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Co-sponsored by the Center of East Asian Studies, Stanford University

Prominent health policy expert—Rachel Lu from Taiwan—will share her view on recent health policy developments in the region, drawing on her extensive research and policy background.

Jui-fen Rachel Lu, Sc.D., is a Professor in the Department of Health Care Management, at Chang Gung University (CGU) in Taiwan, where she teaches comparative health systems, health economics, and health care financing and has served as department chair (2000-2004), Associate Dean (2009-2010) and Dean of College of Management (2010-2013).  She earned her B.S. from National Taiwan University, and her M.S. and Sc.D. from Harvard University, and she was also a Takemi Fellow at Harvard (2004-2005) and is an Honorary Professor at Hong Kong University (2007-2014), a guest professor at Huazhong University of Science and Technology (2010-2013), and an adjunct professor at Xi’an Jiaotong University (2011-2014) in China.  Her devotion to teaching driven by her firm belief in the value of education and investment in human minds was recognized by the Award of Excellence in Teaching conferred by CGU in both 2002 and 2013.

Her research focuses on 1) the equity issues of the health care system; 2) impact of the NHI program on health care market and household consumption patterns; 3) comparative health systems in Asia-Pacific region.  She is a long-time and active member of Equitap (Equity in Asia-Pacific Health Systems) research network and is currently the coordinator for the catastrophic payment component of Equitap II research project which involves 21 country teams and is jointly funded by IDRC, AusAID, and ADB.  Professor Lu has also been appointed to serve as a member on various government committees dealing with health care issues in Taiwan, such as National Health Insurance Supervisory Committee (DOH), Hospital Management Committee(DOH), and Hospital Global Budget Payment Committee (BNHI), etc.  Dr. Lu received the Minister Wang Jin Naw Memorial Award for Best Paper in Health Care Management presented by Kimma Chang Foundation in 2002 and was the recipient of IBM Faculty Award in 2009.  She has published papers in Health Affairs, Medical Care, Journal of Health Economics, Health Economics, Social Science and Medicine, Health Economics, Policy and Law, Osteoporosis International, Health and Quality of Life Outcomes, and Taiwan Economic Review etc, and is the author of “Health Economics”(a textbook in Chinese) and various book chapters.  

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Jui-fen Rachel Lu Professor in the Department of Health Care Management Speaker Chang Gung University in Taiwan
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Overview (From http://mitpress.mit.edu/books/arguments-count):
In a rapidly changing world, we rely upon experts to assess the promise and risks of new technology. But how do these experts make sense of a highly uncertain future? In Arguments that Count, Rebecca Slayton offers an important new perspective. Drawing on new historical documents and interviews as well as perspectives in science and technology studies, she provides an original account of how scientists came to terms with the unprecedented threat of nuclear-armed intercontinental ballistic missiles (ICBMs). She compares how two different professional communities—physicists and computer scientists—constructed arguments about the risks of missile defense, and how these arguments changed over time. Slayton shows that our understanding of technological risks is shaped by disciplinary repertoires—the codified knowledge and mathematical rules that experts use to frame new challenges. And, significantly, a new repertoire can bring long-neglected risks into clear view.

In the 1950s, scientists recognized that high-speed computers would be needed to cope with the unprecedented speed of ICBMs. But the nation’s elite science advisors had no way to analyze the risks of computers so used physics to assess what they could: radar and missile performance. Only decades later, after establishing computing as a science, were advisors able to analyze authoritatively the risks associated with complex software—most notably, the risk of a catastrophic failure. As we continue to confront new threats, including that of cyber attack, Slayton offers valuable insight into how different kinds of expertise can limit or expand our capacity to address novel technological risks.

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Faculty Fellow at the Stanford Center at Peking University, July to September of 2013
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Graduate Seminar Instructor at the Stanford Center at Peking University, July to August of 2016
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A new study published today in the Proceedings of the National Academy of Sciences by FSE researchers finds smallholder irrigation has great potential to reduce hunger, raise incomes, and improve development prospects in an area of the world greatly in need of these advancements.

But even the cheapest pumps can still be prohibitively expensive without financing.

Distributed irrigation systems are those in which the water access (via pump or human power), distribution (furrow, watering can, sprinkler, drip lines, etc.), and use all occur at or near the same location.

These systems have the potential to use water more productively, improve nutritional outcomes and rural development, and narrow the income disparities that permit widespread hunger to persist despite economic advancement.

Only 4 percent of agricultural land in sub-Saharan Africa is currently irrigated. 

"Success stories can be found where distributed systems are used in a cooperative setting, permitting the sharing of knowledge, risk, credit and marketing as we've seen in our solar market garden project in Benin," said lead author Jennifer Burney

Moving forward development communities and sub-Saharan African governments need a better understanding of present water resources and how they will be affected by climate change.

"Farmers need access to financial services—credit and insurance—appropriate for a range of production systems," said co-author Rosamond L. Naylor. "Investments should start at a smaller scale, with thorough project evaluation, before scaling up."

FSE continues to contribute to these evaluations and added eight new villages to our project in Benin last year.

