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John Tasioulas joined the University of College London in January 2011 as the Quain Professor of Jurisprudence. He was previously a Reader in Moral and Legal Philosophy at the University of Oxford and a Fellow of Corpus Christi College, Oxford. He has also taught at the universities of Melbourne and Glasgow and has held visiting research posts at Melbourne and the Australian National University. His research grants include two Research Leave Awards from the Arts and Humanities Research Council (2001 and 2004) and a British Academy Research Development Award (2008-2010) for a monograph-length project on the philosophy of human rights. He is currently a member of the AHRC Peer Review College and serves on the editorial boards of the American Society of International Law Studies in International Legal Theory and the Journal of Applied Philosophy. He is the author of numerous published articles on the legal and moral philosophy of international law and is co-editor of The Philosophy of International Law (Oxford University Press, 2010)

Professor Tasioulas' research interests revolve around Socrates' question, 'How should one live?', and the attempt to draw out the moral, political and legal implications of an acceptable answer to it. One strand of this inquiry focuses on the philosophy of human rights. Professor Tasioulas is currently engaged in writing a monograph that develops a pluralistic, interest-based account of human rights, one that - among other things - seeks to provide us with the intellectual resources to respond to the familiar objection that human rights reflect merely Western values.

Professor Tasioulas also has on-going research interests in a number of other topics, including the nature of moral wrong-doing and the responses appropriate to it, the components of human well-being, the plurality of ethical values, as well as meta-ethical questions about the reality of moral values and the possibility of moral knowledge.

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John Tasioulas Quain Professor of Jurisprudence, University College London Speaker
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Madeleine Rees qualified as a lawyer in 1990 and became a partner in a large law firm in the UK in 1994 specializing in discrimination law, particularly in the area of employment, and public and administrative law and she did work on behalf of both the Commission for Racial Equality and the Equal Opportunities Commission mainly on developing strategies to establish rights under domestic law through the identification of test cases to be brought before the courts. Madeleine brought cases both to the European Court of Human Rights and The European Court in Luxembourg. She was cited as one of the leading lawyers in the field of discrimination in the Chambers directory of British lawyers. In 1998 she began working for the Office of the High Commissioner for Human Rights as the gender expert and Head of Office in Bosnia and Herzegovina. In that capacity she worked extensively on the rule of law, gender and post conflict, transitional justice and the protection of social and economic rights.

The Office in Bosnia was the first to take a case of rendition to Guantanamo before a court. The OHCHR office dealt extensively with the issue of trafficking and Madeleine was a member of the expert coordination group of the trafficking task force of the Stability Pact, thence the Alliance against Trafficking. From September 2006 to April 2010 she was the head of the Women`s rights and gender unit. For the Office of the High Commissioner for Human Rights, focusing on using law to describe the different experiences of men and women, particularly post conflict. The aim was to better understand and interpret the concept of Security using human rights law as complementary to humanitarian law and how to make the human rights machinery more responsive and therefore more effective from a gender perspective.

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Madeleine Rees Former UN High Commissioner for Human Rights in Bosnia; Former head of the Women`s Rights and Gender Unit, Office of the High Commissioner for Human Rights; Secretary General, Women's International League for Peace and Freedom Speaker
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October 15, 2010 was the 100th anniversary of the birthday of Edwin O. Reischauer, former U.S. Ambassador to Japan and a key leader in establishing the field of East Asian studies. George R. Packard, president of the United States-Japan Foundation, worked with Reischauer in the 1960s and recently published a biography about him entitled Edwin O. Reischauer and the American Discovery of Japan. Packard spoke at the Walter H. Shorenstein Asia-Pacific Research Center on October 28 to share his perspective on Reischauer's life and career.

Reischauer was born to missionary parents in Japan, where he spent the first part of his life. According to Packard, Reischauer had a lifelong appreciation for Japan that deepened with time, but he also recognized that the more time he spent living in and studying Japan, the more that there was for him still to learn. Reischauer attended Oberlin College as an undergraduate and Harvard University as a doctoral student. During World War II, he worked for the U.S. State Department translating intercepted messages.

