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The Korean Studies Program is pleased to pre-screen a major new Korean film, subtitled in English, about the Korean War to commemorate the 60th anniversary of the outbreak of the Korean War. The film, "Into the Fire," is based on an actual event. During the desperate early days of the war when regular South Korean and American soldiers were tied down elsewhere, high school students defended the South Korean port city of Pohang. The movie is both an action film and a drama about the character development of these young men as unlikely heroes. Taewon Entertainment produced the film; the director is a veteran Korean filmmaker, New York University-trained John H. Lee. To put the film in historical and cinematic context, the film screening will be followed by a panel discussion.

Cubberley Auditorium
485 Lasuen Mall
Stanford University

Chi-hui Yang Director, San Francisco International Asian American Film Festival Speaker
Scott Foundas Associate Program Director, Film Society of Lincoln Center; Contributing Editor, Film Comment Speaker
John H. Lee Director of the film Panelist
Kwon Sang-woo Actor Panelist
Kyung Hyun Kim Associate Professor, East Asian Language & Liturature, and Film & Media Studies, University of California, Irvine Panelist

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

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Daniel C. Sneider is a lecturer in international policy at Stanford's Ford Dorsey Master’s in International Policy and a lecturer in East Asian Studies at Stanford. His own research is focused on current U.S. foreign and national security policy in Asia and on the foreign policy of Japan and Korea.  Since 2017, he has been based partly in Tokyo as a Visiting Researcher at the Canon Institute for Global Studies, where he is working on a diplomatic history of the creation and management of the U.S. security alliances with Japan and South Korea during the Cold War. Sneider contributes regularly to the leading Japanese publication Toyo Keizai as well as to the Nelson Report on Asia policy issues.

Sneider is the former Associate Director for Research at the Walter H. Shorenstein Asia-Pacific Research Center at Stanford. At Shorenstein APARC, Sneider directed the center’s Divided Memories and Reconciliation project, a comparative study of the formation of wartime historical memory in East Asia. He is the co-author of a book on wartime memory and elite opinion, Divergent Memories, from Stanford University Press. He is the co-editor, with Dr. Gi-Wook Shin, of Divided Memories: History Textbooks and the Wars in Asia, from Routledge and of Confronting Memories of World War II: European and Asian Legacies, from University of Washington Press.

Sneider was named a National Asia Research Fellow by the Woodrow Wilson International Center for Scholars and the National Bureau of Asian Research in 2010. He is the co-editor of Cross Currents: Regionalism and Nationalism in Northeast Asia, Shorenstein APARC, distributed by Brookings Institution Press, 2007; of First Drafts of Korea: The U.S. Media and Perceptions of the Last Cold War Frontier, 2009; as well as of Does South Asia Exist?: Prospects for Regional Integration, 2010. Sneider’s path-breaking study “The New Asianism: Japanese Foreign Policy under the Democratic Party of Japan” appeared in the July 2011 issue of Asia Policy. He has also contributed to other volumes, including “Strategic Abandonment: Alliance Relations in Northeast Asia in the Post-Iraq Era” in Towards Sustainable Economic and Security Relations in East Asia: U.S. and ROK Policy Options, Korea Economic Institute, 2008; “The History and Meaning of Denuclearization,” in William H. Overholt, editor, North Korea: Peace? Nuclear War?, Harvard Kennedy School of Government, 2019; and “Evolution or new Doctrine? Japanese security policy in the era of collective self-defense,” in James D.J. Brown and Jeff Kingston, eds, Japan’s Foreign Relations in Asia, Routledge, December 2017.

Sneider’s writings have appeared in many publications, including the Washington Post, the New York Times, Slate, Foreign Policy, the New Republic, National Review, the Far Eastern Economic Review, the Oriental Economist, Newsweek, Time, the International Herald Tribune, the Financial Times, and Yale Global. He is frequently cited in such publications.

Prior to coming to Stanford, Sneider was a long-time foreign correspondent. His twice-weekly column for the San Jose Mercury News looking at international issues and national security from a West Coast perspective was syndicated nationally on the Knight Ridder Tribune wire service. Previously, Sneider served as national/foreign editor of the Mercury News. From 1990 to 1994, he was the Moscow bureau chief of the Christian Science Monitor, covering the end of Soviet Communism and the collapse of the Soviet Union. From 1985 to 1990, he was Tokyo correspondent for the Monitor, covering Japan and Korea. Prior to that he was a correspondent in India, covering South and Southeast Asia. He also wrote widely on defense issues, including as a contributor and correspondent for Defense News, the national defense weekly.