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Abstract:

This paper reflects on the credibility of nuclear risk assessment in the wake of the 2011 Fukushima meltdowns. In democratic states, policymaking around nuclear energy has long been premised on an understanding that experts can objectively and accurately calculate the probability of catastrophic accidents. Yet the Fukushima disaster lends credence to the substantial body of social science research that suggests such calculations are fundamentally unworkable. Nevertheless, the credibility of these assessments appears to have survived the disaster, just as it has resisted the evidence of previous nuclear accidents. This paper looks at why. It argues that public narratives of the Fukushima disaster invariably frame it in ways that allow risk-assessment experts to “disown” it. It concludes that although these narratives are both rhetorically compelling and highly consequential to the governance of nuclear power, they are not entirely credible.

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Regulation & Governance
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“Do we have to accept deforestation to feed the world?”

That was one of the provocative questions that Stanford Woods Institute Senior Fellow and land use expert Eric Lambin posed during a recent presentation of research with far-reaching implications for policymakers, businesses and consumers. Among the findings Lambin discussed with Stanford students and faculty during a Stanford Department of Environmental Earth System Science seminar: There is much less potentially available cropland (PAC) globally than previous estimates have suggested. Perhaps surprisingly, however, we don’t need to clear more land, including forests, to plant hunger-alleviating crops, Lambin said.

Previous PAC estimates by international organizations such as the World Bank have been consistently too high, according to Lambin giving decision-makers “carte blanche” to approve a variety of uses for large tracts of land.

By 2030, the additional land worldwide that will be needed for urban expansion, tree plantations and biofuel crops will equal the additional land that will likely be devoted to food crops, according to Lambin. This rapid transformation of the face of the planet makes it essential to get a handle on realistic PAC estimates. To do so, Lambin took a “bottom-up approach” that incorporated factors such as soil quality, land use restrictions, labor availability and occupation by smallholders. Lambin also considered trade-offs such as the carbon stocks lost and natural habitat destroyed by land conversion.

Lambin’s resulting PAC estimates in regions ranging from Argentina to Russia are, on average, only a third of other generally accepted estimates. Along the way, Lambin discovered some surprises. For example, what initially looked like good news – the fact that some countries have gone from net deforestation to net reforestation in recent years – turned out to be less hopeful. Lambin found that most countries in the developed and developing worlds that have stopped cutting down their forests have increased their imports of timber and wood products, often from tropical countries. This “outsourcing of deforestation” is one of several troubling global land trends.

On the other hand, Lambin pointed out that production of crops essential to alleviating hunger have increased in recent years, but their overall land use has not, due to more efficient and intensive agricultural methods. This net gain contradicts assertions that more land, including forests, needs to be cleared for farming in order to alleviate hunger, he said.

The real culprit for such land conversion, according to Lambin, is growing adoption of a Western diet heavy with meat, sugar and vegetable oils. Deforestation for agriculture is often driven by multinational companies that cultivate in tropical regions to export fatty and oily food products to urban markets in rich countries and emerging economies. These companies control a majority of global food supply chains and, in turn, local land use decisions. “Globalization has reshaped land governance,” Lambin said.

Globalization is not a bogeyman, though. In fact, Lambin said, it can be an engine for progress on these issues by allowing for new forms of market-based governance that effectively promote sustainable land use. Market mechanisms such as eco-certification labels and nongovernmental campaigns can promote and incentivize responsible land use, he noted, pointing to coffee farmers he studied with School of Earth Sciences Research Associate Ximena Rueda. The farmers increased tree cover on their plantations with the extra profit they reaped from eco-certified beans.

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ABOUT THE TOPIC: Social scientists have been working hard to understand the circumstances and strategies that improve the chances of favorable human rights outcomes.  Their findings are consistent with the view that the long-term prospects for human rights are good.  Despite this, the activities of the human rights movement seem only marginally related to the forces producing rights improvements, and in some circumstances may even be counterproductive.

Dr. Snyder will also briefly reflect on his work over the years, including his 2012 book of collected essays, Power and Progress in International Relations.

ABOUT THE SPEAKER: Jack Snyder is the Robert and Renée Belfer Professor of International Relations in the Department of Political Science and the Saltzman Institute of War and Peace Studies at Columbia University. His books include Power and Progress: International Politics in Transition (Routledge 2012); Religion and International Relations Theory (Columbia 2011); Electing to Fight: Why Emerging Democracies Go to War (MIT Press, 2005), co-authored with Edward D. Mansfield; From Voting to Violence: Democratization and Nationalist Conflict (Norton 2000); Myths of Empire: Domestic Politics and International Ambition (Cornell 1991); and Civil Wars, Insecurity, and Intervention, co-editor with Barbara Walter (Columbia 1999). His articles on such topics as democratization and war, imperial overstretch, war crimes tribunals versus amnesties as strategies for preventing atrocities, and international relations theory after September 11 have appeared in The American Political Science Review, Foreign Affairs, Foreign Policy, International Organization, International Security, and World Politics. His commentaries on current public issues such as the promotion of democracy abroad have appeared in The New York Times, The Washington Post, The International Herald Tribune, and on National Public Radio. A Fellow of the American Academy of Arts and Sciences, Snyder received a B.A. in government from Harvard University in 1973, the Certificate of Columbia’s Russian Institute in 1978, and a Ph.D. in political science from Columbia in 1981.

