Political and economic transition is often blamed for Russia’s 40% surge in deaths between 1990 and 1994 (the “Russian Mortality Crisis”). Highlighting that increases in mortality occurred primarily among alcohol- related causes and among working-age men (the heaviest drinkers), this paper investigates a different explanation: the demise of the 1985-1988 Gorbachev Anti-Alcohol Campaign. We use archival sources to build a new oblast-year data set spanning 1970-2000 and find that:
The campaign was associated with substantially fewer campaign year deaths,
Oblasts with larger reductions in alcohol consumption and mortality during the campaign experienced larger transition era increases, and
Other former Soviet states and Eastern European countries exhibit similar mortality patterns commensurate with their campaign exposure.
The campaign’s end explains between 32% and 49% of the mortality crisis, suggesting that Russia’s transition to capitalism and democracy was not as lethal as commonly suggested.
We study the governance of public good provision in poor communities in Oaxaca, Mexico. We estimate the effect of usos y costumbres—a form of participatory democracy prevalent in indigenous communities—on the provision of local public goods. Because governance is endogenous, we address selection effects by matching on municipal characteristics and long-term settlement patterns. Using a first-differences design we show that these municipalities increase access to electricity, sewerage, and education faster than communities ruled by political parties. We also show they are places of vibrant political participation, not authoritarian enclaves protecting the political monopoly of local bosses.
The Empirical Studies of Conflict Project (ESOC) addresses critical challenges to international security through methodologically rigorous, evidence-based analyses of insurgency, civil war and other sources of politically motivated violence. The project is comprised of leading scholars from across the country from a variety of academic disciplines. ESOC aims to empower high quality of conflict analysis by creating and maintaining a repository of micro-level data across multiple conflict cases and making these data available to a broader community of scholars and policy analysts.
Teaching is a core element of the educational process and a significant body of literature demonstrates that good teachers matter a lot for improving student academic achievement. However, research is inconclusive about what can be done to improve teacher effectiveness. What kind of training enhances content knowledge and teaching skills? What type of teacher incentives can improve their teaching practice and outcomes? What are the best ways to evaluate teachers? These type of questions are a pressing issue in developing countries where educational performance is generally inadequate.
Scholars of state development have paid insufficient attention to the question of regionalism; too often modeling state-building as the extension of the authority of a 'center' over peripheral territories, and too often linking regionalism to cultural or ethnic heterogeneity. A purely spatial account of the challenges to central control shows that even in the absence of cultural fractionalization, the presence of economically powerful and politically salient regions undermines political development. Three analytically distinct mechanisms - divergent public good preferences, economic self-sufficiency, and institutional design - underlie this relationship. I explore these issues through a region-wide analysis of Latin America, and case studies of the United States, Ecuador, Colombia, and early modern Poland.
Speaker Bio:
Hillel David Soifer earned his PhD in the Government Department at Harvard, and is currently Assistant Professor of Political Science at Temple University. His research has been centered in Latin America, with a focus on political development and state capacity, and has been published in journals including Latin American Research Review and Comparative Political Studies. He is currently completing a book on the long-term divergence in state capacity in Latin America which contrasts the cases of Chile, Colombia, Mexico, and Peru.
Encina Ground Floor Conference Room
Hillel Soifer
Assistant Professor of Political Science
Speaker
Temple University
Karl Eikenberry, former ambassador to Afghanistan and retired U.S. Army Lieutenant General, argues that although successful, the American All-Volunteer Force has developed liabilities due to weak political oversight and internal accountability of its senior leadership. These liabilities ultimately weaken the insitution by making the U.S. military the go-to solution for foreign policy problems and insulating defense spending and preventing economically sustainable cuts to the military. Additionally, elilminating mandatory military service has also weakened American civic virtue by pushing civic responsiblities on others. All these liabilities warrant a critical look.
William J. Perry was only 18 when he found himself surrounded by death, a young U.S. Army mapping specialist in Japan during the Army of Occupation. The atomic bombs had been dropped on Hiroshima and Nagasaki and World War II had just come to an end.
