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In 2016, SPICE launched its first regional online program in Japan. Today, SPICE works with local partners across Japan to offer programs that engage students in the study of U.S. society and culture, U.S.–Japan relations, and global issues. Students develop their perspectives through discussion and research and present their work at the end of their courses.

In August 2026, SPICE held four award ceremonies at Stanford University. Eighteen honorees from eight regional programs and one school-based program were recognized for their accomplishments during the 2025–26 year, including the quality of their final research projects. SPICE Director Dr. Gary Mukai welcomed guests and delivered closing remarks at each event.

The students’ visits extended beyond the ceremonies. Depending on their itineraries, groups explored San Francisco, toured Stanford’s campus, visited technology companies such as Google, Apple, and Sony, and spent time at the Computer History Museum. These experiences gave students opportunities to learn about the Bay Area and connect what they had studied online with places and people they encountered in person.

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The first ceremony was held on August 6, 2026, for students from Stanford e-Kobe and Stanford e-Minamata. Opening remarks were delivered by Consul Asami Chikae, Consul for Science, Technology and Education at the Consulate General of Japan in San Francisco. Stanford e-Kobe instructor Alison Harsch and Stanford e-Minamata instructor Natalie Montecino also offered opening comments before the honorees gave their presentations. The honorees are:

Stanford e-Kobe

  • Sakura Oe; Kobe Municipal Fukiai High School
  • Shotaro Take; Kobe Municipal Fukiai High School
     

Stanford e-Minamata

  • Rento Hiraishi; Minamata High School
  • Asuka Umekawa; Minamata High School
     
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students with plaques standing outside of Encina Hall at Stanford


In the second ceremony, on August 10, 2026, top students from Stanford e-Fukuoka and Stanford e-Oita were honored. Aya Nakajima, Advisor for Cultural and Educational Affairs at the Consulate General of Japan in San Francisco, delivered opening remarks. Kasumi Yamashita, instructor of both Stanford e-Fukuoka and Stanford e-Oita, also offered opening comments before the honorees presented their work. The honorees are:

Stanford e-Fukuoka

  • Konoha Inoyusu; Fukuoka Daichi High School
  • Haruki Kenyon; Kurume High School
     

Stanford e-Oita

  • Mao Hieida; Nakatsu Minami High School
  • Taichi Morikawa; Takada High School
     
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students with plaques standing outside of Encina Hall at Stanford


During the third ceremony, on August 18, 2026, students from Stanford e-Hiroshima and Stanford e-Yamaguchi were recognized. Consul Mayu Hagiwara, Director of the Japan Information and Culture Center at the Consulate General of Japan in San Francisco, offered opening remarks. Stanford e-Hiroshima instructor Rylan Sekiguchi and Stanford e-Yamaguchi instructor Jonas Edman also gave opening comments before the honorees presented their research. The honorees are:

Stanford e-Hiroshima

  • Konatsu Haga; Fukuyama Akenohoshi Girls’ High School
  • Momoka Nagayama; Hiroshima Inokuchi High School
     

Stanford e-Yamaguchi

  • Misaki Kobayashi; Keishin Senior High School
  • Hiroi Tomokawa; Iwakuni Senior High School
     
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students with plaques standing outside of Encina Hall at Stanford


The fourth ceremony was held on August 20, 2026, for honorees from Stanford e-Kagoshima City, Stanford e-Kawasaki, and Stanford e-Tottori. Daniel Busto, Coordinator of Educational Affairs at the Consulate General of Japan in San Francisco, delivered opening remarks. Stanford e-Kagoshima City instructor Amy Cheng, Stanford e-Kawasaki instructor Maiko Tamagawa Bacha, and Stanford e-Tottori instructor Jonas Edman also offered opening comments before the honorees gave their presentations. The honorees are:

Stanford e-Kagoshima City

  • Nayuta Nei; Kagoshima Gyokuryu High School
  • Shiori Nishizono; Kagoshima Girls’ High School
     

Stanford e-Kawasaki

  • Rio Hojo; Tachibana High School
  • Mio Suzuki; Kawasaki High School
     

Stanford e-Tottori

  • Una Ishikawa; National Institute of Technology, Yonago College
  • Asumi Nishimura; Tottori Nishi High School
     

SPICE congratulates all 18 honorees and thanks the instructors, local partners, and guests who supported and celebrated the students. The ceremonies gave the students an opportunity to share their research with an audience at Stanford and to mark the conclusion of their year of study.

