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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Alberto Diaz Cayeros seminar

The conquest of the Americas produced a radical transformation of pre-colonial Empires and City States. Europeans established a new institution, the Encomienda, which “entrusted” indigenous communities to individual conquistadores, which resulted in the dismemberment and fragmentation of prior political authority. Using a simple model of temporal horizons and rent extraction, I explore demographic change and epidemic disease after the conquest of Mexico. Data is drawn from the legal and census records of Tepetlaoztoc, a polity within the Acolhua Kingdom, one of the three parts of the Aztec Empire. This rich dataset allows for the reconstruction of demographic change and the calculation of individual and household level epidemiological models. The analysis suggests that the dramatic demographic decline of the 16th century in Mexico, rather than an inevitable result of exposure to unknown pathogens or epidemic diseases beyond human control, was a consequence of colonial rent extraction and the loss of political autonomy and sovereignty.

ABOUT THE SPEAKER

Alberto Díaz-Cayeros joined the FSI faculty in 2013 after serving for five years as the director of the Center for US-Mexico Studies at the University of California, San Diego. He earned his Ph.D at Duke University in 1997. He was an assistant professor of political science at Stanford from 2001-2008, before which he served as an assistant professor of political science at the University of California, Los Angeles. Diaz-Cayeros has also served as a researcher at Centro de Investigacion Para el Desarrollo, A.C., in Mexico from 1997-1999. His work has focused on federalism, poverty, and violence in Latin America and Mexico in particular. He has published widely in Spanish and English. His book Federalism, Fiscal Authority and Centralization in Latin America was published by Cambridge University Press in 2007 (reprinted in 2016). His latest book (with Federico Estevez and Beatriz Magaloni) is The Political Logic of Poverty Relief Electoral Strategies and Social Policy in Mexico. His work has primarily focused on federalism, poverty and economic reform in Latin America, and Mexico in particular, with more recent work addressing crime and violence, youth-at-risk, and police professionalization.

Virtual to Public. Only those with an active Stanford ID with access to Willliam J. Perry Conference Room in Encina Hall may attend in person.

Hesham Sallam
Hesham Sallam

Virtual to Public. Only those with an active Stanford ID with access to William J. Perry Conference Room in Encina Hall may attend in person.

Encina Hall, C149
616 Jane Stanford Way
Stanford, CA 94305

(650) 725-0500
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Senior Fellow, Freeman Spogli Institute for International Studies
Professor, by courtesy, of Political Science
alberto_diaz-cayeros_2024.jpg MA, PhD

Alberto Díaz-Cayeros is a Senior Fellow at Stanford University's Freeman Spogli Institute for International Studies (FSI), and co-director of the Democracy Action Lab (DAL), based at FSI's Center on Democracy, Development and Rule of Law (CDDRL). His research interests include federalism, poverty relief, indigenous governance, political economy of health, violence, and citizen security in Mexico and Latin America.

He is the author of Federalism, Fiscal Authority and Centralization in Latin America (Cambridge, reedited 2016), coauthored with Federico Estévez and Beatriz Magaloni, of The Political Logic of Poverty Relief (Cambridge, 2016), and of numerous journal articles and book chapters.

He is currently working on a project on cartography and the developmental legacies of colonial rule and governance in indigenous communities in Mexico.

From 2016 to 2023, he was the Director of the Center for Latin American Studies at Stanford University, and from 2009 to 2013, Director of the Center for US-Mexican Studies at UCSD, the University of California, San Diego.

Affiliated faculty at the Center on Democracy, Development and the Rule of Law
Co-director, Democracy Action Lab
Director of the Center for Latin American Studies (2016 - 2023)
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Alberto Diaz-Cayeros
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Shorenstein APARC's annual report for the academic year 2023-24 is now available.

