International Development

FSI researchers consider international development from a variety of angles. They analyze ideas such as how public action and good governance are cornerstones of economic prosperity in Mexico and how investments in high school education will improve China’s economy.

They are looking at novel technological interventions to improve rural livelihoods, like the development implications of solar power-generated crop growing in Northern Benin.

FSI academics also assess which political processes yield better access to public services, particularly in developing countries. With a focus on health care, researchers have studied the political incentives to embrace UNICEF’s child survival efforts and how a well-run anti-alcohol policy in Russia affected mortality rates.

FSI’s work on international development also includes training the next generation of leaders through pre- and post-doctoral fellowships as well as the Draper Hills Summer Fellows Program.

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Dr. Brian Chen's research has examined the tradeoffs between moral hazard and efficiencies in the integration of physician and non-physician medical services in the presence of asymmetric information. He has looked at a policy intervention in Taiwan that prohibited self-referrals of patients to physician-owned pharmacies unless the physician group integrated pharmacy services into the clinic by hiring an onsite pharmacist. He found that the policy reduced drug expenditures by close to thirty percent among physicians that did not have an onsite pharmacist. However, these physicians responded by increasing the overprovision of diagnostic services not covered by the policy, thereby reducing the effectiveness of the policy. Forty-five percent of the clinics that did not have an onsite pharmacist prior to the policy hired one subsequent to the implementation of the policy. Overall, after integration, the policy applied to only seventeen percent of clinics, and only reduced average discretionary expenditures by about two-point-five percent. Chen's research also shows that despite the reduction in drug utilization, patients treated at clinics without an onsite pharmacist did not have greater observable adverse health events than patients treated at integrated clinics. His results show that moral hazard costs of self-referral incentives are large, that the “safe harbor” exemption severely reduces the effectiveness of the policy, and that the exemption explains much of the recent integration of ancillary services into physician offices.

Dr. Brian Chen recently completed his Ph.D. in business administration in the Business and Public Policy Group at the Haas School of Business, University of California at Berkeley. He received a Juris Doctor from Stanford Law School in 1997, and graduated summa cum laude from Harvard College in 1992.

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Shorenstein APARC
Stanford University
Encina Hall, Room E-301
Stanford, CA 94305-6055

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2011 AHPP/CEAS Visiting Scholar
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Dr. Brian Chen is currently a visiting scholar with the Asia Health Policy Program and Center for East Asian Studies at Stanford University. He was recently Shorenstein Asia-Pacific Research Center's 2009-2010 postdoctoral fellow in Comparative Health Policy. As a visiting scholar, Dr. Chen will conduct collaborative research about health of the elderly and chronic disease in China.

As an applied economist, Chen’s research focuses on the impact of incentives in health care organizations on provider and patient behavior. For his dissertation, Chen empirically examined how vertical integration and prohibition against self-referrals affected physician prescribing behavior. His job market paper was selected for presentation at the American Law and Economics Association’s Annual Meeting, the Academy of Management, the Canadian Law and Economics Association, the Conference on Empirical Legal Studies, and the First Annual Conference on Empirical Health Law and Policy at Georgetown Law Center in 2009.  The paper was also nominated for best paper based on a dissertation at the Academy of Management.

Chen comes to the Shorenstein Asia-Pacific Research Center not only with a multidisciplinary law and economics background, but also with an international perspective from having lived and worked in Taiwan, Japan, and France. He has a particularly intimate knowledge of the Taiwanese health care system from his experience as an assistant to the hospital administrator at a medical college in Taiwan.

During his past residence as a postdoctoral fellow with the Asia Health Policy Program, Chen conducted empirical research on cost containment policies in Taiwan and Japan and how those policies impacted provider behavior. His work also contributed to the program’s research activities on comparative health systems and health service delivery in the Asia-Pacific, a theme that encompasses the historical evolution of health policies; the role of the private sector and public-private partnerships; payment incentives and their impact on patients and providers; organizational innovation, contracting, and soft budget constraints; and chronic disease management and service coordination for aging populations.

Dr. Brian Chen recently completed his Ph.D. in Business Administration in the Business and Public Policy Group at the Haas School of Business, University of California at Berkeley. He received a Juris Doctor from Stanford Law School in 1997, and graduated summa cum laude from Harvard College in 1992.