Importantly, SPICE is grateful to the school, municipal, and prefectural representatives who accompanied the students to Stanford. They are Yuki Uchimura (Fukuoka); Noriyo Hayashi (Hiroshima); Takahiko Uchitani and Nanami Nomaguchi (Kagoshima); Fuka Okutani and Tracey Freyre (Kobe); Yasunori Takaki, Masha Boyko, and Kayo Fuchigami (Minamata); Keiichi Takakura and Yuki Matsumoto (Oita); Satoru Hamahashi (Tottori); and Akinobu Tomonari (Yamaguchi).

SPICE also offers online courses to U.S. high school students on Japan (Reischauer Scholars Program), China (China Scholars Program), Korea (Sejong Korea Scholars Program), and entrepreneurship (Stanford e-Entrepreneurship U.S.), to Chinese high school students on the United States (Stanford e-China), and to Japanese high school students on U.S. society and U.S.–Japan relations (Stanford e-Japan) and entrepreneurship (Stanford e-Entrepreneurship Japan).

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The Stanford e-Yamaguchi Program Completes Its Second Year

SPICE instructor Jonas Edman reflects on his first year of teaching SPICE’s newest prefectural online course.
The Stanford e-Yamaguchi Program Completes Its Second Year
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Growth and Leadership: The Next Chapter of the Stanford e-Minamata Program

Reflections on the 2025 Opening Ceremony at Minamata High School
Growth and Leadership: The Next Chapter of the Stanford e-Minamata Program
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Celebrating 10 Years of the Stanford e-Tottori Program

SPICE instructor Jonas Edman reflects on a decade of teaching SPICE’s first regional program in Japan.
Celebrating 10 Years of the Stanford e-Tottori Program
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Main Quad | Photo credit: Andrew Brodhead
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Congratulations are extended to the 2025–26 student honorees from Fukuoka Prefecture, Hiroshima Prefecture, Kagoshima City, Kawasaki City, Kobe City, Minamata High School, Oita Prefecture, Tottori Prefecture, and Yamaguchi Prefecture.

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This event will feature two presentations

Japanese domestic politics and foreign policy under the reshuffled Takaichi Cabinet, presented by Koji Murata

Prime Minister Tacaichi Sanae reshuffled her cabinet in September, and visited the United States for the UN General Assembly and meeting with President Donald Trump.  She still maintains relatively high supporting rates.  Japanese economy, Sino-Japanese relations, and her political base in the LDP are all fragile, however.  I would like to examine and forecast her domestic and foreign policies up to the coming LDP presidential election in October 2027.

The New Geopolitical Reality in the Gulf and Its Impact on Asia's Energy Security, presented by Satoshi Ikeuchi

Iran, in its monarchical era, was known as the “Policeman of the Persian Gulf.” More than four decades after the Islamic Revolution, the Islamic Republic has demonstrated considerable resilience in the face of U.S. military attacks and, at least temporarily, established itself as a “Key bearer of the Strait of Hormuz”. Whether additional U.S. military operations can undermine Iran’s position—or instead lead to a new arrangement accepting Iran’s role, to some extent, in the administration of the Persian Gulf—will have far-reaching implications for the U.S. allies in Asia, including Japan. Not only their energy policies, but also their fundamental attitudes towards alliances and the international order are at stake. 

This talk examines Japan’s short-term response to the disruption of the Strait of Hormuz and then considers how Japan’s position may evolve if the crisis becomes protracted, and how such a shift may, in turn, contribute to broader transformations in the international order.

 

Speakers

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Headshot photo of Koji Murata

Koji Murata is currently Professor of Political Science, Doshisha University, Kyoto, Japan.  Professor Murata received his M.Phil. in Political Science from The George Washington University, and Ph.D. in Political Science from Kobe University, Kobe, Japan.
At Doshisha University, Dr. Murata served as Dean of the Faculty of Law from 2011-13, and President from 2013-16.
Professor Murata was also a Governor of the Board, Japan Broadcasting Cooperation, known as NHK from 2018-25, and Special Advisor to Defense Minister Kono Taro from 2019-20.
Professor Murata received the Suntory Academic Award and the Yoshida Shigeru Award among others.
His specialties include history of US-Japan alliance and American foreign policy in East Asia.  He published many books, chapters, and articles both in Japanese and English.


