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Group photo of students, staff, and faculty in China during the 2025 SCCEI China Study Program.
Students visited the U.S. Embassy in Beijing.

In June 2025, twenty Stanford undergraduate and graduate students traveled across China on a two-week immersive program designed to deepen their understanding of the country’s economy, culture, and international relations. Led by Stanford faculty members, the program took students to eight cities across three regions in China—Hong Kong, Shenzhen, Dongguan, Guangzhou, Yiwu, Hangzhou, Shanghai, and Beijing—combining academic exchanges, site visits to leading companies and institutions, and rich cultural experiences.

The itinerary included more than a dozen in-depth site visits, giving students direct exposure to the technological, manufacturing, and financial sectors that shape China’s economy. Highlights included factory tours of OPPO and XPeng electric vehicle plant; conversations with senior executives at Tencent, Alibaba, ByteDance, and Goldman Sachs; as well as a discussion with Hong Kong’s finance under secretary. Students toured the world-famous electronics markets in Shenzhen and trade markets in Yiwu, where they spoke directly with small business owners, gaining insight into the entrepreneurial networks that fuel global supply chains. One of the program’s most impactful experiences came in Beijing, where participants visited the U.S. Embassy for a conversation with diplomatic officers about U.S.–China relations. 

Garry Piepenbrock, an economics and political science student, said that “seeing the variety of companies in China” was his favorite part of the program. He added, “there are a lot of big tech firms that we've had the privilege to visit, but also some of my favorite visits were the smaller manufacturers that had really interesting human stories behind them. The people working there and also the people running them. It's a difficult business. It's very competitive. And seeing that side of the Chinese economy was really cool.” 

There are a lot of big tech firms that we've had the privilege to visit, but also some of my favorite visits were the smaller manufacturers that had really interesting human stories behind them.
Garry Piepenbrock

Throughout the program AI emerged as a hot topic and focal area for China’s technological and economic advancement goals. Zane Sabbagh, a computer science and symbolic systems student, shared his insights on AI development in China, “given China's lag in the AI race, their model is to let one Chinese company win by open sourcing a lot of their models and then hosting other companies' models on their platform. So for example, Tencent’s chatbot and Alibaba chatbot both host DeepSeek’s models on their own app, which is super weird because ChatGPT would never host Anthropic or xAI on its own native iPhone app. That’s something I found super interesting.” 

Students also had the opportunity to compare their own academic experience through visits to multiple academic institutions in China. At the University of Hong Kong, students participated in a lecture given by Professor Zhiwu Chen on understanding Hong Kong’s history. At Peking University, students engaged with Vice Dean Li-An Zhou who gave a brief introduction on China’s economy. In addition to university exchanges, students also visited a migrant school in Beijing where they learned about the education system and connected with the young migrant students. Nazli Dakad, an earth systems student, reflected on the program and shared that, “one of my favorite parts of the trip was the migrant school. I thought that was super eye opening and contrasting to the tech focus that we've had, because it gave me a little more insight into the education system in China.”

Throughout the program students had the opportunity to engage with locals in various settings, from top executives, to factory workers, to locals out and about conducting their daily routines. Students also met with Stanford alumni based in China and learned about their career trajectories after graduation. Several students shared that building connections with people in China has been a highlight for them. Biology major Eva Shen shared, “being Chinese I feel like I've been very disconnected from China in the US, so being able to talk to all these people here [in Chinese] has been the best part for me…getting to hear their perspective, and actually getting to know them as people, has been my favorite part. When we did our interviews in the market back in Shenzhen, and we got to talk to older ladies, they reminded me of my own grandma.”

Cultural immersion was also woven throughout the journey. Students tried their hand at traditional arts such as paper cutting, brush calligraphy, and tea pan-frying; dressed in historical attire for an opera performance in Yiwu and a palace banquet in Hangzhou; and learned crafts like umbrella-making and handmade paper production. These activities provided a tangible connection to China’s long cultural heritage alongside its modern economic dynamism.

The learnings from this trip will definitely be something that I carry with me in all the ways that I think about what I want to do in my work for the rest of my career.
Adeline Liao

By the end of the program, participants had gained a multifaceted perspective on China—its economic drivers, its cultural traditions, and its evolving role on the world stage. “This program was about more than just observation—it was about engagement,” said SCCEI Co-director Hongbin Li. “Our students came away with firsthand experiences and conversations that will shape how they think about China for years to come.”

Discover more on our program page including student reflection videos, program photos, and more.


Watch the Program Highlights Reel

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2025-25 sccei graduate student research fellowship awardees banner image with headshots of Alicia Chen and Matthew DeButts.
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Two Stanford Ph.D. Candidates Receive SCCEI Fellowships to Further Impactful Research on China

SCCEI awarded Alicia Chen and Matthew DeButts with competitive research fellowships for the 2025-26 academic year to pursue research on China.
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2024 SCCEI Summer Study Program group photo at Peking University.
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SCCEI Launches Inaugural Summer Study Program Aimed at Understanding China’s Economy

Under the guidance of SCCEI’s faculty directors, 16 students traveled across urban and rural China, embarking on field visits including education, healthcare, retail technology, and manufacturing to gain a deeper understanding of China’s economy.
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Shanjun Li to Lead New Research Program on Sustainability and Energy Transition in China

SCCEI's newest research program addresses the pressing sustainability challenges facing China and examines their broader global implications. Grounded in rigorous empirical analysis and economic modeling, researchers aim to inform the development of effective evidence-based policy solutions as well as uncover valuable lessons for other countries navigating similar economic and energy transitions.
Shanjun Li to Lead New Research Program on Sustainability and Energy Transition in China
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Led by Stanford faculty members, 20 Stanford students traveled across China engaging in academic exchanges, site visits to leading companies and institutions, and rich cultural experiences to gain a deeper understanding of the country’s economy, culture, and international relations.

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SCCEI Senior Research Scholar Chenggang Xu’s latest book, Institutional Genes: Origins of China's Institutions and Totalitarianism, offers a reinterpretation of China’s political and institutional development. Drawing from decades of research, Xu introduces the concept of "institutional genes"—the enduring foundational structures that shape and constrain how institutions evolve. Through this lens, he examines the emergence and evolution of China’s current communist totalitarian institution, contending that substantial parts of its "institutional genes" were implanted by Soviet Russia, building upon a longstanding tradition of authoritarian rule dating back to imperial China.

Book cover: Institutional Genes: Origins of China's Institutions and Totalitarianism by Chenggang Xu

With insights spanning political economy, institutional economics, and history, Institutional Genes presents a compelling account of why China’s institutions have taken their particular form—why they have resisted democratization—and why its economic reforms have risen and fallen. Xu’s work will appeal to scholars, policymakers, and general readers seeking a deeper understanding of how China’s past continues to shape its political trajectory today. 

Institutional Genes: Origins of China's Institutions and Totalitarianism, previously published in Chinese, is currently available for pre-order and will be published and available to the public on August 21, 2025. For more from Xu, read his recent essay, The Origins of China’s Institutions and Totalitarianism, based on his forthcoming book.


    

Headshot of Dr. Chenggang Xu.

