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The Russian System of personalized power has been demonstrating an amazing capacity for survival even in the midst of decay. It has defied many predictions and ruined many analytical narratives. Today the Russian authoritarian rule is trying to prolong its life by turning to repressions at home and by containing the West. Russia, kicking over the global chess board with the war in Ukraine, returns to the international scene as a revisionist and revanchist power. The Russian Matrix demise will be painful, and it already has brought about  Russia’s confrontation with the West.  The challenge posed by Russia’s decaying petro –nuclear state is huge, and it is sure to be one of the dominant problems of the twenty-first century.

RSVP

Lilia Shevtsova is a Non-Resident Fellow at the Brookings Institution (Washington), and an Associate Fellow at the Russia-Eurasia Program, Chatham House - The Royal Institute of International Affairs (London). She is the member of the boards of the Institute for Humanities (Vienna), the Finnish Centre for Excellence in Russian Studies (Helsinki), the Liberal Mission Foundation, and the New Eurasia Foundation (Moscow); a member of the International Forum for Democratic Studies’ Research Council(Washington); a member of the Editorial Boards of the journals: “American Interest,”“Journal of Democracy,” and “New Eastern Europe.“ Shevtsova was Senior Associate at the Carnegie Endowment for International Peace (Washington) and the Moscow Carnegie Center, founding chair of the Davos World Economic Forum Council on Russia’s Future, and a member of the Council on Terrorism. “Foreign Policy” magazine included Shevtsova in the list of 100 Global Public Intellectuals. She was a participant at the Bilderberg Club meetings; served as Chair of the Program on Eurasia and Eastern Europe, SSRC (Washington) and member of the Social Council for Central and Eastern European Studies. She contributes to global leading media, including: Foreign Policy, FT, Washington Post, Le Monde, Monde Diplomatique, Die Zeit, Fokus, El Pais, American Interest, Survival, Journal of Democracy, Diplomaatia. 

Shevtsova is author of twenty books, including Yeltsin’s Russia: Myths and Reality; Putin’s Russia; Russia –Lost in Transition: The Yeltsin and Putin Legacies; Lonely Power (Why Russia Has Failed to Become the West and Why the West Is Weary of Russia), Russia: Change or Decay (in co-authorship with Andrew Wood), Crisis: Russia and the West in the Time of Trouble.

 
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A Stanford-led team has discovered how to estimate crop yields with more accuracy than ever before with satellites that measure a special form of light emitted by plants. This breakthrough will help scientists study how crops respond to climate change. 

 


As Earth's population grows toward a projected 9 billion by 2050 and climate change puts growing pressure on the world's agriculture, researchers are turning to technology to help safeguard the global food supply.

A research team, led by Kaiyu Guan, a postdoctoral fellow in Earth system science at Stanford's School of Earth, Energy, & Environmental Sciences, has developed a method to estimate crop yields using satellites that can measure solar-induced fluorescence, a light emitted by growing plants. The team published its results in the journal Global Change Biology.

 

Scientists have used satellites to collect agricultural data since 1972, when the National Aeronautics and Space Administration (NASA) pioneered the practice of using the color – or "greenness" – of reflected sunlight to map plant cover over the entire globe.

"This was an amazing breakthrough that fundamentally changed the way we view our planet," said Joe Berry, professor of global ecology at the Carnegie Institution for Science and a co-author of the study. "However, these vegetation maps are not ideal predictors of crop productivity. What we need to know is growth rate rather than greenness.

The growth rate can tell researchers what size yield to expect from crops by the end of the growing season. The higher the growth rate of a soybean plant or stalk of corn, for instance, the greater the harvest from a mature plant.

"What we need to measure is flux – the carbon dioxide that is exchanged between plants and the atmosphere – to understand photosynthesis and plant growth," Guan said. "How do you use color to infer flux? That's a big gap."  
 

Solar-induced fluorescence

Recently, researchers at NASA and several European institutes discovered how to measure this flux, called solar-induced fluorescence, from satellites that were originally designed for measuring ozone and other gases in the atmosphere.