 

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Satoshi Ikeuchi is a Professor of the Division of Religion and Global Security at the Research Center for Advanced Science and Technology (RCAST) of the University of Tokyo. He specializes in Middle East regional politics and Arab-Islamic Thought in its implications for international security. He is the founding head of the RCAST Open Laboratory for Emergence Strategies (ROLES). As a leading public intellectual in Japan, he has been vigorously publishing on the Middle East and Islamic affairs. He was a Visiting Fellow at the Clare Hall, University of Cambridge in 2010.

 

Moderator

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Square portrait photo of Kiyoteru Tsutsui

Kiyoteru Tsutsui is the Henri H. and Tomoye Takahashi Professor, Professor of Sociology, Senior Fellow at the Freeman Spogli Institute for International Studies, and Director of the Walter H. Shorenstein Asia-Pacific Research Center, where he is also Director of the Japan Program and Co-Director of the Southeast Asia Program. Tsutsui’s research interests lie in political/comparative sociology, social movements, globalization, human rights, and Japanese society. His most recent publication, Human Rights and the State: The Power of Ideas and the Realities of International Politics (Iwanami Shinsho, 2022), was awarded the 2022 Ishibashi Tanzan Award and the 44th Suntory Prize for Arts and Sciences.

Kiyoteru Tsutsui

    Philippines Conference Room (C330)
    Encina Hall, 3rd Floor
    616 Jane Stanford Way, Stanford, CA 94305

Koji Murata Professor of Political Science Doshisha University
Satoshi Ikeuchi Professor of the Division of Religion and Global Security Research Center for Advanced Science and Technology, University of Tokyo
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Leadership in Crisis

Through his work in conflict-affected areas in the 1990s, responses to increasingly frequent natural disasters around the world, and relief efforts following major disasters such as the 2011 Great East Japan Earthquake, Kensuke Onishi has come to recognize the critical importance of building social systems and infrastructure before conflicts, wars, and disasters occur. Join him for an exploration of what the private sector and civil society can do when governments and public institutions are unable to function effectively, and what roles they can play in such situations.

 

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Kensuke Onishi was born in Osaka Prefecture in 1967. After graduating from Sophia University, he pursued a Master’s degree at the University of Bradford in the United Kingdom, specializing in Conflict Resolution and Humanitarian Intervention. He has completed coursework in the doctoral program at the Graduate School of Human Sciences at Osaka University. In 1996, he founded Peace Winds Japan. To date, he has spearheaded humanitarian aid operations in 41 countries and regions worldwide, including Iraq, Afghanistan, and Ukraine. 

In 2000, he played a key role in establishing Japan Platform, an international humanitarian aid organization driven by cooperation between NGOs, the business sectors, and the government. In 2012, he founded the Asia Pacific Alliance for Disaster Management (A-PAD) to facilitate mutual cooperation for disaster response across the Asia-Pacific region.

In recent years, based in Jinseki Kogen, Hiroshima Prefecture—the headquarters of Peace Winds—he has been actively involved in regional revitalization for mountainous areas and remote islands in Japan, as well as animal welfare initiatives. Furthermore, to strengthen emergency medical support during disasters, he launched the Airborne Rescue & Relief Operations With Search (ARROWS) project in 2019. In 2024, Inaugurated as the Vice Chairperson, and the Chairperson of Collaborative Capitalism Committee of Japan Association of Corporate Executives.

    Philippines Conference Room (C330)
    Encina Hall, 3rd Floor
    616 Jane Stanford Way, Stanford, CA 94305

Kensuke Onishi Founder, CEO, and Chairperson Peace Winds Japan
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The following is a guest article written by Dr. Jacob Vazquez, Interim Associate Dean of Instruction and Agribusiness Faculty member, and past Fellow of Stanford’s EPIC Community College Faculty Fellowship, one of several teacher professional development programs offered by SPICE.

My interest in agriculture started in high school, through my involvement in Future Farmers of America (FFA). That interest deepened later on, working in agriculture finance at Farm Credit, and eventually leading to my current role teaching Agribusiness at Butte College, where I get to share my passion for agriculture and agribusiness with our students.