“The vast ruins that once had been the great city of Tokyo – nothing, nothing had prepared me for such utter devastation that was wrought by massive waves of firebombing rained down by American bomber attacks,” said Perry, who was then shipped off to the island of Okinawa in the aftermath of the last great battle of WWII.
More than 200,000 soldiers and civilians had been killed in that closing battle of 1945, codenamed Operation Iceberg.
“Not a single building was left standing; the island was a moonscape denuded of trees and vegetation,” Perry told a rapt audience during a recent speech. “The smell of death was still lingering.”
The young man quickly understood the staggering magnitude of difference in the destruction caused by traditional firepower and these new atomic bombs.
“It had taken multiple strikes by thousands of bombers and tens of thousands of high explosive bombs to lay waste to Tokyo,” he recalls. “The same had been done to Hiroshima and then to Nagasaki with just one plane – and just one bomb. Just one bomb.
“The unleashing of this colossal force indelibly shaped my life in ways that I have now come to see more clearly,” said Perry, who would go on to become the 19th secretary of defense. “It was a transforming experience. In many ways – I grew up from it.”
William J. Perry in 1945 in his U.S. Army Air Corps uniform.
William J. Perry in 1945 in his U.S. Army Air Corps uniform. Photo Credit: U.S. Army
Now, nearly seven decades later, the 86-year-old Perry has come full circle. His new winter course will take students back to his fateful days in Japan after the United States became the first – and last – nation to use atomic weapons. He’ll go through the Cold War, the arms race and expanding nuclear arsenals, and today’s potential threats of nuclear terrorism and regional wars provoked by North Korea, Iran or South Asia.
Living at the Nuclear Brink: Yesterday & Today (IPS 249) – to serve as the backdrop for an online course at Stanford next year – concludes with the declaration Perry made in 2007: The world must rid itself entirely of nuclear weapons. And students will get a primer on how to get involved in organizations that are working on just that.
“They did not live through the Cold War, so they were never exposed to the dangers and therefore it doesn’t exist to them; it’s just not in their world,” Perry said of millennial and younger students. “I want to make them aware of what the dangers were and how those dangers have evolved.”
Perry and former U.S. Sen. Sam Nunn, both Democrats, joined former Republican Secretaries of State George P. Shultz and Henry A. Kissinger in launching a series of OpEds in The Wall Street Journal (the first in 2007) that went viral. Together they outlined how nations could work together toward a world without nuclear weapons.
“I think I have some responsibility since I helped build those weapons – and I think that time is running out,” Perry said in an interview.
Perry helped shore up the U.S. nuclear arsenal as undersecretary of defense for research and engineering, procuring nuclear weapons delivery systems for the Carter administration. Later, as secretary of defense for President Bill Clinton, his priority became the dismantling of nuclear weapons around the world.
Taubman, a consulting professor at CISAC, will guest lecturer in Perry’s class, along with CISAC’s Siegfried Hecker, David Holloway, Martha Crenshaw and Scott Sagan. Other speakers are expected to include Shultz, a distinguished fellow at Stanford’s Hoover Institution; Andrei Kokoshin, deputy of the Russian State Duma; Ashton B. Carter, who just stepped down as deputy secretary of defense; Joseph Martz of the Los Alamos National Laboratory; and Joeseph Cirincione, president of the Ploughshares Fund.
The world is far from banning the bomb. According to the Ploughshares Fund, an estimated 17,300 nuclear weapons remain in the global stockpile, the majority of which are in Russia and the United States.
President Barack Obama declared shortly after taking office in his first foreign policy speech in Prague that because the United States was the only country to have used nuclear weapons, Washington “has a moral responsibility to act.”
“So today, I state clearly and with conviction, America’s commitment to seek the peace
and security of a world without nuclear weapons,” Obama said back in May 2009.
Perry – a senior fellow at CISAC who received his BS and MS from Stanford and a PhD from Pennsylvania State University, all in mathematics – laments the regression of the movement to dismantle the nuclear legacy of the Cold War.
