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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Join Cyber Policy Center, June 3rd at 10am PST for The Accelerated Shift to Online Retail Under Covid-19, and Risks Associated with Underlying Dynamic Pricing Technologies with Christo Wilson at Northeastern University and Ramsi Woodcock at University of Kentucky.

The hallmarks of the Covid-19 (a shortage of masks, hand sanitizer, food, along with an acceleration of the shift to online retail) are affording retailers the opportunity to use the dynamic pricing technologies already ubiquitous in online retail in order to ration access to goods that are in temporarily short supply. In a time of crisis, dynamic pricing may run afoul of state laws prohibiting price gouging. But the practice also raises important questions about both the equity of rationing with price and the safety of doing so. Dynamic pricing online may be pricing less wealthy Americans out of online goods and services, forcing them into riskier in-person transactions at brick and mortar store locations. Fortunately, the same technologies that make dynamic pricing possible also make more equitable alternatives to rationing with price cheap and effective for online retailers. 

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This event is via Zoom Webinar. Please register in advance for the webinar by using the link below.

REGISTRATION LINKhttps://bit.ly/2xZHser

Part of APARC series COVID-19 IN ASIA: RESPONSES AND IMPLICATIONS FOR THE REGION

Co-sponsored by the Asia Health Policy Program and the Southeast Asia Program

Speakers (live and pre-recorded):

Dr. Dorairaj Prabhakaran, Professor of chronic disease epidemiology, Public Health Foundation of India, and Executive Director, Center for Chronic Disease Control.

Dr. Pham Quang Thai, Member of the Vietnam Steering Committee for COVID-19 Prevention and Control

Dr. HAC Van Vinh, Associate Professor & former Dean of Research & International Relations, Thai Nguyen University of Medicine and Pharmacy

Dr. Richard Cash, Senior Lecturer on Global Health, T.H. Chan School of Public Health, Harvard University

Dr. Radhika Jain, Asia Health Policy Postdoctoral Fellow, APARC, FSI, Stanford University

Dr. Arzan Tarapore, Research Scholar, APARC, FSI, Stanford University

How is the pandemic impacting health systems and society in south and southeast Asia? Numerous experts share their perspectives on topics ranging from COVID-19 challenges in Bangladesh, India and Vietnam, to geopolitical considerations for U.S. policy in the wider Indo-Pacific.

Via Zoom Webinar.

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Dorairaj Prabhakaran Professor of chronic disease epidemiology, Public Health Foundation of India, and Executive Director, Center for Chronic Disease Control.
Pham Quang Thai Member of the Vietnam Steering Committee for COVID-19 Prevention and Control
HAC Van Vinh Associate Professor & former Dean of Research & International Relations, Thai Nguyen University of Medicine and Pharmacy
Richard Cash Senior Lecturer on Global Health, T.H. Chan School of Public Health, Harvard University
Asia Health Policy Postdoctoral Fellow, APARC, FSI, Stanford University
Arzan Tarapore Research Scholar, APARC, FSI, Stanford University
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[The following article originally appeared in French in Le Soir]

Over the past 20 years of exile, I returned to Morocco sporadically to visit family and friends. Now, I am here indefinitely until the coronavirus pandemic passes. I have observed its effects upon my homeland as not just a proud Moroccan, but also a trained social scientist assessing how the Moroccan state has responded – and how new social dynamics can emerge from it. 

Officially, Moroccan containment and mitigation measures have been described as a model of responsiveness. Notwithstanding testing shortages, and the failure to repatriate Moroccans abroad, new resources like personal protective equipment have been supplied to hospitals. Emergency funds are supporting the economy. The military and security forces have enforced strict quarantine and sheltering policies. Despite that infectious rates are among the highest in Africa, deaths from COVID-19 still remain comparatively low, a reality for which all Moroccans are grateful. 

However, the aggressiveness of these responses stems from a troubling reality. The state moved quickly to contain the pandemic because it could not afford to do otherwise. It already lagged behind in providing basic goods like education and jobs, due to the unbridled neoliberal economic model espoused by national planners for two decades at the expense of social development. The healthcare sector could not absorb even a modest surge in hospitalizations and deaths. In sum, Morocco’s response was optimal given its resources, but suboptimal given its potential. 

