Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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This paper studies intergenerational living arrangements in the presence of pre-school children. Two particular driving forces behind living arrangements are considered: intergenerational labor specialization in childcare and work on the job; and sharing the companionship of children as a household public good. The theoretical model yields implications for intergenerational co-residence, maternal labor supply, and investment in children. Using China Health and Nutrition Survey data, we …find that women are more likely to co-reside with their mothers-in-law if they have higher earning abilities, or if they have fi…rstborn sons, who are considered more valuable household public goods under the widespread son preference in China. We also fi…nd that among extended households with higher probability to co-reside, the mothers are likely to spend more time on the job and be less involved in family chores, and the male children, on average, receive better health insurance and medical services than the female children do.

Philippines Conference Room

Encina Hall 3rd. Floor Central

616 Serra Street

Stanford, CA 94305

Ang Sun Assistant Professor, Renmin University of China
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In the last decade, Chinese community health service institutions have experienced rapid development, so that 97 percent of Chinese citizens are covered under one form or another of social health insurance. Currently a comprehensive network of community health services in the cities of China has established and has gradually achieved full management integration and classification. Evaluating the performance of community health services is an important measure for a comprehensive review of the current situation of community health services, their processes and outcomes, and for improving the efficient allocation of health resources and service efficiency. This evaluation is also of great importance to improve the overall quality of health services. The main purpose of the present study was to establish a scientific, standardized community health service performance evaluation system, and to further promote the efficient and effective development of community health services. Using a variety of methods including literature research, expert discussion, expert consultation, and fuzzy evaluation, the established indicator system contains three levels of indicators across over thirty aspects of performance in providing basic health services to community residents. The application of this index could be integrated in different areas to evaluate and compare different community health service institutions scientifically.

Professor Yaping Du is the Deputy Director of Institute of Social and Family Medicine, Zhejiang University.  In 2005, Du received his doctor degree in Family Medicine from the University of Kiel, Germany. From 1979 to 1984, he studied clinical medicine at Zhejiang University School of Medicine and in 1993, he received a Master in Health Management from Peking Union Medical University. In 1997, Professor Du created the Department of Family Medicine in Zhejiang University and was awarded the the title of Associate Professor and Tutor for the Master program. For more than 10 years, Du has taken the lead in China for general practitioner residency training programs and has enriched the department to become the top academic institution awarding master’s and doctoral degrees in family medicine.   During Professor Du’s more than 27 years at Zhejiang University School of Medicine, he has established a laboratory of digital and information technology in primary healthcare, and was the Program Instructor of more than ten programs from the National Natural Science Foundation of China, Chinese Ministry of Science and Technology, International Cooperation and Zhejiang Province. Du has published more than 30 articles and 10 textbooks and has guided more than 30 postgraduates. Currently Professor Du is the senior expert of the MoH (Minister of Health) in exploring human resources for community health service, councilor of Family Medicine Educational Guide Committee of the MoE (Minister of Education), and Vice-Chairman and General Secretary of Zhejiang Provincial Society of Family Medicine.

Philippines Conference Room

Encina Hall 3rd Floor Central

616 Serra Street

Stanford, CA 95305

Yaping Du Institute of Social and Family Medicine, Zhejiang University, Hangzhou, China
Seminars
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Aims: Concerns have been raised about the increasing trend in diabetes among lean populations including Southeast Asians. However, this issue is less studied in Vietnam. We determined the prevalence of diabetes and prediabetes, and quantitatively evaluated associated risk factors among Vietnamese adults.

Methods: Subjects were 5,602 men and 10,680 women aged 30-69 years who participated in community diabetes screening programs during 2011-2013 in northeastern Vietnam. Diabetes was defined as fasting plasma glucose (FPG) ≥7.0 mmol/L or 2-h postload PG ≥11.1 mmol/L. Prediabetes was defined as FPG ≥6.1 mmol/L and <7.0 mmol/L or FPG <7.0 mmol/l and 2-h postload PG ≥7.8 mmol/L and <11.1 mmol/L. Putative risk factors were elicited through an interview-administered questionnaire. The authors calculated standardized prevalence rates of prediabetes and diabetes in 2011-2013 and demographic projections for 2030, and used multiple logistic regression analysis  to estimate odds ratios and 95% confidence intervals for the association of multiple risk factors with diabetes and prediabetes.     