Brian Chen 2011 AHPP/CEAS Visiting Scholar Speaker Stanford University
Seminars
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This colloquium will feature presentations by two visiting scholars from China. First, Dr. Huijun Liu will present research on health risks associated with gender imbalance in China. The problems of abnormal sex ratio at birth and high female infant mortality have plagued many Asian countries with a strong male preference and gender inequality. In China, these problems having lasted for more than twenty years and contributed to a serious gender imbalance in the population. As a direct consequence, “surplus men” or “forced bachelors,” are expected to increase to more than 30 million. Dr. Liu will discuss the potential health risks and other social problems likely to be exacerbated by this large-scale gender imbalance in China.

Second, Dr. Dahai Zhao will present “How Is Health Insurance Coverage Utilized among Migrant Workers in Shanghai, China?” According to the regulations of the Chinese national and Shanghai municipal governments, migrant workers employed in Shanghai should all be entitled to the Shanghai Migrant Worker Hospitalization Insurance (SMWHI) without premium and the vast majority should also have coverage through the New Rural Cooperative Medical System (NRCMS). Dr. Zhao will present results from research, conducted jointly with Dr. Wei Yu and Dr. Alan M. Garber, examining the status of the coverage and utilization of health insurance among migrant workers employed in Shanghai. Through their study, they found that a significant minority of migrant workers in Shanghai still had no health insurance, and that health insurance utilization among migrant workers was strongly limited by hospital location.

Huijun Liu is an associate professor in the Public Policy and Administration School at Xi'an Jiaotong University, China. She received her PhD in management science and engineering from the Management School of Xi'an Jiaotong University. Her main areas of research focus on gender imbalance, reproductive health, vulnerability, and social support. Her current research focuses on how gender imbalance and migration amplify the risk of HIV transmission in China. Liu has published over twenty papers in Chinese academic journals, including China Soft Science, Population and Economics, Psychological Science Advance, Collection of Women's Studies, and Modern Preventive Medicine.

Dr. Zhao is an assistant professor with the School of Public Economics and Administration at Shanghai University of Finance and Economics (SUFE), and a fellow with the Center for Health Policy at SUFE. He earned a master's degree in medicine in 2005 and a PhD in 2008, both from Fudan University, China.

Daniel and Nancy Okimoto Conference Room

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

(650) 862-7601 (650) 723-6530
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huijun.jpg PhD

Huijun Liu is an associate professor in the Public Policy and Administration School, Xi'an Jiaotong University, China. She received her PhD in management science and engineering from Management School of Xi'an Jiaotong University. Her main areas of research focuses on gender imbalance, reproductive health, vulnerability and social support. Her current research focuses on how gender imbalance and migration amplify the risk of HIV transmission in Chinese transformation society.

Liu has published over twenty papers in Chinese academic journals, which was featured in China Soft Science, Population & Economics, Psychological Science Advance, Collection of Women's Studies and Modern Preventive Medicine.

2010-2011 Visiting Scholar
Huijun Liu 2010-2011 Visiting Scholar Speaker Stanford University
Dahai Zhao Visiting Scholar at Center for Health Policy Speaker Stanford University
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While it is known as a leading center for the study of contemporary Northeast Asia, the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) has also conducted significant research and publishing activities about South Asia for more than a decade. Rafiq Dossani, a senior research scholar at Shorenstein APARC and a former director of Stanford's Center for South Asia (CSA), serves as the executive director of the Center's South Asia Initiative. Addressing key South Asia issues, his diverse research interests range from entrepreneurship and technology to economics and security.

"In a liberal democracy with a functioning rule of law, the socioeconomic condition of Muslims [in India] has, relative to the population, steadily declined.

-Rafiq Dossani


Most recently, Dossani launched a research project with Shorenstein APARC's Henry S. Rowen and CSA's Thomas Blom Hansen to study the socioeconomic conditions faced by Muslims in India. He is currently working on an article on the subject for the March 2011 inaugural edition of Avicenna, Stanford's new journal on Muslim affairs. "In a liberal democracy with a functioning rule of law," says Dossani, "the socioeconomic condition of Muslims [in India] has, relative to the population, steadily declined." He emphasizes that since Independence in 1947, Muslims, who make up 13 percent of India's population, have had equal access to power in the Congress Party-led national government. One difference, however, is that special provisions have been made to provide jobs and education for members of lower-caste Hindu and tribal groups. "Generally speaking, Muslims have lost out," states Dossani. India's government demonstrated its concern about this growing issue by publishing a 2005 report acknowledging clear cases of discrimination against Muslims, even at the government level. Discrimination, says Dossani, has led to a ghettoization of Muslims and a movement towards a religion-based identity, which he suggests will not only work against Muslims but also has security implications for the country. "It is understood at the top level by policymakers, and yet the situation persists," he cautions.

