Health and Medicine

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.

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A new study co-authored by Stanford Health Policy's Maya Rossin-Slater finds that 71% of New York and New Jersey employers surveyed during COVID-19 said they backed paid family leave — up from nearly 62% in 2019, before the coronavirus outbreak.

What’s more, the research released by the National Bureau of Economic Research as a working paper finds the jump in support was driven by employers that were previously opposed to the policy, and not just neutral about it.

“The big roadblock to passing paid family leave legislation is a concern that small businesses are not supportive and that it would be challenging for them,” Rossin-Slater says. “We find that’s not the case.”

Rossin-Slater, an associate professor of health policy and a senior fellow at the Stanford Institute for Economic Policy Research (SIEPR), also finds that views about paid family leave became more favorable among employers with at least one worker who used it during the pandemic. Both New York and New Jersey offer the benefit under state law. The employers were also subject to a temporary paid family leave provision that was included in a 2020 federal stimulus package but has since expired.

The study comes at a critical moment in the years-long, bipartisan effort to pass a federal law providing workers with partially paid leave to take time off to care for family or their own medical issues. The United States is one of six countries without national paid leave — despite polls showing Americans overwhelmingly want it. A plan to offer four weeks of paid leave is part of President Biden’s proposed Build Back Better Act, which the House of Representatives is expected to vote on soon.

Opponents of current and past efforts to pass federal paid leave legislation say that it would be too costly and burdensome, especially for small employers. Rossin-Slater dented that argument in a separate study earlier this year of the impacts of New York’s paid leave policy on select indicators of profitability. She and her co-authors found that small businesses were not adversely affected by the policy on these measures, and actually reported that it was easier to deal with worker’s absences once the policy was in place.

This latest study will be published in a journal of the American Sociological Association, Socius: Sociological Research for a Dynamic World.

Understanding how attitudes change, especially during a pandemic, is insightful for thinking about where this policy is ultimately headed.
Maya Rossin-Slater
Associate Professor of Health Policy

Leave-Taking Led to Higher Support

The findings are not only timely, but they also provide the strongest evidence yet of how COVID has changed employers’ minds about paid family leave, Rossin-Slater says. Since 2016, she and her co-authors — Ann Bartel, Meredith Slopen, and Jane Waldfogel of Columbia University, and Christopher Ruhm of the University of Virginia — have been surveying employers with 10-99 employees in New York, New Jersey, and Pennsylvania to learn about the effects of paid family leave. As part of their annual questionnaire, they have asked firms in New York and New Jersey to share their overall attitudes toward the policy. This is how they were able to reliably gauge in this latest study how small business owners and managers were feeling about paid leave on the eve of the pandemic.

Another advantage of the survey is that it focuses on employers’ experiences with paid family leave during COVID and not, as most other polls have done, only on workers.

Rossin-Slater says that assessing employers’ overall attitudes, in addition to measuring effects on operational issues, provides further evidence as to whether businesses are harmed by paid leave.

“Actual views provide a summary of how businesses think the policy is affecting operations,” she says. “If it was a disaster and really hard for them, they’re probably not going to be very supportive. The opposite is likely if their experience was smooth and not complicated.”

In all, 539 New York and New Jersey businesses that participated in the 2019 survey also responded in 2020, rating their opinions on paid family leave according to a 5-point scale. The researchers analyzed changes in opinions within each firm and controlled for other factors that could have changed over the time period, such as the total number of employees and their characteristics. They found that the share of employers reporting that they were very or somewhat supportive of the policy rose by 9.6 percentage points, from 61.6 percent to 71.2 percent. Meanwhile, the portion of firms that were somewhat or very opposed declined by 8.8 percentage points, to 11.2 percent.

The increase in support was somewhat larger among employers with 50-99 workers, although the rise in favorable opinions was also meaningful among even the smallest employers in the study. The researchers also found that employee use of state paid leave during COVID was associated with more favorable employer views.

“What’s striking,” Rossin-Slater says, “is that during COVID — when it’s become incredibly clear how important it is for workers to be able to take time off work with pay and job protection to care for ill family members or for kids who are out of school — employers became even more supportive of paid family leave.”

Rossin-Slater says that one drawback to the study is its relatively small sample size. Over the years, she and her collaborators have surveyed 4,711 employers. Of the 1,151 that responded to the 2020 survey, 887 were operating. About two-thirds of those still in business answered questions about their attitudes toward leave and whether workers used it during the pandemic.

Even so, shedding any light on what employers think about paid family leave is important, she says.

“As economists, we focus a lot on measurable impacts like productivity or turnover rates, and those are important to quantify,” Rossin-Slater says. “But at the end of the day, whether these policies get passed is ultimately a political question, and people’s attitudes shape the public discourse in this country. Understanding how attitudes change, especially during a pandemic, is insightful for thinking about where this policy is ultimately headed.”

