Stanford University

Thailand's Universal Coverage System and Preliminary Evaluation of its Success

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Thailand introduced a universal coverage program in 2001. This program is commonly known as a "30 Baht Health Reform," adding coverage for nearly 14 million more people. This presentation will give an overview of the 30 Baht Health Reform including its main features and evolution, as well as a preliminary evaluation of its success. The talk will mostly be based on a paper entitled "Early Results from Thailand's 30 Baht Universal Health Reform - Something to Smile About," published in Health Affairs.

Kannika Damrongplasit is currently the Agency for Healthcare Research and Quality (AHRQ) Postdoctoral Research Fellow at the University of California at Los Angeles and RAND Corporation. She received her Ph.D. in Economics from the University of Southern California. Her fields of interest are in program evaluation, applied econometrics, health economics and applied microeconomics. She has published in Journal of Business and Economic Statistics, Health Affairs, and Singapore Economic Review. In January 2010, she will assume an assistant professor position at the Department of Economics, Nanyang Technological University in Singapore.

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Kannika Damrongplasit Postdoctoral Research Fellow Speaker University of California at Los Angeles and RAND Corporation
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April 2009 Dispatch - Late Democratizers? Authoritarian Developmentalism and Political Change in Pacific Asia

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Mark Thompson
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Some theorists of modernization have influentially claimed that successful “late industrialization” led by developmental states creates economies too complex, social structures too differentiated, and (middle-class-dominated) civil societies too politically conscious to sustain nondemocratic rule. Nowhere is this argument—that economic growth drives democratic transitions—more evident than in Northeast and Southeast Asia (hereafter Pacific Asia).

South Korea and Taiwan, having democratized only after substantial industrialization, seem to fit this narrative well. But “late democratizers” have been the exception rather than the rule. Indonesia, the Philippines, and Thailand democratized before high per capita incomes were achieved. Malaysia, and especially Singapore are more wealthy than they are democratic. The communist “converts” to developmentalism, China and Vietnam, are aiming for authoritarian versions of modernity. Table 1* shows that there is no clear pattern in Pacific Asia. Indeed, according to the nongovernmental organization Freedom House (and using the World Bank categories of low, lower middle, upper middle, or high income), poor and rich countries alike in Pacific Asia are rated “free,” “partly free,” or “not free.”

What key factors have influenced the different timing of democratization in Pacific Asia? Democratization has occurred early in the developmental process when authoritarian states have failed to create sustainable economic growth, which in turn has led to mounting debt. Many reasons explain this phenomenon, but a primary cause is the so-called failure to “deepen”—that is, certain countries’ inability to become major manufacturers of high-tech and heavy industrial goods. For example, when economic crises rocked the Philippines in the mid-1980s and Indonesia in the late 1990s, both nations lacked the economic maturity and breadth to rebound, prompting abrupt financial collapse. These nations’ political systems were too ossified to channel popular unrest, and mass mobilization resulted. Ideologically, the Marcos and Suharto regimes faced accusations of cronyism, as favored business leaders stepped in to rescue failing conglomerates, sidelining once-influential technocrats in the process. In the end, these countries’ limited economic development actually broke down their authoritarian systems.

 “Late industrializers,” by contrast, do succeed in industrial “deepening.” But they are often less successful in terms of “widening”—the perception that the benefits of development are being fairly shared in society. Statistics show that South Korea and Taiwan are relatively equal societies. Nevertheless, neither of these technocratically oriented authoritarian regimes was able to blunt criticisms that growth was unjustly distributed. South Korean workers and native Taiwanese felt particularly disadvantaged. In Malaysia, too, tensions are now mounting about distribution along ethnic lines. Electoral authoritarianism helped to defuse earlier crises in South Korea and Taiwan, but beginning in the mid-1980s, opposition forces in both nations launched successful challenges through the ballot box to bring about democratization. In Malaysia, the opposition scored major gains in the 2008 elections. Ideologically, all three authoritarian regimes were weakened by activist campaigns for social justice, which mobilized middle class professionals.

