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The health sector's successes in Vietnam have been described as "legendary" by international donors, but there is always the other side of the story. One can question the objectivity of reports from the government of Vietnam, the World Bank, and the World Health Organization. One can wonder in what areas the health sector has failed, who has paid for a "success story" and at what cost, and how much information is well documented and has been made public. Are there "stylized facts" regarding those aspects of health that have been successfully reformed compared with those where reform has lagged? Given these concerns, how can the research community contribute to improving health policy in Vietnam?

Dr. Truong will share his thought on recent socioeconomic development in Vietnam, discuss key health policy issues, and reflect upon his experiences including a research project in which the University of Queensland collaborated with Ministry of Health of Vietnam. Additional evidence will be drawn from a study of the cost-effectiveness of interventions to reduce tobacco use in Vietnam.

Khoa Truong was a visiting faculty member at the Hanoi School of Public Health and a research fellow at the Health Strategy and Policy Institute in 2008-2009.  Prior to that he spent six years as a doctoral fellow at the RAND Corporation.  His research interests include tobacco, alcohol, and illicit drug control policies; the impacts of built environments on health; international health issues; and economic development.

He received his doctorate and master of philosophy in policy analysis from the Pardee RAND Graduate School and earned a master's degree in development economics from Williams College. A native of Vietnam, he began his career working with NGOs in bilateral and multilateral development projects in Southeast Asia. He was awarded a Fulbright scholarship and wrote “most outstanding paper” submitted at an AcademyHealth's Annual Research Meeting (acknowledged as the premier forum for sharing the results of scholarship on health services).

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Dr. Khoa Truong Assistant Professor of Department of Public Health Sciences Speaker Clemson University
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Daniel C. Sneider: Since the Democratic Party of Japan won in the country's August national election, Japan watchers have worried that the new government might try to upset the status quo and ease away from the United States. The DPJ is implementing a new paradigm -- but not the one people think.

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In a new policy paper from the Brookings Institution's Center on the United States and Europe, Steven Pifer outlines Ukraine's competing geopolitical options as Russia and the West compete for influence with the incoming administration, and assesses foreign policy options for the United States should the next Ukranian president decide to pursue stronger ties with Russia.

Steven Pifer is former ambassador to Ukraine.  Steven Pifer’s career as a Foreign Service officer centered on Europe, the former Soviet Union and arms control. In addition to Kyiv, he had postings in London, Moscow, Geneva and Warsaw as well as on the National Security Council.  He is currently at Visiting Fellow at the Brookings Institution, focusing on Ukraine and Russia issues.  He is a frequent invited expert speaker at the Forum on Contemporary Europe.

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Eileen Chamberlain Donahoe is to be nominated U.S. Ambassador to the United Nations Human Rights Council, the White House announced Nov. 9

Eileen Chamberlain Donahoe, an affiliated scholar at the Center for International Security and Cooperation (CISAC), is expected to be nominated as U.S. ambassador to the United Nations Human Rights Council, the White House reported Nov. 9.

Donahoe must appear in a hearing before a Senate subcommittee before the Senate votes on the nomination, a process that could take several weeks. If confirmed, Donahoe would be responsible for advancing U.S. policies on the council to ensure protection of universally agreed human rights standards.

"I'm really pleased that President Obama has chosen Eileen Donahoe to be the ambassador to the Human Rights Council in Geneva," CISAC Co-Director Scott Sagan said. "Her scholarly research and work has focused on the ethical and legal dilemmas involving the political uses of military force in human intervention. I can't think of anyone more qualified to help reinvigorate the Human Rights Council to meet the challenges it must face today."

Donahoe, 50, was a CISAC visiting scholar in 2006-07 after earning a doctorate in ethics from the University of California's Graduate Theological Union. Her dissertation, "Humanitarian Military Intervention: The Moral Imperative Versus the Rule of Law," addressed the sometimes conflicting ethical and legal justifications for humanitarian military intervention, as well as the basis for authorization of the use of force by the UN Security Council. Her research has also focused on U.N. reform and the international rule of law.

Donahoe has worked with various human rights organizations, including The Lawyer's Committee for Human Rights, where she did research on the connection between U.S. foreign policy and human rights, and Amnesty International's Ginetta Sagan Fund, where she did strategy work related to human rights concerns of women and children.

Donahoe, a resident of Portola Valley, chaired the National Women for Obama Finance Committee during Barack Obama's presidential campaign.