My involvement with SPICE began through Stanford Global Studies’ EPIC Community College Leadership Program, where fellows were charged with developing global curricula for use in community college classrooms. Butte College is a rural community college in Northern California, where rice is one of the region’s most valuable commodities. I teach Agricultural Economics, a general education class taken by both agriculture majors and non-majors, and I wanted the curriculum modules to connect the agriculture we grow here in Northern California to something produced elsewhere in the world. 

I built the modules around rice, comparing the industry in Butte and Glenn Counties to the industry in Japan. The two differ significantly in scale and farming method, but the crop carries economic and cultural weight in both places. With SPICE’s support and connections with the U.S. Consulate Fukuoka, part of the modules included Zoom interviews that connected students with Japanese rice farmers, including the owner of an organic farm in Saga Prefecture and a former musician who now farms rice and is developing a rice-based ice cream.

Those connections, particularly with the U.S. Consulate Fukuoka, led me to the Fulbright Specialist Program in collaboration with Kyushu Sangyo University (KSU), where SPICE has an existing program through their Stanford e-KyuSan-U Program. This past June, I traveled to Fukuoka as a Fulbright Specialist for a project titled “Seeds of Change: Empowering Community with Food Education.” Over two weeks, the itinerary included close collaboration with KSU students, faculty, and administration, a tour of a rice cracker manufacturing facility, and a public lecture on agribusiness and sustainability, among other events.

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One experience drew on a different part of my background: running a flag football clinic at KSU for local children, drawing on my own experience playing football at Fresno State and coaching at Butte College.

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One of the most meaningful moments of the visit was touring Meisho Farm in person, the same farm my students and I had previously engaged with only virtually. Seeing the operation firsthand with and reconnecting with its owner, Akira Shojima, gave me a much fuller picture of how Kyushu’s organic farming model works, something I never thought I would be able to experience when I started the fellowship. 

I also had the chance to visit U.S. Consulate Fukuoka with Principal Officer Virsa Perkins and KSU Professor Kaori Miura; photo below. What began as a simple curriculum project grew into an incredible experience. I feel so grateful to SPICE, the Fulbright Program, and Kyushu Sangyo University for these opportunities, and I look forward to future collaborations connecting agriculture on both sides of the Pacific.

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To stay updated on SPICE news, join our email list and follow us on Facebook, X, and Instagram.

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Blogs

Stanford e-KyuSan-U: Examining Diversity, Sustainability, and Entrepreneurship

SPICE/Stanford collaborates with Kyushu Sangyo University in Fukuoka City.
Stanford e-KyuSan-U: Examining Diversity, Sustainability, and Entrepreneurship
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Blogs

Reflections on the 2024–25 Education Partnership for Internationalizing Curriculum (EPIC) Fellowship

SPICE’s Jonas Edman collaborated with seven EPIC Fellows in 2024–25.
Reflections on the 2024–25 Education Partnership for Internationalizing Curriculum (EPIC) Fellowship
Stanford Global Studies hosts Education Partnership for Internationalizing Curriculum (EPIC) Symposium
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SPICE’s Jonas Edman Moderates Panel of Community College Instructors

Stanford Global Studies hosts Education Partnership for Internationalizing Curriculum (EPIC) Symposium.
SPICE’s Jonas Edman Moderates Panel of Community College Instructors
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Jacob Vazquez delivering public lecture at Kyushu Sangyo University | Photo courtesy of Jacob Vasquez
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Stanford Education Partnership for Internationalizing Curriculum (EPIC) Fellow Dr. Jacob Vazquez shares reflections on his EPIC Fellowship and Fulbright experience in Japan.

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Visiting Scholar at APARC, Japan Program Fellow, Fall 2026

Takeshi Niinami joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as Visiting Scholar, Japan Program Fellow for the fall quarter of 2026. He is a global business leader with extensive experience in corporate leadership, international policy engagement, and government advisory roles. He currently serves as a Member of the Management Advisory and Evaluation Committee of the Japan Bank for International Cooperation (JBIC), and is actively engaged in global policy dialogue through leading international organizations, including the Trilateral Commission, where he serves as Chairman of the Asia Pacific Group. He was also former Chairman and CEO of Suntory Holdings Limited, where he led the company’s global expansion and strategic transformation.