One can only speculate about whether Singapore will one day democratize. Its economy has continually deepened, most recently through a major drive to grow a biotech industry. At the same time, it has widened through a series of welfare-related measures focused on housing and pensions. The Singaporean government has also perfected a system of electoral authoritarianism, allowing some competition and participation without threatening the ruling party’s hold on power. Ideologically, the government has long determined the political agenda through its collectivist campaigns (including the once high-profile “Asian values” discourse). However, when Singapore’s founding father, Lee Kuan Yew, eventually passes away, the nation’s technocratic elite may be tempted to democratize. Democratization would give the government greater legitimacy to reform welfare provision, which many believe is currently limiting Singapore’s competitiveness. The main arguments are summarized in table two.*

It is evident that China and Vietnam are trying to imitate the Singaporean model. Though each faces many obstacles, both countries have already made great strides in industrial deepening and widening through an elaborate postcommunist welfare system. Ideologically, these countries will rely not just on growth—which will inevitably slow during the current economic crisis—but also on appeals to a collectivist identity that is simultaneously both nationalist and neo-Confucianist in character. Whether China and Vietnam eventually democratize or remain authoritarian despite modernization is one of the most important political questions in the world today.

* Please contact the Manager of Corporate Relations for a full PDF copy of this dispatch, including tables.

 

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Leading Pacific Rim universities collaborate on population health research

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The Asia Health Policy Program hosted meetings of the Association of Pacific Rim Universities World Institute (AWI, www.apru.org/awi) public health research project, February 24-25 at the Shorenstein Asia-Pacific Research Center. Stanford University is a member of the Association of Pacific Rim Universities, and the Asia Health Policy Program coordinates with others on the steering committee for the AWI public health project. The project brings together scholars from leading Pacific Rim universities to focus on comparative study of chronic non-communicable disease – the number one cause of premature death worldwide – in selected Pacific Rim cities (Beijing, Danang, Hangzhou, Hong Kong, Singapore, Jakarta, Makassar, Nanjing, Sydney, Taipei, Vientiane and Wuhan).

 

Ambassador Michael H. Armacost, Acting Director of the Shorenstein Asia-Pacific Research Center, welcomed the participants -- researchers and deans of schools of public health from China, Hong Kong, Japan, Korea, Singapore, Vietnam, Malaysia, Indonesia, and Australia. During the deliberations, the participants agreed to establish a program of research and development to prepare tools for use by health systems worldwide to implement best practice in chronic disease prevention and management through four areas of research: risk factor surveillance; assessment of costs and organization of services; change management to implement best practice; and monitoring and evaluation.

 

The previous meeting of the AWI public health project was held in November 2008 in Singapore. The next meeting will be held in June 2009 at Johns Hopkins University (an Invited Member of the Association of Pacific Rim Universities World Institute).

 

On February 23, prior to the public health project meetings, the Asia Health Policy Program also hosted the planning meetings for the AWI 2009 public health workshop, to be held at Johns Hopkins University June 24-26, 2009.

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Personnel Systems in Japanese Local Government

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Human Resource Management (HRM) is a core element of any organization.  This is especially true in public service organizations whose employees are often their most valuable resource. As an employee in a Japanese local government, Ichinomoto attempts to analyze the current problems in the personnel system that are severely criticized, to find a solution on how to develop more motivated government employees to provide efficient and customer satisfactory public service.

Mari Ichinomoto is a corporate affiliate visiting fellow at Shorenstein APARC for 2007-08 and 2008-09. She is also an official of the Industrial Recruitment and Location Division, Kumamoto Prefectural Government in Japan, with a mission to promote overseas direct investment into the country. Prior to this position, she was sent to Kumamoto trade promotion office in Singapore as a representative of the Kumamoto Prefectural Government dealing with trade promotion between Asia and Kumamoto. She graduated in foreign studies from Kitakyushu University.