Obama has so far not acted on his pledge in his contentious second term, as China and Russia expand their stockpiles. North Korea and Iran are attempting to build nuclear weapons and India and Pakistan are building more fissile material. The U.S. Senate still has not ratified the Comprehensive Test Ban Treaty and the U.S. and Russia have not moved forward on a follow-up to the New START Treaty.
Perry recognizes that the issue is slipping from the public conscience, particularly among young people. So he’s putting his name and experience behind a Stanford Online course slated to go live next year. It will correspond with the release of his memoir, “My Journey at the Nuclear Brink” and will take a more documentary approach, weaving together key moments in Perry’s career with lectures, archival footage and interviews and conversations between Perry and his colleagues and counterparts.
"Bill Perry has had a remarkable career and this project draws on his unparalleled experience over a pivotal period in history," said John Mitchell, vice provost for online learning. "We hope his brilliant reflections will be useful to everyone with an interest in the topic, and to teachers and students everywhere."
At the heart of his winter course, online class and memoir are what Perry calls the five great lessons he learned in the nuclear age. The first four are grim remnants of what he witnessed over the years: the destructive nature of the atomic bombs on Japan; his mathematical calculations about the number of deaths from nuclear warfare; his work for the CIA during the Cuban Missile Crisis; and one pre-dawn call in 1978 from the North American Aerospace Defense Command saying there were 200 missiles headed toward the United States from the Soviet Union. That turned out to be a false, but terrifying alarm.
His fifth final lesson is hopeful, if not cautionary. It goes like this:
As secretary of defense from 1994 to 1997, Perry oversaw the dismantling of 8,000 nuclear weapons in the former Soviet Union and the United States and helped the former Soviet states of Ukraine, Kazakhstan and Belarus to go entirely non-nuclear. In that mission, he often visited Pervomaysk in the Ukraine, which was once the Soviet Union’s largest ICBM site, with 700 nuclear warheads all aimed at targets in the United States.
On his final trip to Pervomaysk in 1996, he joined the Russian and Ukrainian defense ministers to plant sunflowers where those missiles had once stood.
“So reducing the danger of nuclear weapons is not a fantasy; it has been done,” Perry said. “I will not accept that it cannot be done. I shall do everything I can to ensure nuclear weapons will never again be used – because I believe time is not on our side.”
Abstract According to international human rights law, countries have to provide palliative care and pain treatment medications as part of their core obligations under the right to health. The failure to take reasonable steps to ensure that people who suffer pain have access to adequate pain treatment may also result in the violation of the obligation to protect against cruel, inhuman and degrading treatment. The lecture will discuss Human Rights Watch’s research on this issue in India, Ukraine, Senegal, Kenya, and Mexico; our national and international advocacy efforts; and how we evaluate the impact of our work.
Joe Amon, PhD MSPH, is the Director of the Health and Human Rights Division at Human Rights Watch. Since joining Human Rights Watch in 2005, Joe has worked on a wide range of issues including access to medicines; discrimination, arbitrary detention and torture in health settings; censorship and the denial of health information; and the role of civil society in the response to infectious disease outbreaks and environmental health threats. Between January 2009 and June 2013 he oversaw Human Rights Watch's work on disability rights. He is an associate in the department of epidemiology at the Bloomberg School of Public Health at Johns Hopkins University and a lecturer in public and international affairs at Princeton University. In 2012 he was a distinguished visiting lecturer at the Paris School of International Affairs of SciencesPo.
Building 200 (History Corner)
Room 205
Main Quad
450 Serra Mall
Stanford University
Joe Amon
Director of Health and Human Rights
Speaker
Human Rights Watch
CHP/PCOR’s three new faculty members bring a varied background in behavioral health economics, law and children’s health outcomes
By Teal Pennebaker
Three researchers, whose work spans the globe as well as disciplines, have joined CHP/PCOR. They include a health law professor, a physician economist interested in how behavioral issues influence patient outcomes, and another physician economist who will focus on health economic issues among children in developing countries.