Results: The overall age- and sex-standardized prevalence of diabetes was 6.0% and of prediabetes was 13.5%. Among urban residents, age- and sex-adjusted prevalence of diabetes was 6.7%, compared with 5.2% among rural/mountainous inhabitants. The age- and residence-adjusted prevalence of diabetes was 8.0% in men and 5.4% in women. Population aging is projected to raise the total prevalence of diabetes to 7.0% and of prediabetes to 15.3% by 2030. Advancing age, obesity, large waist-to-hip ratio and hypertension were each associated with higher prevalence of diabetes, whereas the opposite direction of association was observed for underweight and ethnic minority peoples in both genders. In addition, diabetes was positively associated with family history of diabetes in women, and inversely related to physically heavy work in men.

Conclusions: The present study found that in 2011-2013, around one in 17 adults had diabetes and one in 7 adults had prediabetes in northeastern Vietnam . Urbanization, population aging, elevated adiposity, uncontrolled hypertension and sedentary work may be important contributors to the increased prevalence of diabetes in this country.

Dr. Ngoc Minh Pham, the 2014-15 Stanford-APO Developing Asia Health Policy fellow with the Stanford Asia Health Policy Program, is a health professional with teaching and research experiences in epidemiology and public health in Vietnam and Japan. He obtained his MD degree from Thai Nguyen University of Medicine and Pharmacy - Vietnam in 1997, MPH from The University of Melbourne - Australia in 2004, and PhD from Kyushu University - Japan in 2011. His main interests are public health, disease prevention and the rural-urban divide in developing countries, including the epidemiology of lifestyle-related diseases including diabetes, metabolic syndrome, cancer, insulin resistance and mental illness. At Stanford, Pham is studying the epidemiology of diabetes and developing a conceptual framework for diabetes prevention and management in Vietnam, particularly in mountainous areas of that country.

Philippines Conference Room

Encina Hall Central, 3rd Floor

616 Serra Street, Stanford University

Stanford, CA 94305

Ngoc Minh Pham 2014-15 Stanford-APO Developing Asia Health Policy fellow with the Stanford Asia Health Policy Program
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For 14 years, Mariano-Florentino Cuéllar has been a tireless Stanford professor who has strengthened the fabric of university’s interdisciplinary nature. Joining the faculty at Stanford Law School in 2001, Cuéllar soon found a second home for himself at the Freeman Spogli for International Studies. He held various leadership roles throughout the institute for several years – including serving as co-director of the Center for International Security and Cooperation. He took the helm of FSI as the institute’s director in 2013, and oversaw a tremendous expansion of faculty, research activity and student engagement. 

An expert in administrative law, criminal law, international law, and executive power and legislation, Cuéllar is now taking on a new role. He leaves Stanford this month to serve as justice of the California Supreme Court and will be succeeded at FSI by Michael McFaul on Jan. 5.

 As the academic quarter comes to a close, Cuéllar took some time to discuss his achievements at FSI and the institute’s role on campus. And his 2014 Annual Letter and Report can be read here.

You’ve had an active 20 months as FSI’s director. But what do you feel are your major accomplishments? 

We started with a superb faculty and made it even stronger. We hired six new faculty members in areas ranging from health and drug policy to nuclear security to governance. We also strengthened our capacity to generate rigorous research on key global issues, including nuclear security, global poverty, cybersecurity, and health policy. Second, we developed our focus on teaching and education. Our new International Policy Implementation Lab brings faculty and students together to work on applied projects, like reducing air pollution in Bangladesh, and improving opportunities for rural schoolchildren in China.  We renewed FSI's focus on the Ford Dorsey Program in International Policy Studies, adding faculty and fellowships, and launched a new Stanford Global Student Fellows program to give Stanford students global experiences through research opportunities.   Third, we bolstered FSI's core infrastructure to support research and education, by improving the Institute's financial position and moving forward with plans to enhance the Encina complex that houses FSI.