The Pearl Harbor-era view of Japan in the United States was that of a "treacherous" country-one that still surfaces from time to time, according to Packard. Reischauer's life's work was to improve American education and understanding about Japan. While teaching at Harvard University, Reischauer, along with China studies pioneer John King Fairbank, helped to build the field of East Asian studies in the United States. Packard credits their efforts for changing the British imperial-era designation of the "Far East" to "East Asia." In addition to his works such as Japan, Past and Present and A History of East Asian Civilization, Reischauer was committed to writing about Japan in popular publications like Reader's Digest.

Reischauer served as U.S. Ambassador to Japan from 1961-1966. While there, he helped to diminish the "Occupation mentality" of Americans in Japan and planted the seeds for the eventual return of Okinawa, said Packard. During his time as ambassador, Reischauer suffered many professional and personal setbacks, including the death of President Kennedy, a supporter of his efforts; the escalation of the Vietnam War, for which he drew criticism although he was not a proponent of it; and being stabbed by a deranged student. According to Packard, after the stabbing incident Reischauer was deeply concerned about generating negative sentiment toward Japan, and thus intentionally kept quiet about it to the media. After returning to Harvard University in the late 1960s, Reischauer continued to draw criticism for the Vietnam War and in later decades was labeled as a "Japan apologist."

Despite his critics, the wisdom of Reischauer's work in academia and government rings true today, as evidenced by Japan's place as a global economic power and the successful and significant role that the U.S.-Japan relationship plays in the peace and economic stability of East Asia. 

 

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George R. Packard, president of the United States-Japan Foundation, speaking at Shorenstein APARC on October 15, 2010.
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Background: Warfarin reduces the risk for ischemic stroke in patients with atrial fibrillation (AF) but increases the risk for hemorrhage. Dabigatran is a fixed-dose, oral direct thrombin inhibitor with similar or reduced rates of ischemic stroke and intracranial hemorrhage in patients with AF compared with those of warfarin.

Objective: To estimate the quality-adjusted survival, costs, and cost-effectiveness of dabigatran compared with adjusted-dose warfarin for preventing ischemic stroke in patients 65 years or older with nonvalvular AF.

Design: Markov decision model.

Data Sources: The RE-LY (Randomized Evaluation of Long-Term Anticoagulation Therapy) trial and other published studies of anticoagulation. The cost of dabigatran was estimated on the basis of pricing in the United Kingdom.

Target Population: Patients 65 years or older with nonvalvular AF and risk factors for stroke (CHADS(2) score ≥1 or equivalent) and no contraindications to anticoagulation.

Time Horizon: Lifetime.

Perspective: Societal.

Intervention: Warfarin anticoagulation (target international normalized ratio, 2.0 to 3.0); dabigatran, 110 mg twice daily (low dose); and dabigatran, 150 mg twice daily (high dose).

Outcome Measures: Quality-adjusted life-years (QALYs), costs (in 2008 U.S. dollars), and incremental cost-effectiveness ratios.

Results of Base-Case Analysis: The quality-adjusted life expectancy was 10.28 QALYs with warfarin, 10.70 QALYs with low-dose dabigatran, and 10.84 QALYs with high-dose dabigatran. Total costs were $143,193 for warfarin, $164,576 for low-dose dabigatran, and $168,398 for high-dose dabigatran. The incremental cost-effectiveness ratios compared with warfarin were $51,229 per QALY for low-dose dabigatran and $45,372 per QALY for high-dose dabigatran.

Results of Sensitivity Analysis: The model was sensitive to the cost of dabigatran but was relatively insensitive to other model inputs. The incremental cost-effectiveness ratio increased to $50,000 per QALY at a cost of $13.70 per day for high-dose dabigatran but remained less than $85,000 per QALY over the full range of model inputs evaluated. The cost-effectiveness of high-dose dabigatran improved with increasing risk for stroke and intracranial hemorrhage.