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Mari Ichinomoto Corporate Affiliate Visiting Fellow Speaker
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Mark Thompson

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 725-6459 (650) 723-6530
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MarkThompson[1].JPG PhD

Professor Thompson builds on Barrington Moore's insight that there are different "paths to the modern" world. Thompson's manuscript explores alternatives to the familiar South Korean-and Taiwan-based model of "late democratization." According to that model, political pluralism follows a formative period of economic growth during which labor is demobilized and big business, religious leaders, and professionals depend upon and are co-opted by the state.

Thompson argues that even when these preconditions are in place, democratization need not follow. Singapore is an illuminating case in point. The autocratic growth model pays insufficient attention to politics, including the sometimes crucial role of student activists in challenging developmental authoritarianism and triggering a democratic transition, as in Indonesia. As political actors, students (rather than a progressive bourgeoisie) may fill the oppositional vacuum created by the preconditions that characterized predemocratic South Korean and Taiwan.

In his critique of Northeast Asian-style, post-authoritarian "late democratization" and its emphasis on economic growth as the driver of political change, Professor Thompson uses evidence drawn from paired comparisons of Vietnam with China, Hong Kong with Singapore, and between South Korea and Taiwan on the one hand and other major Southeast Asian cases on the other.

Mark R. Thompson is a professor of political science at the University of Erlangen-Nuremberg in Germany.  A Chicago native, he took his first degree in religious studies at Brown University followed by postgraduate work at Cambridge University and the University of the Philippines.  Fascinated by Philippine people power, he wrote his dissertation at Yale University on the anti-Marcos struggle (Yale University Press, 1996). After moving to Germany, he witnessed popular uprisings in East Germany and Eastern Europe, inspiring him to conceptualize democratic revolutions in essays later published as a book (Routledge, 2004).  He is in residence at Stanford as Lee Kong Chian Distinguished Fellow in Southeast Asian Studies from February through April 2009.

Lee Kong Chian NUS-Stanford Distinguished Fellow on Southeast Asia

Late Democratizers? Developmentalism in Pacific Asia

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Some theorists of modernization have influentially claimed that successful "late industrialization" led by developmental states creates economies too complex, social structures too differentiated, and (middle-class-dominated) civil societies too politically conscious for non-democratic rule to be sustained.  Probably nowhere has this argument-that democratic transitions are driven by economic growth-been more celebrated than in Northeast and Southeast Asia (Pacific Asia).  South Korea and Taiwan, having democratized only after substantial industrialization, seem to fit the narrative well.  Prof. Thompson will argue, however, that "late democratizers" have been the exception rather than the rule.  Indonesia, the Philippines, and Thailand democratized much earlier in the developmental process, before high per capita incomes were achieved.  Malaysia and especially Singapore are more wealthy than they are democratic.  The communist "converts" to developmentalism, China and Vietnam, are aiming for authoritarian versions of modernity.  "Late democratization" via modernization is only one scenario.  The experiences of Pacific Asia support Barrington Moore's thesis that there are other "paths to the modern world." 

Mark R. Thompson is a professor of political science at the University of Erlangen-Nuremberg in Germany.  A Chicago native, he took his first degree in religious studies at Brown University followed by postgraduate work at Cambridge University and the University of the Philippines.  Fascinated by Philippine “people power,” he wrote his dissertation at Yale University on the anti-Marcos struggle (Yale University Press, 1996). After moving to Germany, he witnessed popular uprisings in East Germany and Eastern Europe, inspiring him to conceptualize “democratic revolutions” in essays later published as a book (Routledge, 2004).  He is in residence at Stanford from February through April 2009.

Daniel and Nancy Okimoto Conference Room

Mark Thompson 2008-09 Lee Kong Chian NUS-Stanford Distinguished Fellow Speaker Stanford University
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Tough Times, Hard Choices: Security, Democracy, and Regionalism in Southeast Asia Now

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ISEAS is pleased to invite you to the panel discussion and book launch for Donald Emmerson's new book, Hard Choices: Security, Democracy, and Regionalism in Southeast Asia.