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Maya Rossin-Slater

Associate Professor of Health Policy
Focuses on family health and policies targeting disadvantaged populations
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The Department of Health Policy's Inaugural Health Equity Panel

Panelists for the Department of Health Policy's inaugural Health Equity Panel discuss the health disparities exacerbated by the COVID-19 pandemic, as well as families and health and consequences from lack of gender equity, and the impact of Medicaid on access to care, insurance coverage, racial disparities and maternal and infant health. Panel video is embedded in this story.
The Department of Health Policy's Inaugural Health Equity Panel
Maya Rossin-Slater Stanford Health Policy
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Maya Rossin-Slater Wins Faculty Women’s Forum Award

The awards honor individuals for their outstanding work supporting women at Stanford through role modeling, allyship, leadership and sponsorship.
Maya Rossin-Slater Wins Faculty Women’s Forum Award
Stanford's Jessica Grembi collects water samples in Iraq.
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Rosenkranz Prize Winners Focus on Child and Maternal Health

This year’s Rosenkranz Prize winners are both working to better understand preeclampsia in pregnancies and a form of childhood malnutrition in lower-resourced countries in an effort to find medical interventions.
Rosenkranz Prize Winners Focus on Child and Maternal Health
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In a blow to arguments that a federal paid leave law would harm small businesses, a new study co-authored by SHP's Maya Rossin-Slater finds that support for paid leave among small employers is not only strong, but also increased as the pandemic added new strain to the work-life juggle.

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Maddy Morlino is pursuing a Master’s in International Policy at Stanford University, specializing in international security, immigration, and human rights. At Stanford, she is a Hoover Veteran Fellowship Program research assistant focusing on trafficking in person prevention and response training for the Department of Defense. She is also a research assistant for Lieutenant General H.R. McMaster, co-chair of her program’s Racial Equality, Diversity, and Inclusion Task Force, co-vice president for social impact at DreamxAmerica, and a Knight-Hennessy scholar. Maddy obtained her B.S. in political science with a minor in philosophy from the U.S. Air Force Academy in 2020. Outside of the classroom, she enjoys running, watching movie trailers, scrapbooking, and traveling. Maddy will serve as a U.S. Air Force intelligence officer after graduation.

Master's in International Policy Class of 2022
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In a talk hosted by the Program on Arab Reform and Democracy on November 10, 2021, Mona El-Ghobashy, Clinical Assistant Professor of Liberal Studies at New York University, discussed her latest book Bread and Freedom: Egypt’s Revolutionary Situation (Stanford University Press 2021). During the event, co-sponsored by Stanford’s Abbasi Program in Islamic Studies and the Ten Years On Project, El-Ghobashy shared an interpretation of Egypt’s 2011 uprising that uncovers some lost connections between democracy and revolution.

You can purchase the book online, and watch a recording of the event below:

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Mona El-Ghobashy Hesham Sallam
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The Program on Arab Reform and Democracy (ARD) at CDDRL hosted a talk featuring Mona El-Ghobashy, Clinical Assistant Professor of Liberal Studies at New York University, who discussed her latest book – Bread and Freedom: Egypt’s Revolutionary Situation (Stanford University Press 2021).

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In a panel discussion hosted by the Program on Arab Reform and Democracy on October 29, 2021, Tunisian Member of Parliament Saida Ounissi and I Watch Founder Achraf Aouadi examined the evolving political conflicts in Tunisia since the July 25 power grab executed by President Kais Saied. The panelists discussed the challenges recent developments have posed to Tunisia's struggling democracy and the prospects for building consensus around an inclusive process of political reform.

Click below to watch a video recording of the panel.

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The Program on Arab Reform and Democracy (ARD) at CDDRL hosted a panel featuring Tunisian activists, who examined the threat of authoritarian resurgence in the country after the power grab executed by President Kais Saied on July 25, 2021.

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Wednesday, November 17, 2021, 8:00am - 9:30am (Shanghai time)

Designing effective climate change mitigation and adaptation policies requires comprehensive assessment of the projected damages from climate change. However,  current climate policy is informed by outdated models lacking empirical grounding. In this talk, we use subnational mortality records across 40 countries to generate data-driven estimates of the global mortality consequences of climate change. We show that both extreme cold and extreme heat raise mortality rates, especially for the elderly, the poor, and populations that experience these extremes infrequently. These heterogeneous nonlinear responses to warming lead to highly differentiated projected impacts of climate change across the globe. In this talk we focus in particular on the Asia-Pacific region, where mortality risk generally rises with a warming climate, but projected damages differ substantially within and across countries. We conclude by demonstrating how these results can be used to inform local adaptation policy within an individual city, using Chengdu, China as a case study, and point to new developments in climate science that will enable future improvements in mortality risk assessment across Asia. 