Finally, we forged strong partnerships with critical allies across campus. The Graduate School of Business is our partner on a campus-wide Global Development and Poverty Initiative supporting new research to mitigate global poverty.  We've also worked with the Law School and the School of Engineering to help launch the new Stanford Cyber Initiative with $15 million in funding from the Hewlett Foundation. We are engaging more faculty with new health policy working groups launched with the School of Medicine and an international and comparative education venture with the Graduate School of Education. 

Those partnerships speak very strongly to the interdisciplinary nature of Stanford and FSI. How do these relationships reflect FSI's goals?

The genius of Stanford has been its investment in interdisciplinary institutions. FSI is one of the largest. We should be judged not only by what we do within our four walls, but by what activity we catalyze and support across campus. With the business school, we've launched the initiative to support research on global poverty across the university. This is a part of the SEED initiative of the business school and it is very complementary to our priorities on researching and understanding global poverty and how to alleviate. It's brought together researchers from the business school, from FSI, from the medical school, and from the economics department.  

Another example would be our health policy working groups with the School of Medicine. Here, we're leveraging FSI’s Center for Health Policy, which is a great joint venture and allows us to convene people who are interested in the implementation of healthcare reforms and compare the perspective and on why lifesaving interventions are not implemented in developing countries and how we can better manage biosecurity risks. These working groups are a forum for people to understand each other's research agendas, to collaborate on seeking funding and to engage students. 

I could tell a similar story about our Mexico Initiative.  We organize these groups so that they cut across generations of scholars so that they engage people who are experienced researchers but also new fellows, who are developing their own agenda for their careers. Sometimes it takes resources, sometimes it takes the engagement of people, but often what we've found at FSI is that by working together with some of our partners across the university, we have a more lasting impact.

Looking at a growing spectrum of global challenges, where would you like to see FSI increase its attention? 

FSI's faculty, students, staff, and space represent a unique resource to engage Stanford in taking on challenges like global hunger, infectious disease, forced migration, and weak institutions.  The  key breakthrough for FSI has been growing from its roots in international relations, geopolitics, and security to focusing on shared global challenges, of which four are at the core of our work: security, governance, international development, and  health. 

These issues cross borders. They are not the concern of any one country. 

Geopolitics remain important to the institute, and some critical and important work is going on at the Center for International Security and Cooperation to help us manage the threat of nuclear proliferation, for example. But even nuclear proliferation is an example of how the transnational issues cut across the international divide. Norms about law, the capacity of transnational criminal networks, smuggling rings, the use of information technology, cybersecurity threats – all of these factors can affect even a traditional geopolitical issue like nuclear proliferation. 

So I can see a research and education agenda focused on evolving transnational pressures that will affect humanity in years to come. How a child fares when she is growing up in Africa will depend at least as much on these shared global challenges involving hunger and poverty, health, security, the role of information technology and humanity as they will on traditional relations between governments, for instance. 

What are some concrete achievements that demonstrate how FSI has helped create an environment for policy decisions to be better understood and implemented?

We forged a productive collaboration with the U.N. High Commissioner for Refugees through a project on refugee settlements that convened architects, Stanford researchers, students and experienced humanitarian responders to improve the design of settlements that house refugees and are supposed to meet their human needs. That is now an ongoing effort at the UN Refugee Agency, which has also benefited from collaboration with us on data visualization and internship for Stanford students. 

Our faculty and fellows continue the Institute's longstanding research to improve security and educate policymakers. We sometimes play a role in Track II diplomacy on sensitive issues involving global security – including in South Asia and Northeast Asia.  Together with Hoover, We convened a first-ever cyber bootcamp to help legislative staff understand the Internet and its vulnerabilities. We have researchers who are in regular contact with policymakers working on understanding how governance failures can affect the world's ability to meet pressing health challenges, including infectious diseases, such as Ebola.