Sneider has a BA in East Asian history from Columbia University and an MPA from the John F. Kennedy School of Government at Harvard University.

Daniel C. Sneider Moderator, Associate Director for Research, APARC, Stanford University Moderator
John R. Stevens Lt Col. USMC (ret), Commanding Officer of Able Company, 1st Bn, 5th Marines when the 1st Marine Bridgade arrived in Pusan on August 2, 1950 Speaker
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Donald K. Emmerson is a professor at Stanford University, where he heads the Southeast Asia Forum in the Shorenstein Asia-Pacific Research Center in the Freeman Spogli Institute for International Studies and is affiliated with the Abbasi Program in Islamic Studies and the Center on Democracy, Development, and the Rule of Law. 

Prior to joining Stanford’s faculty, Emmerson taught political science at the University of Wisconsin-Madison and spent time as a visiting scholar at the Australian National University (Canberra), the Institute of Advanced Studies (Princeton), and the Woodrow Wilson International Center for Scholars (Washington, DC), among other institutions.  He received his Yale University PhD in political science following a Princeton University BA in international affairs.

4th Floor Conference Room
Center for Strategic and International Studies
1800 K Street, NW
Washington DC, 20006

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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
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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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Rebecca MacKinnon is Visiting Fellow at Princeton's Center for Information Technology.

Rebecca's presentation explored two key arguments: first, that China should challenge our assumptions about the inherent relationship between the internet and democratization; and second that existing democracies are currently legislating in ways that may jeopardize the empowering potential of the internet.

The emergence of the internet in China has enabled many people to engage in a more varied public discourse than ever before. The government has also begun to actively engage with its Netizens; for example, Wen Jiabao recently instigated an annual live web chat in which he takes questions on a wide range of social and political issues.

But we should not equate this more open discourse with a move towards democracy, for at least two reasons:

The government still largely controls the conversation: While Wen Jiabao may have been happy to engage in online debate, negative commentary by a prominent blogger (pointing out that this engagement is meaningless the absence of political structures) was swiftly removed. By putting the onus on providers such as blog platforms, China is successfully keeping more controversial content from ever appearing online. Attempts to openly criticize the government or to politically organize are still regularly met with arrest and imprisonment. And the government has adopted a much more sophisticated strategy for media coverage in recent years. Recognizing that press blackouts on controversial events are no longer viable in the age of the camera phone, it now allows these to be reported, saturating the public with its approved version of events, whilst squeezing out individual accounts by citizens.

The government is using the internet to argue that does not need democratic structures to engage its people: Far from signally the death of the Communist Party (as Rebecca and her CNN colleagues had predicted in the 90s), the internet may actually be prolonging its survival because it allows the regime to claim it can engage with its people without political structures. Many educated people in China buy into the idea that they can now be heard, and without a commitment to invest time and resources in circumventing censorship, they remain unaware of some of the most serious abuses. The internet may certainly serve a role in promoting deliberation, but China demonstrates that this deliberation can exist in an authoritarian context.

Meanwhile, in existing democracies, efforts to solve issues related to security and protection are causing governments to legislate in ways that move them closer to illiberal models of surveillance and censorship. In South Korea, the government has instigated a law requiring users of certain sites to create accounts that include their national ID number. This makes it extremely easy for authorities to identify authors who previously could have remained anonymous, and has already led to several arrests. In the UK, the Digital Economy Bill, aimed at preventing copyright infringements, will force ISPs to monitor customers' use of their networks and report suspicious activity to copyright groups. Concerns for child safety online have recently led some UK campaign groups to lend support to China's idea to pre-install all new PCs with censorship software.  These examples highlight the need for a renewed debate about the right balance between security and liberty online. As we come to rely on the internet more and more for understanding the world around us, governments need to think holistically about how their policies will shape its use and impact.