A plant uses most of the energy it absorbs from the sun to grow via photosynthesis, and dissipates unused energy as heat. It also passively releases between 1 and 2 percent of the original solar energy absorbed by the plant back into the atmosphere as fluorescent light. Guan's team worked out how to distinguish the tiny flow of specific fluorescence from the abundance of reflected sunlight that also arrives at the satellite.

"I think of it like crumbs falling to the ground as people are eating. It's a very small trail," said co-author David Lobell, associate professor of Earth system science at Stanford's School of Earth, Energy, & Environmental Science. "This glow that plants have seems to be very proportional to how fast they're growing. So the more they're growing, the more photosynthesis they're doing, and the brighter they're fluorescing." Lobell is also deputy director of the Center on Food Security and the Environment.

The research team saw an opportunity to use this new data to close the knowledge gap about crop growth, beginning with a major corn- and soybean-producing region of the U.S. Midwest.

"With the fluorescence breakthrough, we can start to directly measure photosynthesis instead of color," Guan said.

The fact that fluorescence can now be detected from space allows researchers to measure plant growth across much larger areas and over long periods of time, giving a much clearer picture of how yields fluctuate under changing weather conditions.

"One of the really cool things about fluorescence is that it opens up a whole new set of questions that we can ask about vegetation, and often times it's these new measurements that drive the science forward," Lobell said.  
 

Next steps

The research team has already identified a number of potential uses of this approach by agricultural scientists, farmers, crop insurance providers and government agencies concerned with agricultural productivity.

If there is a day when the plant is really stressed, the fluorescence will drop significantly, Lobell said. Capturing these short-term responses to environmental changes will help scientists understand what factors plants are responding to on the daily time scale.

"That helps us, for example, figure out what we need to worry about in terms of stresses that crops are responding to," Lobell said. "What should we really be focusing on in terms of the next generation of cropping systems? What should they be able to withstand that the current crops can't withstand?"

At this early stage, fluorescence measurements are relatively low-resolution (a single measurement covers about 50 square kilometers) and because it is only collected once per day, cloudy skies can interfere with the fluorescence signal. For now, researchers have to supplement the data with other information and with on-the-ground observations to refine the measurements.

"Now that we have demonstrated the concept, we hope to soon be orbiting some new satellites specifically designed to make fluorescence measurements with better spatial and temporal resolution," Berry said.

The team plans to continue its research on U.S. crop yields while expanding measurements to other parts of the world.

"In the future, we hope to directly use this technology to monitor global food production, for example in China or Brazil, or even in your backyard," Guan said.

David Lobell is also deputy director of the Center on Food Security and the Environment, and William Wrigley Senior Fellow at the Freeman Spogli Institute for International Studies and the Stanford Woods Institute for the Environment. The study was also co-authored by Youngguan Zhang of the International Institute for Earth System Sciences at Nanjing University and the German Research Center for Geosciences (GFZ); Joanna Joiner of the NASA Goddard Space Flight Center Laboratory for Atmospheric Chemistry and Dynamics; Luis Guanter of GFZ; and Grayson Badgley of Stanford's Department of Earth System Science and Department of Global Ecology at the Carnegie Institution for Science.


CONTACTS:   
 

p> Kaiyu Guan, Stanford School of Earth, Energy, & Environmental Sciences: kaiyug@stanford.edu

 

Laura Seaman, Stanford's Center on Food Security and the Environment: lseaman@stanford.edu, (650) 723-4920

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In August 2015, the publisher Springer retracted 64 articles from 10 different subscription journals “after editorial checks spotted fake email addresses, and subsequent internal investigations uncovered fabricated peer review reports,” according to a statement on their website. The retractions came only months after BioMed Central, an open-access publisher also owned by Springer, retracted 43 articles for the same reason.

Charlotte J. Haug, MD, PhD, a visiting scholar at Stanford Health Policy, writes in this New England Journal of Medicine perspective that the pressure to publish is huge for scientists, what with rewards such as promotions and financial incentives. This is leading to a growing number of cases of plagiarism and errors.

