FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.
FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.
Providing food security for a world that will be warmer, more populous, and continually developing requires the implementation of sound policies that enhance food and agricultural consumption, production, incomes, and trade. FSE is in the midst of hosting a two-year, 12-lecture symposium series on Global Food Policy and Food Security.
New Draper Hills Summer Fellows come to Stanford to study linkages between democracy, development, and the rule of law
Rising leaders from a diverse group of nations in transition, including China, Russia, Ukraine, Syria, Iran, Iraq,
Pakistan, Egypt, Kenya, Zimbabwe, Mozambique, and Nigeria arrived on campus on July 25 for a three-week seminar as Draper Hills Summer Fellows on Democracy and
Development. Initiated by FSI's Center on Democracy, Development, and the Rule
of Law (CDDRL) six years ago, the program has created a network of some 139
leaders from 62 transitioning countries.
This year's exceptional class of
23 fellows includes a deputy minister of Ukraine, current and former members of parliament (including a deputy speaker), leading attorneys and rule
of law experts, civic activists, journalists, international
development practitioners, and founders of non-governmental organizations (NGOs). (One fellow needed to withdraw because he was named to the Cabinet of the new Philippine president, Noynoy Aquino).
Draper Hills Summer Fellows are innovative, courageous, and
committed leaders, who strive to improve governance, enhance civic
participation, and invigorate development under very challenging
circumstances" - Larry Diamond"Draper Hills Summer Fellows are innovative, courageous, and
committed leaders, who strive to improve governance, enhance civic
participation, and invigorate development under very challenging
circumstances," says CDDRL Director Larry Diamond. "This year's fellows are
an inspiring group. They have come here to learn from us, but even more so from one another. And we will learn much from them, about
the progress they are making and the obstacles they confront as they work to build democracy, improve government
accountability, strengthen the rule of law, energize civil society, and enhance
the institutional environment for broadly shared economic growth."
The three-week
seminar is taught by an interdisciplinary team of leading Stanford faculty. In
addition to Diamond, faculty include FSI Senior Fellow and CDDRL Deputy
Director Kathryn Stoner; Stanford President Emeritus Gerhard Casper; FSI
Deputy Director and political science Professor Stephen D. Krasner; Olivier
Nomellini Senior Fellow Francis Fukuyama; professor of political science,
philosophy, and law Joshua Cohen; professor of pediatrics and Stanford Health
Policy core faculty Paul H. Wise; visiting associate professor Beth van Schaack;
FSI Senior Fellow Helen Stacy; Walter P. Falcon, deputy director, Program on Food
Security and the Environment; Erik Jensen, co-director of the Stanford Law School's Rule of Law Program; Avner Greif,
professor of economics; Rick Aubry, lecturer in management, Stanford Graduate School of Business; and Nicholas Hope, director,
Stanford Center on International Development.
Other leading experts who will engage the fellows include
President of the National Endowment for Democracy Carl Gershman, United States
Court of Appeals Judge Pamela Rymer, International Center on Nonviolent
Conflict founding chair Peter Ackerman, Omidyar Network partner Matt Halprin,
Conservation International's Olivier Langrand, executives of leading Silicon
Valley companies, such as Google and Facebook, and media and nonprofit organizations in the
Bay Area. Michael McFaul, a
Stanford political science professor and former CDDRL director, who now serves
on the National Security Council as President Obama's chief advisor on Russia,
will come to campus to teach a session on U.S. foreign policy in the Obama
administration.
The demanding, but compelling curriculum will devote the first
week of the seminar to defining the fundamentals of democracy, good governance, economic development, and the rule of
law. In the second week, faculty
will turn to democratic and economic transitionsand the feedback mechanisms between democracy,
development, and a predictable rule of law. This week will include offerings
on liberation technology, social entrepreneurship, and issues raised by
development and the environment.
The third week will turn to the critical - and often controversial -
role of international assistance to foster and support democracy, judicial
reform, and economic development, including the proper role of foreign aid.
Our program helps to create a broader community of
global activists and practitioners, intent on sharing experiences to bring
positive change to some of the world's most troubled countries and regions" - Kathryn Stoner-Weiss The fellows themselves also lead discussions, focused on the
concrete challenges they face in their ongoing work in political and economic
development. "Fellows come to realize that they are often engaged in solving
similar problems - such as endemic corruption in different country contexts,"
says Kathryn Stoner-Weiss. "Our program helps to create a broader community of
global activists and practitioners, intent on sharing experiences to bring
positive change to some of the world's most troubled countries and regions."
