Given the significant health risks faced by households in developing countries, publicly provided health insurance may confer important benefits. Yet, demand for formal insurance is often found to be low. Since health insurance may be relatively unfamiliar to many households, understanding the factors that shape households’ demand for, and ability to utilize, insurance is important for research and policy. It is also important to understand the health and financial impacts of health insurance. We shed light on these questions using a two-stage randomized control trial in Karnataka, India. Many households are willing to pay for insurance. Households’ ability to successfully utilize the insurance is limited, however, especially when only a small fraction of the community has access to insurance. When a higher share of the community has access, households are more able to benefit, suggesting that harnessing community learning is important in designing the rollout of health insurance.

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IMPORTANT EVENT UPDATE:

In keeping with Stanford University's March 3 message to the campus community on COVID-19 and current recommendations of the CDC, the Asia-Pacific Research Center is electing to postpone this event until further notice. We appreciate your understanding and cooperation as we do our best to keep our community healthy and well. 

Co-sponsored by Shorenstein Asia-Pacific Research Center (APARC) and Center for South Asia (CSA).

When does mass nonviolent mobilization for political change occur, what prevents it from degenerating into violence, and when does it succeed in extracting concessions? We examine these questions in the context of India's movement for independence from Britain, and point to the key roles played by economic shocks and organization in the success of nonviolence.

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Rikhil R. Bhavnani is an Associate Professor in the Department of Political Science at the University of Wisconsin–Madison, and a faculty affiliate at the La Follette School of Public Affairs, the Elections Research Center and the Center for South Asia.

Professor Bhavnani’s research and teaching focus on inequalities in political representation, the political economy of migration, and the political economy of development. His research is particularly concerned with causal identification, and is focused on South Asia. Bhavnani is the co-author, with Bethany Lacina, of a book on the backlash against within-country migration across the developing world, published by Cambridge University Press. His articles have been published or are forthcoming in the American Political Science Review, American Journal of Political Science, Journal of Politics, World Politics, the American Economic Journal: Applied Economics, and other outlets. 

Prior to starting at UW–Madison, Professor Bhavnani was a visiting fellow at the Center for the Study of Democratic Politics at Princeton University. He has worked at the Center for Global Development and the International Monetary Fund, and received a PhD in political science and an MA in economics from Stanford University, and a BA in political science and economics from Yale University.

Seminar Recording: https://youtu.be/P1-Q0OSo4yM

About this Event: The governance of big data and the prevention of their misuse is among the most topical issues in current debates among security experts. But what does it mean when security is not an issue for the stakeholders governing big biomedical data? This paper answers this question by looking at what it describes as a peculiar omission of the issue of security in the biggest harmonization cluster of biomedical research in Europe - BBMRI-ERIC. While it does treat personal data, the risks and threats are constructed through a language of anticipation and self-governance rather than security. The analysis explains why: based on document analysis, interviews, and field research, it studies (1) how are risks and threats constructed in the research with big biomedical data, (2) what regime of their governance is established in this area, and (3) what are the implications for the practices of science and the politics of security. The paper argues that this silence is a by-product of bureaucratization and responsibilization of security, which is in biobanking characteristic by discourse and practices of responsible research, ethics, and law. The paper suggests that this regime of governance precludes the prospects of addressing bigger questions that biobanks may need to deal with in the future, such as regarding the access to the biomedical data by state or private actors and their use for policing, surveillance, or other types of population governance.

Speaker's Biography: Dagmar Rychnovská is Marie Sklodowska-Curie Fellow at the Techno-science and societal transformation group at the Institute for Advanced Studies in Vienna. She holds a PhD in International Relations (Charles University in Prague), an MA in Comparative and International Studies (ETH Zurich and University of Zurich), and an LLM in Law and Politics of International Security (VU University Amsterdam). Her research interests lie at the intersection of international relations, security studies, and science and technology studies. Her current research explores security controversies in research and innovation governance, with a focus on bioweapons, biotechnologies, and biobanks.

Moon Jae-in administration increased South Korea’s minimum wage by nearly 30 percent in 2018 and 2019 under its political slogan of "income-led growth." The idea was that the higher minimum wage would boost low-wage earners’ earnings, thus the income inequality would be reduced while promoting economic growth with increased labor income and expenditure of low-wage workers and their households. This idea was, however, heavily criticized by those who argued that the minimum wage could not be a tool for economic growth and there could be a negative effect on employment.

Lee will discuss empirical findings from his research on the Korean minimum wage including the effect of the recent wage hikes. Using employer-employee matched data and longitudinal data on the universe of establishments, he estimated the effect of the minimum wage on net job growth and tried to decompose the effect into job creation and destruction by existing establishments as well as by establishment entry and exit. He found a significant negative effect of the minimum wage on employment growth; and also that ignoring the minimum wage’s effect on the self-employed could underestimate the adverse effect on total employment. To explain the mechanism, he focuses on the Korean labor market's unique feature—a high share of the self-employed in the workforce and their financial marginality. His findings demonstrate that the minimum wage’s effect and its channels should differ across countries depending on labor market institutions and structure.