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Two Routes to Scale: Innovation Clusters in Tokyo-Yokohama and the Greater Bay Area

What makes a science and innovation cluster thrive, and how can regions scale their global impact? This seminar explores two of the world’s leading innovation clusters, Tokyo-Yokohama and China’s Greater Bay Area, ranked among the top clusters in WIPO’s Global Innovation Cluster Index. Drawing on interviews and new reports from the Swedish Foundation for International Cooperation in Research and Higher Education (STINT), Executive Director Dr. Andreas Göthenberg will share perspectives from STINT’s Science Intelligence work on global science and innovation, followed by presentations from Dr. Laura Barbieri and Dr. Erik Forsberg on the ecosystems, strengths, and development trajectories of these two regions.

Speakers:

Dr. Andreas Göthenberg was appointed Executive Director of STINT as of September 1, 2009. And since 2024, he has been a Board Member at the Karolinska Institutet, Sweden. He received his M.Sc. and Ph.D. degrees from KTH Royal Institute of Technology, Stockholm, Sweden, in 1996 and 2003, respectively. 

From 2006 until 2009, he was a Science and Technology Attaché at the Embassy of Sweden in Tokyo, Japan. Before that, he worked as a Center Manager and Senior Researcher in China, setting up joint research and education centers for KTH Royal Institute of Technology at Zhejiang University and Fudan University.
 

Dr. Laura Barbieri is a STINT Science Fellow in Japan and South Korea. Based in Tokyo, she is currently a Visiting Scholar at the National Graduate Institute for Policy Studies (GRIPS). Previously, she was a JSPS Postdoctoral Fellow at Osaka Metropolitan University, where she conducted malaria immunology research within the SATREPS JICA Project in collaboration with Kenyan and Japanese partners.

Dr. Barbieri holds a PhD in Experimental Immunology from the University of Padova (Italy), carried out with Karolinska Institutet (Sweden), and a Master’s degree in Medical Biotechnologies from Padova in collaboration with King’s College London (UK). She also worked as a Postdoctoral Researcher at the University of Cambridge (UK) and was a Visiting Researcher at the University of Tokyo (Japan).
 

Dr. Erik Forsberg has been the STINT Representative in Asia since 2018. He has worked in China for more than 17 years, and was the Founding Vice Director of the Sino–Swedish Joint Research Center of Photonics as well as a Postdoctoral Fellow and an Associate Professor at Zhejiang University, China.

Dr. Forsberg was the Founding Graduate Dean at the Higher Colleges of Technology (United Arab Emirates) and a Visiting Scientist at Hokkaido University (Japan). Currently, he is an Adjunct Associate Professor at Zhejiang University and a Visiting Research Associate at the University of Malaya (Malaysia). In parallel with his academic work, he has been active in industry and entrepreneurship in China, co-founding several startups.

 

Directions and Parking > 

Okimoto Conference Room (E307)
Encina Hall, 3rd Floor
616 Jane Stanford Way, Stanford, CA 94305

Andreas Göthenberg, Executive Director, STINT
Laura Barbieri, Science Fellow in Japan and South Korea, STINT; Visiting Scholar, GRIPS
Erik Forsberg, Representative in China and ASEAN, STINT; Associate Professor, Zhejiang University
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This paper considers whether financialization is a necessary stage of financial modernization. It argues that comparisons of financial systems should not stop at the structural distinction between bank finance and market finance, or between indirect and direct finance. Instead, they should examine how credit is identified, recognized, constrained, and circulated, and how credit risk is allocated. A bank-centered system produces credit through relational trust, organizational review, continuous monitoring, and the internalization of risk. A financialized system expands credit circulation through standardization, assetization, securitization, and market transactions. Evidence from Germany, Japan, China, and the United States suggests that bank-centered finance and financialization are not lower and higher stages of the same developmental path, but two different modes of credit organization. The key issue in financial modernization is not a choice between banks and markets, but how institutional boundaries are reorganized between credit embeddedness and credit mobility.  

