Notices of the demise of Iran’s Green Revolution are premature. Without question, the tyrannical triumvirate — Ayotallah Ali Khamenei, President Mahmoud Ahmadinejad and the Revolutionary Guard — have dealt a crippling blow to the popular movement protesting their electoral coup of June 12.

Thousands of Iranians have been arrested and savagely tortured — from street protesters to election campaign organizers for Mir Hussein Moussavi, the likely victor in that contest. Many are now being forced to “confess” to having been agents of the United States or Britain.

We have seen this play before, not simply in Iran but in other tyrannies that suppressed mass movements for democratic change with massive violence and terror.

But Iran in 2009 is not China in 1989, Burma in 1990 or Belarus in 2006. The crisis in the Islamic Republic has exposed and widened massive cracks within the ruling elite. Such divisions are always a sign of an impending crackup of dictatorship.

Despite the rush to bury Iran’s reformist movement as another lost cause, Iran remains at a possible political tipping point. Democracies around the world have a duty — not simply to themselves, but to their strategic interests — to weigh in. They must not be deterred by threats to shun talks over Iran’s nuclear program.

President Obama has gotten it right by signaling America’s support for peaceful protest, human rights and the rule of law. More explicit language, not to mention action, would only play into the hands of the most cynical and vicious conservative elements in Iran. Moreover, with no diplomatic ties and all but no trade with Iran, there is little more the U.S. could do right now to pressure the regime.

But there are over 100 other democracies in the world. It is time that their voices were heard and their actions felt in Tehran.

Britain shares with the U.S. the handicap of a past history of negative interference in Iran. But Britain has diplomatic and economic ties to the regime, and breaking or suspending those will weaken Ayatollah Khamenei and his reactionary allies.

Moreover, Britain can have a unique kind of impact in Iran: For more than a century, Iranians have believed in the omnipotence of the “British hand” in the affairs of their country. Any indication that Britain is no longer willing to do business with the Islamic regime will hearten the Iranian people and undermine the regime’s aura of invincibility.

Germany, France and Italy are major trading partners with Iran. They have little history of colonial interference in Iranian affairs. Their decision to refuse to recognize the Ahmadinejad regime would have an immense effect. More compelling still would be a similar declaration from the entire Group of 8 at its impending summit.

The smaller and less powerful democracies can also have an impact. It would be preposterous for Iranian hardliners to attribute ulterior strategic motives to actions by the Scandinavian countries or the Netherlands, Ireland, Canada or Slovenia. If a coalition of such countries were to condemn the crackdown, call for a release of political prisoners and demand full respect for human rights — and back up these positions with a downgrading of diplomatic and trade ties — this would send a powerful message to both sides in Iran.

Many democracies around the world, including the above, have diplomatic ties with Iran. It is important that they maintain their embassies in Tehran. But they should now refuse to recognize the legitimacy of Ahmadinejad’s government.

The most powerful coalition of democracies in the world, the 27-member European Union, is now debating whether to withdraw their ambassadors from Tehran in protest over the detention of the British Embassy’s Iranian personnel.

The withdrawal of E.U. ambassadors would send a stunning message to the Iranian hardliners that coups and bloody suppression of peaceful protests carry a heavy price in international standing.

With the simple diplomatic act of denying legitimacy — something nearly all democratic forces in Iran are now asking of the world — the democracies of the world can give a needed boost to the forces of democratic change in Iran and earn the lasting gratitude of a movement that will eventually triumph.

Stanford President Emeritus Gerhard Casper, the Peter and Helen Bing Professor in Undergraduate Education, professor of law, and FSI Senior Fellow, and James J. Sheehan, the Dickason Professor in the Humanities and a professor of history (emeritus), have been awarded the Great Cross of the Order of Merit with Star (Grosses Bundesverdienstkreuz mit Stern), among the highest tributes paid to individuals for service to the Federal Republic of Germany. The award is offered for many types of service, including political, economic, social, intellectual, and philanthropic contributions. German President Horst Köhler personally presented the award to Casper and Sheehan in an award ceremony in Berlin on June 8, 2009.

While in Berlin, Casper also delivered the keynote address in commemoration of the 150^th anniversary of the death of Alexander von Humboldt, the German naturalist and explorer. Von Humboldt, the younger brother of the Prussian minister and philosopher Wilhelm von Humboldt, traveled extensively in Latin America and published a series of widely read volumes over the ensuing 21 years. A later, five-volume work, Kosmos, attempted to unify the various branches of scientific knowledge. The title of Casper’s address (in translation) was “A Young Man from ‘Ultima Thule’ visits Jefferson: Alexander von Humboldt in Washington.” In medieval geographies, “Ultima Thule” may denote any distant place located beyond the “borders of the known world” and was Humboldt’s ironic way of referring to 19^th century Prussia.