In addition to South Asia-specific research, Dossani has participated in several interdisciplinary, multi-country studies, including a project examining higher education in the "BRIC" countries of Brazil, the Russian Federation, India, and China. Led by Martin Carnoy, the Vida Jacks Professor of Education at Stanford's School of Education, members of the research team interviewed approximately seven thousand students and studied one hundred colleges and universities in India, focusing on engineering education. "It is one of the most globally comparable [disciplines]," says Dossani. For India, the findings indicate that the cost of education, which is approximately twelve hundred dollars per year for tuition, is affordable for many families and it has a high rate of return in terms of how quickly students find employment and recoup tuition costs. On a global level, however, the quality of education does not measure up to many other countries, such as the United States. Dossani cites the highly politicized nature of India's university system as a major reason for this. While 95 percent of India's colleges are now private, government-run universities confer degrees, set the curriculum, and direct appointments to high-level positions. There is a certain degree of corruption, and teacher and student unions are tied to political parties. According to Dossani, states tend to emphasize the quantity of campuses—particularly in poor, rural areas—over the quality of curriculum and instruction, in order to garner votes. "[The university system] is in a state of stasis," he says, "so the quality does not improve."

Dossani is actively engaged in numerous other research projects, including studies of telecommunications in India, and outsourcing, private equity, security, and regional integration in relation to South Asia. He is also currently serving as the co-chair of the 2011 conference held by the Industry Studies Association, which annually convenes a large interdisciplinary academic conference. Scholars participating in the 2011 conference will discuss findings in their areas of specialization within the broader themes of general industry studies; energy, power, and sustainability; globalization; innovation and entrepreneurship; labor markets, organizations, and employment relations; and transportation and logistics.

In addition to his research, Dossani is an avid volunteer. A recipient of the 2011 Asian American Heroes Award for Santa Clara County, he has volunteered for many years with Hidden Villa, a San Francisco Bay Area-based nonprofit organization dedicated to teaching about the environment and social justice. He also chairs the United States branch of Focus Humanitarian Assistance (FOCUS USA), an international non-profit group that conducts disaster preparedness and response activities in developing countries. Dossani traveled last summer to Taijikistan to visit villages where FOCUS USA is supporting the training of emergency-response volunteers, the earthquake retrofitting of schools, the installation of early-warning systems, the stockpiling of supplies, and the building of shelters. The area is close to the border of Afghanistan and surrounds Lake Sarez, which at over ten thousand feet is one of the world's highest glacial lakes. In addition to earthquakes caused by frequent seismic activity in the area, flooding of Lake Sarez and its adjoining rivers due to heavy glacial melt is an issue of major concern. 

Through his work with FOCUS USA, Dossani has learned about techniques that work to successfully address nontraditional security issues, such as the economic hardship and the displacement of people due to natural disasters. Non-governmental organizations and governments can successfully collaborate, he maintains, and nothing, in fact, can be done in a country without the support of its government. Effective results are less about policy than about focusing on establishing trust over a period of time, especially at a local level, states Dossani. "Being effective requires partnerships and trust," he says. He points to the United Nations, a globally respected entity, as a successful organization for smaller or new non-profit groups to partner with. Dossani's group has also found that disaster-preparedness measures, such as paying emergency-response volunteers, can actually offer significant economic benefits. For example, in the area where they operate, where the per capita income is two hundred and thirty dollars, the additional six dollars per day that volunteers receive is a major boost to a family's income. The work of such groups could potentially serve as a model for governments looking for more effective ways to address nontraditional security issues. 

In conjunction with his Shorenstein APARC work to address key South Asia issues, Dossani frequently speaks at events in the San Francisco Bay Area and worldwide. More information about his research and publishing activities and about Shorenstein APARC's vibrant South Asia Initiative, including publications such as Does South Asia Exist? Prospects for Regional Integration (Shorenstein APARC, 2010) and Prospects for Peace in South Asia (Stanford University Press, 2005), can be found on the Shorenstein APARC website.

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U.S. Ambassador to the Republic of Korea (ROK) Kathleen Stephens presented the talk "U.S.-Korea Relations: Where We've Been, Where We're Going" on March 2 at the Walter H. Shorenstein Asia-Pacific Research Center. In a post-event interview with Yonhap News, Ambassador Stephens discussed key points in the U.S.-ROK relationship, and spoke to her experience as an ambassador and as a Peace Corps volunteer in the ROK.