On issues of economic policy and development, our faculty convened a summit of Japanese prefectural officials work with the private sector to understand strategies to develop the Japanese economy.  

And we continued educating the next generation of leaders on global issues through the Draper Hills summer fellows program and our honors programs in security and in democracy and the rule of law. 

How do you see FSI’s role as one of Stanford’s independent laboratories?

It's important to recognize that FSI's growth comes at particularly interesting time in the history of higher education – where universities are under pressure, where the question of how best to advance human knowledge is a very hotly debated question, where universities are diverging from each other in some ways and where we all have to ask ourselves how best to be faithful to our mission but to innovate. And in that respect, FSI is a laboratory. It is an experimental venture that can help us to understand how a university like Stanford can organize itself to advance the mission of many units, that's the partnership point, but to do so in a somewhat different way with a deep engagement to practicality and to the current challenges facing the world without abandoning a similarly deep commitment to theory, empirical investigation, and rigorous scholarship.

What have you learned from your time at Stanford and as director of FSI that will inform and influence how you approach your role on the state’s highest court?

Universities play an essential role in human wellbeing because they help us advance knowledge and prepare leaders for a difficult world. To do this, universities need to be islands of integrity, they need to be engaged enough with the outside world to understand it but removed enough from it to keep to the special rules that are necessary to advance the university's mission. 

Some of these challenges are also reflected in the role of courts. They also need to be islands of integrity in a tumultuous world, and they require fidelity to high standards to protect the rights of the public and to implement laws fairly and equally.  

This takes constant vigilance, commitment to principle, and a practical understanding of how the world works. It takes a combination of humility and determination. It requires listening carefully, it requires being decisive and it requires understanding that when it's part of a journey that allows for discovery but also requires deep understanding of the past.

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Whereas Korean health insurance achieved universal coverage of population in 1989, out-of-pocket (OOP) payments has been a major concern because it is as high as about 35% of total health expenditure. Several policies to expand the benefit coverage of National Health Insurance (NHI) were implemented around the year 2005; for example, cost sharing of 20~50% was reduced to 10% for catastrophic illnesses; ceiling on OOP payment was implemented for covered services. This study analyzed the extent to which the policy of expanding benefit coverage for cancer patients reduced income-inequality in health care utilization, the use of tertiary care hospital, and catastrophic payment. Using nationwide claim data of NHI, this study is based on the triple difference estimator to compare cancer patients as a treatment group with liver disease or cardio-cerebrovascular disease as control groups and low-income group with the highest-income group. The results showed that the utilization of outpatient and inpatient services increased more (or decreased less) among low-income patients than high-income ones after the introduction of the policy. For the use of tertiary care hospitals, inpatient admissions increased more in low-income cancer patients than those of high-income ones, but not outpatient visits. While catastrophic payment decreased among cancer patients, high-income cancer patients experienced a greater decrease than those of low income did. Although Korea expanded benefits coverage for catastrophic illnesses, policy debates continue due to insufficient financial protection, which also depends on provider behavior and potential demand inducement associated with the provision of uncovered services and specialist services with high fees. Politics of increasing benefits coverage in Korean NHI will be discussed too.

 

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Soonman Kwon is Professor and Former Dean of the School of Public Health, Seoul National University, South Korea. After he received Ph.D. from the Wharton School of the University of Pennsylvania, he was assistant professor of public policy at the University of Southern California in 1993-1996. Prof. Kwon has held visiting positions at the Harvard School of Public Health, London School of Economics, and University of Toronto. He was the president of the Korean Association of Schools of Public Health in 2013-2014 and is the Presidents-Elect of Korean Health Economic Association and Korean Gerontological Society. Prof. Kwon has been on the editorial boards of Social Science and Medicine, Health Economics Policy and Law, BMC Health Services Research, and Ageing Research Reviews. He was the editor of the Korean Journal of Public Health in 2007-2009 and currently the editor of the Korean Journal of Health Economics and Policy.