Learn about the research, publications, and events produced by the Center and its programs over the last academic year. Read the feature sections, which look at the historic meeting at Stanford between the leaders of Korea and Japan and the launch of the Center's new Taiwan Program; learn about the research our faculty and postdoctoral fellows engaged in, including a study on China's integration of urban-rural health insurance and the policy work done by the Stanford Next Asia Policy Lab (SNAPL); and catch up on the Center's policy work, education initiatives, publications, and policy outreach. Download your copy or read it online below.

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Protecting the lives of children in Gaza and other conflicts requires changes to the rules of engagement and global responses to all conflicts affecting civilian populations, argue Zulfiqar Bhutta, Georgia Dominguez, and Paul Wise.

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Paul H. Wise
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Postdoctoral Scholar, Stanford Center on China's Economy and Institutions
yuyin_xiao.jpg Ph.D.

Yuyin Xiao's research areas include health service systems, population health, and digital healthcare. In June 2023, Yuyin received her PhD in Public Health from Shanghai Jiao Tong University School of Medicine. She is currently a postdoctoral scholar at the Stanford Center on China's Economy and Institutions, focusing on research related to digital interventions in early childhood development and caregivers' mental health.

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Asia Health Policy Postdoctoral Fellow, 2024-2025
Mai Nguyen.JPG Ph.D.

Mai Nguyen joined the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as Asia Health Policy Postdoctoral Fellow for the 2024-2025 academic year. She holds a PhD in health services and health policy from Queensland University of Technology (QUT), Australia, and a Master of Science from Heller School for Social Policy and Management, Brandeis University.

Her doctoral research focused on how the expanding private healthcare sector can be managed more effectively to better supplement public health services to achieve universal health coverage in Vietnam. The study analyzed large and complex national health datasets from two consecutive Household Living Standard Surveys, clinical hospital data at national levels and in-depth interviews with key stakeholders of Vietnam's health system to investigate consumers' choice for private and public health care services in Vietnam. Her research findings have implications for policy change in terms of harnessing and regulating private health services in Vietnam and other Asia-Pacific countries, especially low and middle-income countries.

Dr. Nguyen has worked as a senior health specialist at Vietnam Ministry of Health. Her research interest stems from her professional experience in health policy and program management, including health policy and management, health services, private healthcare and health equity. Her works have been published in many Q1-international journals such as BMC Public Health, BMC Health Services Research, Human Resources for Health and International Journal of Health Policy and Management.

At APARC, Dr. Nguyen extended her research on the roles of private healthcare to supplement the public health sector to address the growing burden of chronic diseases and conditions in Vietnam.

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Visiting Student Researcher, 2024-2025
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Xinxin Lu joined the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting student researcher in the fall of 2025 until winter 2026. She is currently a doctoral student in Sociology at Tsinghua University. Her dissertation focuses on "The Dying and the Chinese Family: The Economic, Moral, and Cultural Logic of End-of-Life Care in China."

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Noa Ronkin
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The Walter H. Shorenstein Asia-Pacific Research Center (APARC) is pleased to invite applications for a host of fellowships in contemporary Asia studies to begin in Autumn quarter 2025.

The Center offers postdoctoral fellowships that promote multidisciplinary research on Asia-focused health policy, contemporary Japan, and contemporary Asia broadly defined, postdoctoral fellowships and visiting scholar positions with the Stanford Next Asia Policy Lab, and a fellowship for experts on Southeast Asia. Learn more about each opportunity and its eligibility and specific application requirements:

Asia Health Policy Program Postdoctoral Fellowship

Hosted by the Asia Health Policy Program at APARC, the fellowship is awarded to one recent PhD undertaking original research on contemporary health or healthcare policy of high relevance to countries in the Asia-Pacific region, especially developing countries. Appointments are for one year beginning in Autumn quarter 2025. The application deadline is December 1, 2024.

Japan Program Postdoctoral Fellowship

Hosted by the Japan Program at APARC, the fellowship supports research on contemporary Japan in a broad range of disciplines including political science, economics, sociology, law, policy studies, and international relations. Appointments are for one year beginning in Autumn quarter 2025. The application deadline is December 1, 2024.  

