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At present, the tobacco industry produces some six trillion cigarettes worldwide every year. Six trillion cigarettes per annum, each ready to release smoke filled with highly addictive nicotine and powerful carcinogens. A third of all these sticks were produced in China last year. In 2011, the world’s largest cigarette maker by volume, the China National Tobacco Corporation, contributed an all-time high of U.S. $214 billion in profits and taxes to the Chinese government, up 22 percent year-on-year. Currently the greatest cause of preventable death in the world, the cigarette is likely to kill ten times as many people in the 21st century as it did in the 20th century, epidemiologists tell us, with China bearing the largest burden. Until now, much global health research and intervention has focused with limited success on the cigarette consumer—addressing how one or another variable prompts people to take up or quit smoking, whether the cue for the consumer is biological, psychological, spatial, financial or symbolic. What though of the industrial sources of tobacco-related diseases? Where are the six trillion cigarettes that are released into circulation each year manufactured? Where are they rolled, wrapped, and boxed for shipment? This presentation will introduce the Cigarette Citadels Project, an innovative application of participatory GIS. With special attention given to China’s network of cigarette factories, Matthew Kohrman will explain how the Cigarette Citadels Project not only reveals conceptual roadblocks in public health policy but also lacuna in social theory pertaining to the state and the politics of life.


Matthew Kohrman joined Stanford’s faculty in 1999. His research and writing bring multiple methods to bear on the ways health, culture, and politics are interrelated. Focusing on the People's Republic of China, he engages various intellectual terrains such as governmentality, gender theory, political economy, critical science studies, and embodiment. His first monograph, Bodies of Difference: Experiences of Disability and Institutional Advocacy in the Making of Modern China, examines links between the emergence of a state-sponsored disability-advocacy organization and the lives of Chinese men who have trouble walking. In recent years, Kohrman has been conducting research projects aimed at analyzing and intervening in the biopolitics of cigarette smoking and production. These projects expand upon analytical themes of Kohrman’s disability research and engage in novel ways techniques of public health.

This event is part of the China's Looming Challenges series

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Stanford University
Department of Anthropology
Building 50, Central Quad
Stanford, California 94305-2034

(650) 723-3421 (650) 725-0605
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Associate Professor of Anthropology
Senior Fellow, by courtesy, at the Freeman Spogli Institute for International Studies
Faculty Affiliate at the Walter H. Shorenstein Asia-Pacific Research Center
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
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Matthew Kohrman joined Stanford’s faculty in 1999. His research and writing bring multiple methods to bear on the ways health, culture, and politics are interrelated. Focusing on the People's Republic of China, he engages various intellectual terrains such as governmentality, gender theory, political economy, critical science studies, and embodiment. His first monograph, Bodies of Difference: Experiences of Disability and Institutional Advocacy in the Making of Modern China, examines links between the emergence of a state-sponsored disability-advocacy organization and the lives of Chinese men who have trouble walking. In recent years, Kohrman has been conducting research projects aimed at analyzing and intervening in the biopolitics of cigarette smoking and production. These projects expand upon analytical themes of Kohrman’s disability research and engage in novel ways techniques of public health.

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Matthew Kohrman Associate Professor of Anthropology and Senior Fellow Speaker FSI
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While Chernobyl, and now Fukushima, are household words, far fewer people have heard of Maiak in the southern Urals and Hanford in eastern Washington State where Soviet and American engineers built plutonium plants to fuel the Cold War nuclear arsenal. Within nuclear "buffer zones," plant managers, who were pushed to produce as much plutonium as quickly as possible, polluted freely, liberally and disastrously. During the plutonium disasters that ensued, each plant issued over 200 million curies of radioactive isotopes into the surrounding environment, at least twice the amount released at Chernobyl. Under cover of nuclear security and powered by generous corporate welfare, plant managers employed influential public relations campaigns, restricted medical research, deployed temporary, migrant workers as ‘"jumpers" for the dirtiest work, and generally denied the existence and hazards of radioactive contamination. This was the house plutonium built. Kate Brown argues these histories are important because they supplied models, staff, blueprints and subsequent ready-made disasters for Chernobyl and Fukushima.