Program

  • 3:00 pm - Welcome by Ambassador K Kesavapany - Director, Institute of Southeast Asian Studies
  • 3.05 pm - Introduction of Panelists by Professor Donald K Emmerson
  • 3.10 pm - Presentation by Professor Donald K Emmerson
  • 3.20 pm - Presentation by Professor Jörn Dosch
  • 3.30 pm - Presentation by Dr Alan Chong Chia Siong
  • 3.40 pm - General Discussion
  • 4.30pm - Comments, Q & A
  • 4.30 pm - Concluding Remarks
  • 4.35 pm - Book Signing

Alan Chong Chia Siong is an assistant professor in the Department of Political Science at the National University of Singapore.  His recent publications include "Asian Contributions on Democratic Dignity and Responsibility:  Rizal, Sukarno and Lee on Guided Democracy" in East Asia: An International Quarterly (2008) and Foreign Policy Global Information Space: Actualizing Soft Power (2007).  His PhD is from the London School of Economics and Political Science.  

Jörn Dosch is a professor in the Department of East Asian Studies at the University of Leeds.  Among his recent publications are The Changing Dynamics of Southeast Asian Politics (2006), Economic and Non-traditional Security Cooperation in the Greater Mekong Subregion) (GMS) (co-authored, 2005).  His PhD is from Mainz University.

Donald K Emmerson heads the Southeast Asia Forum at Stanford University.  His recent publications include "ASEAN's Black Swans," Journal of Democracy (2008) and "Southeast Asia in Political Science:  Terms of Enlistment," in Erik Martinez Kuhonta et al., eds, Southeast Asia in Political Science:  Theory, Region, and Qualitative Analysis (2008).  His PhD is from Yale University.

Institute of Southeast Asian Studies
Seminar Room II
30 Heng Mui Keng Terrace
Pasir Panjang
Singapore 119614

Alan Chong Chia Siong Assistant professor in the Department of Political Science Speaker the National University of Singapore
Jörn Dosch Professor in the Department of East Asian Studies Speaker University of Leeds

Donald K. Emmerson

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Senior Fellow Emeritus at the Freeman Spogli Institute for International Studies
Affiliated Faculty, CDDRL
Affiliated Scholar, Abbasi Program in Islamic Studies
aparc_dke.jpg PhD

At Stanford, in addition to his work for the Southeast Asia Program and his affiliations with CDDRL and the Abbasi Program in Islamic Studies, Donald Emmerson has taught courses on Southeast Asia in East Asian Studies, International Policy Studies, and Political Science. He is active as an analyst of current policy issues involving Asia. In 2010 the National Bureau of Asian Research and the Woodrow Wilson International Center for Scholars awarded him a two-year Research Associateship given to “top scholars from across the United States” who “have successfully bridged the gap between the academy and policy.”

Emmerson’s research interests include Southeast Asia-China-US relations, the South China Sea, and the future of ASEAN. His publications, authored or edited, span more than a dozen books and monographs and some 200 articles, chapters, and shorter pieces.  Recent writings include The Deer and the Dragon: Southeast Asia and China in the 21st Century (ed., 2020); “‘No Sole Control’ in the South China Sea,” in Asia Policy  (2019); ASEAN @ 50, Southeast Asia @ Risk: What Should Be Done? (ed., 2018); “Singapore and Goliath?,” in Journal of Democracy (2018); “Mapping ASEAN’s Futures,” in Contemporary Southeast Asia (2017); and “ASEAN Between China and America: Is It Time to Try Horsing the Cow?,” in Trans-Regional and –National Studies of Southeast Asia (2017).