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From Relational Trust to Credit Transactionalization

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Noa Ronkin
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In countries far along in the demographic transition, rapidly aging populations are colliding with a severe shortage of health care and elder care workers. Japan may be the most pertinent case study of this and other impacts of demographic disruption. The country’s fertility rate is decreasing faster than projected, and as of 2025, 30% of its population was aged 65 or older. These trends have contributed to a persistent gap between surging demand for elder care and a shrinking care workforce.

To cope with this crisis, the Japanese government has implemented several programs to promote the use of robots in nursing home care. These care robots (or “kaigo robots”) assist care workers and support residents with daily needs. But how does their adoption affect workflows, staff retention, and overall staffing of long-term care facilities? Few studies have empirically examined these questions.

Shedding light on the debate surrounding new automation technologies and their impact on workers, a recent study, published on August 6 in the inaugural issue of the journal Health Affairs Review, finds that care robots help address challenges posed by population aging and care-labor shortages without necessarily displacing workers or lowering care quality.

The study, titled Robots and Labor in the Service Sector: Evidence from Nursing Homes, is part of a collaborative effort driven by the Asia Health Policy Program (AHPP) at the Walter H. Shorenstein Asia-Pacific Research Center. The study’s co-authors are Stanford health economist Karen Eggleston, the director of AHPP; Toshiaki Iizuka of the University of Tokyo’s Graduate School of Economics, a former AHPP visiting scholar; Yong Suk Lee of the University of Notre Dame’s Keough School of Global Affairs, formerly the SK Center Fellow at Stanford’s Freeman Spogli Institute for International Studies; and Ellie Xi, a rising junior at Stanford studying biomedical computation on the pre-med track and a former research assistant to Dr. Eggleston.

“One of the aspects of the paper that I found most interesting is its attempt to move beyond simply documenting where robots are being adopted and instead ask what their adoption may actually do to the long-term care workforce, especially given the sector’s high turnover rates and physically demanding working conditions,” says Xi.

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Overall, this empirical evidence from Japan suggests that robot adoption can augment the care workforce and improve retention, potentially improving continuity and quality of care while mitigating careworker shortages.
Eggleston, Iizuka, Lee, and Xi

Lessons from Early Diffusion of Robotics in the Long-Term Care Sector


The researchers grouped the robots prevalent in Japanese nursing homes into three main categories:

  • Transfer aids: Wearable and non-wearable devices that assist staff with lifting frail residents from beds to wheelchairs, significantly reducing back strain, a leading cause of caregiver burnout.
  • Mobility robots: Assistive systems that help residents move, use the restroom, or bathe more independently.
  • Monitoring and communication systems: Sensors that alert staff when a resident has slipped out of bed or fallen, as well as social robots designed to offer companionship and cognitive stimulation.


To examine early diffusion of these robots, the researchers used 2017 survey data on long-term care work across approximately 860 Japanese nursing homes. A second source of data is their compilation of prefecture-level care robot subsidy availability, using regional variation in robot subsidies as an instrumental variable. Think of this as a natural experiment driven by a “geographic nudge.” Starting in 2015, Japan’s central government began providing prefectural governments with funds to subsidize the cost of adopting care robots. Because different prefectures introduced these subsidies at different times and with varying levels of generosity, nursing homes in some regions had a much easier path to acquiring and deploying robots than those in neighboring areas.

By comparing staffing trends between nursing homes that received this external, subsidy-driven "nudge" to adopt robots and those that did not, the researchers could confidently isolate the technology’s causal effects on the caregiving workforce.

The results indicate that nursing homes that adopted robots saw a significant decrease in staffing retention problems. Robot adoption was also associated with a 28% increase in care workers and a 39% increase in nurses, resulting in approximately 26% higher total employment at the facility level. Importantly, this employment growth occurred entirely among non-regular employees – that is, staff members on flexible, often part-time, contracts. The findings also suggest that robot adoption may improve continuity and quality of care while mitigating careworker shortages.

“Using nationally representative data from Japan and an instrumental-variable strategy, the study provides evidence suggesting that robots can complement rather than simply replace care workers, including by alleviating retention difficulties in a sector facing persistent labor shortages and potentially supporting quality of care,” explains Xi. “The paper’s central finding is that robot adoption is associated with reduced retention difficulties and increased employment of care workers and nurses under flexible contracts.”