Chenggang Xu

Senior Research Scholar, Stanford Center on China's Economy and Institutions
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Landscape aerial view of Haikou City, China.
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Shanjun Li to Lead New Research Program on Sustainability and Energy Transition in China

SCCEI's newest research program addresses the pressing sustainability challenges facing China and examines their broader global implications. Grounded in rigorous empirical analysis and economic modeling, researchers aim to inform the development of effective evidence-based policy solutions as well as uncover valuable lessons for other countries navigating similar economic and energy transitions.
Shanjun Li to Lead New Research Program on Sustainability and Energy Transition in China
Elizabeth Economy speaks during a Fireside Chat.
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Strategic Shifts: Understanding China’s Global Ambitions and U.S.-China Dynamics with Elizabeth Economy

At the 2025 SCCEI China Conference, Elizabeth Economy, Hargrove Senior Fellow at the Hoover Institution, outlined China’s ambitious bid to reshape the global order—and urged the U.S. to respond with vision, not just rivalry, during a Fireside Chat with Professor Hongbin Li, Senior Fellow and SCCEI Faculty Co-Director.
Strategic Shifts: Understanding China’s Global Ambitions and U.S.-China Dynamics with Elizabeth Economy
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Stanford Professor Matteo Maggiori Unpacks the New Geopolitics of Global Trade

Professor Maggiori joined SCCEI and Stanford Libraries to discuss how the U.S. and China apply economic pressure to achieve their political and economic goals, and the economic costs and benefits that this competition is imposing on the world.
Stanford Professor Matteo Maggiori Unpacks the New Geopolitics of Global Trade
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SCCEI Senior Research Scholar Chenggang Xu’s latest book, "Institutional Genes: Origins of China's Institutions and Totalitarianism", explores the origins and evolution of China's institutions and communist totalitarianism.

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This conference is hosted by Stanford Next Asia Policy Lab (SNAPL) at Shorenstein Asia-Pacific Research Center (APARC) with support from the Freeman Spogli Institute for International Studies (FSI).

The conference, “Beyond a New Cold War: Political Messaging and Public Perceptions on China”, aims to present and discuss new research findings on how U.S. political leaders and the media shape narratives around China, and how those narratives are perceived by citizens in the Asia-Pacific region.

11:40am - 12:25pm Lunch

12:25pm - 12:30pm Welcome Remarks

Gi-Wook Shin,  Director of Shorenstein APARC; Director of SNAPL; Professor of Sociology, Stanford University

12:30pm - 1:50pm Panel 1

Who’s Leading Whom? Measuring Issue Attention and Rivalry Framing of China by Legislators, Presidents, and the Media

This panel examines how issue attention and framing related to China have evolved across Congress, the executive branch, and major U.S. media outlets, using social media posts from 2009 to 2024. By analyzing the direction and dynamics of influence among these actors, the research offers new insights into how U.S. foreign policy narratives on China are shaped and circulated.

Presenter: Xinru Ma, Research Scholar at SNAPL, APARC, Stanford University

Discussant: Thomas Christensen, James T. Shotwell Professor of International Relations; Director of the China and the World Program, Columbia University

1:50pm - 2:00pm Break

2:00pm - 3:20pm Panel 2

Democracy versus Autocracy in Foreign Policy: Public Attitudes toward China in Young Democracies

This panel discusses the role of democracy in forming public opinion on China. By focusing on citizens in young democratic countries, the study examines how public understanding of democracy in such countries shape their perception of China’s threat to democracy and thus exhibit anti-China sentiments. Using survey data analyses and an original survey experiment, the study demonstrates that China’s threats to electoral institutions—rather than liberal values—more strongly generate unfavorable attitudes toward China.

Presenter: Gidong Kim, Visiting Scholar and SNAPL Fellow at APARC; Assistant Professor of Political Science, Hankuk University of Foreign Studies

Discussant: Susan Hyde, Robson Professor of Political Science, University of California, Berkeley

3:20pm - 3:30pm Break

3:30pm - 5:00pm Roundtable (closed door discussion)

Where Do We Go From Here? Policy Implications and Future Research

This closed-door roundtable brings together policymakers, scholars, and practitioners to discuss the policy implications of the day’s research findings. Participants will explore how insights on elite discourse and public perceptions can inform future U.S. foreign policy toward China and identify priorities for further research.

Moderator: Paul Chang, Deputy Director of Korea Program; Senior Fellow at APARC;  Professor by courtesy, East Asian Languages and Cultures, Stanford University

Discussants:
Piero Tozzi, Deputy Staff Director of the Congressional-Executive Commission on China
David Arulanantham, former Robert and Marion Oster National Security Affairs Fellow at the Hoover Institution, Stanford University

5:00pm - 5:05pm Closing Remarks

Gi-Wook Shin, Director of Shorenstein APARC; Director of SNAPL; Professor of Sociology, Stanford University

David Arulanantham

David Arulanantham, a Stanford alumnus, was a Robert and Marion Oster National Security Affairs Fellow at the Hoover Institution from 2023-2024.  A career Foreign Service Officer with the U.S. Department of State since 2005, David has more than two decades of experience living in and working on the countries of the Indo-Pacific region.  During his time at the Department of State, he has also served on the Secretary's Policy Planning Staff. David has a Masters in International Relations from Oxford University, and a Bachelor's in International Relations and Political Science from Stanford University where he published articles on Indian foreign policy.  David is involved in several public service and mentoring initiatives and can speak French, Hindi, Tamil and Bengali. 

Paul Chang headshot

Paul Y. Chang is the Tong Yang, Korea Foundation, and Korea Stanford Alumni Association Senior Fellow at Shorenstein APARC; Senior Fellow at FSI; and Professor by courtesy in the Department of East Asian Languages and Cultures at Stanford University. Chang also serves as the Deputy Director of the Korea Program at Shorenstein APARC and the President of the Association of Korean Sociologists in America. He is the author of Protest Dialectics: State Repression and South Korea’s Democracy Movement, 1970-1979 (Stanford University Press) and co-editor of South Korean Social Movements: From Democracy to Civil Society (Routledge). His current work examines the diversification of family structures in South Korea. Before joining Stanford, Chang served on the faculty at Harvard University, Yonsei University, and the Singapore Management University.

Thomas Christensen

Thomas J. Christensen is James T. Shotwell Professor of International Relations and Director of the China and the World Program at Columbia University’s School of International and Public Affairs and the Pritzker Chair at the Center for Strategic and International Studies in Washington, DC.  He was previously William P. Boswell Professor of World Politics at Princeton University.  From 2006-2008 he served as Deputy Assistant Secretary of State for East Asian and Pacific Affairs with responsibility for relations with China, Taiwan, and Mongolia. His research and teaching focus on China’s foreign relations, the international relations of East Asia, and international security.  He has also taught at Cornell University and MIT. He received his B.A. from Haverford College, M.A. from the University of Pennsylvania, and Ph.D. from Columbia University. He was presented with a Distinguished Public Service Award by the United States Department of State.

Susan Hyde headshot

Susan D. Hyde, an expert on democracy promotion and international political institutions, is the Robson Professor of Political Science at University of California, Berkeley, where she served as Chair of the Department of Political Science (AY 2021-2024) and is currently Co-director of the Institute of International Studies (2021-present).   Her research focuses on threats to democracy, the role of regime type in international affairs, and international influences on the domestic politics of sovereign states. Hyde is a political scientist whose research examines threats to democracy, the role of regime type in international affairs, and international influences on the domestic politics of sovereign states, particularly in authoritarian regimes and transitional democracies. She has served on editorial boards of leading political science journals and has been a residential scholar at the Brookings Institution and Princeton's Niehaus Center for Globalization and Governance.

portrait of Gidong Kim

Gidong Kim currently serves as Associate Professor at Hankuk University of Foreign Studies' Department of Political Science and Diplomacy, and he joins as Visiting Scholar, SNAPLFellow for the summer of 2025. Previously, he was Korea Program Postdoctoral Fellow at APARC beginning August 2023 until February 2025. He holds a Ph.D. in Political Science from University of Missouri, as well as both a M.A. and a B.A. in Political Science from Hankuk University of Foreign Studies. He studies comparative political behavior and economy in East Asia, with particular focus on nationalism and identity politics, inequality and redistribution, and migration in South Korea and East Asia. His work is published or forthcoming in journals including Journal of East Asian Studies, Journal of Ethnic and Migration Studies, Asian Perspective, Korea Observer, and Social Science Quarterly. His dissertation, “Nationalism and Redistribution in New Democracies: Nationalist Legacies of Authoritarian Regimes,” investigates the micro-level underpinnings that sustain weak welfare system in developmental states.