“We are thrilled to welcome Marcella Alsan, David Studdert, and David Chan to our centers. Each of these folks fit into our centers' mission to produce rigorous relevant research by people who care deeply about the topics they probe,” CHP/PCOR Executive Director Kathryn McDonald said. “We credit the current community of scholars at Stanford with attracting these talented individuals to join forces with us.”
Professor David Studdert has spent the past six years at the University of Melbourne’ Law School teaching and studying policy issue at the intersection of health and legal systems. His most recent research has investigated the relationship between speeding tickets and auto accidents, how patient complaints can be used as indicators health care quality, and how claimants move through workers’ compensation systems.
“David is one of the leading scholars in the world in health law and we are fortunate to have him join our faculty,” CHP/PCOR Director Doug Owens said. “David’s recruitment provides a terrific opportunity to expand our policy work, and his research will serve as the nucleus for joint training and research with our colleagues in the law school.”
Studdert, who will spend a quarter of his time at Stanford Law School, plans to focus on regulatory “hot spotting” in the short term—an approach that uses statistical profiling techniques to make regulation more efficient in areas ranging from medical malpractice to road safety. “There’s a lot going on in health care regulation in the United States,” Studdert said. “I hope to be able to collaborate with others at PCOR--it’s a very exciting, bright group of researchers with plenty of areas of mutual interest.”
Studdert has actually worked with CHP/PCOR members before—he was at RAND in the late 1990s while CHP/PCOR Professor Jay Bhattacharya was there. Similarly, CHP/PCOR’s newest faculty Marcella Alsan and David Chan have actually spent ample time together—before coming to Stanford, they did the same internal medicine residency program at the Brigham Women’s in Boston. Both Chan and Alsan will also practice medicine at the Veteran Affairs hospital part-time as is the case for some of the other clinical faculty members at CHP/PCOR.
“We are delighted that we were able to recruit two exceptional physician economists to our centers,” Owens said. “Marcella brings deep understanding of global health from her training in infectious diseases along with the methodologic skills of an economist. It is a rare combination and will enable her to make exceptional contributions in understanding the interplay of health and economics in the developing world. "
Assistant Professor Marcella Alsan, who has a PhD in economics, a master’s in public health and a medical degree, will focus her research on policy questions in international health, particularly among children in developing countries. Right now she’s finishing up a project looking at the spillover effects for the siblings and family members of children participating in a large-scale immunization program in Turkey. Alsan is also in the midst of revising a job market paper about how disease affects long-term economic development of Africa.
“I’m a researcher, a physician and a past global health resident at Brigham and Women's hospital. All of that fits in best here at CHP/PCOR. Stanford is a stellar academic institution and has a growing global health and development community,” Alsan said. “At PCOR, they do excellent research and have wide interests. There isn’t pressure to be narrowly focused on one topic or one publication style.”
Assistant Professor David Chan, who has a PhD in economics and training in internal medicine, will focus on how behavioral issues impact productivity in health care systems.
"Dave is uniquely trained to study the productivity of healthcare systems. Given the extraordinary need to reduce costs and provide high-value care, we believe Dave’s work on health care productivity will be enormously important in understanding some of the most difficult challenges for medicine today," Owens said.
Chan’s current work includes studying the impact of whether doctors choosing which patients they see affects their patients’ health outcomes; the effects on patients’ health outcomes if a doctor sees them at the beginning or end of the doctor’s shift; and whether providing doctors financial incentives—e.g. linking the number of ultrasounds a doctor gives out to their pay—impacts patient health outcomes.
“The environment at the centers is just great for someone who’s multidisciplinary. It’s a small place but surrounded by so many great partners within walking distance -- the business school, economics department, Stanford Institute for Economic Policy Research (SIEPR), the computer science department, and so on,” Chan said. “It’s great to be back in California. I even bought a bike—I’ve never really ridden a bike this much!”
William J. Perry in 1945 in his U.S. Army Air Corps uniform.