Given recent debates about AI use in healthcare and the future of work, I found it especially interesting that this research highlights the potential for technology to augment caregivers.
Ellie Xi

A Human-Robot Collaborative Future for Elder Care


Caregiving is a physically demanding and high-stress occupation. The study’s findings indicate that, by introducing robots to ease staff burdens and monitor residents, nursing homes were able to promote more flexible work, either by increasing the tasks performed by non-regular employees or potentially encouraging part-time work. This type of work structure is encouraged by the Japan Nursing Association as a means for reducing stress, preventing burnout, and promoting a healthier work-life balance.

“Given recent debates about AI use in healthcare and the future of work, I found it especially interesting that this research highlights the potential for technology to augment caregivers, particularly by supporting physically demanding or indirect tasks, while preserving the human aspects of care that are more difficult to reproduce,” says Xi.

The study's findings are relevant for policymakers seeking evidence on the social value of collaborative robots and their impacts on staffing and care delivery, particularly as aging societies facing demographic pressures similar to Japan consider how to meet growing demand for long-term care.

A Mentorship Story


The study is part of Eggleston’s Innovation for Healthy Aging research track, which investigates how East Asian economies adopt and adapt to emerging technologies, design incentives, and adjust their workforces to support older adults. It builds on an earlier research project focused on the impact of robots on nursing home care in Japan.

For Xi, co-authoring the paper represents an academic milestone. "As someone deeply interested in geriatrics, I first began working with Dr. Karen Eggleston as a research assistant during the summer after my freshman year," Xi recalls. "Last spring, we decided to continue working together through a directed reading."

During that directed reading, Xi was invited to help revise and update a project that had previously circulated as an Asia Health Policy Program working paper. She worked to update the research, framing the original findings within the rapidly shifting landscape of care robotics and artificial intelligence in long-term care.

"I worked on situating the original findings within more recent research and developments in care robotics and considering what Japan’s experience can tell us about the role of these technologies in aging societies today," Xi says. "It was an incredible opportunity to work closely with Dr. Eggleston, Professor Toshiaki Iizuka, and Professor Yong Suk Lee. I was especially grateful to see firsthand how a collaborative project evolves and to contribute to that process as the paper moved from a working paper toward publication.”

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Robotics and the Future of Work: Lessons from Nursing Homes in Japan

On the Future Health podcast, Karen Eggleston discusses the findings and implications of her collaborative research into the effects of robot adoption on staffing in Japanese nursing homes.
Robotics and the Future of Work: Lessons from Nursing Homes in Japan
Elderly woman's hand touching a robot's hand. Photo from a summit on AI's potential for empowering humanity.
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Six Lessons from Asia on Using AI for Aging in Place

Top aging and healthy policy experts from China, Singapore, and South Korea agree that helping older adults age at home requires addressing systemic health care bottlenecks rather than racing to build smarter AI models.
Six Lessons from Asia on Using AI for Aging in Place
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Asia's Aging Populations Drive Surging Disease Burden, Although Individual Health Improves

Across five Asian health care systems, rapid population aging drives up disease burden, particularly for chronic conditions, even as medical advancements improve outcomes for individual patients, according to a study co-authored by Stanford health economist Karen Eggleston.
Asia's Aging Populations Drive Surging Disease Burden, Although Individual Health Improves
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A service robot is displayed during the Japan Robot Week 2022 event on October 19, 2022, in Tokyo, Japan. | Tomohiro Ohsumi/Getty Images
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The study, one of the first to use institution-level data to examine service-sector robots, indicates that the adoption of care robots in Japanese nursing homes improves staffing retention, increases employment of care workers and nurses under flexible contracts, and may enhance care quality.

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Caption A service robot is displayed during the Japan Robot Week 2022 event on October 19, 2022, in Tokyo, Japan. | Photo credit Tomohiro Ohsumi/Getty Images
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Robots in Japan Ease Elder Care Shortages Without Displacing Workers or Diminishing Care Quality
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A new wave of technologies including robots, artificial intelligence, and digital platforms has raised concerns about automation and unemployment, while also bringing optimism that innovation can extend lifespans and improve quality of life. 

This paper is among the first studies using institution–level data to examine service–sector robots, focusing on Japanese nursing homes. 

Using regional variation in robot subsidies as an instrumental variable, we investigated how robot adoption affects staffing outcomes. We found that robot use reduces staffing retention difficulties and increases employment of care workers and nurses under flexible contracts. 