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Jack Snyder Robert and Renée Belfer Professor of International Relations Speaker the Department of Political Science, Columbia University
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First paragraph of the article:

One of the critical challenges in medical diagnosis and therapy using nanotechnology is the assembly of multiple components in a multifunctional delivery system. This includes functionalities that can be structurally and chemically tailored in a nanocarrier for multi-modality imaging, cell targeting, drug storage, and controlled drug release. Development of these complex systems primarily utilizes existing basic nanosystems, such as carbon nanotubes, graphene, iron oxides, silica, quantum dots, and polymeric nanomaterials. Extensive attempts have been made to design, synthesize, and assemble some of these major components described above, for diagnostic and therapeutic delivery systems. Most of the approaches center on surface functionalization with drugs, biotechnology-derived molecules, including DNA, RNA, peptides, and antibodies, and imaging agents such as quantum dots. One of the major limitations of this approach is the single surface structure of the nanosystem. To date, nanoparticles represent the most widely used carrier system for multifunctional drug delivery applications. These structures normally assume a symmetrical, spherical or tubular geometry with limited surface available for attachment of multiple components. Frequently, multifunctional conjugates on a single carrier interact with each other leading to undesired adverse effects. The design and assembly of a symmetrical, single surface carrier is further complicated by unfavorable structural and chemical arrangements of these functional components. It is, therefore, critical to develop multi-surface nanostructures for assembly of a variety of components using a clinically acceptable drug delivery platform that can best utilize the intrinsic properties of the nanomaterials.

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Advanced Materials
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Rodney C. Ewing
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Rod Ewing, one of the nation’s leading experts on nuclear materials, has been named the inaugural Frank Stanton Professor in Nuclear Security at the Center for International Security and Cooperation.

Ewing has written extensively on issues related to nuclear waste management and is Chairman of the U.S. Nuclear Waste Technical Review Board. He will have a joint appointment as Professor of Geological and Environmental Sciences in the School of Earth Sciences and as a Senior Fellow at CISAC. He will begin his new position at Stanford in January.

“Given the very long and distinguished history of the Stanton Foundation’s involvement in issues of nuclear security, this appointment provides me with a unique opportunity to blend science with security policy,” Ewing said.

The endowed chair was recently established with a $5 million gift to CISAC from the Stanton Foundation to aid the center in its longstanding mission to build a safer world through rigorous policy research in nuclear security.

Former CBS president Frank Stanton established the foundation, which also funds CISAC’s Stanton Nuclear Security Fellowships for pre- and post-doctoral students and junior faculty who are studying policy-relevant issues related to nuclear security.

Ewing, currently the Edward H. Kraus Distinguished Professor in the Department of Earth & Environmental Sciences at the University of Michigan, will conduct research on nuclear security and energy and related issues relevant to international arms control policy when he arrives at Stanford.

He will teach a course at CISAC related to nuclear security issues. In his research at Stanford’s School of Earth Sciences, Ewing will focus on the response of materials to extreme environments and the demand for strategic minerals for use in the development of sustainable energy technologies.

“I am particularly interested in understanding the connections between nuclear energy, its environmental impact and proliferation of nuclear weapons,” he said “This appointment gives me the freedom to pursue teaching and research in this area across disciplinary boundaries.”

Tino Cuéllar, CISAC’s co-director and next director of its parent organization, the Freeman Spogli Institute for International Studies, said Ewing’s appointment as the inaugural Stanton chair would help CISAC and FSI remain at the forefront of global efforts to understand nuclear energy and its enormous consequences to civilization.

“How societies throughout the world handle nuclear security challenges will have a profound impact on our future, and problems involving the management and security of nuclear waste will in turn greatly affect nuclear security” Cuéllar said.

Ewing’s appointment continues a tradition at CISAC of blending faculty in the sciences and social sciences. The center’s co-founders believed political science and the natural sciences are essential components of global security.

Stanton himself became actively engaged in international security issues in 1954 when President Dwight D. Eisenhower appointed him to a committee to develop the first comprehensive plan for the nation’s survival following a nuclear attack. His connection to Stanford began as a founding member and chair of Stanford’s Center for Advanced Studies in the Behavioral Sciences in 1953 and a university trustee from 1953 to 1971.

 Read More About Ewing Here

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Earth scientist Rod Ewing joins Stanford as in inaugural Frank Stanton Professor in Nuclear Security.
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The University of Virginia's Christopher Jon Sprigman and CISAC's Jennifer Granick reveal how foreigners living in the United States do not have the same privacy protections as U.S. citizens, and are frequently subjected to legal wiretapping of e-mail, phone calls, and other electronic activity. They argue that amendments to the Foreign Intelligence Surveillance Act reworded language to allow for surveillance of any foreigner as long as it relates to foreign affairs. 

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The Atlantic
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