The program has received generous gifts from donors William
Draper III and Ingrid Hills. Bill
Draper made his gift in honor of his father, Maj. Gen. William H. Draper, Jr.,
a chief advisor to Gen. George Marshall and chief diplomatic administrator of
the Marshall Plan in Germany, who confronted challenges comparable to those
faced by Draper Hills Summer Fellows in building democracy, a market economy,
and a rule of law, often in post-conflict conditions. Ingrid von Mangoldt
Hills, made her gift in honor of her husband, Reuben Hills, president and
chairman of Hills Bros. Coffee and a leading philanthropist. The Hills project
they ran for 12 years improved the lives of inner city children and Ingrid saw
in the Summer Fellows Program a promising opportunity to improve the lives of
so many people in developing countries.
Thanking the program's benefactors, Larry Diamond says, "The benefit to
CDDRL faculty and researchers is incalculable, and we are deeply grateful for the vision and generosity of Bill Draper and Ingrid Hills." As he and Kathryn Stoner-Weiss
state, "The Draper Hills Summer Fellows Program allows us to interact with a highly,
talented group of emerging leaders in political and economic development from diverse countries and regions. They
benefit from exposure to the faculty's cutting edge work, while we benefit from
a cycle of feedback on whether these ideas work in the field." Like CDDRL, which bridges academic
theory and policy, the Draper Hills Summer Fellows Program, they note, "is an
ideal marriage between democratic and development theory and practice."
President Barack Obama announced his intent to appoint
CISAC's Mariano-Florentino Cuéllar, an expert on federal regulatory policy,
public safety, and international security, to the Council of the Administrative
Conference of the United States (ACUS), an independent agency of the United
States government charged with improving the efficiency and fairness of federal
agencies.
Professor Cuéllar, who is both a CISAC faculty member and
the Deane F. Johnson Faculty Scholar at Stanford Law School, recently returned
from a leave of absence he took to serve as Special Assistant to the President
for Justice and Regulatory Policy at the White House Domestic Policy Council.
Among other issues, Cuéllar worked on improving food safety and public health
policy, expanding support to state and local law enforcement, enhancing
transparency in the regulatory process, and strengthening border coordination
and immigrant integration. He negotiated key provisions of the Family Smoking
Prevention and Tobacco Control Act and represented the Domestic Policy Council
in the development of the first-ever Quadrennial Homeland Security Review.
Earlier, Cuéllar co-chaired the Obama Transition's Immigration Policy Committee
and served as a Treasury official in the Clinton Administration.
As part of the ACUS Council, Cuéllar will join leading
lawyers such as former U.S. court of appeals judge Patricia Wald and former
solicitor general Ted Olson in overseeing the work of ACUS and setting its
priorities. With the appointment to the ACUS Council, Cuéllar will draw upon
his scholarly expertise in how institutions manage complex regulatory
challenges as well as his experience in government.
"At a time when our country faces such enormous
challenges, it is especially important for agencies to safeguard the rights of
the public, cut waste, and deliver value to the American people," said
Cuéllar. "I am honored by this appointment and by the chance to work on
these critical issues."
Established by statute in 1964, the Administrative Conference
of the United States has played an important role in promoting improvements in
the efficiency and fairness in the way federal agencies conduct regulatory
programs. ACUS has been on hiatus for the past 14 years, but has been revived
by Congress with support from a broad range of lawyers, scholars, and judges,
including Supreme Court Justices Antonin Scalia and Stephen Breyer.
This
Spring quarter, while our seminar series took a break, Terry Winograd and Joshua Cohen taught a new course at the Hasso Plattner Institute
of Design (the d.school): Designing Liberation Technologies.
During this class, small
interdisciplinary teams focus on a term-long design project, taking advantage
of the design process structures and methods that have been developed in the d.school. This year's course developed as a collaboration between Stanford, the
University of Nairobi and Nokia
Africa Research Center. The focus
area was finding ICT solutions to the healthcare needs of people living in
Kibera slum outside Nairobi.
Under
the guidance of Jussi Impiö at Nokia and the Computer Science faculty, 27
students from the University
of Nairobi Computer Science department conducted need finding studies at a
number of health-related sites, including clinics, hospitals, community health
workers, community leaders, and government offices. They read background
materials, made observations, and talked with a wide variety of stakeholders. Their
reports became the basis of the Stanford teams' initial understanding of users
and needs. Communication with the group in Nairobi was also maintained throughout
the course, using a Facebook group to facilitate discussions, as well as several
teleconference sessions.
Working in small teams, 20 Stanford
students from a wide range of disciplines worked over 10 weeks to develop initial
design concepts to respond to some of the needs that had been identified. Click
on the title of each project to view their final presentations:
mNote: an online archive for community
health worker notes. This application empowers
community health workers by preserving the flexibility and control they
appreciate in their current paper notebooks, but adding digital knowledge
management capabilities.