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The release last week of the Obama administration's Nuclear Posture Review brings long overdue attention to the vital issue of U.S. strategic posture. Issues raised in the NPR and START have reinvigorated a crucial national nuclear dialogue that has been missing.

As the chairman and vice chairman of Congress's bipartisan Strategic Posture Commission, which issued its report last May, we have watched with great interest the administration's steady progress this past year on its Nuclear Posture Review and the START negotiations.

Themes from our report run through the Nuclear Posture Review and are embodied in the new START agreement. While debate and disagreement must be part of the crossfire in this renewed nuclear dialogue, we want to emphasize important dimensions of both the Posture Review and START treaty that figure prominently in our bipartisan report.

Now that the NPR is completed, we see that it is compatible with our recommendations. The review gives a comprehensive and pragmatic plan for reducing nuclear risks to the United States. We believe it offers a bipartisan path forward - while allowing for healthy disagreements on specific issues.

And it incorporates many of our points - such as pursuing a quick and modest reduction of nuclear weapons with Russia and sustaining the nuclear triad of land-based ICBMs, sea-based SLBMs and bombers. It also recognizes that nuclear weapons safeguarded U.S. security during the Cold War by deterring attack and that we will need them for deterrence in the foreseeable future, as long as others also possess them.

We also see that the NPR puts special emphasis, as our report recommended, on improving the nation's complex nuclear infrastructure and enhancing programs to recruit and keep the nation's best scientific minds. The administration's commitment to increase investment in our national laboratories also ensures that they continue their important role in sustaining a safe, secure and effective nuclear arsenal and in solving many other problems facing the nation.

The review is correct to make preventing nuclear terrorism and proliferation the top priority, while also seeking to strengthen deterrence and to reassure U.S. allies and recognizing the importance of strategic stability with Russia and an emerging China. Our commission reached the same conclusions.

The NPR's changes in U.S. declaratory policy - especially the assurance that Washington "will not use or threaten to use nuclear weapons against non-nuclear parties to the Nonproliferation Treaty that are in compliance with their nuclear nonproliferation obligations" - go beyond our recommendation that the U.S. retain "calculated ambiguity."

It is, however, a sensible variation on a theme that the U.S. should support nonproliferation while preserving deterrence for itself and its allies.

We also note that the NPR chose, as we advised, to avoid adopting a "no first use" policy for nuclear weapons while narrowing the scope of possible first use to "extreme circumstances" - language that was in our bipartisan report.

We believe that the substantial edge the U.S. has developed in conventional military capabilities, which the NPR notes, permits this country to sharply reduce reliance on nuclear weapons. But we caution those who make light of this major U.S. strategic advantage and its implications.

We support the NPR's call for the U.S. not to develop new nuclear weapons now. Our report similarly called for a case-by-case approach to extending the life of today's warheads. And we agree that the focus should be on safety, security and reliability - not developing new military capabilities.

The NPR echoes our call to negotiate a worldwide end to the production of new fissile materials - the key ingredients of nuclear weapons.

Our final report strongly endorsed the U.S. deterrence policy to cover our allies and partners with the U.S. nuclear umbrella - an objective the NPR also embraces.

The report suggested deploying proven missile defenses against threats such as North Korea and Iran but emphasized, as the NPR does, that these defenses should not be so big as to encourage Russia to add warheads to counter them, which would only undermine efforts to reduce nuclear weapons. We included China as well as Russia in this.

But in two areas, we believe the NPR might have fallen short of the mark.

First, we understand that the review considered declassifying additional information about the size and composition of the U.S. nuclear stockpile. It should have done so. This would demonstrate U.S. leadership on the transparency that is needed to secure nuclear materials globally and to bolster strategic stability with Russia and China.

Second, the NPR called for the consideration of conventional "prompt global strike" capabilities. But it did not explain whether these systems would have a niche role against small regional powers such as North Korea or be an ultimate substitute for nuclear weapons in deterrence with Russia and China.

We feel the former is the only sensible approach. Keeping this issue ill-defined creates needless anxiety in Moscow and Beijing that could lead to future problems.

Even with these two caveats, the 2010 Nuclear Posture Review makes important strides in charting a sustainable bipartisan path forward for the United States.