Limitation: Event rates were largely derived from a single randomized clinical trial and extrapolated to a 35-year time frame from clinical trials with approximately 2-year follow-up.

Conclusion: In patients 65 years or older with nonvalvular AF at increased risk for stroke (CHADS(2) score ≥1 or equivalent), dabigatran may be a cost-effective alternative to warfarin depending on pricing in the United States.

Primary Funding Source: American Heart Association and Veterans Affairs Health Services Research & Development Service.

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Douglas K. Owens
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An international forum on North Korea was held in Palo Alto on October 26, 2010, in an effort to educate the public on reunifying the two Koreas. The San Francisco Chapter of the National Unification Advisory Council organized the forum. Approximately 150 audience members heard panelists speak about the economic, social, and political challenges that face South Korea today in its preparation for a peaceful reunification, as well as about their visions for the future of North Korea.

Gi-Wook Shin, the director of the Walter H. Shorenstein Asia-Pacific Research Center (APARC), moderated the presentations and the panel discussion. The panel of four experts included John Everard, 2010-2011 Pantech Fellow at APARC and a former British ambassador to North Korea, speaking about diplomacy and security; Greg Scarlatoiu, director of public affairs and business issues at the Korea Economic Institute, on economic issues; Sang-Hun Choe, 2010-2011 Fellow in Korean Studies at APARC and a reporter at the International Herald Tribune, on factionalism; and Jung Kwan Lee, the South Korean Consul General in San Francisco, on South Korea's policy toward North Korea.

Everad analyzed North Korea's development during the Cold War of a diplomatic technique by which it repeatedly attempted to play one ally off against another in its relationships with the Soviet Union and China. While arguing that North Korea continues to make effective use of this technique against South Korea, the United States, and the European Union, Everad noted that North Korea's current political uncertainty, following the succession, and its ongoing economic concerns will together create a situation in which it may be very difficult for North Korea to maintain political solidarity.

Scarlatoiu, meanwhile, contended that North Korea's is a post-Stalinist, neo-patrimonial economy. Thus, with recent efforts such as the 2002 market reforms and the 2009 currency reform, the North Korean regime has found itself confronted with a major dilemma. According to Scarlatoiu, while economic reforms are necessary to the long-term survival of the regime, they could also lead to the regime's collapse. This predicament, he added, must be considered as the regime undergoes a leadership transition in the succession to Kim Jong-un.

Choe spoke on the process of succession to Kim Jong-un as well, pointing out that while Kim Jong-un is indisputably the heir to the leadership of North Korea, he has yet to prove his competency as North Korea's future leader. In addition, Choe emphasized that difficulties judging North Korea's intentions and anticipating its behavior stem from the outside world's inability to understand the North Korean leadership and the goals that it truly has in mind.

Finally, Lee stressed that the basic objectives of South Korea's policy on North Korea are to promote a common prosperity and to peacefully resolve North Korean nuclear issues. However, he also made it clear that the South Korean government is seeking to keep North Korean nuclear issues distinct from the issue of inter-Korean relations.

 

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Professor David Kinley holds the Chair in Human Rights Law at University of Sydney, and is the Law Faculty's Associate-Dean (International). He is also an Academic Panel member of Doughty Street Chambers in London, the UK's leading human rights practice. He has previously held positions at Cambridge University, The Australian National University, the University of New South Wales, Washington College of Law, American University, and was the founding Director of the Castan Centre for Human Rights Law at Monash University (2000-2005). He was a Senior Fulbright Scholar in 2004, based in Washington DC, and Herbert Smith Visiting Fellow at the Faculty of Law, University of Cambridge in 2008. He is author and editor of eight books and more than 80 articles, book chapters, reports and papers.