M-MAJI("mobile water"): an electronic
information system that allows people to use their mobile phones to identify
clean water sources in their community. The application seeks to decrease the
time and money spent searching for water, improve water quality, and foster
vendor accountability by providing a mechanism for user feedback.
Babybank: a dedicated savings
plan designed specifically for pregnant women in the slums of Nairobi. By
leveraging a popular cell phone payment system, M-Pesa, the application aims to
make savings easier, so that expecting mothers can afford the services that
will keep themselves and their babies healthy.
Mazanick: an application to provide
support and advice to pregnant women via SMS, with the aim of helping motivate
them to attend prenatal appointments.
PillCheck (Kifaa cha Tenbe): a mobile application to help people in Kibera
find information on the availability and pricing of malaria drugs quickly.
PatientMap :a system to make the
waiting process in clinics more transparent, and to increase patient trust in
the medical system.
This summer, two follow up trips are
planned, with Nairobi students due to spend several weeks at Stanford, while a
number of students from the Stanford group will visit Nairobi to explore
possibilities for developing their projects further. Building on the success
and lessons learnt so far, the Designing Liberation Technologies course will be open to a new set of students next academic year.
Henning Steinfeld is head of the livestock sector analysis and policy branch at the Food and Agriculture Organization of the UN in Rome, Italy. He has been working on agricultural and livestock policy for the last 15 years, in particular focusing on environmental issues, poverty and public health protection. Prior to that, he has worked in agricultural development project in different African countries.
Dr Steinfeld is an agricultural economist and graduated from the Technical University of Berlin, Germany (now Humboldt University).
Advances in high-yield agriculture achieved during the so-called Green Revolution have not only helped feed the planet, but also have helped slow the pace of global warming by cutting the amount of biomass burned - and the resulting greenhouse gas emissions - when forests or grasslands are cleared for farming. Stanford researchers estimate those emissions have been trimmed by over half a trillion tons of carbon dioxide. The paper is being released this week in the Proceedings of the National Academy of Sciences.
Advances in high-yield agriculture over the latter part of the 20th century have prevented massive amounts of greenhouse gases from entering the atmosphere - the equivalent of 590 billion metric tons of carbon dioxide - according to a new study led by two Stanford Earth scientists.
The yield improvements reduced the need to convert forests to farmland, a process that typically involves burning of trees and other plants, which generates carbon dioxide and other greenhouse gases.
The researchers estimate that if not for increased yields, additional greenhouse gas emissions from clearing land for farming would have been equal to as much as a third of the world's total output of greenhouse gases since the dawn of the Industrial Revolution in 1850.
The researchers also calculated that for every dollar spent on agricultural research and development since 1961, emissions of the three principal greenhouse gases - methane, nitrous oxide and carbon dioxide - were reduced by the equivalent of about a quarter of a ton of carbon dioxide - a high rate of financial return compared to other approaches to reducing the gases.
"Our results dispel the notion that modern intensive agriculture is inherently worse for the environment than a more 'old-fashioned' way of doing things," said Jennifer Burney, lead author of a paper describing the study that will be published online by the Proceedings of the National Academy of Sciences.
Adding up the impact
The researchers calculated emissions of carbon dioxide, methane and nitrous oxide, converting the amounts of the latter two gases into the quantities of carbon dioxide that would have an equivalent impact on the atmosphere, to facilitate comparison of total greenhouse gas outputs.
Burney, a postdoctoral researcher with the Program on Food Security and the Environment at Stanford, said agriculture currently accounts for about 12 percent of human-caused greenhouse gas emissions. Although greenhouse gas emissions from the production and use of fertilizer have increased with agricultural intensification, those emissions are far outstripped by the emissions that would have been generated in converting additional forest and grassland to farmland.
"Every time forest or shrub land is cleared for farming, the carbon that was tied up in the biomass is released and rapidly makes its way into the atmosphere - usually by being burned," she said. "Yield intensification has lessened the pressure to clear land and reduced emissions by up to 13 billion tons of carbon dioxide a year."
"When we look at the costs of the research and development that went into these improvements, we find that funding agricultural research ranks among the cheapest ways to prevent greenhouse gas emissions," said Steven Davis, a co-author of the paper and a postdoctoral researcher at the Carnegie Institution at Stanford.
To evaluate the impact of yield intensification on climate change, the researchers compared actual agricultural production between 1961 and 2005 with hypothetical scenarios in which the world's increasing food needs were met by expanding the amount of farmland rather than by the boost in yields produced by the Green Revolution.