Previously, Donahoe was a litigation associate at Fenwick & West in Palo Alto, where she served technology clients in intellectual property and commercial disputes. Prior to that, she was a teaching fellow at Stanford Law School and a law clerk to the Hon. William H. Orrick in San Francisco.

In addition to her doctorate, Donahoe earned a bachelor's degree from Dartmouth College, a master's in theology from Harvard, and both a law degree and master's in East Asian Studies from Stanford University.

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David Hamburg is president emeritus at Carnegie Corporation of New York, where he served as the Corporation's eleventh president from 1982 to 1997. Under his leadership the work of the Corporation focused on education and healthy development of children and youth, human resources in developing countries and international security issues. He established a number of task forces on education and preventing conflict which produced seminal research and policy analysis and which will continue to influence the work in these fields in the future.

A medical doctor, Hamburg had a long history of leadership in the research, medical and psychiatric fields before his transition from a trustee of Carnegie to its president. He was chief, adult psychiatry branch, National Institutes of Health, from 1958 to 1961; professor and chairman of the department of psychiatry and behavioral sciences at Stanford University from 1961 to 1972; Reed-Hodgson Professor of Human Biology at Stanford University from 1972 to 1976; president of the Institute of Medicine, National Academy of Sciences, 1975-1980; and director of the division of health policy research and education and John D. MacArthur Professor of Health Policy at Harvard University, 1980-1983. He served as president and then chairman of the board (1984-1986) of the American Association for the Advancement of Science.

Hamburg was a member of the United States Defense Policy Board with Secretary of Defense William Perry and cochair with former Secretary of State Cyrus Vance of the Carnegie Commission on Preventing Deadly Conflict. He is a member of President Clinton's Committee of Advisors on Science and Technology and a visiting professor at Harvard Medical School's department of social medicine. He was the founder of the Carnegie Commission on Science, Technology and Government.

Hamburg received both his A.B. and M.D. degrees from Indiana University. He has received numerous honorary degrees during his career as well as the American Psychiatric Association's Distinguished Service Award in 1991, the Presidential Medal of Freedom at the White House in 1996, the International Peace Academy's 25th Anniversary Special Award in 1996, the Achievement in Children and Public Policy Award from the Society for Research in Child Development in 1997, and the National Academy of Sciences' Public Welfare Medal in 1998.

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Jonathan Zittrain is a Visiting Professor at the Stanford School of Law. In his presentation he raised a number of concerns about current trends in online behavior. He suggested that these developments may undermine the practice of ‘civic technologies’, where unconnected individuals voluntarily come together to achieve something they could not do individually. 

The web is now full of opportunities to engage in tasks that somehow benefit a company or organization. At the most skilled end of the spectrum, there are sites such as Innocentive, a market place that organizations use to post specific problems they need solved; anyone can respond with their solution to win a cash prize. Then there are companies like LiveOps which draw their entire workforce from internet users who engage in call-centre tasks from home. There are also unskilled tasks available in exchange for extremely small amounts of pay; for example, Mechanical Turk gets workers to complete Human Intelligence Tasks (HITs) such as labeling photos. ESP Game offers no pay at all but gets users to participate in its goal to label web images by turning this into a competitive game. Then there are activities we might not even realize could be beneficial to someone else – for example, creating hyperlinks in material you put online helps search engines to rank pages effectively.

Jonathan posited two kinds of concerns about these activities. Relating to participants themselves he is concerned about:

  • Alienation: participants do not get to see the outcome of their work, but view a tiny part of the whole
  • Moral valence: participants often have no idea who is hiring them and for what purpose
  • Misappropriation: participants have no say in how their work is used
  • Lack of rights: there is no protection for online workers – an individual can get laid off from LiveOps at any time, regardless of their time investment

He also set out some systemic concerns:

  • Given the conditions of moral valence and misappropriation, the door is open for online users to be complicit in totalitarian government efforts to use the net to monitor and suppress (imagine Mechanical Turk being used to match protestor photos with citizen databases)
  • There is likely to be a ‘race to the bottom’ – companies wanting to get tasks done in this way will operate wherever regulation protecting ‘workers’ is most lax
  • Monetization of online tasks could mean the crowding out of voluntary contributions to the internet. Would so many people have freely devoted time to Wikipedia had there been a rival site offering pay for each entry?

Jonathan acknowledged that these are tough issues to address, but suggested a number of responses including: finding ways to apply labor standards so that those who invest a lot of time working on something like LiveOps have some protection; allowing workers to take their experience with them, so that it counts elsewhere if they get laid off; forcing companies to disclose the intended outcome of the overall task to enable users to make more informed decisions about how they use their time.

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