Q. While the ROK-EU Free Trade Agreement (FTA) will come into force on July 1, the ROK-U.S. FTA is still awaiting approval from the U.S. Congress. Could you tell us about the prospects for Congressional approval of the deal?

"It was such a significant issue that even President Barack Obama mentioned the trade deal during his State of the Union address in January, and he also called on Congress to ratify it ‘as soon as possible.' Therefore, you will likely see in the coming weeks the submission of the legislation to Congress, and I expect that it will pass through both the House and the Senate after a robust discussion of it. I think that with the Administration and many stakeholders in the United States from business to workers to individual states and communities saying how important this is for the American economy and for Korea-U.S. relations, I'm very optimistic about the ratification process."

Q. The Six-Party Talks aimed at resolving the North Korean nuclear issue have been at a stalemate for more than two years. Some officials, such as Senate Foreign Relations Committee Chairman John Kerry, argue that the United States should have bilateral dialogue with the North to smooth the way for the resumption of the [Six-Party] Talks. What do you think we need now to resume the stalled Six-Party Talks?

"U.S. Assistant Secretary of State for East Asian and Pacific Affairs Kurt Campbell and U.S. Special Representative for North Korea Policy Stephen Bosworth already mentioned this issue in details at a Senate Foreign Relations Committee hearing on the North Korean issue yesterday (March 1). We all agree that it is very important to improve inter-Korean relations, and we also understand that when we verify that the North truly wants to see a tangible improvement in its relations with the ROK, we should be ready to accept bilateral and multilateral dialogue."

Q. Regarding Mr. Bosworth's mention about food aid to the North, some observers speculate that there will be some change in the stalled U.S.-North Korea relations.

"(Shaking her head) The U.S. approach on the provision of humanitarian assistance including food assistance internationally has always been a principled one based upon an assessment of the need and the ability to monitor in an appropriate way to ensure the assistance gets to those who are most needy. We are applying those same principles to any consideration of humanitarian assistance to North Korea, and therefore, he [Amb. Bosworth] did not indicate any particular change."

Q. The "Jasmine Revolution" is sweeping the Middle East. Considering the lack of social networking services and a different type of regime in North Korea, it may be difficult to draw a direct comparison [between the Middle East and North Korea,] but do you think that the pro-democracy movements in the Middle East could affect North Korea?

"To be honest with you, I do not know. It is difficult to speculate on it because North Korea is certainly one of the most isolated places in the world when it comes to the availability of news about the outside world."

Q. While the ROK-EU Free Trade Agreement (FTA) will come into force on July 1, the ROK-U.S. FTA is still awaiting approval from the U.S. Congress. Could you tell us about the prospects for Congressional approval of the deal?

"It was such a significant issue that even President Barack Obama mentioned the trade deal during his State of the Union address in January, and he also called on Congress to ratify it ‘as soon as possible.' Therefore, you will likely see in the coming weeks the submission of the legislation to Congress, and I expect that it will pass through both the House and the Senate after a robust discussion of it. I think that with the Administration and many stakeholders in the United States from business to workers to individual states and communities saying how important this is for the American economy and for Korea-U.S. relations, I'm very optimistic about the ratification process."

Q. Recently, the issue of redeploying U.S. tactical nuclear weapons to the ROK in the event of a contingency on the Korean Peninsula stirred up some controversy. Some observers also point out that it is possible for the United States to assist the ROK with tactical nuclear weapons as part of its extended deterrence. If the ROK wants, is there a possibility that the United States will redeploy its tactical nuclear weapons to USFK?

"Our position is very clear on this, and we reaffirmed it at a Senate hearing yesterday (March 1). We want to see the complete denuclearization of the Korean Peninsula. That means no nuclear weapons in North Korea. There are no nuclear weapons right now in South Korea. In terms of the ROK, it's our assessment that the reintroduction of these weapons is neither desirable nor needed."

Q. President Obama, in his speeches, praised the ROK especially for its education. In the ROK, however, many people point out that the education problem is very serious. What is your take on this?

"So many Koreans talked about it. Those who are currently living in the ROK or those who have been watching the ROK's education system may know that education is such an important issue for Koreans. Personally, I am also well aware of (Koreans') education fervor as well as the stress incurred by children and families due to excessive [education-related] competition.

President Obama seems to think that every education system has some problems, and he appears to want to introduce Korea's education fervor and parents' active interest in education to the United States. In my opinion, President Obama believes that in this aspect, the ROK is a good model.