"Even without higher yields, population and food demand would likely have climbed to levels close to what they are today," said David Lobell, also a coauthor and assistant professor of environmental Earth system science at Stanford.
"Lower yields per acre would likely have meant more starvation and death, but the population would still have increased because of much higher birth rates," he said. "People tend to have more children when survival of those children is less certain."
Avoiding the need for more farmland
The researchers found that without the advances in high-yield agriculture, several billion additional acres of cropland would have been needed.
Comparing emissions in the theoretical scenarios with real-world emissions from 1961 to 2005, the researchers estimated that the actual improvements in crop yields probably kept greenhouse gas emissions equivalent to at least 317 billion tons of carbon dioxide out of the atmosphere, and perhaps as much as 590 billion tons.
Without the emission reductions from yield improvements, the total amount of greenhouse gas pumped into the atmosphere over the preceding 155 years would have been between 18 and 34 percent greater than it has been, they said.
To calculate how much money was spent on research for each ton of avoided emissions, the researchers calculated the total amount of agricultural research funding related to yield improvements since 1961 through 2005. That produced a price between approximately $4 and $7.50 for each ton of carbon dioxide that was not emitted.
"The size and cost-effectiveness of this carbon reduction is striking when compared with proposed mitigation options in other sectors," said Lobell. "For example, strategies proposed to reduce emissions related to construction would cut emissions by a little less than half the amount that we estimate has been achieved by yield improvements and would cost close to $20 per ton."
The authors also note that raising yields alone won't guarantee lower emissions from land use change.
"It has been shown in several contexts that yield gains alone do not necessarily stop expansion of cropland," Lobell said. "That suggests that intensification must be coupled with conservation and development efforts.
"In certain cases, when yields go up in an area, it increases the profitability of farming there and gives people more incentive to expand their farm. But in general, high yields keep prices low, which reduces the incentive to expand."
The researchers concluded that improvement of crop yields should be prominent among a portfolio of strategies to reduce global greenhouse gases emissions.
"The striking thing is that all of these climate benefits were not the explicit intention of historical investments in agriculture. This was simply a side benefit of efforts to feed the world," Burney noted. "If climate policy intentionally rewarded these kinds of efforts, that could make an even bigger difference. The question going forward is how climate policy might be designed to achieve that."
U.S. Ambassador to the United Nations and former FSI Advisory Board member Susan Rice '86 urged Stanford's graduating class to fight global poverty, conflict, and repression, saying "These massive disparities erode our common security and corrode our common humanity." Conflict-ridden states not only cause suffering for their people, she noted. "Poor and fragile states can incubate threats that spread far beyond borders -- terrorism, pandemic disease, nuclear proliferation, criminal networks" and more. "In our interconnected world," she said, " a threat to development anywhere is a threat to security everywhere."
When Susan Rice graduated from Stanford in 1986, the Soviet Union was
a formidable foe, China barely registered on the global economic scene
and the first computer laptops – weighing in at 12 pounds each – were
just hitting the market.
And if someone had told her that she'd serve in the Cabinet of the
country's first black president as ambassador to the United Nations, "I
would've asked them what they were smoking."
But in her remarks delivered during Stanford University's 119th
Commencement on Sunday, Rice put the advances of the past 24 years in
perspective. She called the fight against global poverty "not only one
of the great moral challenges of all time, but also one of the great
national security challenges of our time."
"The planet is still divided by fundamental inequalities," she said.
"Some of us live in peace, freedom and comfort while billions are
condemned to conflict, poverty and repression. These massive disparities
erode our common security and corrode our common humanity."
While she did not discuss any specifics of her role as the country's
ambassador to the United Nations or the organization's recent move to
impose a fourth round of sanctions on Iran, Rice did talk about the link
between poverty and security.
"When a country is wracked by war or weakened by want, its people
suffer first. But poor and fragile states can incubate
threats that spread far beyond borders – terrorism, pandemic disease,
nuclear proliferation, criminal networks, climate change, genocide and
more. In our interconnected age, a threat to development anywhere is a
threat to security everywhere." -Ambassador Susan Rice
Rice's address marked a very public return to Stanford. She graduated
with a bachelor's in history from the university as a junior Phi Beta
Kappa and Truman Scholar in 1986.
She was confirmed as ambassador to the United Nations in 2009 after
being nominated by President Obama. It was a job that followed her role
as Obama's senior adviser for national security affairs during his
presidential campaign in 2007 and 2008. Before that, she served as the
country's assistant secretary of state for African affairs and as a
special assistant to President Clinton. She was also a senior director
for African affairs at the National Security Council.