The 2008-09 academic year was a busy time for the Southeast Asia Forum (SEAF).  A dozen on-campus lectures by Southeast Asianists from Australia, Germany, Malaysia, Thailand, and the United States ranged from country-specific topics such as labor resistance in Vietnam, political opposition in Malaysia, and the 2009 elections in Indonesia, to broader-brush treatments of Southeast Asian identities and modernities, regional repercussions of the global economic slowdown, and the wellsprings of “late democratization” across East Asia.

The lecture on “late democratization” was delivered to a capacity audience by the 2008-09 National University of Singapore-Stanford University Lee Kong Chian (LKC) Distinguished Fellow, Mark Thompson.  Mark is a political science professor in Germany at the University of Erlangen-Nuremberg.  He and another 08-09 SEAF speaker, Australian National University Prof. Ed Aspinall, jointly with State University of New York-Albany Prof. Meredith Weiss, will lead a 28-30 August 2009 workshop in Singapore under the auspices of the NUS-Stanford Initiative (NSI).  The workshop will review and analyze the record and prospects of student movements in Asia.  Attendees will include authors of chapters of a book-in-progress stemming from the research and writing on democratization done by Thompson during his fellowship at Stanford.

A second NSI awardee this past academic year was the 2008 NUS-Stanford LKC Distinguished Lecturer Joel Kahn, professor of anthropology emeritus at La Trobe University, Melbourne, who gave three talks at SEAF this year: 

• Science and Secularity: Rethinking Religous Reform
• Dynamics of Identity: Empires, States & Groups
• Comparing Modernities: Is Southeast Asia Unique?
   

His insightful interpretations of identity and modernity in Southeast Asia may be heard via the relevant audio icons at the links above.

Off-campus lectures involving SEAF included three panel discussions convened to launch Hard Choices: Security, Democracy, and Regionalism in Southeast Asia (introductory chapter and information on ordering the title are available), published by Stanford’s Shorenstein APARC and the Institute of Southeast Asian Studies (ISEAS), Singapore, in 2008-09.  The book was edited by SEAF Director Donald K. Emmerson.  

Hosting these launches in their respective cities were ISEAS in Singapore, the Asia Society in New York, and Johns Hopkins University’s School of Advanced International Studies in Washington, D.C.  Panelists at these events included Ellen Frost (Peterson Institute for International Economics), Mike Green (Georgetown University School of Foreign Service), Alan Chong Chia Siong (NUS), and Joern Dosch (Leeds University).  

Another panelist was John Ciorciari, a Shorenstein Fellow at Shorenstein APARC in 2007-08 and a National Fellow at the Hoover Institution in 2008-09.  In 2009, despite the U.S. recession and a correspondingly competitive academic marketplace, he published several Southeast Asia-related pieces, completed and submitted to a university press the manuscript he had worked on at APARC, and won a tenure-track assistant professorship at the University of Michigan’s School of Public Policy starting in September 2009.  Congratulations, John! 

Apart from speaking at the launches of Hard Choices, Don Emmerson gave papers on Indonesian foreign policies and Asia Pacific regionalism in Jakarta and Manila, and discussed these and other topics at events in Chicago and Los Angeles among other venues.  At two conferences in Washington,D.C. on a proposed U.S.-Indonesian “comprehensive partnership,” he addressed what such a relationship could and should entail.  In Spring 2009 at Stanford, he served as faculty sponsor and lecturer in a student-initiated course on Thailand.  His interviewers during the year included the BBC, Radio Australia, The New York Times, and various Indonesian media.

SEAF organized its final on-campus event of the 2008-09 academic year in June 2009 — an invitation-only roundtable co-sponsored with the U.S.-ASEAN Business Council.  Nine scholars met with three current American ambassadors to Southeast Asian countries for off-the-record conversations on seven topics of mutual interest regarding the region and its relations with the United States.

None of the above could have happened without the talent, friendliness, and all-round indispensability of SEAF’s administrative associate, Lisa Lee.  Thank you, Lisa!