 

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Sujin Kim is a Takemi fellow in Harvard School of Public Health, interested in how public policy impacts health, health care utilization and health inequality. Sujin currently does research on the role of public policy in elderly depression, impact of health screening policy, and the impact of pharmaceutical pricing policy on provider’s behavior. She has published papers in Health Policy and International Journal of Health Care Finance and Economics. She received her Ph.D. in health policy and management in 2013 from Seoul National University, where she analyzed how policy of expanding NHI benefit coverage in Korea affected inequalities in health care utilization and expenditure. She received M.P.H. in health policy and management and B.Pharm in pharmacy from Seoul National University in 2008 and 2001, respectively.

 

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Philippines Conference Room

Encina Hall Central, 3rd Floor

Stanford University

Stanford, CA 94305

Soonman Kwon Professor and Former Dean of the School of Public Health, Seoul National University
Sujin Kim Takemi Fellow at the Harvard School of Public Health
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China’s State Council has put forth draft legislation that would ban smoking in public spaces, part of the government’s larger advocacy efforts to help curb tobacco use nationwide. Matthew Kohrman, a professor of anthropology at Stanford University, said it’s a step forward but the ban’s long-term success would depend on local enforcement.

Despite popular belief, global cigarette production has tripled worldwide since the 1960s. Leading the surge has been China.

“China has become the world’s cigarette superpower,” said Kohrman, in an interview on National Public Radio’s program, Marketplace.

Moreover, local governments in China have become dependent on tax revenues generated from tobacco sales, thus reinforcing the cigarette’s ubiquity and ease of access.

China has implemented smoking bans in the past, but with varied success. Now rising healthcare costs caused by tobacco-related diseases are creating urgency for new regulations.

“Whether or not these new regulations will be enforced will, in the end, come down to local politics,” he said.

Matthew Kohrman is part of the Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center, and leads the project, Cigarette Citadels, a peer-sourced mapping project that compiles more than 480 cigarette factories globally.

The full audioclip is available on the Marketplace website.

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A cigarette stand in Shantou, China.
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A middle class is emerging in China, and simultaneously, its population is rapidly aging. These two phenomena are impacting the country’s traditional consumer habits, including spending on healthcare. Experts say private-sector services are one important part of the future of China’s healthcare system, and perhaps also a sign of what’s to come for other countries in the region. Entrepreneurs can provide innovative services that cater widely to consumers and support a shift toward integrated care for health promotion and long-term management of chronic disease, also supplementing resources available in traditional public facilities.

Three experts visited the Walter H. Shorenstein Asia-Pacific Research Center and shared perspectives on those trends at the panel discussion, “Healthcare Entrepreneurs in East Asia: Innovations in Primary Care and Beyond,” hosted by the Asia Health Policy Program.

Historically, healthcare services in China have been almost entirely government-run. A patient would go to a public clinic, stand in a queue, and receive treatment within a few hours – being referred elsewhere if additional treatment was required.

Now, the private sector is growing, based on the promise of improved care and an enhanced experience, both removing the waiting line and ushering in new technologies. The government has also issued several policies encouraging “social capital” investment in health and fitness services.

The private sector for preventative care services now holds around fifteen percent of the entire marketplace in China, and “is expected to get much bigger over the next five years,” said Lee Ligang Zhang, the founding chairman and chief executive officer of iKang, a healthcare group based in Beijing.

Zhang oversees the company’s operation of 50 self-owned healthcare centers and an extended network of 300 affiliates. iKang is one of many groups catering to a growing consumer base of corporate workers and senior managers seeking care outside of the public system.

Comparative view

Increased development of premium healthcare facilities is not only emerging in China, but also in neighboring Taiwan. Since 1995, Taiwan implemented a national health insurance system, and has been lauded for its success in service provision.

Taiwan transitioned its healthcare market to universal coverage. Under this system, a patient can essentially “shop around” and select where to go for services, most of which are covered under the country’s insurance collective system at public or private providers.