He has worked for 15 years as a consultant and adviser on international and domestic human rights law in Vietnam, Indonesia, South Africa, Thailand, Iraq, Nepal, Laos, China, and Myanmar/Burma, and for such organizations as the UN High Commissioner for Human Rights, the World Bank, the Ford Foundation, AusAID, and the Asia Pacific Forum of National Human Rights Institutions, and a number of transnational corporations, and NGOs.  He has also previously worked for three years with the Australian Law Reform Commission and two years with the Australian Human Rights Commission.

His latest publications include the critically acclaimed Civilising Globalisation: Human Rights and the Global Economy (CUP, 2009), Corporations and Human Rights (Ashgate 2009), and The World Trade Organisation and Human Rights: Interdisciplinary Perspectives (Edward Elgar, 2009) Another edited collection entitled Principled Engagement: Promoting Human Rights in Pariah States will be published by UNU Publications in 2011.  He is currently working on another book investigating the interrelations between human rights and global finance.

David was born in Belfast, Northern Ireland and brought up there during the 1960s and 70s.  He studied in England in the 1980s at Sheffield Hallam University and the Universities of Sheffield and Cambridge, and after obtaining his doctorate from the latter in 1990 he moved to Australia.  He now lives in Sydney with his wife and three children.

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"North Korea is a real country with real people getting on with their lives," said John Everard, former British ambassador to North Korea, to a full-house audience at a Korean Studies Program (KSP) lunchtime seminar on October 8, 2010. In his introduction of Everard, David Straub, KSP's associate director, noted the lack of reliable information about North Korea. Official government information is limited and everyday life is perhaps even less understood. Everard, who served in North Korea from 2006-2008, offered a firsthand perspective of ordinary people living inside North Korea, giving a very human dimension to a country often regarded only as a closed military state.

The darker side of life in North Korea is poverty, which is more acute now than in earlier decades. Everard stated that North Korea was ahead of South Korea economically until the 1970s and that the universal healthcare system put in place by Kim Il-sung was initially effective. The World Health Organization now provides most medical care in North Korea. Agriculture, once mechanized, has largely reverted to animal power and hunger, though not at famine level as it was in the 1990s, is still a major issue.

Leisure and social time also play a part of life in North Korea. People in Pyongyang frequent coffee shops and throughout the country neighbors gather for lively games of chess. Everard explained that daily activities like talking with family and friends are just as much a part of life in North Korea as they are in other parts of the world.

A bigger difference in North Korean society is the degree to which piety to the leading regime and service to the government is significantly integrated into life. Newly married couples, for example, will wear badges bearing images of Kim Il-sung pinned to their formal wedding clothes and lay flowers before a statue of the deceased leader. More than such customs though, Everard noted, North Korea's military service requirement has the biggest impact on people. Not only is the duration of eight to ten years significantly longer than the required one to two years of most countries, military life is also very strenuous.

Social attitudes in North Korea are changing, as are attitudes toward the outside world. Employees from North Korea now work for South Korean companies within the successful Kaesong Industrial Zone, which opened in 2004. Foreign goods, such as clothing, have also made their way into North Korea. People, suggested Everard, are beginning to modestly aspire to own more material possessions, like bicycles, and to learn more about the customs and cultures of other parts of the world.

Everard spoke about North Korea's relations with other countries. China has a natural interest in the stability of North Korea-its neighbor to the northeast-for its own welfare and it therefore supports it economically and politically. Despite a large Russian Federation embassy in Pyongyang, relations with Russia are not as strong as they were with the old Soviet Union, Everard said. Although the United States is officially regarded as an aggressor and an enemy, most people Everard met with did not express animosity toward Americans. "There is an openness toward warm relations with Americans if political relations improve," he said.

Everard described the curiosity expressed by North Koreans who asked him about life in the United States-about everything ranging from music to social conditions. Audience members-from the United States, China, Japan, South Korea, and numerous other countries-asked him an equally broad range of questions, demonstrating that perhaps there is an equal amount of curiosity and willingness to connect both inside and outside of North Korea.