Xinru Ma headshot

Xinru Ma's research focuses on nationalism, great power politics, and East Asian security with a methodological focus on formal and computational methods. More broadly, Xinru’s research encompasses three main objectives: Substantively, she aims to better theorize and enhance cross-country perspectives on critical phenomena such as nationalism and its impact on international security; Methodologically, she strives to improve measurement and causal inference based on careful methodologies, including formal modeling and computational methods like natural language processing; Empirically, she challenges prevailing assumptions that inflate the perceived risk of militarized conflicts in East Asia, by providing original data and analysis rooted in local knowledge and regional perceptions. Her work has been published in the Journal of East Asian Studies, The Washington Quarterly, the Journal of Global Security Studies, and the Journal of European Public Policy, and in edited volumes through Palgrave. Her book, Beyond Power Transitions: The Lessons of East Asian History and the Future of U.S.-China Relations, was recently published by Columbia University Press. At SNAPL, Xinru leads the research track in collaborative projects focused on U.S.–Asia relations

Gi-Wook Shin headshot

Gi-Wook Shin is the William J. Perry Professor of Contemporary Korea in the Department of Sociology; senior fellow at the Freeman Spogli Institute for International Studies; the director of the Walter H. Shorenstein Asia-Pacific Research Center (APARC) since 2005; and the founding director of the Korea Program since 2001, all at Stanford University. In May 2024, Shin also launched the new Taiwan Program at APARC. As a historical-comparative and political sociologist, his research has concentrated on social movements, nationalism, development, democracy, migration, and international relations. In Summer 2023, Shin launched the Stanford Next Asia Policy Lab (SNAPL), which is a new research initiative committed to addressing emergent social, cultural, economic, and political challenges in Asia. Across four research themes– “Talent Flows and Development,” “Nationalism and Racism,” “U.S.-Asia Relations,” and “Democratic Crisis and Reform”–the lab brings scholars and students to produce interdisciplinary, problem-oriented, policy-relevant, and comparative studies and publications. Shin’s latest book, The Four Talent Giants, a comparative study of talent strategies of Japan, Australia, China, and published by Stanford University Press in June 2025, is an outcome of SNAPL.

Piero Tozzi headshot

Piero A. Tozzi is currently the Deputy Staff Director of the Congressional-Executive Commission on China, having served as Staff Director in the 118th Congress. His previous positions include Republican Staff Director of the bipartisan Tom Lantos Human Rights Commission and Staff Director and Counsel for the House Foreign Affairs Subcommittee on Africa, Global Health, Global Human Rights, and International Organizations. He has also served as Senior Foreign Policy Advisor and Counsel to Representative Christopher H. Smith (R-NJ). Mr. Tozzi received his J.D. from Fordham University School of Law and his B.A. from Columbia University. Mr. Tozzi speaks Mandarin Chinese, and is the author of several works on international law and comparative constitutional law, including Constitutional Reform on Taiwan: Fulfilling a Chinese Notion of Democratic Sovereignty.

 

 

 

 

Okimoto Conference Room, Encina Hall, 3rd Floor
616 Jane Stanford way, Stanford University

By invitation only
Contact: xinruma@stanford.edu

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Sustainability and energy transition research program banner with text superimposed a city landscape in China half greenery, half skyscrapers, and a road leading through the middle.

The Stanford Center on China’s Economy and Institutions (SCCEI) is pleased to announce the launch of the Sustainability and Energy Transition (SET) research program led by Professor Shanjun Li. As China navigates pressing sustainability challenges, the SET program aims to generate empirical research to understand the trade-offs, impacts, and institutional dynamics of the country’s sustainability efforts and develop effective evidence-based solutions to the challenges China and the world face. 

The program will focus on three key areas: sustainability challenges, energy transition, and policy solutions. Researchers will aim to identify and understand the underlying economic drivers of sustainability challenges, such as environmental degradation, resource stress, energy insecurity, and urban traffic congestion, and the consequences for growth, equity, and resilience. They will also examine the shift from fossil fuels to clean energy and how and why China has emerged as a global leader in the field. Through the use of high resolution data and rigorous empirical methods, SET researchers aim to generate evidence on the economic and social impacts of sustainability threats across regions and populations, as well as the mechanisms and effectiveness of adaptation. 

Through close collaboration with scholars in China, across Stanford University, and beyond, the SET program aims to inform both academic debates and policy decisions. Its work will support efforts to balance economic growth with environmental protection and aims to contribute to the global conversation on energy transitions across emerging economies.



The Sustainability and Energy Transition research program is led by Shanjun Li, Senior Fellow at the Freeman Spogli Institute for International Studies and Professor at the Doerr School of Sustainability. A leading scholar in environmental and energy economics, Li brings deep expertise on the economic and institutional drivers of sustainable development, with a particular focus on China. His research has informed policy debates on emissions pricing, electric vehicle adoption, and clean energy transitions.

To learn more about the program, visit the SET research page.

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SCCEI's newest research program addresses the pressing sustainability challenges facing China and examines their broader global implications. Grounded in rigorous empirical analysis and economic modeling, researchers aim to inform the development of effective evidence-based policy solutions as well as uncover valuable lessons for other countries navigating similar economic and energy transitions.

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The escalation between India and Pakistan over the terrorist attack in Pahalgam, Kashmir is revealing important insights into India's evolving defense posture and military capabilities. Arzan Tarapore joins Michael McFaul to discuss what happened between April 22 and May 10, what the clash says about the security landscape of the Indo-Pacific region, and why it matters in global politics.

Arzan Tarapore is a research scholar at the Center in International Security and Cooperation at the Freeman Spogli Institute for International Studies at Stanford University. His work focuses on Indian military strategy and regional security issues in the Indo-Pacific. Prior to his scholarly career, he served for 13 years in the Australian Defence Department in various analytic, management, and liaison positions, including operational deployments and a diplomatic posting to the Australian Embassy in Washington, D.C.

Watch the video version of their conversation above, or listen to the audio below, on Apple Podcasts, Spotify, and other major podcast platforms. 

TRANSCRIPT:


McFaul: You're listening to World Class from the Freeman Spogli Institute for International Studies at Stanford University. I'm your host, Michael McFaul, the director of FSI.

Today I'm talking to Arzan Tarapore, a research scholar at the Center on International Security and Cooperation, which is part of the Freeman Spogli Institute here at Stanford. His work focuses on India's military strategy and regional security issues in the Indo-Pacific, which is why he is the perfect person to talk with us today about the escalation earlier this year between India and Pakistan in the Kashmir region. And India's evolving military strategy more generally, as it relates to players like the United States, China, and Russia.

Arzan, welcome to World Class.

Tarapore: Thanks very much, Mike. It's good to be on.

McFaul: So, I want to start with a chat group I was on several weeks ago with a bunch of former U.S. government officials. And at one point, somebody interjected, “We are about to see the biggest military war in the world since Russia invaded Ukraine.”

And I have to tell you, I was taken aback. I don't follow issues between Pakistan and India as closely as I should, and I look forward to learning more about that now that my book is done and I have more time.

But that really startled me. Take us back to that moment. Help us understand what occurred that made people so alarmist, and then why that didn't turn out to be the case.