However, as everybody knows it, there is no such thing as a perfect education system. Therefore, while the United States learns education fervor from the ROK's education system, the ROK could learn a wider variety of teaching methods from the United States."

Q. Would you raise your child in a Korean-style education system?

"Since my son has already grown up, I can only give you a hypothetical answer. The biggest challenge would be language, but I can say 'Yes.' This is because I know that the ROK also has many good schools and teachers. However, when it comes to sending my child to ‘hagwon,' a private institute, I would need to discuss with Korean parents, teachers and friends."

Q.  Could you tell us about U.S.-ROK relations and public sentiments in both countries now and at the time of your assignment to the ROK? When you arrived in the ROK, U.S. beef imports were a "big issue."

"The ROK and the United States have a very friendly alliance, and they are deepening and expanding it day by day. In addition, I think that I am lucky that I have served in the ROK at a time when I can contribute to creating the best and strongest relationship in the world.

When I arrived in the ROK in September, 2008, I received a truly warm welcome from the ROK—although it is a Korean tradition. When I went out on the streets, many people, who had concerns or expectations about ROK-U.S. relations, recognized and approached me and said that they wanted to see an improvement in ROK-U.S. relations. This is a message showing that the ROK-U.S. relations are very important, and we are actually working together to maintain a good relationship. 

Even President Obama said that (the bilateral relationship) ‘has never been better than it is today.' (A fluent Korean speaker, Stephens repeated the same phrase in Korean.)"

Q. Unlike other U.S. Ambassadors to the ROK, you travel across the ROK to reach out to Koreans, even gaining the nickname "Star Ambassador." Is there any special reason?

"Thank you very much for appreciating my efforts. Whenever I am assigned to a certain nation, I think that I must understand the nation and its people because that is what a diplomat and an Ambassador is supposed to do. To me, Korea this may have been a little easier than it was for my predecessors. This is because I lived in the ROK before, I speak Korean, and I feel comfortable with Korean culture.

I visited the ROK in 1975 for the first time, and I wanted to know how much the ROK and Koreans' thought have changed ever since, and I watched actual changes with interest.   

Q.  This might be a little premature, but you are going to leave office in six months. Do you have any future plans? Are you going to continue to work to strengthen ROK-U.S. relations?

"(Laughter) This is my third time to live in the ROK. It is a great honor to serve as the U.S. Ambassador to the ROK. In my third year in office, I still have many things to do, including the ROK-U.S. FTA, but after leaving office, I hope to continue to make contributions to this great (U.S.-Korea) relationship for the rest of my life. In fact, I do not know what to do after leaving office, but I will always carry a huge interest in and commitment to this relationship."

Q. This year marks the 50th anniversary of the foundation of the Peace Corps. You actually worked as a Peace Corps volunteer in the ROK. What does the Peace Corps mean for you? How did your service in the ROK affect you today?

"Thank you for asking that question. The Peace Corps is still engaging in various activities around the world, and I think that it is the best program ever from the United States Government. I can say that this program has inspired the United States and people around the world throughout many generations.

It is true that while serving in the ROK as a Peace Corps member, I underwent a series of difficulties which I had never experienced before. It was not easy for a young woman to adapt to living and working in a nation which she hardly knew.

At that time, I needed to completely assimilate into a Korean organization. I serve in many countries as a diplomat, but it is about working at a U.S. Embassy, a U.S. institution.  Therefore, it is difficult to compare it with Peace Corps activities. I think that at that time, I had experience which was totally new mentally, physically, and emotionally. However, any Peace Corps member has such experience.

[Through such experience,] I witnessed the strength and various talents of Koreans in person, and that has had an enormous impact on my life.  

Translation by Yonhap News. Republished with permission.

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U.S. Ambassador to the ROK Kathleen Stephens, speaking at Shorenstein APARC on March 3, 2011.
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In light of the recent ousting of the presidents of Egypt and Tunisia, Donald K. Emmerson, director of the Southeast Asia Forum, steps back from the continually evolving regional turbulence to consider what it may say about the future. In a February 22 Asia Times op-ed, while noting that each country's situation is unique, Emmerson argues that social networking as an aspect of globalization could trigger further transnational spread effects in years to come. Nevertheless, he warns, authoritarians will try to adapt the technology to their own purposes. Finally, noting the basically secular character of the demonstrations, he argues that the power and promise of political Islam should not be overdrawn.
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