Kate Brown is an associate professor of history at the University of Maryland, Baltimore County. She is the author of a Biography of No Place: From Ethnic Borderland to Soviet Heartland (Harvard 2004), which won the American Historical Association’s George Louis Beer Prize for the Best Book in International European History. Brown is a 2009 Guggenheim Fellow and is working on a book called Plutopolia, a tandem history of the world’s first plutonium cities, to be published by Oxford University Press in 2012.

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Special Japan Studies Program and CEAS Series: Winter-Spring 2011-12

Looking Back, Looking Forward: Japan's March 11 Disasters One Year Later

The earthquake, tsunami, and nuclear disaster that hit Japan in March 2011 had both immediate catastrophic consequences and long term repercussions. Fundamental areas of Japan’s environment, economy, society, and collective national psyche were deeply affected, giving rise to a broad range of urgent issues. These include economic debates about how to meet the country’s energy demands with nuclear power plants offline, and what path to take for the country’s energy future; political crises, including criticism of the government’s disaster response; the psychological challenges of coping with trauma and grief; a daunting environmental clean-up; and social developments, including a new wave of civil society activism. This series brings together scholars and activists from a wide range of specialties to take stock of how the Japanese have been affected by the disasters, and to assess the efforts of residents, volunteers, and policy makers to recover and move forward.

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Kate Brown Associate Professor of History Speaker University of Maryland, Baltimore County (UMBC)
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Entrepreneurs and entrepreneurship played a critical role in transforming Japan’s telecommunications sector. Between the mid-1990s and mid-2000s, in a sector long dominated by a stable set of large actors with well-established patterns of interaction, entrepreneurs introduced new technologies, new business models, and new norms of interaction. The subsequent transformation of Japan’s telecommunications sector was dramatic, providing consumers with not only fast and sophisticated services but also low prices and an entire new ecosystem of mobile content—a considerable departure from Japan’s long track record of being known as producer- rather than consumer-oriented, with consumers enjoying high-end services and products, but at high prices. Yet, these transformative entrepreneurs were not acting in a vacuum. Regulatory shifts in telecommunications were critical in providing opportunities for entrepreneurs, while simultaneously protecting them from large incumbent firms. These regulatory shifts were driven by the political dynamics of the 1990s as Japan struggled through its post-bubble economic malaise and political changes.

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Kenji E. Kushida
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Implementation science is a quickly growing discipline. Lessons learned from business and medical settings are being applied but it is unclear how well they translate to settings with different historical origins and customs (e.g., public mental health, social service, alcohol/drug sectors). The purpose of this paper is to propose a multi-level, four phase model of the implementation process (i.e., Exploration, Adoption/Preparation, Implementation, Sustainment), derived from extant literature, and apply it to public sector services. We highlight features of the model likely to be particularly important in each phase, while considering the outer and inner contexts (i.e., levels) of public sector service systems.

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There is a large literature on innovation and the importance of a node and a network as
important to creating an environment for such innovation. Most of the analysis of this
system has been in high technology industries, and in the products and technologies that
it creates. However, there is no reason why we can’t analyze innovation in less leading
edge industries and products, and in the development or organizational structures rather
than products. This paper tries to illustrate the potential of this type of innovation
institutions by looking at structures for business relationships as the innovation, and
consciously chooses two very low technology industries (Japanese trading company
relationships in textiles and steel) to illustrate the potential usefulness of innovation
system concepts in less conventional venues.

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Venture capital investment has become globalized in the business landscape. Scholars
have reported an increasing globalization trend in the VC industry, as measured by VC
investment across national borders (Wright et al., 2005). Aylward (1998) found that Asian
countries/economies (e.g., Singapore, Hong Kong, and India) largely sourced their venture funds internationally. Baygan (2000) demonstrated that European countries experienced increases of cross-border VC flow. Aizenman & Kendall (2008) found that the number/volume of VC deals with international participation has increased in recent years. Finally, according to the Deloitte Touche Tohmatsu 2009 Global Venture Capital Survey, 52% of VCs already invest outside their home countries (Deloitte, 2009). Researchers also examine mechanisms behind this globalization trend: Guler & Guillen (2010) analyze the influence of recipient countries’ institutions on U.S. VC firms’ international investment decision. Aizenman & Kendall analyze the determinants of global VC flow using the gravity model framework. My two studies, both of which examine determinants and patterns of VC investment globalization, are positioned in this stream of research.