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CISAC will be canceling all public events and seminars until at least April 5th due to the ongoing developments associated with COVID-19.

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About this Event: In this new Brookings Marshall Paper, Michael O’Hanlon argues that now is the time for Western nations to negotiate a new security architecture for neutral countries in eastern Europe to stabilize the region and reduce the risks of war with Russia. He believes NATO expansion has gone far enough. The core concept of this new security architecture would be one of permanent neutrality. The countries in question collectively make a broken-up arc, from Europe’s far north to its south: Finland and Sweden; Ukraine, Moldova, and Belarus; Georgia, Armenia, and Azerbaijan; and finally Cyprus plus Serbia, as well as possibly several other Balkan states. Discussion on the new framework should begin within NATO, followed by deliberation with the neutral countries themselves, and then formal negotiations with Russia.

The new security architecture would require that Russia, like NATO, commit to help uphold the security of Ukraine, Georgia, Moldova, and other states in the region. Russia would have to withdraw its troops from those countries in a verifiable manner; after that, corresponding sanctions on Russia would be lifted. The neutral countries would retain their rights to participate in multilateral security operations on a scale comparable to what has been the case in the past, including even those operations that might be led by NATO. They could think of and describe themselves as Western states (or anything else, for that matter). If the European Union and they so wished in the future, they could join the EU. They would have complete sovereignty and self-determination in every sense of the word. But NATO would decide not to invite them into the alliance as members. Ideally, these nations would endorse and promote this concept themselves as a more practical way to ensure their security than the current situation or any other plausible alternative.

Book Full Text

Speaker's Biography: Michael O'Hanlon is a senior fellow, and director of research, in Foreign Policy at the Brookings Institution, where he specializes in U.S. defense strategy, the use of military force, and American national security policy. He co-directs the Security and Strategy Team, the Defense Industrial Base working group, and the Africa Security Initiative within the Foreign Policy program, as well. He is an adjunct professor at Columbia, Georgetown, and Syracuse universities, and a member of the International Institute for Strategic Studies. O’Hanlon was also a member of the External Advisory Board at the Central Intelligence Agency from 2011-2012.

In the eyes of China’s neo-authoritarian reformers, Singapore, despite being a tiny city-state, long exemplified a state of affairs for which the PRC should strive: resilient authoritarianism alongside but unweakened by liberalizing steps conducive to economic growth.  On behalf of Beijing’s effort to learn from Singapore, tens of thousands of officials visited the city-state and thousands of articles and books were written about it. Today, however, Xi Jiinping has derided foreign templates and relegated adopting the “Singapore model” to a path not taken by China’s current hard-line leadership and unavailable for authoritarian reformers to pursue. Although the demotion was triggered by Xi’s anti-reformism and China’s rise, Singapore’s loss of “model” character was also path-dependent. Chinese academics studying Singapore had long misunderstood fundamental institutional differences between the two countries that went back to the city-state’s colonial past and China’s Stalinist-Maoist revolution. Efforts to model reforms on the Singaporean “state-party” ran into the prerogatives of the Chinese party-state. Proposals to strengthen market forces, impose limited legal constraints on the party, and introduce semi-competitive elections were seen as threatening the institutional foundations of the CPC. Moreover, despite a (partial) revival of Confucianism in China that imitated the city-state’s attraction to “Asian values,” Singapore’s neo-liberal “pragmatism” and multi-racialism contradicted the CPC’s self-portrayal as an engine of Marxist socialism embodying the Han-Chinese nation.

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Title: Value Based Purchasing for Physician Services 

Dr. Jay Bhattacharya, M.D., Ph.D
Professor of Medicine (CHP/PCOR) 

Jay Bhattacharya is a professor of medicine and a CHP/PCOR core faculty member. His research focuses on the constraints that vulnerable populations face in making decisions that affect their health status, as well as the effects of government policies and programs designed to benefit vulnerable populations. He has published empirical economics and health services research on the elderly, adolescents, HIV/AIDS and managed care.

Research In Progress
In order to control the growth of Medicare spending, the federal government has adopted a policy aimed at inducing physicians to form coordinated care organizations that assume part of the financial risk associated with low value care.  At the same time, an alternative policy has focused on developing direct clinician levels measures of the value of care, and tied these measures to payment. The alternative policy leaves in place the structure of fee-for-service payment, but superimposes value-based purchasing incentives. In this talk, I will argue that the latter structure, properly implemented, is much more likely to succeed in transforming American health care to emphasize high value care.