"The pressure to publish is huge for scientists everywhere, and the competition for space in the best journals harder than ever," she tells Stanford Health Policy. "One reason for this is the rapidly increasing amount of research and number of researchers coming from emerging economies like Brazil, India, Turkey and China — to mention a few. When the rewards for publishing is also very high (promotion, money), one might be more willing to take some short-cuts to get published." Haug, who was the editor-in-chief of The Journal of the Norwegian Medical Association and is a international correspondent for the New England Journal, said that as long as authors are rewarded for publishing many articles, and editors are rewarded for publishing them rapidly, new ways of gaming the traditional publication models will be invented more quickly than new control measures can be put in place. "Science is a collaborative endeavor," she said. "Not only in the sense that most scientific papers have a number of authors, but also in the sense that all science builds on previous science. One — or more — bad apple can have tremendously negative effects by leading other researchers in the wrong direction, wasting their time or directly harming for example patients that get the wrong treatment." You can read her full commentary here
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Jonathan H. Chen was an intern at Stanford Hospital a few years back, admitting patients with unusual medical syndromes or rare diseases.

He wasn’t always sure how to immediately treat these patients.

“I found myself clueless at times,” said Chen. “I thought to myself, I should review the chart of a similar patient who had an experienced clinician care for him so that I can learn from their care plan.”

That triggered Chen’s eureka moment. 

“Why look at just one person’s chart?” he thought. “Why not look at the last thousand charts to see how all doctors take care of their patients in similar cases?”

Doing so, he would have the potential to crowd-source the collective wisdom of physicians all in one central location.

Already having a PhD in computer science and spending a few years as a software developer before medical school, Chen — a wunderkind who started college when he was 13 — knew he had the rare set of skills to marry medicine and technology.

“I thought about how the Amazon product-recommender algorithm works and thought, `Can we do this for medical decision-making?’” said the 34-year-old Chen, a VA Medical Informatics Fellow at Stanford Health Policy.

So instead of, other people who bought this book also liked this book, how about: Other doctors who ordered this CT scan also ordered this medication.

“What if there was that kind of algorithm available to me at the point of care?” he asked. “It doesn’t tell me the right or wrong answer, but I bet this would be really informative and help me make better decisions for my patients.”

The National Institutes of Health agrees. Chen was recently awarded a five-year NIH grant as the principal investigator behind OrderRex, a digital platform that data-mines electronic medical records to learn clinical practice patterns and outcomes to inform concrete medical decisions.

Chen is designing and coding OrderRex with the help of his chief mentor, Russ Altman, a professor of bioengineering, genetics and medicine and director of Stanford’s Biomedical Informatics Training Program. Stanford Health Policy professors of medicine, Mary Goldstein and Steven Asch, round out his core team of grant mentors. Grant collaborators Nigam Shah, Lester Mackey, and Mike Baiocchi are providing additional critical expertise.

“I think OrderRex is a first step towards an entirely new way to provide decision support to physicians,” said Altman. “We will not only have a large database of patients from which we can collect similar patients to create virtual cohorts, but we will also have a database of the decisions that their physicians have made in different clinical situations.”

Altman added: “Each of these capabilities would be transformative — but together they would really change what is possible for a provider sitting with a patient, making decisions about diagnosis and therapy.”

The NIH’s Big Data-to-Knowledge grant will allow Chen to develop and test the platform. Stanford Medicine’s Center for Clinical Informatics provided Chen a year’s worth of Stanford Hospital records, including every medical order for every patient. The more medical data he loads, the more patterns begin to form.

Chen has been using a derivative of Amazon’s algorithm to make his platform scalable with millions of patient records. The broad vision is to eventually integrate this tool with hospital computer networks to assist physicians with their decisions.

“Imagine, technology allowing medical decisions to be informed by the collective experience of thousands of other physicians right at the point-of-care,” Chen said.

There are naysayers who worry such a product will further alienate physicians from their patients and allow doctors to jump to crowd-sourced conclusions about treatment. Chen emphasizes OrderRex would only serve as a tool, which does not substitute for human contact, calculations and conclusions.

“Tools like this are simply to augment the medical decision-making process and hopefully — and I know this is a big goal — improve the quality and efficiencies of health care.”

Altman says the lacking-human-touch argument is imprecise and potentially unethical.