Tarapore: Yeah, okay, that's a very big question. Let me see if I can hit all the high spots. Look, the trigger for that comment, probably, was a terrorist attack that happened in India at a place called Pahalgam on the 22nd of April. And it was an attack that was conducted, as far as we can judge, by a Pakistan-based terrorist group that attacked innocent civilians.

And in particular, it was designed, it seems, to be as inflammatory, as provocative as possible, right? Because the terrorists were at a tourist spot, and they rounded up people and got those people to identify themselves — whether they were Hindu or Muslim — and they executed the Hindu men.

McFaul: Wow. Oh my God.

Tarapore: So it was designed to be as communal and as provocative as possible. And in that sense, it worked because the Indian government almost immediately was assumed to be poised to retaliate.

And this is interesting. This is notable, because about as recently as a decade ago, it was always an open question whether India would retaliate militarily against these types of terrorist attacks. And the situation has changed so much in the past decade that this time around it was almost assumed from the get-go that India would retaliate. And indeed they did retaliate.

McFaul: And they did.

Tarapore: And they did. And probably the reason that that member of your group chat said what they said is because India and Pakistan have, for decades, been poised with their militaries pointed at each other. These are very large militaries, very capable militaries. And nuclear armed militaries.

McFaul: Yes. Let's not leave out that small fact.

Tarapore: Exactly, right? Which is always overriding concern in Washington. So, it was President Clinton who, back in the 90s, called South Asia the most dangerous place in the world. He identified India Pakistan as the sort of scenario that if any scenario in the world was going to lead to a nuclear exchange, since the 90s there's been a strong case to be made that it would be India Pakistan. And that's always colored American thinking whenever there's a crisis between India and Pakistan and this time around was no different.

McFaul: And tell us how it played out, and how it ended.

Tarapore: So, the inevitable—that is, an Indian military attack—happened on the night of 6-7 May. So, in the very early hours of the 7th of May, local time. At about 1 a.m., India launched standoff attacks, meaning attacks launched by aircraft that did not cross into Pakistani airspace.

So the Indian aircraft stayed on the Indian side of the border and launched long-range munitions plus probably some loitering munitions, so sort of what some people call suicide drones. So, drones that are designed to go to the target and destroy the target and themselves.

S,o India launched these standoff attacks against nine terrorist targets, terrorist sites.

McFaul: And they were terrorist sites, right?

Tarapore: Yes. So there's a line of Pakistani information operations that suggests that civilians were killed. That may or may not be true. But certainly the Indian position is that they were terrorist targets and that the Indian claim is that the strike was designed to minimize civilian casualties as far as possible. Hence they attacked, for example, at 1 a.m., right, when places were probably not occupied.

McFaul: Got it.

Tarapore: So, a bunch of these sites were sort of in the countryside. And we know that because they showed the full motion video of the sites being destroyed by the missiles and they are just for some of them were just a building in the middle of the countryside or a couple of others that were terrorist headquarter complexes in the middle of cities and these are big sort of campuses that include living quarters and operation centers and mosques all on the same campus. And a couple of those sites were struck as well.

But again, at 1am and in a very targeted fashion to minimize civilian casualties. And by and large, they did a pretty good job of minimizing civilian casualties.

McFaul: So they could have done more and they chose this kind of response, right?

Tarapore: Exactly. And not only that, but they also in the subsequent press briefings, they were very clear in saying, “Listen, our quarrel is with the terrorists. We do not intend to start a war with Pakistan. We will respond if Pakistan responds to us. But we very deliberately have not struck Pakistan military targets or targets of the Pakistan state. We've only struck terrorists. And so as far as we are concerned, we have done what we needed to do. Now it's up to Pakistan to stand down and not retaliate.”

Of course, there was no chance of that happening. Pakistan did retaliate. And so then we entered a period of about three or three and a half days of tit for tat attacks between India and Pakistan. Again, all of them largely targeting each other's particular military sites; everything from sort of air defence sites to air bases on each side.

McFaul: On each side, right?

Tarapore: On each side.

McFaul: And did planes cross the line, or was it was the same kind of thing that you just described?

Tarapore: Planes never crossed the line, as far as we know. So, even though there were claims that some aircraft were shot down on the Indian side, and the Indian military leadership has subsequently conceded that, admitted that.

McFaul: So there were? That has been confirmed? I didn’t know that.

Tarapore: They have confirmed that they suffered some losses. They have not confirmed how many or what type. But it seems to be somewhere in the order of two to five Indian aircraft were shot down.

A bunch of Pakistani air bases were struck by Indian Air Force strikes. And this time around, unlike in the last crisis in 2019, the Indians were very assiduous in releasing battle damage assessment—photography and video—to prove they did actually hit these targets.

And through this whole process of about three and half days of tit for tat strikes, where the Indians scored a few big strikes against the Pakistan military and the Pakistan military did not really score any big hits against the Indian military. There were a few rounds that went astray and did sort of hit civilian targets, but by all accounts unintentionally. Through this all, the two militaries tried to keep things relatively proportionate. Neither one took big steps. They did not cross big thresholds to escalate.

But then on the last day, there were some concerns that Pakistan was in fact preparing for a bigger escalation. That's when the U.S., which had hitherto sort of tried to stay hands off, that's when the U.S. started making some phone calls to both capitals.

And then as probably prompted by that, prodded by U.S. pressure, Pakistan made a phone call to India—the Director General of Military Operations made a phone call to his opposite number in India—suggesting a ceasefire, which India agreed to. And that was the end.

So it was about a three and a half day stoush, little conflict, mostly run by missiles and loitering munitions. So no one crossed into the other country’s territory. It was a very sort of modern conflict in that sense.

McFaul: So, I want to get back to the Americans in a minute, but before that: what did you learn about Pakistani military capabilities and Indian military capabilities as a result of this?

Tarapore: So it was pretty interesting. It was very interesting, actually. Because for decades, basically throughout the 21st century, we have been worried about the prospect of a conventional war between India and Pakistan as a result of a terrorist attack.

And the mental model that we've always had is a large, combined arms, ground-centric invasion by India against Pakistan, right? Basically a war.

And for years, India has been trying to find options short of that in a way that would not prompt a Pakistan nuclear escalation. And it seems, after a couple of crises, that India has found a way to hit back at Pakistan militarily using these standoff capabilities that are relatively new in the Indian arsenal.

So, India has recently acquired a lot of these capabilities that have given it the strategic option to hit Pakistan without starting a war, So, when you ask, what did we learn about their capabilities, we learned that India has the capability to conduct these standoff attacks. And interestingly, from my point of view, the real star for the Indian military was air defense.

Whereas India managed to score a few good hits against the Pakistan Air Force and the terrorist infrastructure on day one, the really interesting thing was that despite Pakistan launching a bunch of mostly drone attacks against India, they did not score any significant hits. And this was a result of a layered air defense system that India has built up, which I was surprised by. The effectiveness was surprising.

McFaul: And where do their missile defenses come from? Are they Russian? Are they mixed?

Tarapore: I'm glad you asked Mike. They come from all over. A lot of it is indigenous.

McFaul: Indigenous! Okay, I didn't know that.

Tarapore: Some of it is indigenous, the shorter range. There's a surface-to-air missile called Akash, which is an indigenous system. There are some old legacy guns that the army operates that prove very effective.

But the really interesting thing that think that you would find in particular interesting is that the most sophisticated—which is to say, the most recently acquired and longest range system that provides the biggest bubble—was the S-400, which India acquired from Russia, much to the chagrin of the United States.

McFaul: Yes, the United States. It was a huge fight, right?

Tarapore: Yup! The U.S. threatened CAATSA sanctions against India for it.