During a trip to a displaced persons camp in war-torn Angola in 1995,
Rice saw firsthand the global poverty she talked about on Sunday. Of
all the people she saw in the camp, she said one of her most striking
memories is the smile she received from a malnourished little boy when
she gave him her baseball cap.
But she's haunted by thoughts of what may have happened to him.
"I had to leave that camp," she said. "And when I did, I left that
little boy in hell. I like to think, and I sure hope, that kid is OK.
But he could well have become one of the 9 million children under the
age of 5 who die each year from preventable and treatable afflictions."
And that boy, she said, should be a symbol to Stanford's graduates of
the challenges that face them and the good they can do in the world.
"That little boy's future is tied to ours," she said. "Our security
is ultimately linked to his well-being. So we must shape the world he
deserves."
Rice's weighty remarks still left room for graduation levity. And the
student procession – known as the Wacky Walk – showcased much of it.
The graduates hit the field of Stanford Stadium with balloons and
signs thanking mom and dad. They were dressed as Egyptian kings and
Vikings, wizards and butterflies. Some wore bathing suits and flowing
togas. Others covered up with costumes paying homage to the pop culture
past of Pac-Man, as well as more timeless pursuits like dominoes and
poker.
It was a final blast of carefree fun for college students about to
contend with an uncertain job market.
"We have everything we need on campus," said Tyler Porras, a
graduating biology major who took to the field with a bolo tie and black
cowboy hat. "Now it's off to the real world where you need to find a
job."
The ceremony marked the award of 1,722 bachelor's degrees, 2,100
master's degrees and 980 doctoral degrees.
Departmental honors were awarded to 365 seniors, and 272 graduated
with university distinction. Another 74 graduated with multiple majors
and 33 received dual bachelor's degrees. There were 110 graduates
receiving both bachelor's and master's degrees.
Among international students, there were 102 undergraduates from 45
countries other than the United States, and 955 graduate students from
75 foreign countries.
"As you leave Stanford, I hope you carry a deep appreciation of the
values and traditions that are everlasting, as well as a willingness to
be bold and to approach challenges with a fresh perspective," Stanford
President John Hennessy told the graduates.
The day also gave parents a time to beam and brag.
"These kids have the potential to contribute so much to the world,"
said Tim Roake, whose daughter, Caitlin Roake, is graduating as a
biology major and is planning to join the Peace Corps.
Roake and his wife, Kathleen Gutierrez, had front-row seats in the
stadium bleachers next to Dave and Lori Gaskin. Their son, Greg, has
been dating Caitlin Roake since their freshman year.
"The last four years for Greg have been such an enriching experience
from an academic perspective but also on a personal level," Lori Gaskin
said. "I attribute that not only to the university but the wonderful
people he's met and the relationships he's made."
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At Stanford's 119th commencement, U.S. Ambassador to the U.N. Susan Rice urges the class of 2010 to fight poverty and global inequalities. | L.A. Cicero
Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055
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amyzhe@stanford.edu
Visiting Scholar, 2009-2011
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PhD
Zhe Zhang is an assistant professor of organization management at the School of Management, Xi'an Jiaotong University, China, where she also received her PhD. Her research focuses on public-private partnerships, corporate governance, and corporate social responsibility. She has published in the Journal of High Technology Management Research, International Journal of Health Care Finance & Economics, Management and Organization Review, and the International Journal of Networking and Virtual Organizations.
The Chinese health care system has experienced profound changes like retrenchment of state financial support in the past decades. These changes have prompted the Chinese media and some academics to suggest that patients have a relatively low level of trust in physicians in today's China. In this colloquium, Dr. Tam reports the results of his survey of patient trust in physicians in Beijing's public hospitals. The survey was conducted by Horizon Research Group between November 2009 and January 2010, and 434 patients were interviewed.
The survey asked the respondents their degree of trust regarding the following three dimensions: physician agency, competence, and information provision. The survey finds a relatively high level of patient trust in physicians in Beijing public hospitals. Additionally, the survey data highlight three major determinants of patient trust in physicians, namely exposure to negative media reports about physicians and hospitals; the patient's self-assessed health status; and the patient’s level of education and income.
Waikeung Tam received his Ph.D. in political science at the University of Chicago in 2009. He is currently a Research Fellow at the LKY School of Public Policy at the National University of Singapore. His research focuses on public policy, political development, law and society, with special reference to China and Hong Kong. His research has been published in China Review, Asian Perspective, Journal of Contemporary Asia, and Law & Social Inquiry.
Daniel and Nancy Okimoto Conference Room
Waikeung Tam
Speaker
National University of Singapore