Earlier work includes “Sunnylands or Rancho Mirage? ASEAN and the South China Sea,” in YaleGlobal (2016); “The Spectrum of Comparisons: A Discussion,” in Pacific Affairs (2014); “Facts, Minds, and Formats: Scholarship and Political Change in Indonesia” in Indonesian Studies: The State of the Field (2013); “Is Indonesia Rising? It Depends” in Indonesia Rising (2012); “Southeast Asia: Minding the Gap between Democracy and Governance,” in Journal of Democracy (April 2012); “The Problem and Promise of Focality in World Affairs,” in Strategic Review (August 2011); An American Place at an Asian Table? Regionalism and Its Reasons (2011); Asian Regionalism and US Policy: The Case for Creative Adaptation (2010); “The Useful Diversity of ‘Islamism’” and “Islamism: Pros, Cons, and Contexts” in Islamism: Conflicting Perspectives on Political Islam (2009); “Crisis and Consensus: America and ASEAN in a New Global Context” in Refreshing U.S.-Thai Relations (2009); and Hard Choices: Security, Democracy, and Regionalism in Southeast Asia (edited, 2008).

Prior to moving to Stanford in 1999, Emmerson was a professor of political science at the University of Wisconsin-Madison, where he won a campus-wide teaching award. That same year he helped monitor voting in Indonesia and East Timor for the National Democratic Institute and the Carter Center. In the course of his career, he has taken part in numerous policy-related working groups focused on topics related to Southeast Asia; has testified before House and Senate committees on Asian affairs; and been a regular at gatherings such as the Asia Pacific Roundtable (Kuala Lumpur), the Bali Democracy Forum (Nusa Dua), and the Shangri-La Dialogue (Singapore). Places where he has held various visiting fellowships, including the Institute for Advanced Study and the Woodrow Wilson International Center for Scholars. 



Emmerson has a Ph.D. in political science from Yale and a BA in international affairs from Princeton. He is fluent in Indonesian, was fluent in French, and has lectured and written in both languages. He has lesser competence in Dutch, Javanese, and Russian. A former slam poet in English, he enjoys the spoken word and reads occasionally under a nom de plume with the Not Yet Dead Poets Society in Redwood City, CA. He and his wife Carolyn met in high school in Lebanon. They have two children. He was born in Tokyo, the son of U.S. Foreign Service Officer John K. Emmerson, who wrote the Japanese Thread among other books.

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Donald K. Emmerson Director of the Southeast Asia Forum Speaker Stanford University
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Cambodia: Past, Present, and Future

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Two images tend to dominate conceptions of the modern Cambodian experience.  Angkor represents heaven, referring to the magnificent temples that capture Cambodia's past glory and future aspirations.  Angkar represents hell, referring to the merciless Khmer Rouge organization that littered the countryside with corpses in the late 1970s.  In many respects, contemporary Cambodian life can be seen as a difficult journey from Angkar toward Angkor.

This panel will discuss challenges that Cambodians face as they seek to move from a dark modern past to a brighter future.  It will address a number of critical questions.  The panel will begin by putting Cambodia's transition in modern historical context.  How have the country's politics and society evolved since the demise of the Pol Pot regime thirty years ago?  How did the Khmer Rouge tribunal take shape, and why has that forum been the subject of such intense political contestation?  The panel will then shift to an analysis of the present day.  How are Cambodians coming to terms with the country's tragic history on personal and societal levels?  What are their views on the adequacy and effectiveness of the Khmer Rouge tribunal in advancing justice, human rights, and other ends? Lastly, the panel will focus on problems beyond the Khmer Rouge legacy.  What are the principal contemporary barriers to democracy and development under the Hun Sen government?  What are the keys to overcoming those obstacles?

About the Panelists
Joel Brinkley assumed his post at Stanford in 2006 after a 23-year career with The New York Times, where he was a reporter, editor and foreign correspondent.  He has won a Pulitzer Prize and many other reporting and writing awards.  He writes a nationally syndicated weekly op-ed column on foreign policy and has reported from over 50 foreign countries.  He has a long-standing interest in Cambodia, which is the subject of his latest book.