Healthy disagreement over some NPR specifics should not obscure the valuable contribution it makes to advancing U.S. security interests - resting, as it does in part, on our bipartisan 2009 Strategic Posture Commission report.

William J. Perry served as secretary of defense in the Clinton administration. He was chairman of the Congressional Commission on the Strategic Posture of the United States. James R. Schlesinger was the nation's first energy secretary and served as secretary of defense from July 1973 to November 1975. He was vice chairman of the Congressional Commission on the Strategic Posture of the United States.

 

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President Barack Obama holds a bilateral meeting with President Hu Jintao of China, during the Nuclear Security Summit at the Washington Convention Center in Washington, D.C., April 12, 2010.
Lawrence Jackson
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On March 26, 2010, SPICE received the 2010 Franklin Buchanan Prize at the Association for Asian Studies annual conference in Philadelphia. The Buchanan Prize is awarded annually to an outstanding curriculum publication on Asia designed for any educational level, elementary through university. SPICE was recognized for its two-part Korea-focused series, U.S.-South Korean Relations and Uncovering North Korea. The primary authors of the series were Rylan Sekiguchi and Joon Seok Hong. Contributing authors were Rennie Moon and Gary Mukai. Rennie Moon attended the AAS conference to receive the prize on behalf of SPICE. Professors Gi-Wook Shin and John W. Lewis served as primary advisors for the two-part series.

The Buchanan Prize committee noted the following about the two-part series: "In U.S. classrooms, very little is taught about the Korean peninsula, unless it involves the Korean War. This series fills that gap by focusing on a broader perspective and looking at the social, economic, political and cultural development of this region over the past fifty years."

This is the fifth time that SPICE has won the Buchanan Prize since it was established in 1995. The Association for Asian Studies is a scholarly, non-political, non-profit professional association open to all persons interested in Asia and the study of Asia.

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THIS has been a remarkable time for the Obama administration. After a year of intense internal debate, it issued a new nuclear strategy. And after a year of intense negotiations with the Russians, President Obama signed the New Start treaty with President Dmitri Medvedev in Prague. On Monday, the president will host the leaders of more than 40 nations in a nuclear security summit meeting whose goal is to find ways of gaining control of the loose fissile material around the globe.

New Start is the first tangible product of the administration's promise to "press the reset button" on United States-Russian relations. The new treaty is welcome. But as a disarmament measure, it is a modest step, entailing a reduction of only 30 percent from the former limit - and some of that reduction is accomplished by the way the warheads are counted, not by their destruction. Perhaps the treaty's greatest accomplishment is that the negotiations leading up to its signing re-engaged Americans and Russians in a serious discussion of how to reduce nuclear dangers.

So what should come next? We look forward to a follow-on treaty that builds on the success of the previous Start treaties and leads to significantly greater arms reductions - including reductions in tactical nuclear weapons and reductions that require weapons be dismantled and not simply put in reserve.

But our discussions with Russian colleagues, including senior government officials, suggest that such a next step would be very difficult for them. Part of the reason for their reluctance to accept further reductions is that Russia considers itself to be encircled by hostile forces in Europe and in Asia. Another part results from the significant asymmetry between United States and Russian conventional military forces. For these reasons, we believe that the next round of negotiations with Russia should not focus solely on nuclear disarmament issues. These talks should encompass missile defense, Russia's relations with NATO, the Conventional Armed Forces in Europe Treaty, the Intermediate-Range Nuclear Forces Treaty, North Korea, Iran and Asian security issues.

Let's begin with missile defense. Future arms talks should make a serious exploration of a joint United States-Russia program that would provide a bulwark against Iranian missiles. We should also consider situating parts of the joint system in Russia, which in many ways offers an ideal strategic location for these defenses. Such an effort would not only improve our security, it would also further cooperation in dealing with the Iranian nuclear threat, including the imposition of consequential sanctions when appropriate.

NATO is a similarly complicated issue. After the cold war ended, Russia was invited to NATO meetings with the idea that the country would eventually become an integral part of European security discussions. The idea was good, but the execution failed. NATO has acted as if Russia's role is that of an observer with no say in decisions; Russia has acted as if it should have veto power.

Neither outlook is viable. But if NATO moves from consensus decisions to super-majority decisions in its governing structure, as has been considered, it would be possible to include Russia's vote as an effective way of resolving European security issues of common interest.