“Of course, providers will always be real people and of course they should be empathetic, listen to the patient, examine the patient, and think about what’s best in the big picture,” he said. “But if there are technological tools that they can use to improve their decision-making, it is probably unethical to replace data-driven decision-making with `touch’ and ‘intuition’ — which often perpetuates the status quo and contributes to variability in practice and variability in outcomes.”

Stanford Medicine is already leading the revolution in precision health and big data to overcome human error and misdiagnosis.

In a 2014 Health Affairs article, Stanford pediatrician Christopher A. Longhurst along with Nigam Shah, MBBS, PhD, assistant professor of biomedical research and assistant director of the Stanford Center for Biomedical Informatics Research, and Robert Harrington, MD, professor and chair of medicine, outlined a vision for drawing medical guidance from day-to-day medical practice in hospitals and doctors’ offices. They called it the Green Button.

The idea is to give doctors access —a green button — to patient data from a vast collection of electronic medical records. They wrote that the instant access to EMRs isn’t a substitute for a clinical trials, but better than resorting to the physician’s own bias-prone memory of one or two previous encounters with similar patients.

Chen is working with those professors, but notes the Green Button concept is to look for “patients like mine” and ask questions about different treatment options that may yield different results. His approach looks for “doctors like me,” and anticipates what the doctor wants before they ask for it.

“The conceit of my approach is that all practicing doctors are already trying to make our best-guess decision to improve our patients' outcomes,” he said. “Rather than trying to directly predict how to change a patient outcome, I look to the records of physician decision-making that already represent a wealth of expertise we are not leveraging in a systematic way.”

Could that wealth of expertise one day make Chen a wealthy man, perhaps the Jeff Bezos of the medical informatics world?

“I wouldn’t complain if I was,” Chen said with a grin. “But if I just wanted to make money, I wouldn’t have gone to medical school,” He gave up a lucrative living as a software developer.

He does recognize, however, that for OrderRex to have a big impact, commercial applications such as licensing the product as an add-on to EMR systems are likely.

“So, having a broad impact that will serve the mission of improving quality and efficiency — that is the ultimate goal.”

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Jonathan H. Chen, a VA Medical Informatics Fellow at Stanford Health Policy, works on his digital records platform, OrderRex, during a break in rounds at the VA Hospital in Palo Alto. | Joseph Matthews/VA Palo Alto
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ABSTRACT

A common assumption in political economy is that voters are self-regarding maximizers of material goods, choosing their preferred level of social spending accordingly. In contrast, students of American politics have emphasized the key role of an other-regarding motive that makes support for social transfers conditional on the perceived deservingness of recipients. The two motives often conflict as large portions of the poor (rich) find recipients undeserving (deserving). I argue that material self-interest overruns perceptions of deservingness when the share of income affected by social transfers is high. Using European data, I show that low (high) income individuals are less (more) likely to be driven by considerations of deservingness. Cross-nationally, the more working-age benefits are evenly spread across income groups, the less deservingness considerations  permeate public debates on welfare state reform.  This framework has important implications for understanding attitudinal change in two high inequality countries, the United States and Great Britain.

 

 

SPEAKER BIO

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Charlotte Cavaille is a research fellow at the Institute of Advanced Studies in Toulouse. She received a PhD in Government and Social Policy from Harvard University in November 2014. Her work examines changes in mass attitudes toward redistributive policies in advanced capitalist countries. Her dissertation focuses on the disconnect between rising income inequality and stable levels of support for income redistribution in Great Britain and the United States. Some of her findings have been published in the Journal of Politics.

Deservingness, Self-interest and the Welfare State
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Charlotte Cavaille Research Fellow, Institute of Advanced Studies in Toulous Research Fellow, Institute of Advanced Studies in Toulous
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r01palhsm07.r01.med_.va_.govhomedirvhapalzulmadmy_documentsmy_picturesdonna_zulman037_12-13-11.jpg MD, MS

Donna Zulman, MD, MS, is an assistant professor in the Division of General Medical Disciplines at Stanford University, and an investigator at the Center for Innovation to Implementation (Ci2i) in the VA Palo Alto Health Care System. Dr. Zulman received her MD from the University of California, Los Angeles. After completing a residency in Internal Medicine at the University of Michigan, she received a Masters in Health and Health Care Research through the Robert Wood Johnson Clinical Scholars Program at the University of Michigan and the Ann Arbor VA.

