Korea introduced three major health-care reforms: in financing (1999), pharmaceuticals (2000), and provider payment (2001). In these three reforms, new government policies merged more than 350 health insurance societies into a single payer, separated drug prescribing by physicians from dispensing by pharmacists, and attempted to introduce a new prospective payment system. The change of government, the president’s keen interest in health policy, and democratization in public policy process toward a more pluralist context opened a policy window for reform. Civic groups played an active role in the policy process by shaping the proposals for reform —a major change from the previous policy process that was dominated by government bureaucrats. However, more pluralistic policy process also allowed key interest groups to intervene at critical points in implementation (sometimes in support, sometimes in opposition), with smaller political costs than previously.

Strong support by the rural population and labor unions contributed to the financing reform. In the pharmaceutical reform, which was a big threat to physician income, the president and civic groups succeeded in quickly setting the reform agenda; the medical profession was unable to block the adoption of the reform but their strikes influenced the content of the reform during implementation. Physician strikes also helped them block the implementation of the payment reform. Future reform efforts in Korea will need to consider the political management of vested interest groups and the design of strategies for both scope and sequencing of policy reforms.

Soonman Kwon is Professor of Health Economics and Policy, and Director of the BK (Brain Korea) Center for Aging and Health Policy in Seoul National University, South Korea. After he received his Ph.D. from the Wharton School of the University of Pennsylvania, he was assistant professor of public policy at the University of Southern California in 1993-96. Prof. Kwon has held visiting positions at Harvard School of Public Health (Fulbright Scholar and Tekemi Fellow), London School of Economics (Chevening Scholar), Univ. of Trier of Germany (DAAD Scholar), and Univ of Toronto. He is on the editorial boards of Social Science and Medicine (Elsevier), Health Economics Policy and Law (Cambridge U Press), and Health Systems in Transition (HiT, European Observatory). He has occasionally worked as a short-term consultant of WHO, ILO, and GTZ (German Technical Cooperation) on health financing and policy in China, Cambodia, Lao PDR, Malaysia, Mongolia, Pakistan, Philippines, and Vietnam. He has also been a consultant of Korean government for the evaluation of its development aid programs in North Korea, Ecuador, Fiji, Mexico and Peru.

This talk is an overview of the changing role of foreign investment in Chinese workplaces. Foreign investment inflows helped transform the Chinese industrial landscape in the 1990s. As ownership has become blurred and increasingly mixed between domestic-foreign and public-private in China, preferential policies and laws for foreign-invested firms have diminished. A more level playing field has raised the stakes for foreign business and led to their increased participation in national debates on labor legislation and legal protections for workers. This talk will focus on this new role for foreign investors and how it is changing Chinese laws and the Chinese workplace.

Professor Gallagher studies Chinese politics, law and society, and comparative politics. She is currently working on two projects. The first, funded by a Fulbright Research Award and the National Science Foundation, examines the development of rule of law in China by examining the dynamics of legal mobilization of Chinese workers. "The Rule of Law in China: If They Build It, Who Will Come?" focuses on the demand-side of rule of law through an exploration of legal aid plaintiffs in Shanghai, a four-city household survey on legal knowledge, attitude, and practice, and in-depth case analysis of labor disputes. The second project examines labor standards and practices in four Chinese regions. One goal is to find if there are diffusion effects in legislation, court behavior, and labor practices across different regions. Another goal is to look for evidence of a "race to the bottom" in labor standards and social welfare not between China and other competing economies, but within China's own domestic economy.

This talk is part of the Stanford China Program Winter 2009 China Seminar Series titled "30 Years of Reform and Opening in China: How Far from the Cage?"

A central element of Deng Xiaoping's political reforms initiated during the 1980s was to reform the ways that the Chinese Communist Party (CCP) related to other national institutions (the state and military), sectors of society, and the Party itself.  While there have been significant ups and downs over the past thirty years, many elements of Deng's original vision for Party reform have been carried out and continue to be pursued. As a result, today's Chinese Communist Party is a stronger institution that has survived the collapse of the Soviet Union and other communist party-states worldwide. Yet, it faces new challenges, to which it must adapt. Professor Shambaugh's lecture will assess the CCP's adaptations and reforms over the past three decades.

David Shambaugh has been Professor of Political Science & International Affairs in the Elliott School of International Affairs at The George Washington University since 1996.  He directed the Elliott School's Sigur Center for Asian Studies from 1996-98, and since that time has been the founding Director of the China Policy Program.  He has also been a Nonresident Senior Fellow in the Foreign Policy Studies Program and Center for Northeast Asian Policy Studies at The Brookings Institution since 1998.  In 2008 he was also appointed an Honorary Research Professor at the Shanghai Academy of Social Sciences.

Before joining the faculty at George Washington, he previously taught at the University of London's School of Oriental & African Studies (1987-1996), served as Editor of The China Quarterly (1991-1996), and directed the Asia Program of the Woodrow Wilson International Center for Scholars (1986-87).  He received his B.A. in East Asian Studies from the Elliott School at George Washington, an M.A. in International Affairs from Johns Hopkins SAIS, and Ph.D. in Political Science from the University of Michigan.  Professor Shambaugh has published widely-having authored or edited 25 books, approximately 200 articles and book chapters, and 100 opinion-editorials and book reviews.  He is a frequent commentator on Chinese and Asian affairs in the international media, sits on the editorial boards of a number of scholarly journals, and has served as a consultant to various governments, research institutes, and private corporations. 

This talk is part of the Stanford China Program Winter 2009 China Seminar Series titled "30 Years of Reform in China: How Far from the Cage?"

Mark Fathi Massoud's research focuses on the development of law in volatile states rife with violent conflict. An attorney of the California Bar, he received his JD and PhD in Jurisprudence and Social Policy from the University of California, Berkeley, School of Law.

Massoud's current research examines tensions between international rule-of-law aid and local perceptions of rights in a divided society.

Massoud's dissertation, which he is revising into a book manuscript at Stanford, builds on the interdisciplinary tradition of law and society to examine the role of law in development. Taking Sudan as a case, it explores how government officials, civil society activists, and the international aid community all use law to construct and maintain their influence over society.