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An estimated 1.6 billion people worldwide have no access to electricity. An untold number of others live with electricity that is erratic and of poor quality. How can electric power be brought into their lives when the centralized utility models that have evolved in developed nations are not an economically viable option? Small-scale Distributed Generation (DG), ranging from individual solar home systems to village level grids run off diesel generators, could provide the answer, and this book compares around 20 DG enterprises and projects in Brazil, Cambodia and China, each of which is considered to be a "business model" for distributed rural electrification.

While large, centralized power projects often rely on big subsidies, this study shows that privately run and localized solutions can be both self-sustaining and replicable.  The book's three sections provide a general introduction to the issue of electrification and rural development, set out the details of the case studies and compare the models involved, and discuss the important thematic issues of equity, access to capital and cost-recovery. Zerriffi shows that in each case, it is not simply a matter of matching a particular technology to a particular need. Numerous institutional factors come into play, including the regulatory regime, access to financial services, and government/utility support or opposition to the DG alternative.

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Please click here to listen to the podcast of this event on the changing investment landscape in China.

About the speakers

Howard Chao
Howard Chao is the Senior Partner of O’Melveny’s Asia Practice. During his 31 years with the Firm he has been engaged in a broad variety of transactional matters. He was responsible for establishing our China offices, and was stationed in our Shanghai office for many years. He is currently engaged in a general corporate practice, with an emphasis on cross-border and Asia matters.

Howard is a recognized authority on China and has extensive experience advising clients on China matters. He has advised clients from many sectors in connection with their investments and operations in Asia. More recently, Howard has been assisting Chinese companies with their outbound investment transactions.

In the United States, Howard has advised clients in connection with a variety of transactional matters, including M&A, corporate finance and PE/VC investments.

 

Duncan Clark
Duncan Clark is Chairman of BDA China, a consultancy he founded in Beijing in 1994 after four years as an investment banker with Morgan Stanley in London and Hong Kong. Over the past 18 years, Duncan has guided BDA to become the leading investment advisory firm in China specialized in China’s technology, internet and ecommerce sectors. Duncan is also a Senior Advisor to the ‘China 2.0’ initiative at SPRIE, where he was invited as a Visiting Scholar from 2010-2011.

A partner at mobile game app developer Happy Latte, he has also served on the Advisory Board of Netease.com (Nasdaq: NTES) and serves on the Advisory Board of the Digital Communication Fund of Geneva-based bank Pictet & Cie.

A UK citizen, Duncan was raised in England, the United States and France.He is the elected Chairman of the British Chamber of Commerce in China, Vice Chair of the China-Britain Business Council and Vice Chair of the ICT Working Group of the European Chamber of Commerce in China.

G101 (Dunlevie Classroom)
1st Floor, Gunn Building
Knight Management Center
Stanford Graduate School of Business
655 Knight Way, Stanford, CA94305-7298

Howard Chao, Esq. Partner Speaker O'Melveny & Myers LLP

BDA China Ltd
#2908 North Tower, Kerry Centre
1 Guanghua Road
Beijing 100020, China

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Senior Advisor for China 2.0 Project
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Duncan Clark is Chairman of BDA China, a consultancy he founded in Beijing in 1994 after four years as an investment banker with Morgan Stanley in London and Hong Kong. Over the past 19 years, Duncan has guided BDA to become the leading investment advisory firm in China specialized in China's technology, internet and e-commerce sectors.

An angel investor in mobile game app developer Happy Latte and digital content metrics company App Annie Duncan has also served on the Advisory Board of Chinese internet company Netease.com (Nasdaq: NTES) and serves on the Advisory Board of the Digital Communication Fund of Geneva-based bank Pictet & Cie.

A UK citizen, Duncan was raised in England, the United States and France. A graduate of the London School of Economics & Political Science, Duncan is a Senior Advisor to the ‘China 2.0' initiative at the Stanford Graduate School of Business’s Stanford Program on Regions of Innovation and Entrepreneurship, where he was invited as a Visiting Scholar in 2010 and 2011.