Dr. Zulman's research focuses on improving health care delivery for patients with multiple chronic conditions and complex medical and social needs, and optimizing health-related technology to personalize care and improve outcomes for high-risk patients. Dr. Zulman is currently supported by a VA Health Services Research & Development Career Development Award.

Physician Investigator at the VA Palo Alto Health Care System
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Every Halloween there seems to be another animated brushing campaign to save children from their own sweet tooths. For most, the goal is simple: better oral hygiene for kids.

PLAQUEMONSTER is different.

Developed by Jason Wang, director of the Center for Policy, Outcomes and Prevention (CPOP) and a Center for Health Policy/Center for Primary Care and Outcomes Research (CHP/PCOR) core faculty member, and his team, PLAQUEMONSTER does encourage children to practice good oral hygiene. However, the true purpose of the app is to provide feedback on the user’s engagement that can be used for future forays into mobile health.

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Smart phone users can download the application to create a “tooth pet” and help it grow by brushing and flossing daily. Neglect oral hygiene, and the tooth pet will grow dirty, become infected by “plaquemonsters,” and eventually end up in jail.

Using the game’s team mechanic, the app urges children to encourage their friends to brush and floss. Teammates can release a tooth pet from jail, so kids must hold each other accountable if they want their team to progress.

“The social aspect really does make a difference,” said Zara Abraham, a digital media specialist at CPOP and one of the app’s designers. She found that the app’s first child testers “would always be on the phone making sure that each one was doing their work, checking on their teeth.”

The social aspect is likely to engage children more than the average brushing and flossing campaign, according to Abraham. The app’s storyline also helps set PLAQUEMONSTER apart.

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“The storyline we came up with was really sticking it to the man,” said Abraham. Developers set tooth pet up as a heroic rogue character who does what he thinks is right by eating healthy despite pressure to give in to Big Candy. Facing peer pressure to subsist on a diet of candy but also more serious pressure from “candy corporation,” tooth pet must expose the company’s nefarious practices so that teeth can be clean again. The game’s darker aspects and complex storyline may help make the game more accessible to older children and hopefully will keep kids engaged longer.

However, PLAQUEMONSTER is more than just a game, more even than a campaign for oral hygiene. Wang’s team hopes to use health literacy games along with demographic and engagement information to develop other mobile health apps. Ultimately, PLAQUEMONSTER is a tool for discovering how people engage with health on a mobile platform and how mobile health apps can improve health care.

Wang unveiled the mHealth app at Stanford Medicine's Population Health Sciences Colloquium last week.

“The spirit that Jason brings to the app is the game mechanics of behavioral economics,” said Manuel Rivera, product manager at CPOP.

Eventually, Wang’s team hopes to develop other mHealth apps that could aid patients with serious conditions, helping them to track their health and engage in their care plan. Wang’s long-term goal is for “people who are of working age and elderly to improve their quality of life and health trajectories” using mobile health.

If all goes well, PLAQUEMONSTER could be a first step toward active engagement between patients and health care using mobile platforms.

This project is supported by an NIH Director's New Innovator Award.

 

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Medical researchers must work together across disciplines to provide better health care to those who need it most, according to panelists at Stanford Medicine’s Annual Population Health Sciences Colloquium.

The symposium, hosted by the Stanford Center for Population Health Sciences, brought together working groups from across the Stanford campus to showcase the latest findings in population health research.

“Population health science at Stanford is likely to make the most important contributions when we cross traditional intellectual expertise disciplines,” said Paul H. Wise, a core faculty member at the Center for Health Policy/Center for Primary Care and Outcomes Research (CHP/PCOR).

Many of the scholars at the daylong conference on Tuesday stressed that an interdisciplinary approach to health care is crucial to understanding and aiding underserved populations.