“On average, every Taiwanese goes to see a doctor 14 times a year, compared to five times a year in the United States, and two times [a year] in China,” said Dr. Fred Hun-Jean Yang, a physician and chairman of MissionCare, Inc.

Such numbers reflect the higher availability of services compared to China, he said. Even as a small island, Taiwan has over 15,000 clinics and the price for services is generally affordable for the average citizen. Despite this availability of public and private services, Taiwan’s newer healthcare entrepreneurs seek to fill a market demand shaped by similar factors as in China. Yang says technology and the efficiency of the private sector healthcare system is attracting new consumers.

Missioncare is headquartered in northern Taiwan’s Taoyuan City and consists of four community hospitals with a larger network of clinics across the country as well as coordinated long-term care services for the elderly and those with chronic disease. The group has already expanded into China, and plans to integrate healthcare innovations, such as wearable monitoring and mobile payment.

Patient-centric service

Chinese citizens, particularly those with greater expendable income, are more willing to pay out-of-pocket for an improved patient experience, the panelists said.

“The consumer psyche is important,” said Dr. Wei Siang Yu, the founder of the Borderless Healthcare Group (BHG), a group of companies based in Singapore that focuses largely on health telecommunications.

One perspective is that consumers desire a “high-end” environment made possible by tailored design aesthetics and effective branding. Guided by this trend, Yu, a business executive and physician by training, started the “smart cities, smart homes” initiative at BHG.

BHG is now launching an incubator model in Shanghai, which combines intelligent design aesthetics with patient care, and is planning to localize such centers across China. The model is referred to as an “experience center,” rather than a hospital or clinic, and healthcare services – examinations, operations and value-added activities like wellness and education activities – are all centralized in one location.

Looking ahead, Yu said healthcare is likely to move even further away from the traditional hospital setting, and more toward experiential and home-based care models.

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(L to R): Wei Siang Yu, founder of Borderless Healthcare Group; Lee Ligang Zhang, chairman and CEO of iKang Healthcare Group; and Fred Hung-Jen Yang, chairman of Missioncare, Inc. discuss healthcare innovation at the Walter H. Shorenstein Asia-Pacific Center.
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SPEAKERS BIOS

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Ms. Ohnmar Ei Ei Chaw is the Country Program Coordinator of the Australian-Asia Program to Combat Trafficking in Persons (AAPTIP) for Myanmar (Burma). Prior to this, she was the United Nations Inter-Agency Project on Human Trafficking’s Myanmar National Coordinator. She is responsible for the overall coordination and management of AAPTIP Myanmar Country Program, which is currently the largest of six country programs in the Australian $50 million five-year AAPTIP program. She liaises closely with whole-of-government partners on issues relevant to criminal justice sector capacity building, coordination, and law and policy harmonization, and other initiatives focusing on anti-trafficking in persons at the national level and regional level especially, ASEAN Trafficking in Persons Working Group’s initiatives.

 

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Mr. Mark Taylor is the Team Leader for the Australia–Asia Program to Combat Trafficking in Persons (AAPTIP). The AAPTIP project was started in June 2013, and is a continuation of the Australian AID-funded Asia Regional Trafficking in Persons (ARTIP) Project. AAPTIP operates at both regional and national level and provides support to the Association of South East Asian Nations (ASEAN) and individual partner countries: Cambodia, Indonesia, Lao PDR, Myanmar, the Philippines, Thailand and Vietnam. Prior to this, Mr. Taylor spent 10 years working for the US State Department in Washington DC as a Senior Coordinator for Reports and Political Affairs. He spent two years based at the US Embassy in Nigeria where he opened the US State Department’s Narcotics and Law Enforcement Affairs Program in Lagos and Abuja, after years of aid embargo on Abacha ruled Nigeria. Mr. Taylor was in charge of developing and implementing over $12 million in projects over a range of eight issues including drug control, people smuggling, human trafficking, financial fraud, corruption, police reform and money laundering. Mr. Taylor also spent time in Yangon, Myanmar where he was responsible for reporting on the dynamic narco-insurgency landscape in the Shan State, and following the July 1995 release from house arrest of Daw Aung San Suu Kyi -- the political and human rights situation in the country, including coverage of NLD speeches, policy statements, and the party's leadership. He has a degree in Political Science and Government from Gordon College.