Duncan is partner in a Beijing-based film production company CIB Productions, and Executive Producer of two China-themed television documentaries including ‘My Beijing Birthday’.

Duncan was appointed Officer of the Order of the British Empire (OBE) in the 2013 New Year Honours for services to British commercial interests in China.

Duncan Clark Chairman Speaker BDA China
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More than 500,000 people live in Mathare, the second-largest collection of slums in Nairobi, Kenya. Crime and disease ravage the population, and shanties have no electricity or running water. But there’s one piece of technology that everyone seems to have, one which promises to bring much-needed improvements: the cell phone.

Cell phones are central to two of the eight most recent Global Underdevelopment Action Fund projects funded by the Freeman Spogli Institute for International Studies. Both projects will be led by Joshua Cohen, a professor of political science, philosophy and law and the Marta Sutton Weeks Professor of Ethics in Society.

The first of Cohen’s projects will examine whether texting private and accurate health advice will increase awareness of risky sexual behavior among Mathare’s younger residents who face high rates of pregnancy and sexually transmitted diseases.

Cohen's second project involves teaching women to use mobile technology to meet up with larger groups while traveling at night, which Cohen believes can led to a decrease in the number of assaults, muggings and rapes. Eventually, the hope is that the program can be taken over by Kenya’s police and expanded.

 Cell phone charging station in Mathare

Six other projects are receiving support from the third round of Global Underdevelopment Action Fund awards, amounting to a total of $265,000.

The funds will enable multidisciplinary teams led by Stanford faculty from across the university to perform policy-relevant research focused on global underdevelopment challenges.

The funded projects will have real world impact. They will help target tuberculosis, which kills more than 1 million people a year and hinders economic development in the hardest-hit regions, like parts of India. They evaluate the amount of resources necessary to improve test scores and lower anemia rates among China’s rural schoolchildren. They ensure that health care is accessible to people in the Arab world where countries are undergoing political transitions. And they evaluate the challenges and benefits of bringing solar power to areas in Africa where electricity is a rare commodity.

As varied as the eight projects are, each will train Stanford undergraduate or graduate students, stressing the importance that Stanford and FSI place on training the next generation of researchers and policy influencers.

The projects were selected by a faculty committee chaired by Stephen D. Krasner, FSI’s deputy director and the Graham H. Stuart Professor of International Relations.

The Action Fund is supported by FSI donors, matching funds from the Office of the President and FSI. The fund grew out of the institute’s 2010 conference on Technology, Governance, and Global Development. This year’s follow-up conference further showcased FSI’s commitment to challenges posed by global underdevelopment with a focus on food security and health.

The award-winning projects and their principal investigators are:

  • Texting for Sexual Health: Effects of Information Provision and Common Knowledge on Health-Seeking Behavior in Kenya
    Joshua Cohen
    In hopes of increasing awareness that could minimize sexual health risks, the team will promote a mobile health counseling service, which will enable young people in Nairobi’s Mathare slums to receive private and reliable answers from health counselors through text messaging.
  • Can Mobile Phones Coordinate Community Action to Improve Women’s Safety in Slums?
    Joshua Cohen
    The program uses mobile technology to measure whether the number of assaults on women will decrease if they travel in groups. The project will evaluate whether this “safety in numbers” program can be taken over by Kenyan police.
  • Crime, Violence and Governance in Latin America: Sharing Data and Building a Web-Based Research Network to Expand Knowledge
    Mariano-Florentino Cuéllar
    This project will build a systematically organized repository of research on crime, violence and citizen security in Latin America.
  • Tuberculosis Control and its Benefits to the Rural Poor
    Jeremy Goldhaber-Fiebert
    This study will determine the impact of improved TB control effects in India, which accounts for 20 percent of global TB incidence, and project economic outcomes from India’s TB epidemic over the next decade.
  • Paying for Performance to Improve Health in Rural China: Does Resource Scarcity Breed Innovation in Service Delivery?
    Grant Miller
    This study will evaluate whether large subsidies are necessary for improving social situations like lowering anemia rates or improving test scores.
  • Health and Political Reform in the Arab World
    Paul H. Wise
    Partnering with The Lancet journal and the American University of Beirut, the team will produce a series of articles on war, social change and health in the Arab world with a goal of improving health care in countries undergoing political transition.
  • Solar Lighting and Phone Charging in East Africa: Understanding Adoption, Business Models and Development Outcomes
    Frank Wolak
    This project will analyze new solar businesses in East Africa. Electricity is central to industry, health services and education, yet 1.5 billion people worldwide lack access. Recently, low-power solar energy sources in homes have appeared as viable options.
  • Understanding the Current Status of Medical Technology in Rural China
    Paul Yock
    This study will evaluate the use of medical technology in rural China in order to establish a baseline for future work and establish partnerships. The long-term goal is an analytical framework within which to understand the role of medical technology in Chinese health care.
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Between 2008 and 2009, approximately 25 new private engineering colleges opened in India every week—adding 2500 schools in only two years. Engineering education is also on the rise in the other so-called BRIC countries (Brazil, Russia, and China). But does quantity guarantee quality? And what should government policymakers keep in mind to ensure that their higher education investments pay off?