“To deal with life-course questions we need to create-life course observational windows,” said Mark Cullen, chief of the Division of General Medical Disciplines and director of the Stanford Center for Population Health Sciences.

Instead of trying to create an all-encompassing care plan for the human population as a whole, panelists demonstrated that studying the needs of particular groups, or smaller populations, can better serve individuals within populations that may not receive the best care.

Douglas K. Owens, director of CHP/PCOR, said the U.S.  Preventive Services Task Force, of which he is a member, has “often faced a real paucity of data trying to develop prediction guidelines for both the very young and the old.”

The Task Force, a panel of experts that makes recommendations for medical prevention services, is generally able to make guidelines for large populations like adults, but suggestions for specialized groups like children and the elderly are more challenging. Though Stanford researchers like Wise are working to improve care for particular sectors like children, more study is needed.

Several speakers at the conference said the underserved population of poor children could benefit from research targeted toward their population group.

“We don’t really understand the biology of the life-course, why things taking place in gestation and early life actually affect healthy aging and adult onset disease,” said Wise, adding, “We have a very poor understanding of how to translate this understanding into effective interventions for communities in need.”

Panelists agreed that big data can help them understand smaller, poorly served populations, such as young children in impoverished communities. By collecting large amounts of data from the general population, researchers will increase the amount of data available for more specific groups. This allows researchers to study these populations more closely and help create better outcomes.

Abby King, a professor of health research and policy and of medicine, and Jason Wang, director of the Center for Policy, Outcomes and Prevention (CPOP) and a CHP/PCOR core faculty member, believe life-course digital applications can provide individualized care while collecting data on a large-scale.

According to King, a life-course app, or a device to track health and provide care throughout one’s life, would grow with the user and help them through important developmental stages.

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Wang has taken a first step toward creating such an app with PLAQUEMONSTER.  Intended for children eager for Halloween candy, the PLAQUEMONSTER app provides kids with a “tooth pet” they must keep safe from “plaquemonsters” and the so-called evil candy corporation. By flossing and brushing their teeth each day, kids earn points, and Wang’s team hopes the game will encourage good dental hygiene.

Health-care techniques using mobile devices, known as mHealth, could be particularly useful in underserved populations. King notes that even low-income populations have cell phones, so using phones as health-care tools could help decrease the gap between higher- and lower-income populations.

“I think for us one of the major challenges of the century is to really close that health-disparities gap and mHealth can help.”

However, each app must be tailored to the user.

“There’s no reason to believe that an African-American 16-year-old is going to be motivated the same way as a 45-year-old white man,” said Wang. “You need to involve patients in the design of the app.” When the app fits the specific patient’s needs, they are more likely to use it regularly, and knowing the needs of their population helps determine their preferences.

As the world continues to become more connected, the panelists said that reaching across disciplines and incorporating technology may hold the key to effective health care in the 21st century.

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A podcast from the book event on Jan. 15 is available at the link above. An earlier interview with author Michael Armacost was first published in Oct. 2015 and is reposted below.

When it comes to elections, politics can supersede strategy. But what is often overlooked is the process through which the United States selects their commander in chief and its impact on policy – particularly, foreign policy.

What then shapes foreign policy during that time? “Events, my dear boy, events,” Harold Macmillan, a former British prime minister, famously replied when asked what could change a government's directions. To which Michael Armacost agrees and explores the interplay between campaign politics and foreign policy in his new book.

“Since World War II, the United States has consistently pursued a global role, but the tempo of its engagement with the world has been repeatedly adjusted to reflect circumstances and domestic moods,” Armacost wrote.

A veteran scholar, former ambassador and undersecretary of state for political affairs, Armacost is an expert on the U.S. government system and policy process. In the book, he examines ideology and the struggle for power in the six elections that have taken place since 1948, ending with Barack Obama’s re-election in 2012.

The book, which reads somewhat like a guide, largely began as a project for students, he said. 

Armacost initially came to Stanford in 1994, and in 2002, returned as a distinguished fellow at the Walter H. Shorenstein Asia-Pacific Research Center. He co-teaches a graduate course on U.S. policy in Northeast Asia.