McFaul: Tell everybody what CAATSA sanctions are. It’s a specific category of sanctions passed in the Trump administration, wasn’t it?

Tarapore: Yep, which is designed to deter countries from acquiring Russian equipment. So, the Indian deal to acquire S-400s was happening contemporaneously and the U.S. was always on the horns of a dilemma whether they should enforce CAATSA sanctions against India or issue a waiver.

As far as I recall, the U.S. decided to not make a decision. They never imposed the CAATSA sanctions, but nor did they issue an indefinite waiver. So it was always something that years ago was sort of hanging over the head of the relationship that the U.S. did not go through with sanctioning India. And the Indians now, after Op Sindoor, after this clash, now feel vindicated that in fact they acquired S-400s and you know what? They they proved to be extremely effective in protecting India.

McFaul: Super interesting. So they were right. I remember when we were trying to prevent the Russians from selling the S-400s to the Iranians during our negotiations over the Iran nuclear deal long ago. On paper, this was a significant capability. It sounds like in reality it is as well.

Tarapore: It absolutely is.

McFaul: Let's talk about the geopolitics. Let's just talk about the reaction. Walk us through U.S., China, Russia. How did they react to this conflict? And what are your takeaways in terms of the geopolitics of a very complicated set of bilateral relationships, especially with India, it seems to me, but with Pakistan as well.

How did the great powers react? And what do we learn about great power competition from this conflict?

Tarapore: So as you would know, as listeners would know, China is Pakistan's primary patron, great power patron. It provides Pakistan the bulk of its military capability. And in fact, this India-Pakistan clash was seen by some in some quarters as a test of Chinese military capability . . .

McFaul: Yes.

Tarapore: . . .  because the Pakistanis operate so much Chinese equipment.

Well, I think it's not a very good test of Chinese capability for many reasons. One, because the equipment itself that Pakistan operates is lower grade export variants of what China’s is. It's not integrated into a system in Pakistan in the same way as it is in China. And it's not used with the same what we would call “multi-domain doctrine” as the Chinese use.

So it's not a very good test of the Chinese equipment.

McFaul: Okay, well that's an important point, a very important point. They don't have the best stuff.

Tarapore: Yeah, that's right. They don't have the best stuff and they don't use it “properly,” quote unquote, in the same way that the Chinese do.

So, from the Indian point of view, this is a country, India, that has always been concerned about what they call the collusive two front threat: Pakistan and China ganging up on India, where if there was a crisis or a conflict with one, then India was always concerned that the other rival would opportunistically take advantage of it and open a second front.

I've always been skeptical of that. And I think what this conflict showed was what India considers to be no longer a two front dilemma, but one reinforced front. Because in this view, Pakistan was essentially, if not an appendage of China, it was nevertheless underwritten by China.

It may, according to some accounts, have benefited from real-time Chinese support during the conflict. For example, intelligence support, electronic warfare support by China, perhaps even Chinese personnel helping to advise Pakistan on how to use its weapons and how to plan and operate them. We don't know if that's true, but that's a possibility.

McFaul: Speculation, interesting That's a big step.

Tarapore: It is a big step. And so if you ask about China's approach to this, then clearly China is not neutral in this, right? China is underwriting Pakistan in this. But openly, diplomatically, it's not going to take a position and it's not going to take advantage of this sort of conflict to cause trouble on the India-China border. It's not that sort of exploitation.

Similarly, as with the U..S, there were Russian comments throughout this conflict that either proponents of an India-Russia relationship or critics of an India-Russia relationship could use instrumentally.

Some people, sometimes some Russian officials said something about India and Pakistan sort of creating this sense of equivalence that in fact they're not on our side, that they're being ambivalent. Others would say that no, in fact, Russia was more solidly behind us than any other country was.

And the same occurred with the U.S. There were U.S. officials who commented that either India is a victim of terrorism and that Pakistan is a perpetrator of terrorism, which pleased Indians, or that this conflict is none of our business, that it's something for India to handle, which they could live with.

Or, when President Trump started talking about India and Pakistan having been at war for a thousand years or whatever he said . . .

McFaul: Thousand years, he said. Yes.

Tarapore: . . . Indians rolled their eyes and were frustrated because for decades Indian officials have been trying to get Americans to internalize this idea that India is an important partner of the U.S. and that this hyphenation between India and Pakistan is an outdated idea that no longer applies.

And now here we have a President of the United States, again talking about India and Pakistan in the same breath, talking about having mediated between them, talking about having coerced both sides using the cudgel of trade deals, and promising to get the two sides to sit down and talk about Kashmir.

All of these things to anyone who doesn't follow South Asia, prima facie sound reasonable. To anyone who follows South Asia, these are all red lines and big alarm bells, especially in India, because they go against decades of American policy.

And so it was a sense of, in the extreme, a sense of betrayal. Or at a minimum, was a sense of rolling your eyes at a president who has not been well briefed.

McFaul: Who doesn't know the details. So what do you think? Was it was he just winging it, or was this really a policy change that was scripted?

Tarapore: No. So the interesting thing is, I mean, if you look at what the United States, quote unquote, deep state did—that is, the State Department, the U.S. State Department and the Secretary of State Marco Rubio—their comments were very consistent with U.S. policy over the last couple of decades. The concern is strategic stability, that these are two nuclear armed countries, we don't want conflict escalating carelessly, and that India is in fact a victim of terrorism and that, you know, there's no role for the United States to mediate a Kashmir issue.

There was none of that sort of sense, right? The State Department and the Secretary of State played a very straight bat and were consistent. It was President Trump who spoke extemporaneously about a conflict he seems to be not well-versed in, which has raised heckles.

But also, on the one hand, we can say that this is just a president speaking extemporaneously. On the other hand, he is the commander in chief of the United States.

McFaul: Exactly, yeah, right, exactly.

Tarapore: So you can't quite ignore what he says.

McFaul: Right. And just two seconds on the Russians. You gave us a little bit of it, but did they seem pleased? Obviously, they seem pleased with how their S-400s performed. Is this another – because obviously Modi has a pretty special relationship with Putin, I would say, compared to other leaders of democracies. Is this seen as a sign of closer relations between India and Russia, or is that too far?

Tarapore: I think that's going too far. I think the broader trend of India trying to wean itself off Russia remains, but it may have been set back a little bit by this. And what I mean by that is, for example, even if you take just the S-400s themselves, India bought five regiments of them and only has taken delivery of three of them.

COVID interrupted the deal, right? COVID interrupted the deliveries and then the Ukraine war interrupted the deliveries.

McFaul: Okay, I didn't know that.

Tarapore: And so the Indians are still waiting to take delivery of two regiments. And now, again, as we've said, this conflict seems to have vindicated the Indian decision to acquire S-400s. And that in fact, you know, there may be niche military capabilities that the Russians can offer India that proved to be operationally useful. So this relationship is far from a relic, right? This relationship is very much a live relationship that yields dividends for India.

McFaul: Great point. And tragically, the Russians have learned a lot about how to use drones in Ukraine. I just talking to some officials who work on European security, and they are way far ahead of where we expected them to be in terms of that. That could be an exportable technology in the future for other countries, for sure.

Tarapore: Absolutely.

McFaul: So to close out: give us your sense of what's next. What do you think happens here? Is this just a one-off or are you worried about other escalatory events?

Tarapore: An India-Pakistan crisis is never a one-off.

McFaul: That's a good point! I shouldn't laugh, but it's been there for a long long time.

Tarapore: It's been there for a long, long time. So, the sub-conventional campaign of terrorism based in Pakistan against India will continue. And as I said at the outset, what used to be hard to think of and then became a question of uncertainty has now become a certainty that India will retaliate.