Rafiq Dossani, a senior research scholar at the Shorenstein Asia-Pacific Research Center, recently collaborated with Stanford professor of education Martin Carnoy and a team of scholars in Russia, China, and India on a leading-edge comparative study of higher education systems in BRIC countries. Carnoy led the project, which focused on engineering education, and he, Dossani, and other researchers are currently writing a book coming out in 2012. Dossani speaks here about the project.

 

What is unique to the approach that you have taken with this study compared to anything similar previously conducted?

This is the first systematic study based on a large data collection. Over 7,000 students were surveyed in China and India respectively, and 2,300 students were surveyed in Russia. Brazil regularly collects detailed data on a very large nationwide sample of university students, and we have used this in our study. We also surveyed over 100 educational institutions, including several dozen face-to-face interviews with trustees, heads of institutions, heads of departments, faculty, administrators, and students.

We focus on engineering education in our study because it is the field that attracts the largest number of students. For example, in China, about 63% of students in 2009, or about 1.8 million students, entered through the science track, which is the route to an engineering degree. In India, 1.4 million freshmen engineering students were enrolled in 2011, which is over 40% of the total number of freshmen.

In our study, we ask how governance and finance affect outcomes in higher education. Every country’s educational system shares certain objectives: quality, access, and equity. What has not been studied for the BRIC countries is whether the governance and finance of higher education is consistent with some of these objectives but not others, and how this impacts the shape and effectiveness of the higher education system. The choice of governance and finance are themselves outcomes of the institutional settings in each country. For example, in India, the dramatic transfer of political power in the last two decades from the national government to the provinces has been the key driver of change.

As a result of this shift in political power, the states took charge of higher education and focused on increasing access and equity as their political goals. Given the extreme shortage of funds, they contracted out the actual provision of education to the private sector on attractive terms. The private sector responded briskly. Of the 1.4 million freshmen enrollees in engineering studies in 2011, 98% were enrolled in private institutions, compared with less than 5% in 1990. The rate of growth was so high that in just two years, 2008 and 2009, 2500 new engineering colleges opened their doors. That works out to about five new colleges for each working day!

There were upsides and downsides to this growth. On the positive side, the state offered attractive financial terms for new institutions located in underprivileged areas and mandated that about 50% of seats be reserved for underprivileged students (mostly identified by caste). It also kept tuition fees for the reserved seats very low at about $500 per student per year and allowed the colleges to recover costs and margins by charging a higher fee for the rest. The result was that growth has been geographically spread and access by underprivileged students is high—in our study, 55% of the students came from underprivileged categories.

The downside is that quality remains elusive. Although this does not show up in job placement rates due to pent-up demand, comparisons with the other BRIC countries suggest that the quality is low. The reason is that private providers, for the moment, find it more profitable to provide minimal infrastructure and employ inadequate faculty than to invest in building up quality for the long-term. In fact, given that the investment in long-term quality is likely to be unaffordable, one of our conclusions is that we question the sustainability of the Indian governance and finance model vis-à-vis the other countries in our study, particularly China, where the central government is taking an activist approach in trying to increase quality, at least in the elite universities.

How do your findings in India’s higher education system for engineering compare to the other BRIC countries, especially China as the study’s other Asian country?