Shorenstein Postdoctoral Fellowship on Contemporary Asia

APARC offers two postdoctoral fellowship positions to junior scholars for research and writing on contemporary Asia. The primary research areas focus on political, economic, or social change in the Asia-Pacific region (including Northeast, Southeast, and South Asia), or international relations and international political economy in the region. Appointments are for one year beginning in Autumn quarter 2025. The application deadline is December 1, 2024. 
 

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(Clockwise from top left) Michael McFaul, Oriana Skylar Mastro, Gi-Wook Shin, Kiyoteru Tsutsui
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Stanford Experts Assess the Future of the Liberal International Order in the Indo-Pacific Amid the Rise of Autocracy, Sharp Power

At the Nikkei Forum, Freeman Spogli Institute scholars Oriana Skylar Mastro, Michael McFaul, Gi-Wook Shin, and Kiyoteru Tsutsui considered the impacts of the war in Ukraine, strategies of deterrence in Taiwan, and the growing tension between liberal democracy and authoritarian populism.
Stanford Experts Assess the Future of the Liberal International Order in the Indo-Pacific Amid the Rise of Autocracy, Sharp Power
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The Center offers multiple fellowships for Asia researchers to begin in Autumn quarter 2025. These include postdoctoral fellowships on Asia-focused health policy, contemporary Japan, and the Asia-Pacific region, postdoctoral fellowships and visiting scholar positions with the Stanford Next Asia Policy Lab, a visiting scholar position on contemporary Taiwan, and fellowships for experts on Southeast Asia.

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Flyer for the talk "Procurement Institutions and Essential Drug Supply in Low- and Middle-Income Countries" with headshot of speaker  Lucy Xiaolu Wang.

Note: This talk is also offered as a virtual webinar on April 4 at 6 p.m.

International procurement institutions have played an important role in drug supply. This paper studies price, delivery, and procurement lead time of drug supply for major infectious diseases (antiretrovirals, antimalarials, antituberculosis, and antibiotics) in 106 developing countries from 2007-2017 across four procurement institution types. We find that pooled procurement institutions lower prices: pooling internationally is most effective for small buyers and more concentrated markets, and pooling within-country is most effective for large buyers and less concentrated markets. Pooling can reduce delays, but at the cost of longer anticipated procurement lead times. Finally, pooled procurement is more effective for older-generation drugs, compared to intellectual property licensing institutions that focus on newer, patented drugs. We corroborate the findings using multiple identification strategies, including an instrumental variable strategy, the Altonji-Elder-Taber-Oster method, and reduced-form demand estimation. Our results suggest that the optimal mixture of procurement institutions depends on the trade-off between costs and urgency of need, with pooled international procurement institutions particularly valuable when countries can plan well ahead of time.

Coauthor: Nahim Bin Zahur (Queen’s University).

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Lucy Xiaolu Wang 040424

Dr. Lucy Xiaolu Wang is a tenure-track Assistant Professor at University of Massachusetts Amherst, a Faculty Research Fellow at the Max Planck Institute for Innovation and Competition, Germany, and a Faculty Associate at the Canadian Centre for Health Economics. Her research focuses on the economics of innovation & digitization in health care markets (national and global), particularly in the biopharmaceutical and digital health industries. Dr. Wang earned her PhD in economics from Cornell University, her master’s degree in economics from Duke University, and her bachelor’s degree in applied economics (specialty: insurance) from Central University of Finance and Economics in Beijing, China. 

Karen Eggleston
Karen Eggleston, Director of the Stanford Asia Health Policy Program
Lucy Xiaolu Wang, University of Massachusetts Amherst; Max Planck Institute for Innovation and Competition; Canadian Centre for Health Economics
Seminars
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Flyer for the talk "Procurement Institutions and Essential Drug Supply in Low- and Middle-Income Countries" with headshot of speaker  Lucy Xiaolu Wang.

Note: This talk is also offered as an in-person seminar on April 5 at 12 p.m.