Modi, after this conflict, gave a speech where he basically pledged that any future attack against India will be met with retaliation, Indian military retaliation. So it is now a matter of policy that India will retaliate against Pakistan.

McFaul: Before go on: we have not—the United States and obviously not China—we do not have enough influence vis-a-vis Pakistan to shut those terrorist camps down, right?

Tarapore: No way. This is foundational to the Pakistan army, foundational to the most powerful political actors in Pakistan.

McFaul: Got it.

Tarapore: And I think what this latest conflict shows is that India also recognizes that it is futile to try and dissuade the Pakistani military-jihadi complex from attacking India.

That used to be what they tried to do: to dissuade them, to deter them. What we've seen in 2025 is India recognizing it cannot dissuade Pakistan. It must instead impose costs upon these terrorists, and now the Pakistan army as well, so that it just makes it harder for them to attack India, so that attacks become less frequent and less provocative.

That seems to be where India is leaning. It is expecting future attacks from Pakistan And it's correct. And it will retaliate next time. That is a highly probable eventuality.

The question for me is, okay, so we now expect this sort of conflict to recur. The question is, what does it mean for India's overall defense posture, including what lessons does India learn for deterring conflict with China on the land border. And what does it mean for India's ability to project power into the Indian Ocean region? This is a country that faces challenges, security challenges on all sides.

And every time one of these fronts becomes active and it seizes the attention of decision makers in Delhi, the concern is that India will react to it and it will over learn the lessons of the last crisis and it will come at the expense of other priorities elsewhere.

So that'll be the thing that I watch. To what extent does this cast a shadow over Indian security planning for the months and years ahead?

McFaul: Wow, it sounds super scary. It sounds like Clinton was right, what he said back then. And when you add, as you did, we're talking about two nuclear powers. Obviously, China is a nuclear power.

Tarapore: Three!

McFaul: Three. This is frightening part of the world. That's why we're grateful, Arzan, to have you on World Class! We're grateful to have you at FSI and at Stanford, because we’ve got to be following this issue. So thanks for joining World Class today.

Tarapore: Absolutely my pleasure. Thanks Mike, for bringing some attention to this issue.

McFaul: You've been listening to World Class from the Freeman Spogli Institute for International Studies at Stanford University. If you like what you're hearing, please leave us a review and be sure to subscribe on Apple, Spotify, or wherever you get your podcasts to stay up to date on what's happening in the world, and why.

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On World Class Podcast, Arzan Tarapore and Michael McFaul discuss the latest escalation between India and Pakistan and what ongoing tensions in the Indo-Pacific could mean for geopolitical security.

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When Stanford sociologist Gi-Wook Shin left his home country of South Korea in 1983 to pursue graduate studies at the University of Washington, he was certain he would return to Korea upon graduation. More than 40 years later, Shin, the William J. Perry Professor of Contemporary Korea and a senior fellow at the Freeman Spogli Institute for International Studies, is still in the United States. 

Yet he does not consider himself a case of brain drain for Korea. Shin, who is also the founding director of the Korea Program at the Shorenstein Asia-Pacific Research Center (APARC) and APARC director, has continuously contributed to Korea by leading transnational collaborations, researching and publishing on pressing issues in Korean affairs, and otherwise engaging in diverse intellectual exchanges with the country.

Shin’s experiences sparked his interest in the sociological patterns of mobile talent and a central question: How do countries attract, develop, and retain talent in a globalized world? His new book, The Four Talent Giants (Stanford University Press, 2025), explores that question regarding transnational talent flows from a comparative lens by examining how four strikingly different Asia-Pacific nations – Japan, Australia, China, and India – have become economic powerhouses.

We interviewed Shin about his book – watch:

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The book’s main idea, Shin explains, is that how countries manage talent is key to their strength and future success. He calls the four Asia-Pacific nations the book examines “talent giants” because each has used a distinct talent strategy that has proven critical to national development. Three of these nations – China, Japan, and India – are among the top five economies in the world in terms of GDP, and Australia, despite its relatively small population size, is third in terms of wealth per adult.

In The Four Talent Giants, Shin investigates how these four nations have become global powers and sustained momentum by responding to risks and challenges, such as demographic crises, brain drain, and geopolitical tensions, and what lessons their developmental paths hold for other countries.

There is no ‘one-size-fits-all’ path to development [...] Rather, the ‘talent giants’ have developed distinctive talent portfolios with different emphases on human versus social capital, domestic versus foreign talents, and homegrown versus foreign-educated talents.
Gi-Wook Shin

A New Framework for Studying Human Resource Development 


Asia’s robust economic growth over the past forty years is nothing short of a remarkable feat. The Asia-Pacific today continues to be the world's fastest-growing region, despite global economic uncertainty. How did this phenomenal ascendance come about?

The existing literature has emphasized common “recipes” of success among Asia-Pacific powers. Endeavoring to find one-size-fits-all formulas that could be replicated in other countries seeking rapid development, it has overlooked the distinct developmental journeys of Asian nations. “We need a new lens, or framework, to explain their successes, while also accounting for cross-national variation in development and sustainability,” writes Shin. 

In his book, Shin examines talent – the skilled occupations essential to a nation’s economy – as a key driver of economic development. While all countries rely on human resources for development, their talent strategies vary based on historical, cultural, and institutional factors. Shin introduces a new framework, talent portfolio theory (TPT), inspired by financial portfolio theory, to analyze and compare these national approaches.

“TPT views a nation’s talent development, like financial investment, as constructing a ‘talent portfolio’ that mixes multiple forms of talent – domestic, foreign, and diasporic – adjusting its portfolio over time to meet new risks and challenges,” he explains. Just as an investor may select different financial products in a mix of assets, countries can create talent portfolios by picking from various strategies.

Shin identifies four main strategies by which a country can harness talent – what he calls the four B's: 

  • Brain train” signifies efforts to develop and expand a country’s domestic talent or human capital.
  • Brain gain” refers to attracting foreign talent to strengthen the domestic workforce.
  • Brain circulation” involves bringing back nationals who have gone abroad for work or study.
  • Brain linkage” means leveraging the global networks and expertise of citizens living overseas through transnational collaboration.


Shin uses TPT as an analytical framework to examine how each of the four talent giants has constructed its distinct national talent portfolio and how this portfolio has evolved. As in an investment portfolio rebalancing, a nation can maintain diversification across the four B's and within each B. TPT therefore offers a holistic framework for understanding the overall picture of a country’s talent strategy, and how and why it may “rebalance” its talent portfolio.

Throughout the book, Shin shows that, while Japan has relied on the brain train strategy, Australia, whose population was too small for such an approach, emphasized brain gain. China used brain circulation: it first sent students and professionals abroad to learn, then implemented policies to encourage them to return. India, by contrast, established linkages among its diaspora and used them to develop its economy.

Immigrants have not just filled jobs. They have created new industries and helped the United States and their home countries alike. If the US makes it harder for talent to come in and stay, it risks hurting its long-term success.
Gi-Wook Shin

New Geopolitics of Global Talent: Lessons and Policy Implications


The case studies of the four talent giants reveal that there is no single path to talent-driven development. Each of the four Asia-Pacific countries has built its unique talent portfolio, balancing human and social capital, homegrown and foreign-educated individuals, and domestic and diasporic talents. While the talent giants use all four B's to some extent, each emphasizes them differently, reflecting diverse strategies and development paths. The core findings of these studies offer valuable insights for countries aiming to design effective talent policies. 