“When I left government, I found a lot of literature on how foreign policy affects elections but little in the reverse,” Armacost said. “So my aim behind the research was to not only satisfy my own curiosity but to offer a comprehensive and accessible analysis for students.”

Armacost’s career in government began in 1983 when an advisor encouraged him to apply for a White House fellowship. His fellowship in the deputy secretary of state’s office – which was only set to be a single year in Washington – led to 24 years of public service.

He went on to serve as the U.S. ambassador to Japan from 1989 to 1993 and the Philippines from 1982 to 1984, and was a member of the National Security Council.

Armacost said he remains positive about the electoral system, while also suggesting a few reforms. The system ensures a cyclical chance to step back and assess where America stands in the world, he said.

“Our system provides regular opportunities to put the spotlight on troubling foreign policy problems,” he wrote. “And supplies an incentive to consider course corrections for costly, inconclusive foreign as well as domestic policies, or offers a chance to select new management to fix them.”

Shorenstein APARC asked him a few questions about his research in the context of the 2016 election cycle. His answers are posted below.

Will Obama attempt a “sprint to the finish line” on foreign policy?

He is well embarked on that sprint. In the fourth quarter of his presidency, he is eager to burnish his foreign policy legacy. President Obama’s agenda is clear. It includes the normalization of relations with Cuba, implementation of the Iran nuclear agreement, ratification of the Trans-Pacific Partnership free trade agreement, and promotion of further international cooperation on climate change. He will also seek to avoid losing ground in geopolitical competition with ISIS in Iraq and Syria, the Russians in the Ukraine and elsewhere, and China in the South China Sea.

A president’s power to effectively undertake controversial initiatives at home and abroad tends to ebb as his tenure runs out. Those requiring Congressional support are particularly problematic. And events will play a large role in determining the problems and opportunities that come his way before Jan. 20, 2017.

Does the Trans-Pacific Partnership (TPP) stand a chance of getting ratified?

It stands a chance, but it will not be easy. Fortunately, Trade Promotion Authority has been secured from the Congress. Hence, it will be limited to an up or down vote without amendments.

Opposition from labor unions and environmental groups assures that there will be very limited Democratic support for the TPP, and Hillary Clinton, Bernie Sanders and Martin O’Malley have publicly expressed their opposition. There has also been some erosion of support for free trade among the Republicans, whose leaders have mostly expressed misgivings about some of the TPP’s provisions.

I believe the TPP will advance U.S. economic and strategic interests, but whether its ratification will be achieved before or after the 2016 election is at this point uncertain.

How do the politics of the TPP differ from that of George H.W. Bush’s pursuit of the NAFTA agreement in 1992?

In 1992 President Bush didn’t hesitate to push hard for NAFTA throughout his campaign. And the Mexican and Canadian governments also regarded the U.S. election day as a convenient deadline for getting the agreement finished. The president’s GOP Party believed in free trade, and considered the push for an embryonic hemispheric market a worthy and historic objective. A NAFTA accord could be portrayed as extending a helping hand to a friendly neighbor. The Party’s business constituency was supportive; the bulwark of opposition to the deal were labor and environmental groups, which were unlikely to vote for Bush anyway.

Promoting NAFTA also offered the president a chance to put the Democratic candidate, Bill Clinton, who had made public remarks supporting such an agreement, on the spot. If he reversed his position and opposed the accord, he could be accused of “waffling;” if he didn’t, he would risk alienating his labor and environmental constituencies. Bush nearly got the deal finished, but side letters on labor and environmental issues remained to be completed after Clinton won the election.

This year, a Democratic president is confronting major opposition from his own party, and widespread support from Congressional Republicans is therefore indispensable to his chances of ratifying the agreement. A number of Republican leaders who are generally supportive of free trade, however, contend that President Obama was so eager to wrap up the deal on his own watch, that he missed a chance to drive a harder bargain. Others are reluctant to hand the president a foreign policy victory during a presidential campaign.

And as November 2016 nears, the Democratic candidate is likely to be reluctant to buck unions and environmental groups who not only provide much needed financial support, but supply the volunteers who perform crucial “get out the vote” duties on election day.

Where does foreign policy fit into the 2016 campaign? 