International procurement institutions have played an important role in drug supply. This paper studies price, delivery, and procurement lead time of drug supply for major infectious diseases (antiretrovirals, antimalarials, antituberculosis, and antibiotics) in 106 developing countries from 2007-2017 across four procurement institution types. We find that pooled procurement institutions lower prices: pooling internationally is most effective for small buyers and more concentrated markets, and pooling within-country is most effective for large buyers and less concentrated markets. Pooling can reduce delays, but at the cost of longer anticipated procurement lead times. Finally, pooled procurement is more effective for older-generation drugs, compared to intellectual property licensing institutions that focus on newer, patented drugs. We corroborate the findings using multiple identification strategies, including an instrumental variable strategy, the Altonji-Elder-Taber-Oster method, and reduced-form demand estimation. Our results suggest that the optimal mixture of procurement institutions depends on the trade-off between costs and urgency of need, with pooled international procurement institutions particularly valuable when countries can plan well ahead of time.

Coauthor: Nahim Bin Zahur (Queen’s University).

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Lucy Xiaolu Wang 040424

Dr. Lucy Xiaolu Wang is a tenure-track Assistant Professor at University of Massachusetts Amherst, a Faculty Research Fellow at the Max Planck Institute for Innovation and Competition, Germany, and a Faculty Associate at the Canadian Centre for Health Economics. Her research focuses on the economics of innovation & digitization in health care markets (national and global), particularly in the biopharmaceutical and digital health industries. Dr. Wang earned her PhD in economics from Cornell University, her master’s degree in economics from Duke University, and her bachelor’s degree in applied economics (specialty: insurance) from Central University of Finance and Economics in Beijing, China. 

Karen Eggleston
Karen Eggleston, Director of the Stanford Asia Health Policy Program

Online via Zoom Webinar

Lucy Xiaolu Wang, University of Massachusetts Amherst; Max Planck Institute for Innovation and Competition; Canadian Centre for Health Economics
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2024 Payne Distinguished Lecture Series with Kumi Naidoo

The Center on Democracy, Development and the Rule of Law and the Freeman Spogli Institute for International Studies at Stanford University are pleased to welcome social justice and environmental activist Kumi Naidoo to deliver the 2024 Payne Distinguished Lecture Series in International Relations Theory and Practice.


As we veer ever closer to a global climate catastrophe, it has become clear that incremental tinkering with our systems — including political, environmental, social, and economic systems — will not be an adequate solution. Drawing on Martin Luther King’s idea of Creative Maladjustment, this lecture will argue that rather than responding to the polycrisis with an approach of system recovery, maintenance, and protection, what is urgently needed now is system innovation, redesign, and transformation.

It is imperative that we change the trajectory we are on as a species. Yet activism is failing to win at the scale and speed necessary to do so. The communications deficit that must be addressed by those seeking transformative change will likely need to be multilayered and imbued with intersectionality. This lecture posits the power of artivism — a fusion of art and activism — as a vital force capable of resonating with diverse audiences, instilling a sense of urgency, and fostering various pathways for participation. At this critical juncture, pessimism is a luxury we simply cannot afford. The pessimism that flows from our analysis, observations, and lived realities can best be overcome by the optimism of our thoughts, actions, and creative responses.

The Payne Lectureship is named for Frank E. Payne and Arthur W. Payne, brothers who gained an appreciation for global problems through their international business operations. Their descendants endowed the annual lecture series at the Freeman Spogli Institute for International Studies in order to raise public understanding of the complex policy issues facing the global community today and to increase support for informed international cooperation.

The Payne Distinguished Lecturer is chosen for his or her international reputation as a leader, with an emphasis on visionary thinking; a broad, practical grasp of a given field; and the capacity to clearly articulate an important perspective on the global community and its challenges.