The four B's were instrumental in the economic rise of the four Asian nations, and they will be equally critical in addressing new challenges facing all economies, from demographic crises to emergent geopolitical tensions. For the United States, one such challenge is its sprawling competition with China, where the battle for talent is heating up in the race for technological supremacy.

Shin warns that the advantage the United States has long held in technological innovation, driven by its ability to attract skilled foreign talent, is now at risk from the Trump administration’s anti-immigration policies, pressures on universities, and cuts to research funding. “Immigrants have not just filled jobs,” he emphasizes. “They have created new industries and helped the US and their home countries. If the US makes it harder for talent to come in and stay, it risks hurting its long-term success.”

The Four Talent Giants is an outcome of Shin’s longstanding project investigating Talent Flows and Development, now one of the research tracks he leads at the Stanford Next Asia Policy Lab (SNAPL), which he launched in 2022. Housed at APARC, the lab is an interdisciplinary research initiative addressing Asia’s social, cultural, economic, and political challenges through comparative, policy-relevant studies. SNAPL’s education mission is to cultivate the next generation of researchers and policy leaders by offering mentorships and fellowship opportunities for students and emerging scholars.

Shin notes that the SNAPL team illustrates all four B’s in his talent portfolio theory, as some members are U.S.-born and trained, some come from Asia and, after working at the lab, return to their home countries, whereas some stay here, promoting linkages with their home countries. “In many ways, this project shows what is possible when we invest in talent and encourage international collaboration.”


In the Media


Stanford Scholar Reveals How Talent Development Strategies Shape National Futures
The Korean Daily, July 13, 2025 (interview)
- English version
- Korean version

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In his new book, The Four Talent Giants, Shin offers a new framework for understanding the rise of economic powerhouses by examining the distinct human capital development strategies used by Japan, Australia, China, and India.

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Over the past two decades, China has pursued an ambitious plan to establish an accessible and affordable health system that meets the needs of its population. As part of this journey, China’s leadership implemented comprehensive health system reforms and achieved near-universal health insurance coverage at a relatively low per capita income level. Key to this process was the integration of rural and urban resident health insurance programs, which has proven to yield positive outcomes in health care utilization, physical health, and related equity issues. Thus far, however, the integration’s potential psychological effects have been understudied.

New research, published in the journal Health & Social Care in the Community, addresses this gap in the literature. The researchers – Stanford health economist Karen Eggleston, the director of APARC’s Asia Health Policy Program (AHPP); Peking University’s Gordon Liu; and Renmin University of China’s Yue-Hui Yu and Qin Zhou, the latter a former visiting scholar with AHPP – find that the urban-rural health insurance integration has been beneficial for improving mental health among China’s rural adults.

Their study underscores the potential of policy-driven health system reforms to address longstanding disparities, promote mental well-being in vulnerable communities, and enhance quality of life among aging populations. This is the researchers’ final installment in a series of studies on China’s urban-rural health insurance integration.



Tracking Mental Health Over Eight Years


For decades, China had a fragmented health insurance system, which led to disparities between different populations and hindered the implementation of the Healthy China 2030 blueprint, a bold national strategy to make public health a precondition for all future economic and social development. Responding to this challenge, in 2016, China announced plans to unify its rural and urban health insurance programs. The unified health insurance system, called Urban and Rural Residents’ Basic Medical Insurance (URRBMI), offered equal health service packages and insurance benefits to rural and urban residents. Studies have shown that the integrated system improved healthcare access for nearly 800 million rural residents and helped reduce coverage gaps and inequality. Yet evidence about the integration’s potential psychological impacts has been limited.

Eggleston and her co-authors hypothesized that this reform might also benefit rural adults’ psychological well-being. To test this hypothesis, the researchers conducted a comprehensive analysis using data from the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative survey that tracks health, economic, and social variables among Chinese adults aged 45 and older. The study focused specifically on rural residents, examining changes in mental health, particularly depressive symptoms, before and after the insurance integration. Data from four waves of CHARLS, spanning from 2011 to 2018, allowed the team to analyze trends over a substantial period.

The researchers used an event study combined with a time-varying difference-in-differences (DID) approach, capturing the effect of the health insurance integration on depressive symptoms and comparing changes over time between those affected by the reform and a control group not yet impacted (since local governments introduced the integration reforms in different years, samples in the control group had constantly entered the treatment group during the survey period). This method helps isolate the effect of the policy from other confounding factors, providing a clearer picture of causality. The researchers further examined the heterogeneity of the integration effect across subgroups by gender, age, health status, and family economic status. They also analyzed possible mechanisms through which the reform produced psychological effects

Based on our analysis, the integration reform has improved the overall mental health of rural adults, as both their scores of depressive symptoms and the likelihood of becoming depressed decreased.
Eggleston et al.

Key Findings: A Significant Drop in Depression


The researchers find that the health insurance integration was associated with a measurable reduction in depressive symptoms among rural seniors. Specifically:

  • CES-D scores – a standard measure of depression severity (using a version of the Centre for Epidemiological Studies Depression Scale) – decreased by an average of 0.441 points among those covered by the reform.
  • The likelihood of experiencing depression dropped by approximately 3.5% in the post-reform period.
  • The decline in depression scores following the integration was continuous, suggesting cumulative effects of the reform. Notably, some psychological benefits appeared up to two years before the reform took effect, likely due to public awareness and positive expectations generated by advance announcements from local authorities.


The results were statistically significant, indicating that the health insurance integration reform has significantly improved the mental health of rural adults and reduced their risk of becoming depressed.

The findings also indicate that a key driver that produced continuous positive psychological effects was the integration’s reduction of health care costs for rural residents, particularly for hospital care. By lowering financial barriers to treatment, the integration improved access to healthcare and made its use more equitable. This, in turn, boosted rural adults’ satisfaction with their health and overall sense of well-being. The improvement may have set off a positive cycle, encouraging more social engagement and physical activity, which helped further ease symptoms of depression.

While the reform reduced depressive symptoms for both male and female older adults, the findings revealed differences across subgroups. It appears the reform did not significantly reduce depressive symptoms for those aged 40-49 and over 70, individuals in poor health, or those in the lowest economic bracket. The researchers attribute this to ongoing financial barriers and limited insurance financing, which may blunt the perceived benefits for high-need groups.

Policy design should pay more attention to rural adults aged over 70, those with chronic disease or disability, and those with low income and little wealth.
Eggleston et al.

Policy Implications: A Path Toward Health Equity


The study’s co-authors highlight several policy implications for China:

  • Expand and standardize coverage: Build on the success of the URRBMI by moving from local-level integration to broader provincial or national coverage, and encourage enrollment among vulnerable populations through subsidies.
  • Improve equity for high-need groups: Design more targeted insurance policies for older adults, those with chronic illnesses or disabilities, and low-income groups, especially by covering outpatient treatments for high-cost conditions.
  • Increase funding for the URRBMI: Despite progress, reimbursement rates remain low, highlighting the need for greater investment in the program.
  • Strengthen rural health infrastructure: Insurance reforms must be paired with improvements in rural healthcare facilities and services to ensure quality care is both accessible and effective.


China’s experience offers valuable lessons for countries aiming to achieve universal health coverage and those grappling with health disparities and aging populations. The positive association between insurance integration and mental health among rural adults in China underscores the importance of comprehensive, inclusive policies addressing financial and social determinants of health.

The study’s findings highlight the need to ensure that the most vulnerable populations benefit equally from health reforms. They also serve as a compelling reminder that thoughtfully designed and implemented reforms can improve physical health and increase mental resilience and social cohesion.

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New research by a team including Stanford health economist Karen Eggleston provides evidence about the positive impact of China’s urban-rural health insurance integration on mental well-being among rural seniors, offering insights for policymakers worldwide.