Seth Mydans (2009 Shorenstein Journalism Award recipient) Since taking up his post as the New York Times Southeast Asian correspondent in 1996 he has covered the fall of Suharto and rise of democracy in Indonesia; the death of Pol Pot, the demise of the Khmer Rouge and the trauma and slow rebirth of Cambodia; repeated attempts at People Power in the Philippines; the idiosyncracies of Singapore and Malaysia; the long-running political crisis in Thailand and the seemingly endless troubles of Myanmar.

John Ciorciari is a National Fellow at the Hoover Institution and was a 2007-08 Shorenstein Fellow at the Shorenstein Asia-Pacific Research Center.  He is also Senior Legal Advisor to the Documentation Center of Cambodia, an independent institute dedicated to promoting memory and justice with respect to the abuses of the Khmer Rouge regime.

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Joel Brinkley Lorry I. Lokey visiting professor in the Department of Communication Speaker Stanford University
Seth Mydans Southeast Asia correspondent Speaker New York Times & International Herald Tribune

John Ciorciari

Hoover Institution
Stanford, CA 94305

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Affiliate - Southeast Asia Forum
CiociariHeadshot.jpg JD, PhD

John D. Ciorciari was a Shorenstein Postdoctoral Fellow at Shorenstein APARC for 2007-2008.  Dr. Ciorciari will remain at Stanford for the academic year 2008-09 as a National Fellow of the Hoover Institution. His current research centers on the alignment policies of small states and middle powers in the Asia-Pacific region. He focuses particularly on the phenomenon of "hedging," whereby secondary states pursue a balance of security and autonomy vis-a-vis the great powers.

Dr. Ciorciari also has interests in international human rights law and international finance. Before coming to Stanford, he served as Deputy Director of the Office of South and Southeast Asia at the U.S. Treasury Department. He has published articles on the reform of the Bretton Woods institutions and is currently undertaking a project on financial cooperation in East Asia.

In addition, he serves as a Senior Legal Advisor to the Documentation Center of Cambodia, which assists the Khmer Rouge tribunal and conducts research into the history of Democratic Kampuchea. He has published a range of scholarly works on international criminal law and the Khmer Rouge accountability process.

Dr. Ciorciari received an AB and JD from Harvard, where he was editor-in-chief of the Harvard International Law Journal. He received his MPhil and DPhil from Oxford, where he was a Fulbright Scholar and Wai Seng Senior Research Scholar.

John Ciorciari National Fellow, Hoover Institute Speaker Stanford University
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Shorenstein Journalism Award

Continuity and Change in Southeast Asia: 2009 Shorenstein Journalism Award:

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The Shorenstein Award, which carries a cash prize of $10,000, honors a journalist not only for a distinguished body of work, but also for the particular way that work has helped American readers to understand the complexities of Asia. It is awarded jointly by the Walter H. Shorenstein Asia-Pacific Research Center in the Freeman Spogli Institute for International Studies at Stanford University, and the Shorenstein Center on Press, Politics, and Public Policy in the Kennedy School of Government at Harvard University.

This year’s recipient is Seth Mydans. Seth Mydans covers Southeast Asia for The New York Times and the International Herald Tribune from his base in Bangkok, Thailand. Since taking up the post in 1996 he has covered the fall of Suharto and rise of democracy in Indonesia; the death of Pol Pot, the demise of the Khmer Rouge and the trauma and slow rebirth of Cambodia; repeated attempts at People Power in the Philippines; the idiosyncracies of Singapore and Malaysia; the long-running political crisis in Thailand and the seemingly endless troubles of Myanmar.

In the 1980s he covered the fall of Marcos and struggles of Corazon Aquino in the Philippines and was in Burma for the massacres that led to the emergence of Aung San Suu Kyi and the current junta.
        
He worked for a construction company in Vietnam during the war after graduating from Harvard, and has followed the Vietnam story since then, through the exodus of refugees, to their resettlement in the United States, to the shaping of a new post-war Vietnam.

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Seth Mydans Southeast Asia Correspondent Speaker The New York Times and the International Herald Tribune
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Shorenstein Journalism Award
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