The Russians are also eager to revisit the two landmark cold war treaties. The Conventional Armed Forces in Europe Treaty enabled NATO and Warsaw Pact nations to make significant reductions in conventional armaments and to limit conventional deployments. Today, there is still a need for limiting conventional arms, but the features of that treaty pertaining to the old Warsaw Pact are clearly outdated. Making those provisions relevant to today's world should be a goal of new talks

Similarly, the 1987 treaty that eliminated American and Soviet intermediate-range ballistic missiles was a crucially important pact that helped to defuse cold war tensions. But today Russia has neighbors that have such missiles directed at its borders; for understandable reasons, it wants to renegotiate aspects of this treaty.

Future arms reductions with Russia are eminently possible. But they are unlikely to be achieved unless the United States is willing to address points of Russian concern. Given all that is at stake, we believe comprehensive discussions are a necessity as we work our way toward ever more significant nuclear disarmament.

William J. Perry, a senior fellow at the Freeman Spogli Institute for International Studies, was the secretary of defense from 1994 to 1997. George P. Shultz, the secretary of state from 1982 to 1989, is a distinguished fellow at the Hoover Institution.

 

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PESD researcher Gang He is invited to the Asia Society and Center for American Progress's roundtable Carbon Capture and Storage (CCS): Creating a Framework for U.S.-China Cooperation on Climate and Energy to discuss core policy, financing, and technological and intellectual property rights questions that need to be addressed between China and the U.S. over a commercial-scale, demonstration CCS plant in China.

This joint initiative by Asia Society and the Center for American Progress aims to bring together key stakeholders for a lively discussion with the objective of producing a document that lays the framework for both countries to cooperate on the joint research, development and deployment of one or more pilot CCS facilities in China.

Center for American Progress
1225 Eye Street NW 3rd Floor
Washington D.C., 20001

616 Serra St.
E420 Encina Hall
Stanford, CA 94305

(650) 725-4249 (650) 724-1717
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Research Associate
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Gang He's work focuses on China's energy and climate change policy, carbon capture and sequestration, domestic coal and power sectors and their key role in both the global coal market and in international climate policy framework.  He also studies other issues related to energy economics and modeling, global climate change and the development of lower-carbon energy sources. 

Prior to joining PESD, he was with the World Resources Institute as a Cynthia Helms Fellow.  He has also worked for the Global Roundtable on Climate Change of the Earth Institute at Columbia University. With his experiences both in US and China, he has been actively involved in the US-China collaboration on energy and climate change. 

Mr. He received an M.A. from Columbia University on Climate and Society, B.S. from Peking University on Geography, and he is currently doing a PhD in the Energy and Resources Group at UC Berkeley.

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PESD researcher Gang He will be guest lecturing in Stanford University's China Energy System course on China's coal and power conflict and its broad impacts on Chinese energy and climate policy.  He will discuss the most important feature in China's energy market - coal and power conflict, explain why there is a conflict and how it come into being, and analyze the broad impacts of the conflict on deploying CCS at scale and applying CDM in the Chinese power market.  Gang will also highlight some possible solutions to the coal and power conflict in China's energy market.

China Energy System(CEE 276F) is a directed readings course that studies the energy resources and policies in use and under development in the world's most populous nation.  As a country undergoing rapid and sustained economic growth, China's decisions as to how to meet its energy requirements will affect global energy markets and impact the global environment.  This course focuses on the areas of major impact that are forecast and will present a comparative analysis of China's energy management strategies.

Y2E2 111

616 Serra St.
E420 Encina Hall
Stanford, CA 94305

(650) 725-4249 (650) 724-1717
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Gang He's work focuses on China's energy and climate change policy, carbon capture and sequestration, domestic coal and power sectors and their key role in both the global coal market and in international climate policy framework.  He also studies other issues related to energy economics and modeling, global climate change and the development of lower-carbon energy sources. 

Prior to joining PESD, he was with the World Resources Institute as a Cynthia Helms Fellow.  He has also worked for the Global Roundtable on Climate Change of the Earth Institute at Columbia University. With his experiences both in US and China, he has been actively involved in the US-China collaboration on energy and climate change. 

