The 2018 blockbuster Crazy Rich Asians is many people’s first and only experience seeing Southeast Asia portrayed onscreen. Kevin Kwan’s enthralling, uber-rich characters jet-set across glittering scenes of cosmopolitan Singapore and paradisiacal beaches in Malaysia. But for Gerald Sim, APARC’s 2016-17 Lee Kong Chian Fellow at the Southeast Asia Program, the scope of cinema in Southeast Asia is much broader than the occasional Hollywood breakout success.

In a new book, Postcolonial Hangups in Southeast Asian Cinema, Sim examines how countries in Southeast Asia navigate the legacies of their unique colonial histories through film media. His writing focuses on Singapore, Malaysia, and Indonesia and how their cultural identities and postcolonial experiences are stylistically portrayed across commercial films, art cinema, and experimental works.

Sim explores the nuance of these works beyond the typical tropes of hybridity and syncretism in postcolonial identity. His analysis unpacks themes such as Singapore’s preoccupation with space, the importance of sound in Malay culture, and the ongoing investment Indonesia has made into genre and storytelling. Taken together, the book helps situate the regional cinematic traditions and local ideologies in the broader narrative of globalization.

The book builds on research Sim undertook as a fellow at APARC with support from the Lee Kong Chian NUS-Stanford Fellowship on Southeast Asia. He is currently an associate professor of Film and Media Studies at Florida Atlantic University, where he continues to teach about and research the thriving but understudied contributions of Southeast Asian film to world cinema.

Postcolonial Hangups in Southeast Asian Cinemas will be available for purchase from Amsterdam University Press on September 1.

Read Amsterdam University Press' interview with Sims about the book.

The Stanford Center at Peking University (SCPKU), the Center on Democracy, Development and the Rule of Law (CDDRL), and the APARC China Program jointly hosted a workshop on China’s Belt and Road Initiative (BRI) in early March. The workshop, held on March 2 and 3, welcomed researchers from around the world with expertise in the Initiative. Unfortunately, because of the rapidly developing health emergency related to the coronavirus, participants from not only China, but also Japan, were prevented from attending. As described by Professor Jean Oi, founding director of SCPKU and the China Program, and Professor Francis Fukuyama, director of CDDRL and the Ford Dorsey Master's in International Policy, who co-chaired the workshop, the meeting aimed to provide a global perspective on the BRI, consolidate knowledge on this opaque topic, and determine the best method and resources for future research.  

The workshop began with presentations from several of the invited guests. Dr. Atif Ansar from the University of Oxford’s Saïd Business School kicked off the first day by describing not only the tremendous opportunity that the BRI presents to developing economies, but also the serious pitfalls that often accompany colossal infrastructure projects. Pointing out the poor returns on investment of mega infrastructure projects, Ansar examined the frequest cost and schedule overruns, random disasters, and environmental degradation that outweigh the minimal benefits that they generally yield. China’s own track record from domestic infrastructure projects does little to mitigate fear of these risks, Ansar claimed. In response, he urged professional management of BRI investments, institutional reforms, and intensified deployment of technology in BRI projects. Dr. Ansar was followed by Dr. Xue Gong of the S. Rajaratnam School of International Studies, Nanyang Technological University, Singapore. Dr. Gong’s analysis centered on the extent to which China’s geopolitical motivations influenced its outward foreign direct investments (OFDI). Although her research was still in the early stages, her empirical analysis of China’s OFDI inflows into fifty BRI recipient countries from 2007-2018 nevertheless revealed that geopolitical factors often outweigh economic factors when it comes to China’s OFDI destinations.

Image

Professor Curtis J. Milhaupt and Scholar-in-Residence Jeffrey Ball, both at Stanford Law School, followed with individual presentations on the role of State-Owned Enterprises (SOEs) in the BRI and the emissions impact of the BRI on climate change, respectively. Professor Milhaupt  characterized Chinese SOEs as both geopolitical and commercial actors, simultaneously charged with implementing Party policies and attaining corporate profits. Chinese SOEs are major undertakers of significant overseas BRI projects, acting not only as builders but also as investors, partners, and operators. This situation, Milhaupt asserted, carries significant risks for SOEs because these megaprojects often provide dismal returns, have high default rates, and can trigger political backlash in their localities. Milhaupt highlighted the importance of gathering firm-level data on businesses actually engaged in BRI projects to better infer geostrategic, financial, or other motivations. Jeffrey Ball turned the discussion to carbon emissions from BRI projects and presented preliminary findings from his four-country case studies. He concluded that, on aggregate, the emissions impact of the BRI is still “more brown than green.” Twenty-eight percent of global carbon emissions may be accounted for by BRI projects, Ball asserted, underscoring the importance of the BRI to the future of global climate change.

The day concluded with presentations by  Michael Bennon, Managing Director at the Stanford Global Projects Center, and Professor David M. Lampton, Oksenberg-Rohlen Fellow at the Freeman Spogli Institute for International Studies. Bennon first presented findings from two empirical case studies of BRI projects and then went on to describe how the BRI is now practically the “only game in town” for infrastructure funding for developing countries. Lengthy environmental review processes at Western multilateral banks have turned the World Bank, for example, from a lending bank into a “knowledge bank,” he argued. He also highlighted that, in general, economic returns on BRI projects for China are very poor, even though recipient countries may accrue macroeconomic benefits from these projects. Finally, Professor Lampton turned the discussion back to Southeast Asia, where China is currently undertaking massive cross-border high-speed rail projects through eight ASEAN countries. He described how each host country had varying capacity to negotiate against its giant neighbor, and how the sequential implementation of these cross-border rail projects also had varying impacts on the negotiating positions of these host countries. BRI played out differently in each country, in other words, eliciting different reactions, push-backs and negotiated terms.