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Tamma Carleton
Tamma Carleton is an Assistant Professor of Economics at the Bren School of Environmental Science and Management at the University of California, Santa Barbara. Her research combines economics with datasets and methodologies from remote sensing, data science, and climate science to quantify how environmental change and economic development shape one another. Tamma's current work focuses on climate change, water scarcity, and the use of remote sensing for global-scale environmental and socioeconomic monitoring. She is an active member of the Climate Impact Lab, an interdisciplinary team conducting an empirically-grounded global assessment of climate change impacts. Tamma joined the Bren School after a postdoc at the Energy Policy Institute at the University of Chicago. She holds a PhD in Agricultural and Resource Economics from the University of California, Berkeley, MSc.'s in Environmental Change and Management as well as Economics for Development from the University of Oxford, and a BA in Economics from Lewis & Clark College.

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Yuan, Jiacan
Jiacan Yuan is an Associate Professor of Climatology at the Department of Atmospheric and Oceanic Sciences at Fudan University, Shanghai, China. She is interested in understanding fundamental dynamical processes of the climate system and improving climate models, which could give us stronger predictive power and more accurate risk assessment of the changing climate. Jiacan’s current work focuses on understanding the physical processes and uncertainties in climate changes, with major emphases on compound heat-humidity extremes and sea level rise. She is also an active member of the Climate Impact Lab. Before joining Fudan University, Jiacan was an Assistant Research Professor at the Department of Earth and Planetary Sciences at Rutgers University. She holds a Ph.D. in Meteorology from Peking University.

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Solar panels and globe with text "Perfect Storm: Climate Change in Asia," APARC's fall 2021 webinar series
 This event is part of the 2021 Fall webinar series, Perfect Storm: Climate Change in Asia, sponsored by the Walter H. Shorenstein Asia-Pacific Research Center.

Via Zoom Webinar
Register: https://bit.ly/3DAaPA7

Tamma Carleton Assistant Professor, Environmental Economics, Climate Change, University of California, Santa Barbara
Jiacan Yuan Associate Professor of Atmospheric and Oceanic Sciences, Fudan University
Seminars
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The Center on Democracy, Development, and the Rule of Law (CDDRL) will be accepting applications from eligible juniors on who are interested in writing their senior thesis on a subject touching upon democracy, economic development, and rule of law (DDRL) from any university department.  The application period opens on January 10, 2022 and runs through February 11, 2022.   For more information on the Fisher Family CDDRL Honors Program, please click here.

Join us online via Zoom on Friday, January 21st at 12:00pm (PST) to learn more! 

REGISTER NOW

CDDRL faculty and current honors students will be present to discuss the program and answer any questions.

 

Online via zoom. REGISTER HERE.

CDDRL
Encina Hall, C152
616 Jane Stanford Way
Stanford, CA 94305-6055

(650) 725-2705 (650) 724-2996
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Senior Fellow at the Freeman Spogli Institute for International Studies
Professor, by courtesy, of Political Science
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Stephen Stedman is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) and the Center on Democracy, Development and the Rule of Law (CDDRL), an affiliated faculty member at CISAC, and professor of political science (by courtesy) at Stanford University. He is director of CDDRL's Fisher Family Honors Program in Democracy, Development and Rule of Law, and will be faculty director of the Program on International Relations in the School of Humanities and Sciences effective Fall 2025.

In 2011-12 Professor Stedman served as the Director for the Global Commission on Elections, Democracy, and Security, a body of eminent persons tasked with developing recommendations on promoting and protecting the integrity of elections and international electoral assistance. The Commission is a joint project of the Kofi Annan Foundation and International IDEA, an intergovernmental organization that works on international democracy and electoral assistance.

In 2003-04 Professor Stedman was Research Director of the United Nations High-level Panel on Threats, Challenges and Change and was a principal drafter of the Panel’s report, A More Secure World: Our Shared Responsibility.

In 2005 he served as Assistant Secretary-General and Special Advisor to the Secretary- General of the United Nations, with responsibility for working with governments to adopt the Panel’s recommendations for strengthening collective security and for implementing changes within the United Nations Secretariat, including the creation of a Peacebuilding Support Office, a Counter Terrorism Task Force, and a Policy Committee to act as a cabinet to the Secretary-General.

His most recent book, with Bruce Jones and Carlos Pascual, is Power and Responsibility: Creating International Order in an Era of Transnational Threats (Washington DC: Brookings Institution, 2009).

Director, Fisher Family Honors Program in Democracy, Development and Rule of Law
Director, Program in International Relations
Affiliated faculty at the Center for International Security and Cooperation
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Encina Hall, C150
616 Jane Stanford Way
Stanford, CA 94305

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Center Fellow, Freeman Spogli Institute for International Studies
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Didi Kuo is a Center Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University. She is a scholar of comparative politics with a focus on democratization, corruption and clientelism, political parties and institutions, and political reform. She is the author of The Great Retreat: How Political Parties Should Behave and Why They Don’t (Oxford University Press) and Clientelism, Capitalism, and Democracy: the rise of programmatic politics in the United States and Britain (Cambridge University Press, 2018).