Foreign policy is likely to feature very prominently in the coming election, particularly if the economy continues its steady, if modest, rate of growth. The reason is simple. The United States faces serious challenges in the Middle East, the Ukraine, South Asia and the South China Sea. And many voters who favored retrenchment in 2008, now fear it is now perceived increasingly by friends and adversaries as weakness and/or retreat.

One should not, however, expect the presidential campaign to illumine the strategic choices we face abroad. Presidential contenders typically articulate a wide range of aspirational foreign policy goals. But they rarely outline priorities among these declared aims, let alone their potential costs and risks, or the trade-offs among them. To address these core elements of strategy might offend one or another potential voting bloc. Candidates, therefore, tend to focus upon the appeal of their foreign policy objectives at home, rather than their efficacy abroad.

A wide field of candidates has emerged early on. What foreign policy issues are not being addressed that should figure in the debates?

It’s a bit early to say. The first primaries are still three months away. Few debates have yet been held. The election is likely in any event to be in part a referendum on President Obama’s record. But Hillary Clinton, who served for four years as the Secretary of State, is differentiating her position from that of Obama’s on a number of foreign policy matters. And as I noted above, the focus in most campaigns is on laudable goals rather than the key elements of strategy, i.e. the operational tests of foreign policy for anyone who occupies the Oval Office.

What will happen to the U.S. “pivot back to Asia” strategy?

President Obama performed a useful service in underlining America’s growing stake in Asia. I would expect the candidates of both major parties to affirm their intent to devote more time, attention and resources to the Asia-Pacific region. The problems the current administration has experienced in Asia are a by-product of the policy’s implementation. Many Asian leaders wonder whether the policy has been forgotten or overtaken by events. Adjustments in our regional security policy have been essentially symbolic.

With China, we are still looking for a sustainable balance between constructive engagement and prudent hedging. The diplomatic opening to Myanmar was timely, but progress has been complicated by ethnic struggles in that country. American leaders visit Asia periodically, but the United States is still perceived as primarily preoccupied with problems in the Middle East. Conclusion of the TPP will lend credibility to the policy, but only if the agreement is ratified. So it will be up to the next president to put some meat on the bones of this strategic initiative.

How do election cycles in the United States and South Korea mesh, and what might the coming cycle mean for U.S.-Korean relations?

America has a four-year election cycle for the presidency. The Republic of Korea elects its presidents for a five-year term. We have experienced several occasions when our cycles appeared out of sync, i.e. when the United States elected more conservative candidates to the White House as the Koreans chose more liberal contenders for the Blue House. George W. Bush, a conservative, served during a period when the South Korean presidents – Kim Dae Jung and Roh Moo-Hyun – were both liberals or progressives. American and South Korean perspectives on policy toward North Korea diverged sharply. Nonetheless, they joined hands in launching the U.S.-Korea Free Trade Agreement, and formulated plans for a major redeployment of U.S. military forces away from the Seoul metropolis to bases further south. And President Obama, a liberal, fashioned a close relationship with Presidents Lee Myung-bak and Park Geun-hye, both conservatives.

Thus, shared national interests have a way of tempering the ideological predilections of our respective leaders, enabling them to collaborate when dangers loom or when opportunities beckon.

South Korea now trades twice as much with China as it does with the United States and Japan combined. So its economy is tied more closely to China now, though it still looks to Washington for protection. Seoul will not want to choose between its economic interests and its strategic concerns. The United States has no reason to force such a choice on its ally, but it is clear that Beijing hopes to use its economic leverage to influence the Republic of Korea’s strategic decisions, for example, its readiness to deploy a THAAD, high altitude ballistic missile defense system. This is the kind of issue that could feed back into our election-year politics.

Related links

WNYC Brian Lehrer Show (Audio): How Elections Derail Foreign Policy (Aug. 4, 2015)

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Forty-eight national security and foreign policy leaders urged U.S. government and businesses to take action to fight climate change in a statement released by the Partnership for a Secure America. Thomas Fingar, a distinguished fellow in the Freeman Spogli Institute for International Studies, is a signatory. The statement can be accessed by clicking here.

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