Prospect:  2009-2010

As of June 2009, SEAF anticipated hosting, directly or indirectly, these scholars of Southeast Asia during academic year 2008-09:

• Sudarno Sumarto is the director of the SMERU Research Institute, Jakarta.  He will be at Stanford for the full academic year as the 2009-10 Shorenstein APARC-Asia Foundation Visiting Fellow. While on campus, Sudarno will do research and write on the political economy of development in Indonesia.  He is likely to focus within that field on the economic consequences of violent conflict, policy lessons to be drawn from the record of cash-transfer welfare programs, and whether and how such aid has affected its recipients’ voting behavior. 
• James Hoesterey will spend academic year 2009-10 at APARC as the year’s Shorenstein Fellow.  He will revise for publication his University of Wisconsin-Madison doctoral dissertation in anthropology on “Sufis and Self-help Gurus:  Postcolonial Psychology, Religious Authority, and Muslim Subjectivity in Indonesia.” Jim researched this topic in Indonesia over two years of fieldwork focused on the outlook and activities of a popular, charismatic, media-savvy Muslim preacher, Abdullah Gymnastiar.  Jim’s aim is to understand and interpret how a new generation of Muslim preachers and trainers in Indonesia has found a marketable niche and acquired personal and religious authority by combining piety with practical advice. 
• Thitinan Pongsudhirak is an associate professor in international relations at Chulalongkorn University, Bangkok, where he also heads the Institute of Security and International Studies.  He will be at Stanford in Spring 2010, one of four visiting experts from overseas in a new joint effort by the Stanford Humanities Center and the Freeman Spogli Institute for International Studies to bring “high-profile international scholars into the intellectual life of Stanford.” 

Together with SEAF, the Center for East Asian Studies and the Center for Democracy, Development, and the Rule of Law will co-host Thitinan during his stay.  While at Stanford he will lecture and write on Thai politics and foreign policy, among other possible topics.  His op ed in the 18 April 2009 New York Times, “Why Thais Are Angry,” may be accessed at the New York Times.

Christian von Luebke, a 2008-09 Shorenstein Fellow, will remain at Stanford in 2009-2010 as a visiting scholar on a German Science Foundation fellowship.

He will enlarge, for publication, the focus of his doctoral dissertation, on the political economy of subnational policy reform in Indonesia, to encompass the Philippines and China as well.  To that end, he did preparatory fieldwork in Manila in Summer 2009.

SEAF is happy to congratulate all four of these 2009-2010 scholars for winning these intensely competitive awards!  

In addition to sponsoring the lectures these scholars are expected to give, SEAF will host a full roster of occasional speakers from the United States and other countries in AY 2009-2010.  These speakers will analyze and assess, for example, the (in)efficacy of ex-Prime Minister Thaksin Shinawatra’s welfare programs in Thailand, the role of intra-military tensions in propelling Asian transitions from authoritarian to democratic rule, and aspects of Japan’s occupation of Southeast Asia during World War II that need reconsideration.

As for the 2009-10 iteration of the NUS-Stanford Initiative and its fellowship and lectureship awards, as of June 2009 this prospect was on hold pending clarification of NSI’s financial base, which has been affected by the global economic downturn.  Whatever the status of NSI in 2009-10, SEAF’s speakers, whether resident on campus or invited for one-time talks, should make up in quality for the modest shortfall in quantity—not filling one slot for a visitor—that the possible absence of an NSI-funded scholar would imply.

Controversy:  “Islamism” and Its Discontents

SEAF expects to learn in 2009-10 of the publication of one or more books written wholly or partly at Stanford under its auspices.  One of these titles is Islamism: Contested Perspectives on Political Islam.  It is set to appear by November 2009 and can be ordered now from Stanford University Press at http://www.sup.org/book.cgi?id=11926.  

In this volume, SEAF’s director debates a friend and colleague, Middle Eastern and Islamic studies expert and Hofstra University anthropologist Dan Varisco.  They disagree over the meaning of the term “Islamism” and the (un)desirability of its use in discourse about Muslims and their faith.  Of particular sensitivity in this context is the (mis)use of “Islamism” to describe or interpret instances of violence that have been or may be committed by Muslims in the name of Islam.  A dozen other experts on Islam, mostly Muslims, contribute shorter comments on “Islamism” and on the positions taken by Emmerson and Varisco.  If one early reviewer turns out to be right, “this lively work will be a great help for anyone concerned with current debates between Islamic nations and the West.” 

At Stanford in February 2009, Don Emmerson conveyed his and Dan Varisco’s views to a standing-room-only lecture and discussion hosted by the Abbasi Program in Islamic Studies entitled “Debating Islamism: Pro, Semi-pro, Con, and Why Bother?” (audio recording available).  One listener later commented anonymously on the talk.  Also relevant, in the context of larger questions regarding how best to convey Muslims’ lives and religion to non-Muslims, is Jonathan Gelbart's article "Who Speaks For Islam? Not John Esposito".