This seminar will also feature special discussant, Donald Emmerson, director of the Southeast Asia Program at Shorenstein APARC

The panel will be moderated by Helen Stacy, director of the Program on Human Rights at CDDRL.

 

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CISAC Central Conference Room
2nd Floor, Encina Hall
616 Serra St.
Stanford, CA

Mark Taylor Australia-Asia Program to Combat Trafficking in Persons
Ohnmar Ei Ei Chaw Australia-Asia Program to Combat Trafficking in Persons
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Senior Fellow Emeritus at the Freeman Spogli Institute for International Studies
Affiliated Faculty, CDDRL
Affiliated Scholar, Abbasi Program in Islamic Studies
aparc_dke.jpg PhD

At Stanford, in addition to his work for the Southeast Asia Program and his affiliations with CDDRL and the Abbasi Program in Islamic Studies, Donald Emmerson has taught courses on Southeast Asia in East Asian Studies, International Policy Studies, and Political Science. He is active as an analyst of current policy issues involving Asia. In 2010 the National Bureau of Asian Research and the Woodrow Wilson International Center for Scholars awarded him a two-year Research Associateship given to “top scholars from across the United States” who “have successfully bridged the gap between the academy and policy.”

Emmerson’s research interests include Southeast Asia-China-US relations, the South China Sea, and the future of ASEAN. His publications, authored or edited, span more than a dozen books and monographs and some 200 articles, chapters, and shorter pieces.  Recent writings include The Deer and the Dragon: Southeast Asia and China in the 21st Century (ed., 2020); “‘No Sole Control’ in the South China Sea,” in Asia Policy  (2019); ASEAN @ 50, Southeast Asia @ Risk: What Should Be Done? (ed., 2018); “Singapore and Goliath?,” in Journal of Democracy (2018); “Mapping ASEAN’s Futures,” in Contemporary Southeast Asia (2017); and “ASEAN Between China and America: Is It Time to Try Horsing the Cow?,” in Trans-Regional and –National Studies of Southeast Asia (2017).

Earlier work includes “Sunnylands or Rancho Mirage? ASEAN and the South China Sea,” in YaleGlobal (2016); “The Spectrum of Comparisons: A Discussion,” in Pacific Affairs (2014); “Facts, Minds, and Formats: Scholarship and Political Change in Indonesia” in Indonesian Studies: The State of the Field (2013); “Is Indonesia Rising? It Depends” in Indonesia Rising (2012); “Southeast Asia: Minding the Gap between Democracy and Governance,” in Journal of Democracy (April 2012); “The Problem and Promise of Focality in World Affairs,” in Strategic Review (August 2011); An American Place at an Asian Table? Regionalism and Its Reasons (2011); Asian Regionalism and US Policy: The Case for Creative Adaptation (2010); “The Useful Diversity of ‘Islamism’” and “Islamism: Pros, Cons, and Contexts” in Islamism: Conflicting Perspectives on Political Islam (2009); “Crisis and Consensus: America and ASEAN in a New Global Context” in Refreshing U.S.-Thai Relations (2009); and Hard Choices: Security, Democracy, and Regionalism in Southeast Asia (edited, 2008).

Prior to moving to Stanford in 1999, Emmerson was a professor of political science at the University of Wisconsin-Madison, where he won a campus-wide teaching award. That same year he helped monitor voting in Indonesia and East Timor for the National Democratic Institute and the Carter Center. In the course of his career, he has taken part in numerous policy-related working groups focused on topics related to Southeast Asia; has testified before House and Senate committees on Asian affairs; and been a regular at gatherings such as the Asia Pacific Roundtable (Kuala Lumpur), the Bali Democracy Forum (Nusa Dua), and the Shangri-La Dialogue (Singapore). Places where he has held various visiting fellowships, including the Institute for Advanced Study and the Woodrow Wilson International Center for Scholars. 