Why is this troubling? Not only do medical projections suggest a second wave of the pandemic looms this winter, but there will be more existential threats to come of this type. Climate change will further accentuate these dangers. Further, entire swathes of the Moroccan economy will remain in crisis for the foreseeable future. Vast numbers of the labor force work in the informal sector, the product of unfettered neoliberalism that did not produce any trickle-down effects due to weak rule of law. Grinding inequality means that successful treatments for COVID-19 will not reach most of the population. As Moroccans, we need only to consider the Rif to acknowledge the dangers that lie ahead. 

In the context of this crisis, many Moroccans have put aside standing grievances and put faith in their state. Politically, Moroccans do not labor under the extreme polarization often seen in other Arab countries. True, Morocco does not have the democratic system of Tunisia, where electoral institutions keep things in place. But, neither does it feature the deep schisms of Algeria, where the Hirak protest movement last year exposed the eroding legitimacy of the military and its civilian façade. If anything, Algerian politics will become even more fractured after the pandemic. 

Morocco stands in the middle. Unlike Tunisia, where democratic institutions absorb and mediate this crisis, here the state can only deflect and postpone it. However, neither has Moroccan politics splintered across irreconcilable rifts, partly due to the unifying presence of the monarchy. This gives Moroccans the chance to envision a future of improved governance that compensates for past deficiencies, and leaves us better prepared for future threats. This is not a substitute for genuine pluralism, but it can facilitate its onset. 

Recently, King Mohamed pronounced the prevailing paradigm of economic development to have floundered. As the Chinese proverb holds that with every crisis comes opportunity, we now have an opening to realign it, despite that more hardships will likely ensue as the pandemic continues to have long-lasting consequences. For instance, remittances, long a vital source of economic funding, will decline, as Moroccans abroad will more likely keep their cash close. The tourism sector will take many years to recover. But Morocco can also take advantage of global supply chain disruptions to secure new modes of production. Self-sufficiency and social spending must be priorities. 

Crucially, we cannot merely tweak the neoliberal model in favor of a master turn-key monarchical plan. The focus here falls upon not just the ideas behind national development, but the process through which those ideas come to fruition. Major ruptures that allow such soul- searching are rare in Morocco. One came after the passing of my uncle, King Hassan II, in 1999. A second came with the Arab Spring in 2011. Today marks another such inflection point, which allows all of society sharing common trauma and frustration to step back from the brink. 

That process will not be easy. Many Moroccans have lost faith in political engagement after too many failed reform promises. The Arab Spring’s impetus to demand voice and dignity will become more omnipresent. New social and economic initiatives must be formulated in close concertation with society, through inclusive dialogues that favor participation over top-down imposition. 

The state must avoid succumbing to the huge temptation of stoking false patriotism, or aggrandizing its authoritarian impulse by securitizing the pandemic. For instance, surveillance technologies utilized to ensure social distancing cannot be retooled to suppress political mobilization, as is happening in Russia and China. Indeed, many have wrongly assumed that autocracies are better equipped for the current crisis by comparing China with the US. However, this is a false dichotomy. For every China, there are successful democracies like South Korea and Taiwan where close state-society coordination is mediated not by the army or police, but rather by trust, transparency, and citizen engagement. 

In short, an historical opportunity now presents itself for Morocco; let us not squander it.

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To celebrate its May release, contributors Karen Eggleston, Barry Naughton, and Andrew Walder will join editors Thomas Fingar and Jean Oi for a panel discussion of their volume Fateful Decisions: Choices That Will Shape China’s Future (Stanford University Press).  China has enjoyed an extraordinary run of rapid growth and development over the last 40 years.  Yet, as Fingar and Oi point out, China’s future is hardly set in stone.  Sustained economic growth, social welfare and stability will depend upon tough policy decisions confronting Beijing’s leaders today in what is a watershed moment.  Casting doubt on Beijing’s aversion to major reforms and its return to certain Mao-era policy tools, Oi and Fingar argue that China’s challenges are not only complex, but high-stakes – challenges that have become even more daunting in the aftermath of COVID-19.  As China battles the difficulties caused by an aging population, the loss of comparative economic advantage, a politically entrenched elite, and a population with rising expectations, today’s policy decisions will weigh heavily on its future. Topics explored in the volume include China's healthcare challenges in a slowing economy, its global ambitions and track record, economic aims and realities, the country’s mounting governance pressures, and more. 