Don does not know the authors of these posts; ran across their comments by chance while cyber-surfing; and does not necessarily endorse their views, let alone views to be found in the sources to which these comments may be electronically linked.  But the blog and the article do contribute to a debate whose importance was illustrated at the very end of Stanford’s 2008-09 academic year by Barack Obama’s own treatment of Islam and Muslims in the unprecedented speech that he gave at Cairo University on 4 June 2009.  After he spoke, in conversation with an Indonesian journalist, Obama promised to visit—actually, to revisit—Jakarta on his next trip to Asia.  That stop is most likely to take place before or after he attends the Asia Pacific Economic Cooperation forum in nearby Singapore in November 2009.  Viewers interested in a commentary can also read Don's Obama's Trifecta: So Far, So Good.

The Director of the Asia Health Policy Program, Karen Eggleston, served as guest editor of the International Journal of Healthcare Finance and Economics for the June 2009 issue. The eight papers of that issue evaluate different provider payment methods in comparative international perspective, with authors from Hungary, China, Thailand, the US, Switzerland, and Canada. These contributions illustrate how the array of incentives facing providers shapes their interpersonal, clinical, administrative, and investment decisions in ways that profoundly impact the performance of health care systems.

The collection leads off with a study by János Kornai, one of the most prominent scholars of socialism and post-socialist transition, and the originator of the concept of the soft budget constraint. Kornai’s paper examines the political economy of why soft budget constraints appear to be especially prevalent among health care providers, compared to other sectors of the economy.

Two other papers in the issue take up the challenge of empirically identifying the extent of soft budget constraints among hospitals and their impact on safety net services, quality of care, and efficiency, in the United States (Shen and Eggleston) and – even more preliminarily – in China (Eggleston and colleagues, AHPP working paper #8).

The impact of adopting National Health Insurance (NHI) and policies separating prescribing from dispensing are the subject of Kang-Hung Chang’s article entitled “The healer or the druggist: Effects of two health care policies in Taiwan on elderly patients’ choice between physician and pharmacist services” (AHPP working paper #5).

In “Does your health care depend on how your insurer pays providers? Variation in utilization and outcomes in Thailand” (AHPP working paper #4), Sanita Hirunrassamee of Chulalongkorn University and Sauwakon Ratanawijitrasin of Mahidol University study the impact of multiple provider payment methods in Thailand, providing striking evidence consistent with standard predictions of how payment incentives shape provider behavior. For example, patients whose insurers paid on a capitated or case basis (the 30 Baht and social security schemes) were less likely to receive new drugs than those for whom the insurer paid on a fee-for-service basis (civil servants). Patients with lung cancer were less likely to receive an MRI or a CT scan if payment involved supply-side cost sharing, compared to otherwise similar patients under fee-for-service. (This article is open access.)

The fourth paper in this special issue is entitled “Allocation of control rights and cooperation efficiency in public-private partnerships: Theory and evidence from the Chinese pharmaceutical industry” (AHPP working paper #6). Zhe Zhang and her colleagues use a survey of 140 pharmaceutical firms in China to explore the relationships between firms’ control rights within public-private partnerships and the firms’ investments.

Hai Fang, Hong Liu, and John A. Rizzo delve into another question of health service delivery design and accompanying supply-side incentives: requiring primary physician gatekeepers to monitor patient access to specialty care (AHPP working paper #2).

Direct comparisons of payment incentives in two or more countries are rare. In “An economic analysis of payment for health care services: The United States and Switzerland compared,” Peter Zweifel and Ming Tai-Seale compare the nationwide uniform fee schedule for ambulatory medical services in Switzerland with the resource-based relative value scale in the United States.

Several of the papers featured in this special issue were presented at the conference “Provider Payment Incentives in the Asia-Pacific” convened November 7-8, 2008 at the China Center for Economic Research (CCER) at Peking University in Beijing. That conference was sponsored by the Asia Health Policy Program of the Shorenstein Asia-Pacific Research Center at Stanford University and CCER, with organizing team members from Stanford University, Peking University, and Seoul National University.

As Eggleston notes in the guest editorial to the special issue, AHPP and the other scholars associated with the issue “hope that these papers will contribute to more intellectual effort on how provider payment reforms, carefully designed and rigorously evaluated, can improve ‘value for money’ in health care.”