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SCCEI awarded competitive research fellowships to two Stanford Ph.D. candidates, Alica R. Chen and Matthew DeButts, for the 2025-26 academic year. The award recipients will receive funding for two quarters and will conduct research on diverse topics focused on prominent issues in today’s society. 

Alicia Chen headshot

Alicia R. Chen, PhD Candidate in Political Science, Stanford University
Research Topic: Roads to (No) Influence: Domestic Incentives and the Distribution of Chinese Aid

Alicia Chen is a PhD candidate in the political science department at Stanford University. Chen’s research focuses on conflict, development, and international economics, with an empirical focus on Chinese development aid. Chen holds an MA in international policy from Stanford University and a BA in political science from the University of Southern California. Prior to doctoral studies, Chen was a Research Specialist at the Empirical Studies of Conflict (ESOC) project at Princeton University. 

Q: What advice would you give to someone just starting out in your field of research?
A: I encourage everyone to do fieldwork in the countries they are interested in studying as early as possible. Media coverage (and even data) often doesn’t capture the full picture, and it was immensely helpful to see for myself what the situation is on the ground.

Q: If you could snap your fingers and have one part of your research magically completed, what would it be?
A: Data collection… Many fieldwork trips end up taking much longer than expected because of bureaucratic delays, and there is not much that can be done to speed up the process.


 

Matthew DeButts headshot

Matthew DeButts, PhD Candidate in Communication, Stanford University
Research Topic: PRC Influence and Chinese Diasporic Media in the Digital Age

Matt DeButts is a PhD candidate in communication, studying Chinese media, censorship, and propaganda. Before coming to Stanford, Matt wrote about Chinese economics and politics for The Economist Intelligence Unit in Beijing, covered culture as a special correspondent for the Los Angeles Times, and edited the foreign affairs newsletter Legation Quarter. At Stanford, he was a 2023-24 Human-Centered Artificial Intelligence (HAI) fellow, and a graduate research assistant at the Stanford Internet Observatory. His academic work has been published in the Journal of Communication, Social Media+ Society, and EMNLP Findings.

Q: What advice would you give to someone just starting out in your field of research?

Trust your curiosity. Disciplinary and methodological training are vital, but curiosity is what makes research breathe — it keeps your work alive and keeps you interested in pursuing it.
Matt DeButts

Q: How would you describe your research to a fifth grader?
A: My research looks into how powerful people, like governments, try to get people to believe things. Sometimes, governments treat you like a grown-up, explaining things and allowing you to decide for yourself. But other times, they treat you like a kid, always thinking they know what’s best for you. My research looks into how and why they do that.



SCCEI offers grants to support exceptional researchers conducting data-driven research related to China's economy. We accept proposals two times per year, Fall and Winter. Visit the SCCEI Research Grants and Fellowships webpage for more details and current opportunities.

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Panelists speak during a session at the 2025 SCCEI China Conference.
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Conference Explores China’s Strategic Posture in a Rapidly Changing Global Economy

The second annual SCCEI China Conference, held at Stanford University on May 14, brought together leading scholars and policy experts. Panelists offered a candid, multifaceted view of China's global economic position, exploring its technological prowess, industrial diplomacy, and the increasingly complex global responses to its expanding influence.
Conference Explores China’s Strategic Posture in a Rapidly Changing Global Economy
2024 summer SCCEI research grant recipient graphic headshots.
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Stanford Graduate Students Advance Research on China with Aid from SCCEI 2024 Summer Research Grant

SCCEI awarded competitive research funding to six Stanford Ph.D. candidates to advance their empirical research on China. This summer's grant recipients are: Cody Abbey, Alicia Chen, Safari Fang, Qianmin Hu, Naiyu Jiang, and Victoria Liu.
Stanford Graduate Students Advance Research on China with Aid from SCCEI 2024 Summer Research Grant
Professor Matteo Maggiori speaks in front of a crowd.
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Stanford Professor Matteo Maggiori Unpacks the New Geopolitics of Global Trade

Professor Maggiori joined SCCEI and Stanford Libraries to discuss how the U.S. and China apply economic pressure to achieve their political and economic goals, and the economic costs and benefits that this competition is imposing on the world.
Stanford Professor Matteo Maggiori Unpacks the New Geopolitics of Global Trade
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SCCEI awarded Alicia Chen and Matthew DeButts with competitive research fellowships for the 2025-26 academic year to pursue research on China.

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Cover of journal Health and Social Care in the Community

Abstract

 

Introduction

Like many other countries, China had a fragmented health insurance system; in China's case, there were two separate schemes covering rural and urban residents. This study focused on the policy implications of integrating the schemes, particularly on the psychological effects.

 

Methods

The study used four waves of data from the China Health and Retirement Longitudinal Study (CHARLS) collected in 2011, 2013, 2015, and 2018, adopting a time-varying DID approach to capture the effect of integration on depressive symptoms among rural residents.

 

Results

The average CES-D score of rural adults decreased by 0.424, and the likelihood of depressive symptoms decreased by 3.5% after the implementation of the urban–rural health insurance integration policy. The positive effects may be due to the reduced cost-sharing rates as well as improvements in health satisfaction, social interactions, and physical activity. The integration reform had a limited impact on improving the mental health of those with the lowest economic status, the worst health status, and those aged 40–49 or over 70.

 

Discussion

This health insurance integration helped to improve mental health among rural adults. There are several policy implications:

  1. The positive policy effects suggest that further improvements could result from the Chinese government expanding coverage of the rural program, moving up to provincial- or national-level pooling, and encouraging more to enroll.
  2. More targeted solutions to decrease inequity should be considered, like focusing on rural adults over 70 with low income/low wealth
  3. Reimbursement rates under the rural insurance program remain low, so increased funding for the program is warranted.
  4. Strengthening healthcare facilities and resources in rural areas is an important next step

 

Highlights
 

  • CES-D scores for rural adults decreased by 0.424
  • Likelihood of depressive symptoms decreased by 3.5%
  • Benefits began appearing two years before integration, perhaps indicating positive expectations
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Evidence From a Quasiexperimental Study

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Health & Social Care in the Community
Authors
Karen Eggleston
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Achieving minimum dietary diversity (MDD), a crucial indicator of infant and young child diet quality, remains a challenge in rural China, especially for infants aged 6–11 months. This study examined the rate of MDD attainment in rural China, identified its determinants using the Capability, Opportunity, Motivation, and Behavior (COM-B) model and Bayesian network analysis, and estimated the potential impact of improving each modifiable determinant. A multi-stage sampling design selected 1328 caregivers of infants aged 6–11 months across 77 rural townships in China. Data were collected through a cross-sectional survey via in-person household interviews. Bayesian network analysis identified key factors influencing MDD attainment and their interrelationships, while Bayesian inference estimated MDD attainment probabilities. Results showed that only 22.2 % of the sample infants attained MDD. Bayesian network analysis revealed that caregiver knowledge (a proxy of capability), self-efficacy and habits (proxies of motivation), and infant age directly influenced MDD attainment. Social support (a proxy of opportunity) indirectly promoted MDD attainment by boosting self-efficacy and habit. Notably, simultaneous improvements in knowledge, self-efficacy, and habit could increase MDD attainment by 17.6 %, underscoring the potential effectiveness of interventions focused on enhancing caregiver capability and motivation. The critically low MDD attainment rate among rural Chinese infants highlights the urgent need for targeted interventions. Strategies should prioritize enhancing caregiver feeding knowledge, self-efficacy, and habit formation to improve infant dietary diversity. Addressing these key factors could substantially boost MDD attainment in rural China.

Journal Publisher
Journal of Appetite
Authors
Hanwen Zhang
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