In terms of sheer growth and the number of engineering freshmen, China exceeds India. The cost of education is lower in India. In terms of quality, China, Brazil, and Russia, do better. Part of the reason is a superior entering cohort in the case of China and Russia. But the main reason appears to be that governance in the other BRIC countries is more faculty-driven than driven by profit-oriented trustees. We found that the former model is more likely to deliver quality. In the case of China, for example, academic departments determine courses, course content, and the types of disciplines available, whereas in India, trustees make such choices, with poorer quality outcomes.

You have previously said that India’s higher education system is very politicized—how did it come to be this way?

The politicization began at the country’s independence in 1947. Prior to independence, higher education was managed by provinces to produce graduates from the upper classes who would join the colonial civil service. After independence, the state governments faced new demands for higher education from the middle classes. Since these were also important voting classes, the state responded by setting up a large number of public universities. The state controlled all aspects of the university to ensure that their priorities were met, in terms of location, fees, and personnel hired. For example, the state government was represented in the senate of every university and public college. Every senior-level hire needed to be approved by the state government. State government nominees on the senate also reviewed textbook selections and disciplinary choices.

As may be imagined, educational quality suffered and continues to do so in the public colleges. In the mid-1990s, the states faced demands from new voter categories, particularly lower-caste groups. These were earlier excluded from political power but acquired power in the federalization of politics that took place from 1990 onwards. This time around, though, the states decided to subcontract the work to the private sector rather than set up public colleges. This was largely a matter of cost management—the state thought that the private sector would respond to the incentive of providing technical education to those willing to pay full-cost, and invest the needed capital. This would free up the state’s capital for other demands, including for education, such as for primary and secondary education. To ensure that the lower-caste groups were part of the expansion, the state mandated quotas and subsidized fees. In the name of preserving quality—although, in fact, it preserves quality only at low levels—the state continued to exercise other controls. For example, it imposes common curricula and assessment, and, in most cases, certifies a private college only if it is part of a publicly owned university system.

The state’s policies also led to a shift in the profile of the graduates towards technical and professional education, since these were the fields in which the private sector was willing to establish new institutions. This was greatly stimulated by rising income payoffs to higher education engineering and business training. Private colleges account for 60% of the growth in educational provision between 1995 and 2011, and almost all of that growth is in engineering, management, and other professional fields. The value of this is debatable: it reflects the “market” but, deprived of state support, some fields that may be considered to be socially valuable, such as the liberal arts, are in steep decline.

Has the state of higher education in BRIC countries, such as India, led students to seek education opportunities abroad?

In China and India, these are important reasons for student migration to the West. For example, 500,000 students enroll as freshmen overseas from India alone every year. They come mostly from elite families, since the costs of an overseas education are very high.

What long-term policy changes are you hoping to influence through this study and your forthcoming book?

First, we show that the evolution of higher education in the BRICs can be explained by the role of the state (the government sector) and the policy choices it makes in governance and finance.

Second, we show that private provision can substitute for public provision, but with certain disadvantages in terms of quality and educational diversity. In this context, we show that state policy can still influence some outcomes positively, such as access, equity, and cost-control. However, the long-term implications for quality are much more negative through such a model. 

Third, we show that the provincial governance of education offers certain advantages and disadvantages over national regulation. This is a hotly debated topic in China and India. In India, the national regulators seek greater control out of concern about the implications of too politicized an environment created by the states and the poor quality emerging from private colleges. However, we argue that there may be downsides to centralized control, as was witnessed in an earlier period (during the tenure of Indira Gandhi).

Finally, we make the case that the current ”trend” among governments in developing countries of focusing on the creation of a few world-class universities can succeed in the limited sense of creating a few high-quality teaching and research institutions. However, it comes at a very high cost and in no sense guarantees a trickle-down of quality to the remaining institutions. This is particularly the case in the current model in China and Russia, where the emphasis on world-class universities is greatest and these high-cost elite institutions are given increasing funding per student. At the same time, mass universities absorb increasing numbers of students at low and possibly declining per-student funding.

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Students listen to a talk at the Engineering College of Bikaner in Jaipur, the capital city of the western Indian province of Rajasthan, October 30, 2009.
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