Emmerson has a Ph.D. in political science from Yale and a BA in international affairs from Princeton. He is fluent in Indonesian, was fluent in French, and has lectured and written in both languages. He has lesser competence in Dutch, Javanese, and Russian. A former slam poet in English, he enjoys the spoken word and reads occasionally under a nom de plume with the Not Yet Dead Poets Society in Redwood City, CA. He and his wife Carolyn met in high school in Lebanon. They have two children. He was born in Tokyo, the son of U.S. Foreign Service Officer John K. Emmerson, who wrote the Japanese Thread among other books.

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Rapid urbanization has led to an enormous influx of people in China migrating from rural to urban areas. Professor Hai Fang will talk about health care disparities in the management of hypertension in China for rural-to-urban migrants and understand the role of health insurance in affecting these disparities. Rural-to-urban migrants are compared to residents remaining in the rural areas. Hypertension management means whether one individual is aware of his or her hypertension, and (if being aware) whether they use medication treatment, monitor blood pressure, receive physician advice, or control blood pressure to the normal range.  Professor Fang and his co-authors find that rural-to-urban migrants had worse hypertention management than residents permanently living in rural or urban areas.  These findings suggest that it is critical to extend urban health insurance coverage and primary care services to rural-to-urban migrants, and further integrate rural and urban health insurance plans to achieve universal coverage in China.

Professor Hai Fang is currently a Professor of Health Economics at the China Center for Health Development Studies at Peking University in China.  He is also a research associate at the Kennedy School of Government at Harvard University.  He graduated from Tianjin University (BA) and Nankai University (MA), and received his MA and PhD in Economics, and Master in Public Health from the State University of New York at Stony Brook.

Migration, Health Insurance and Health Care Disparities: Evidence from Hypertension Management in China
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Philippines Conference Room

Encina Hall Central, 3rd Floor

Stanford, CA 94305

Hai Fang Professor of Health Economics Professor of Health Economics, Peking University
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As the new academic year gets underway, the Walter H. Shorenstein Asia-Pacific Research Center’s Corporate Affiliates Program is excited to welcome its new class of fellows to Stanford University.

The 2014-15 fellows and their affiliations are listed below:

  • Liang Fang, China Sunrain Solar Energy Co., Ltd.
  • Wataru Fukuda, Shizuoka Prefectural Government
  • Zhao Han, PetroChina
  • Yoshihiro Kaga, Ministry of Economy, Trade & Industry, Japan
  • Tsuyoshi Koshikawa, Ministry of Finance, Japan
  • Jaigeun Lim, Seoul Metropolitan Government
  • Yun Bae Lim, Samsung LIfe Insurance
  • Feng Lin, ACON Biotechnology
  • Yasunori Matsui, Mitsubishi Electric
  • Tatsuru Nakajima, Sumitomo Corporation
  • Shingo Nakano, Ministry of Economy, Trade & Industry, Japan
  • Ryuichi Ohta, Japan Patent Office
  • Jong Soo Paek, Samsung Electronics
  • Rajeev Prasad, Reliance Life Sciences
  • Ryuichiro Takeshita, Asahi Shimbun
  • Ryo Wakabayashi, Sumitomo Corporation
  • Changbao Zhang, PetroChina

At Stanford, the fellows will audit classes, work on English language skills, and conduct individual research projects. At the end of the year, they will give formal presentations on their research findings. At the Center, they will have the opportunity to consult with Shorenstein APARC's scholars and attend events featuring visiting experts from around the world. The fellows will also participate in special events and site visits to gain a firsthand understanding of business, society and culture in the United States.

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The 2014-15 Corporate Affiliate Visiting Fellows stand on the front steps of Encina Hall.
Rod Searcey
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