Mr. He received an M.A. from Columbia University on Climate and Society, B.S. from Peking University on Geography, and he is currently doing a PhD in the Energy and Resources Group at UC Berkeley.

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Karen Eggleston
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In early spring, historic health reform passes, extending insurance to millions of uninsured. Despite problems with workplace-based coverage, controversy over government subsidies for insurance premiums, and disparities across a large and diverse nation, dramatic shift to a single-payer system was seen as impractical.

Instead, reforms focus on expanding current social insurance programs as well as new initiatives to cover the uninsured, improve quality, and control spending. They provide a basic floor, subsidized for the poorest, but preserve consumer freedom to choose in health care. No government body dictates choice of doctor or hospital; investor-owned and private not-for-profits compete alongside government-run providers like community health centers and rural hospitals.

Left to be addressed in later phases are the difficult questions of how to slow the relentless pace of health care spending increases -- driven in part by technological change and population aging, but also perverse incentives embedded in fee-for-service payment and fragmented delivery. Pushed through despite multiple crises confronting the leadership, the final landmark health reform works in conjunction with measures enacted as part of the fiscal stimulus package to strengthen the healthcare system. Some provisions take effect immediately; others will take many years to unfold.

President Obama’s triumph on his top domestic priority? Actually, there were no votes along partisan lines, no controversy over abortion. I am describing health reform in China, which was announced almost exactly a year ago.

We do not hear much about the parallels in the US and Chinese social policy. But we cannot fully understand each other if we ignore these commonalities. We do not hear much about those who, in both societies, have been rendered destitute merely because they or a family member became sick or injured in a system with a social safety net full of gaping holes.

It will surprise many Americans to know that government financing as a share of total health spending was lower in socialist China over the last decade than in the United States. Now China has pledged about US$124 billion over 3 years to expand basic health insurance, strengthen public health and primary care, and reform public hospitals.

In China, the injustice of differential access to life-saving healthcare had sparked cases of social unrest. The April 2009 reform announcement was the culmination of years of post-SARS (2003) soul searching for a healthcare system befitting China’s dynamically transforming society. Special interests block change. (Sound familiar?) The CPC Central Committee and the State Council acknowledge that successful health reform will be “an arduous and long-term task”.  

If the US can pass sweeping health reform despite an unprecedented financial crisis, and China can envision universal health coverage for 1.3 billion while “getting old before getting rich,” then together we should be able to look past our many differences to focus on our common interests. Our two proud nations must work together to confront numerous challenges, such as upholding regional stability (e.g. on the Korean peninsula); redressing global economic imbalances (increasing health insurance can help spur China towards more domestic consumption); and investing in “green tech” for a warming planet and “grey tech” for an aging society.

 

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When searching for insights about how other countries deal with similar challenges, Americans often look to Europe and Canada. Rarer is the comparison to counterparts across the Pacific. Yet President Obama has clearly articulated the vision of the US as a Pacific Nation, and there are developments around the Pacific Rim that merit consideration in our debates.  

Australia pioneered cost-effectiveness in health care purchasing, while the US continues to debate whether cost should be part of comparative effectiveness research and policy decisions.

Both Japan and South Korea, like Germany, have enacted long term care insurance to smooth the transition to an aging society. Their experiences might be fruitful as we implement the first national government-run long-term care insurance program, a little-heralded component of the newly passed legislation (and a fitting legacy of Senator Edward Kennedy).

Japan and Singapore provide universal coverage to older populations than ours with health systems that, although surprisingly different from each other in terms of public financing and role of market forces, both ranked among the best in the world -- and far higher than the US -- in the World Health Organization’s ranking of health systems in the year 2000. Although one may quibble with the ranking, it is indisputable that Japan spends a much smaller share of GDP on healthcare than the US does, despite being one of the oldest and longest-lived societies in the history of the world and having (like the US) a fee-for-service payment system.

Japan and South Korea are also democracies, where health policies occasionally engender heated debates. In South Korea, physicians went on nationwide strike three times to oppose the separation of prescribing from dispensing. Although Japan’s incremental reforms rarely spur such drama, the passions aroused by end-of-life care – embodied in the bizarre “death panels” controversy in the US health reform debate of 2009 – has its counterpart in the bitter nickname for Japan’s separate insurance plan for the oldest old: “hurry-up-and-die” insurance.