The second day of the workshop was dedicated to working toward a collaborative approach to future BRI research. The group discussed the key gaps in the existing research, including how to know what China’s true intentions are, how to measure those intentions, who the main players and their interests in both China and the host countries are, and even what the BRI is, exactly. Some cautioned that high-profile projects may not be representative of the whole. Participants brainstormed about existing and future sources of data, and stressed the importance of diversifying studies and seeking empirical evidence.

Using a dynamic microsimulation model, a research team, including APARC Deputy Director and Asia Health Policy Program Director Karen Eggleston, shows that there are differentially positive health gains of smoking reduction among subgroups of smokers in South Korea, Singapore, and the United States.

Tobacco use is responsible for the death of approximately eight million people worldwide, estimates the World Health Organization, and countries are increasingly making tobacco control a priority. Indeed the relationship between smoking and the burden of chronic diseases such as cancer, lung disease, and heart disease, and, in turn, premature mortality, is well documented. Yet little is known about the health effects of smoking interventions among subgroups of smokers.

Do interventions targeted at heavy smokers relative to light smokers lead to disproportionately larger improvements in life expectancy and prevalence of chronic diseases? And how do these effects vary across populations? In today’s rapidly aging world, it is crucial to understand the potential health gains resulting from interventions to reduce smoking, a leading preventable risk factor for healthy aging.

That’s why a research team, including APARC Deputy Director and Asia Health Policy Program Director Karen Eggleston as well as Stanford Health Policy faculty member Jay Bhattacharya, set out to examine the health effects of smoking reduction. To do so, the team simulated an elimination of smoking among subgroups of smokers in South Korea, Singapore, and the United States.

[To receive more stories like this directly to your inbox subscribe to our newsletters.]

The team’s findings, discussed in a new paper published by the journal Health Economics, show that smoking reduction can achieve significant improvements in lifetime health as measured by survival while also reducing the prevalence of major chronic diseases, though the effects are heterogeneous. Whereas interventions in both subgroups and in all three countries led to an increased life expectancy and decreased prevalence of chronic diseases, the life-extension benefits were greatest – 2.5 to 3.7 years – for those who would otherwise have been heavy smokers, compared with gains of 0.2 to 1.5 years among light smokers.

The team developed a dynamic microsimulation model to estimate the health gains of reducing smoking among heavy smokers and light smokers. Microsimulation models are powerful tools for assessing the value of health promotion: they model individual health trajectories while accounting for competing risks, thus providing valuable information about the impact of interventions and how they may interact with the changing demographics and socioeconomic profile of a population to determine future health. The team’s study applied microsimulation models tailored to the demographic and epidemiological context in the three countries, then compared the gains in survival and reduction in chronic disease prevalence from a given reduction in smoking and how these impacts vary depending on initial smoking intensity.

The team’s findings indicate that there are differentially positive health effects from smoking reduction. The life‐year gain among heavy smokers quitting well exceeds that of light smokers quitting in each country, but the magnitudes differ substantially: 11.2 times for South Korea, 6.8 times for Singapore, and 1.7 times for the United States. The lower life expectancy among Americans is related to the greater extent in which they suffer from risk factors, such as obesity, relative to the Asian counterparts in the study.

The findings illustrate how smoking interventions may have significant economic and social benefits, especially for life extension, that vary across countries. They are particularly important for aging societies that are concerned about the sustainability of their health insurance systems in the face of increasing burden of chronic disease.

We sat down with our 2018-19 Shorenstein Postdoctoral Fellow in Contemporary Asia Ketian Zhang to discuss China's use of coercion in foreign policy; her research on  South China Sea disputes; her forthcoming articles; and the fellowship experience in general. To hear more from Ketian, RSVP for her April 16 seminar "Killing the Chicken to Scare the Monkey: Explaining Coercion by China in the South China Sea."

On October 22, Thum Ping Tjin delivered a talk at Stanford on Singapore’s political development and evolution under the ruling People’s Action Party. Audio from the talk, along with a transcript, is now available on his website.

Interventions designed to improve primary care management of diabetes and reduce avoidable hospital admissions show promise for saving healthcare resources without compromising quality of care. These are the findings made by an international research team’s study of four East Asian sites.

With a fourfold increase in global diabetes prevalence over the past thirty-five years (2016 Lancet report), countries are increasingly experiencing the dual health challenges of chronic noncommunicable diseases and aging populations. An estimated 12 percent of global health expenditures in 2015 was for diabetes-related services.

The study, published in the November issue of Health Affairs, examined policy interventions in Japan, Singapore, Hong Kong, and rural and peri-urban Beijing; by increasing access and adherence to effective outpatient management, the interventions potentially improved health outcomes while realizing cost savings from reduced avoidable hospital admissions.

“This article represents the first publication in a series of research collaborations under the Stanford AHPP-led comparative diabetes net value project,” said Karen Eggleston, Asia Health Policy Program Director and one of the article’s authors.  “We are assembling and analyzing rich patient-level datasets, using diabetes as a lens to explore ‘value for money’ in chronic disease management. “

Eggleston also noted that additional research teams have joined since the publication. The authors look forward to contributing evidence for improved health policy in different institutional contexts and for health systems adapting to rapidly aging populations. 

Read the study (may require subscription)