John Everard is KSP's 2010-2011 Pantech Fellow. The David Straub, generously funded by the Pantech Group of Korea, are intended to cultivate a diverse international community of scholars and professionals committed to and capable of grappling with challenges posed by developments in Korea.

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Young orphan girl, Tanchon April 2008
John Everard, 2010-2011 Pantech Fellow
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Objectives: To determine whether China's New Rural Cooperative Medical Scheme (NCMS), which aims to provide health insurance to 800 million rural citizens and to correct distortions in rural primary care, and the individual policy attributes have affected the operation and use of village health clinics.

Design: We performed a difference-in-difference analysis using multivariate linear regressions, controlling for clinic and individual attributes as well as village and year effects.

Setting: 100 villages within 25 rural counties across five Chinese provinces in 2004 and 2007.

Participants: 160 village primary care clinics and 8339 individuals.

Main outcome measures: Clinic outcomes were log average weekly patient flow, log average monthly gross income, log total annual net income, and the proportion of monthly gross income from medicine sales. Individual outcomes were probability of seeking medical care, log annual "out of pocket" health expenditure, and two measures of exposure to financial risk (probability of incurring out of pocket health expenditure above the 90th percentile of spending among the uninsured and probability of financing medical care by borrowing or selling assets).

Results: For village clinics, we found that NCMS was associated with a 26% increase in weekly patient flow and a 29% increase in monthly gross income, but no change in annual net revenue or the proportion of monthly income from drug revenue. For individuals, participation in NCMS was associated with a 5% increase in village clinic use, but no change in overall medical care use. Also, out of pocket medical spending fell by 19% and the two measures of exposure to financial risk declined by 24-63%. These changes occurred across heterogeneous county programmes, even in those with minimal benefit packages.

Conclusions: NCMS provides some financial risk protection for individuals in rural China and has partly corrected distortions in Chinese rural healthcare (reducing the oversupply of specialty services and prescription drugs). However, the scheme may have also shifted uncompensated new responsibilities to village clinics. Given renewed interest among Chinese policy makers in strengthening primary care, the effect of NCMS deserves greater attention.

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Grant Miller
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The Muslims of South Asia made the transition to modern economic life more slowly than the region’s Hindus. In the first half of the twentieth century, they were relatively less likely to use large-scale and long-living economic organizations, and less likely to serve on corporate boards. Providing evidence, this paper also explores the institutional roots of the difference in communal trajectories. Whereas Hindu inheritance practices favored capital accumulation within families and the preservation of family fortunes across generations, the Islamic inheritance system, which the British helped to enforce, tended to fragment family wealth. The family trusts (waqfs) that Muslims used to preserve assets across generations hindered capital pooling among families, and they were ill-suited to profit-seeking business. Whereas Hindus generally pooled capital within durable joint family enterprises, Muslims tended to use ephemeral Islamic partnerships. Hindu family businesses facilitated the transition to modern corporate life by imparting skills useful in large and durable organizations.

Timur Kuran is Professor of Economics and Political Science, and Gorter Family Professor of Islamic Studies at Duke University. His research focuses on social change, including the evolution of preferences and institutions. He has just completed a book, The Long Divergence (Princeton University Press, forthcoming 2010), on the role that Islam played in the economic rise of the Middle East and, subsequently, in the institutional stagnation that accompanied the region's slip into a state of underdevelopment. Some of the archival work on which this book was based will be published, also in 2010, as a ten-volume bi-lingual set entitled Kadı Sicilleri. Among Kuran's earlier publications are Private Truths,(Harvard University Press, Işığında 17. Yüzyıl İstanbul'unda Ekonomik Yaşam / Economic Life in Seventeenth-Century Istanbul, as Reflected in Court Registers Public Lies: The Social Consequences of Preference Falsification 1995) and Islam and Mammon: The Economic Predicaments of Islamism (Princeton University Press, 2004), each translated into several languages, including Turkish.

Link to paper:  http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1656038

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Timur Kuran Professor of Economics and Political Science Speaker Duke University
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