She has been at Stanford since 2013 as the manager of the Program on American Democracy in Comparative Perspective and is co-director of the Fisher Family Honors Program at CDDRL. She was an Eric and Wendy Schmidt Fellow at New America and is a non-resident fellow with the Carnegie Endowment for International Peace. She received a PhD in political science from Harvard University, an MSc in Economic and Social History from Oxford University, where she studied as a Marshall Scholar, and a BA from Emory University.

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Nora Sulots
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The Center on Democracy, Development and the Rule of Law is deeply saddened by the loss of beloved Draper Hills alumnus José Luis Martín C. (“Chito”) Gascón, who passed away after a short battle with COVID-19 on October 9, 2021, at the age of 57.

A Filipino lawyer, human rights activist, and civil organizer, Gascón served as the Chair of the Philippines’ Commission on Human Rights from 2015 to 2021, having been appointed by President Benigno S. Aquino III. Prior to this, he also served as a member of the Human Rights Victims’ Claims Board and as a member of the Philippine Congress, where he helped to pass monumental legislation to promote the prevention of human rights abuses. He contributed to the founding of the International Center for Innovation, Transformation, and Excellence in Governance; the Institute for Leadership, Empowerment, and Democracy; and the Asian Policy Network. Gascón’s career also included teaching law and political science at Ateneo de Manila University and De la Salle University.

Reacting to the news of Chito's death on Twitter, FSI Director Michael McFaul called him “a true hero for human rights.” Larry Diamond also paid tribute, noting that “he was eloquent, fearless, humble, and deeply devoted to democracy” and one of the Philippines’ “great civil society leaders.”

In 2005, Chito was a member of the first class of CDDRL's Draper Hills Summer Fellows Program, which trains global leaders working on the front lines of democratic change. Kathryn Stoner, Mosbacher Director of CDDRL, noted that he was "a pioneer with us and with all that he did."

In addition to his time as a Draper Hills Summer Fellow, Chito Gascón was a Reagan-Fascell Fellow at the National Endowment for Democracy (NED) in 2007. Former NED president and frequent Draper Hills contributor Carl Gershman shared that “Chito was a brilliant and dedicated democracy activist, a gentle personality with a tough inner core and immense courage. He will be sorely missed by countless friends, myself included, and by people around the world who are fighting for democracy and human dignity.”

Draper Hills class of 2005 on Encina Hall stairs
2005 Draper Hills Summer Fellows cohort. Chito is pictured in the back row between Kathryn Stoner and Larry Diamond.
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Chito Gascón
Photo: Joseph Pascual/Esquire Philippines
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A member of the inaugural Draper Hills Summer Fellows Program cohort in 2005, Chito died from COVID-19 on October 9, 2021.

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Asia Health Policy Program (AHPP) 2021-22 Colloquium series "Aligning Incentives for Better Health and More Resilient Health Systems in Asia”

Friday, November 12, 2021, 7:30am - 8:30am (Jakarta time)

Dr. Alatas will discuss her research on promoting vaccination in Indonesia and the impact of the pandemic on Indonesia’s society and economy more generally, including on poverty, human capital, and development.

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Vivi Alatas 4X4
Vivi Alatas is an  economist with passion for evidence-based solutions.  She is CEO of Asakreativita, a consulting and Edtech company that she established in 2020. Formerly she was a Lead Economist of the World Bank, where she led a team of seasoned local and international economists in producing several flagship reports for national and global audiences, including ‘Targeting Poor and Vulnerable Households in Indonesia’, ‘Making Poverty Work in Indonesia’ , ‘Indonesia’s Rising Divide’, ‘Indonesia Jobs Report’ and “Aspiring Indonesia – Expanding the Middle Class”. She has presented various of these research findings to the President, Vice President, Ministers and Deputy Ministers. She also has written several journal articles on poverty, inequality and labour issues. Some of the papers were written in collaboration with Nobel Laureates Abhijit Banerjee and Angus Deaton (who was also her advisor at Princeton).

Via Zoom Webinar
Register: https://bit.ly/3FmTUTp

Vivi Alatas CEO, Asakreativita
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APARC Fall 2021 Webinar Series

The Asia-Pacific region is the world’s most vulnerable region to climate change risks. With its densely populated low-lying territories and high dependence on natural resources and agriculture sectors, Asia is increasingly susceptible to the impacts of rising sea levels and weather extremes. The impacts of climate change encompass multiple socioeconomic systems across the region, from livability and workability to food systems, physical assets, infrastructure services, and natural capital.

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