Yet Japan, Singapore, and Hong Kong all offer health systems that provide reasonable risk protection and quality of care for populations older than ours, with a diverse range of government and market roles in financing and delivery, while spending far less per capita than the US.

No system has all the answers. But the US and our neighbors across the vast Pacific have a common interest in sharing what we’ve found that works for health reform. Despite divergence in our political and economic systems, we all value long, healthy lives for ourselves and our children -- and we’re united in health reforms that try to further that goal.

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North Korea is usually described as the “most isolated country on earth,” its people effectively cut off from the outside world. My research tells a different story—that perhaps one million North Koreans are secretly listening to foreign radio broadcasts. The number of listeners is believed to be growing, which is all the more amazing when one considers that North Korean authorities only distribute radios with fixed dials, assiduously jam foreign broadcasts, and send citizens caught listening to foreign radio to the country’s notorious gulags for as long as ten years.

Over a dozen radio stations from the United States, South Korea, and Japan currently broadcast to North Korea. Voice of America (VOA), one of the most popular stations, has been broadcasting to the North since 1942, while the equally popular Radio Free Asia (RFA) began its Korean broadcasts soon after being created by Congress in 1997. VOA focuses on news of the United States and the world, while RFA concentrates on the two Koreas. RFA also carries commentaries by two Korean speakers who grew up in the former Soviet Union and Romania. RFA serves as a substitute for the lack of a “free” station in North Korea, but unlike a typical “surrogate station”—which would be staffed largely by émigrés—RFA only employs one North Korean defector.

South Korea’s “Global Korean Network” has been declining in popularity since it ceased to focus on North Korea and adopted a decidedly soft approach after the election of Kim Dae-jung as president in 1997. However, three stations run by North Korean defectors have sprouted up over the past few years, led by Free North Korea Radio (FRNK). These stations employ stringers in North Korea who can communicate by cell phone or smuggle out interviews through China. As a result, information is flowing in and out of the North more rapidly than ever. For example, when major economic reforms were undertaken in 2002, it was months before the rest of the world knew. In contrast, when the regime launched a disastrous currency reform on November 30, 2009, FNKR filed a report within hours.

How do we know that North Koreans are actually listening to foreign broadcasts? First, on dozens of occasions, authorities in Pyongyang have used their own media to attack foreign broadcasters. The North reserves the insult “reptile” exclusively to describe foreign broadcasters. In late March 2010, the regime likened defector broadcasters to “human trash.” Ironically, this diatribe also contained the first official mention of the currency revaluation, so broadcasters have clearly struck a nerve. If they were in fact irrelevant, the regime would ignore them instead of lavishing them with free publicity.

Broadcasters to North Korea frequently receive heartbreaking messages from North Koreans in China, thanking them for their efforts. One listener described RFA as “our one ray of hope.” More importantly, over the past several years, thousands of North Korean defectors, refugees, and visitors to China have been interviewed about their listening habits. An unpublished 2009 survey of North Koreans in China found that over 20 percent had listened to the banned broadcasts, and almost all of them had shared the information with family members and friends. Several other surveys confirm these findings. While we cannot generalize the listening habits of a self-selected group to the general population, it is not unreasonable to conclude that there are more than a million surreptitious listeners. The North Korean regime is not only losing its monopoly on the control of information; defectors also cite foreign radio listening as one of the leading motivations to defect.

Despite valiant efforts and growing impact, much more could be done to improve broadcasting to North Korea. VOA and RFA only broadcast five hours a day, and the defector stations limp along with shoestring budgets, due to a pervasive indifference within South Korea.

President Obama’s human rights envoy for North Korea, Robert King, has pledged to expand funding for Korean broadcasting. For its part, Pyongyang claims that foreign broadcasts are part of the Obama administration’s “hostile policy” toward the North. Only time will tell if these efforts will lead to change we can believe in—both in Washington and Pyongyang.

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Shorenstein APARC Dispatches are regular bulletins designed exclusively for our friends and supporters. Written by center faculty and scholars, Shorenstein APARC Dispatches deliver timely, succinct analysis on current events and trends in Asia, often discussing their potential implications for business.

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