Our results suggest that robots help address challenges from rapid population aging and care–labor shortages, and do not necessarily harm workers or care quality.

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Karen Eggleston
Toshiaki Iizuka
Yong Suk Lee
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The following reflection is a guest post written by Sunny Park, a Fall 2020 alumna of Stanford e-Entrepreneurship Japan, which is currently accepting applications for Fall 2026.

A “smart” high school student is often defined by strong grades, perhaps alongside a few extracurricular activities to strengthen university applications. Before encountering Stanford e-Entrepreneurship Japan (SeEJ), that was largely how I viewed myself. 

I came across SeEJ during the COVID-19 pandemic through a Facebook advertisement. Like many students at the time, I was looking for something more engaging beyond school. I didn’t expect how much it would reshape the way I think about learning, ambition, and possibility. 

What made SeEJ distinct was its focus on people rather than definitions. Each session featured entrepreneurs from different industries, sharing not just what they built, but how they navigated uncertainty, failure, and personal ambition. Seeing such varied paths made me realize that entrepreneurship isn’t a fixed route; it’s a way of thinking. And that was probably the moment when things shifted for me. Until then, I had always thought of my future in fairly narrow terms: choose a subject, go to university, and follow a path that already exists. SeEJ made me realize that there are far more ways to build a life, and that entrepreneurship is less about starting a company and more about taking ownership of what you want to pursue. 

Since then, I’ve found myself saying yes to things I would have hesitated to try before. I’m now in my final year of studying Biology at Imperial College London, and I co-founded a biotech startup called Eidolon Therapeutics. At Eidolon, we’re pioneering microbial protein combinations to combat immunotherapy resistance and inflammation-driven toxicity in cancer. It was through my Year-in-Research program where I met my Co-Founders (i.e., my professor and post-doc supervisor), and I was so fascinated by the research they were conducting I couldn’t help but impatiently suggest building a company out of it. Since then, we’ve been working incredibly hard on making Eidolon real, including joining accelerator programs such as the Cancer Tech Accelerator, Venture Catalyst Challenge, and Conception X. Through building an early-stage startup, I’ve had the chance to meet people I once found intimidating, pitch ideas in front of large audiences, and build relationships that started from simple conversations. 

I don’t think any of that came from a single moment of confidence. If anything, it came from gradually becoming more comfortable with not knowing exactly what I’m doing… and trying it anyway. Based on my journey so far, here are a few reflections for students exploring a similar path:

  1. Be intentional about the opportunities you choose.

There are so many opportunities available as a student! SeEJ, in particular, showed me the value of learning environments where you actively engage with ideas and people. There are many programs available, but depth matters more than quantity. Choose opportunities where you can contribute, ask questions, and grow. 

  1. Focus on genuine connections!

One of the most valuable parts of SeEJ was the access to people with diverse experiences. What I learned is that meaningful connections come from curiosity and sincerity, not from trying to impress. When you approach people with a willingness to learn, they are often more open than you expect. 

  1. Stay engaged beyond the program.

The real impact of SeEJ extended beyond the sessions themselves. Following up with people, continuing conversations, and sharing your own progress helps turn short-term interactions into long-term relationships. Small, consistent effort makes a difference!

  1. Reflect as you go. 

Exploring entrepreneurship alongside academics can be exciting but also overwhelming. Taking time to reflect on what you enjoy, what challenges you, and what kind of path you want to build helps you stay grounded and intentional.

Looking back, SeEJ was a turning point not because it provided a single opportunity, but because it changed how I see opportunities altogether. It reminded me that there isn’t one path to follow, but many that you can create. 

Stanford e-Entrepreneurship Japan is currently accepting applications for Fall 2026. Apply at https://forms.gle/5gkHrhm3X4sycZGG8.

Stanford e-Entrepreneurship Japan is one of several online courses offered by SPICE.

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Sunny Park at the Venture Catalyst Challenge at Imperial College London, UK. | Photo courtesy of Sunny Park
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Sunny Park, an alum of Stanford e-Entrepreneurship Japan and cofounder of Eidolon Therapeutics, reflects on adopting an entrepreneur’s mindset, embracing opportunity, and creating one’s own path in life.

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