalism from Columbia University, Parker trimmed his sails for a China career from an early age. After early editorial jobs in New York and Washington, D.C., he was dispatched to Beijing by United Press International as senior correspondent in 1990. During the next 10 years with UPI and then Reuters, he covered a wide range of political, economic and social stories from postings in Hong Kong, Taiwan and the Peoples Republic. In his final two years at Reuters, Parker got his first taste of media development, launching local-language multimedia news and video feeds in China, Japan, Korea, India and Southeast Asia. Since 2003, Parker has built up a family of world-class doctors' magazines serving more than 50,000 specialists in China and India from the Shanghai base of ILX Media Group, where he is editorial director, chief operating officer, a corporate director and investor. Among his objectives is to help foster a badly needed transformation of medical practice across China by inspiring grassroots doctors to deliver high-quality, cost-effective services in rural and less-developed communities left behind by government health care.

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Jeffrey Parker Speaker ILX Media Group, Shanghai, PRC
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