ABOUT THE SPEAKER

Kumi Naidoo is a prominent South African human rights and environmental justice activist. At the age of fifteen, he organized school boycotts against the apartheid educational system in South Africa. His courageous actions made him a target for the Security Police, leading to his exile in the United Kingdom, where he remained until 1990. Upon his return to South Africa, Kumi played a pivotal role in the legalization of the African National Congress in his home province of KwaZulu Natal.

Kumi also served as the official spokesperson for the Independent Electoral Commission (IEC), responsible for overseeing the country's first democratic elections in April 1994. His dedication to democracy and justice led to notable international roles, including being the first person from the global South to lead Greenpeace International as Executive Director from 2009 to 2016. He later served as the Secretary General of Amnesty International from 2018 to 2020.

In the realm of education, Kumi has shared his expertise, lecturing at Fossil Free University and holding a Richard von Weizsäcker Fellowship at the Robert Bosch Academy until early 2022.

Currently, Kumi serves as a Senior Advisor for the Community Arts Network (CAN). He holds the position of Distinguished visiting lecturer at Stanford University’s Center on Democracy, Development and the Rule of Law, and is a Professor of Practice at the Thunderbird School of Global Management at Arizona State University. Additionally, he continues to represent global interests as a Global Ambassador for Africans Rising for Justice, Peace, and Dignity. He also holds positions as a Visiting Fellow at Oxford University and an Honorary Fellow at Magdalen College.

In a testament to his family's commitment to positive change, they have established the Riky Rick Foundation for the Promotion of Artivism, honoring the legacy of their son and brother, the now late South African rapper Rikhado “Riky Rick” Makhado through a commitment to supporting artivism and mental health in South Africa.

Kumi has authored and co-authored numerous books, the most recent being Letters To My Mother (2022), a personal and professional memoir that won the HSS 2023 non-fiction award by the National Institute Humanities and Social Sciences.

Michael A. McFaul
Michael A. McFaul

In-person: Bechtel Conference Center (Encina Hall, First floor, 616 Jane Stanford Way, Stanford)

Virtual: Zoom (no registration required)

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kumi_headshot_-_kumi_naidoo.jpeg

Kumi Naidoo is a prominent South African human rights and environmental justice activist. At the age of fifteen, he organized school boycotts against the apartheid educational system in South Africa. His courageous actions made him a target for the Security Police, leading to his exile in the United Kingdom, where he remained until 1990. Upon his return to South Africa, Kumi played a pivotal role in the legalization of the African National Congress in his home province of KwaZulu Natal.

Kumi also served as the official spokesperson for the Independent Electoral Commission (IEC), responsible for overseeing the country's first democratic elections in April 1994. His dedication to democracy and justice led to notable international roles, including being the first person from the global South to lead Greenpeace International as Executive Director from 2009 to 2016. He later served as the Secretary General of Amnesty International from 2018 to 2020.

In the realm of education, Kumi has shared his expertise, lecturing at Fossil Free University and holding a Richard von Weizsäcker Fellowship at the Robert Bosch Academy until early 2022.

Currently, Kumi serves as a Senior Advisor for the Community Arts Network (CAN). He holds the position of Distinguished visiting lecturer at Stanford University’s Center for Democracy, Development and the Rule of Law, and is a Professor of Practice at the Thunderbird School of Global Management at Arizona State University. Additionally, he continues to represent global interests as a Global Ambassador for Africans Rising for Justice, Peace, and Dignity. He also holds positions as a Visiting Fellow at Oxford University and an Honorary Fellow at Magdalen College.

In a testament to his family's commitment to positive change, they have established the Riky Rick Foundation for the Promotion of Artivism, honoring the legacy of their son and brother, the now late South African rapper Rikhado “Riky Rick” Makhado through a commitment to supporting artivism and mental health in South Africa.

Kumi has authored and co-authored numerous books, the most recent being Letters To My Mother (2022), a personal and professional memoir that won the HSS 2023 non-fiction award by the National Institute Humanities and Social Sciences.

Payne Distinguished Lecturer, 2023-25
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Kumi Naidoo African Human Rights and Environmental Activist
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