 

Fateful Decisions is available for purchase here.

 

Fore more information on Fateful Decisions, check out these articles:

Karen Eggleston Examines China’s Looming Demographic Crisis, in Fateful Decisions

Now It Gets Much Harder: Thomas Fingar and Jean Oi Discuss China’s Challenges in The Washington Quarterly

China’s Challenges: Now It Gets Much Harder

 

Portrait of Karen EgglestonKaren Eggleston is a senior fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University, director of the Stanford Asia Health Policy Program, and deputy director of the Walter H. Shorenstein Asia-Pacific Research Center at FSI. She is also a fellow with the Stanford Center for Innovation in Global Health and a faculty research fellow of the National Bureau of Economic Research (NBER). Eggleston earned her PhD in public policy from Harvard University, studied in China for two years, and was a Fulbright scholar in South Korea. Her research focuses on comparative health systems and health reform in Asia, especially China; government and market roles in the health sector; supply-side incentives; healthcare productivity; and economic aspects of demographic change.

 

Portrait of Thomas FingarThomas Fingar is a Shorenstein Distinguished Fellow in the Shorenstein Asia-Pacific Research Center at Stanford University. From May 2005 through December 2008, he served as the first deputy director of national intelligence for analysis and, concurrently, as chairman of the National Intelligence Council. Previous positions include assistant secretary of state for Intelligence and Research (2000-2001, 2004–2005), principal deputy assistant secretary (2001–2003), deputy assistant secretary for analysis (1994–2000), director of the Office of Analysis for East Asia and the Pacific, and chief of the China Division. Fingar is a graduate of Cornell University (AB in government and history) and Stanford University (MA and PhD, both in political science). His most recent books are Uneasy Partnerships: China’s Engagement with Japan, the Koreas, and Russia in the Era of Reform (editor) (Stanford University Press, 2017); The New Great Game: China’s Relations with South and Central Asia in the Era of Reform (editor) (Stanford University Press, 2016); and Reducing Uncertainty: Intelligence Analysis and National Security (Stanford University Press, 2011).

 

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Barry Naughton is the So Kwanlok Professor at the School of Global Policy and Strategy, University of California–San Diego. Naughton’s work on the Chinese economy focuses on market transition; industry and technology; foreign trade; and political economy. His first book, Growing Out of the Plan, won the Ohira Prize in 1996, and a new edition of his popular survey and textbook, The Chinese Economy: Adaptation and Growth, appeared in 2018. Naughton did his dissertation research in China in 1982 and received his PhD in economics from Yale University.

 

Jean C. OiJean C. Oi is the William Haas Professor of Chinese Politics in the Department of Political Science and a senior fellow in the Freeman Spogli Institute for International Studies at Stanford University. She directs the China Program at the Walter H. Shorenstein Asia-Pacific Research Center and is the Lee Shau Kee Director of the Stanford Center at Peking University. Oi has published extensively on China’s reforms. Recent books include Zouping Revisited: Adaptive Governance in a Chinese County, coedited with Steven Goldstein (Stanford University Press, 2018), and Challenges in the Process of China’s Urbanization, coedited with Karen Eggleston and Yiming Wang (2017). Current research is on fiscal reform and local government debt, continuing SOE reforms, and the Belt and Road Initiative.

 

Portrait of Andrew WalderAndrew G. Walder is the Denise O’Leary and Kent Thiry Professor of Sociology in the School of Humanities and Sciences, and a senior fellow in the Freeman Spogli Institute for International Studies at Stanford University. A political sociologist, Walder has long specialized in the study of contemporary Chinese society and political economy. After receiving his PhD at the University of Michigan, he taught at Columbia, Harvard, and the Hong Kong University of Science and Technology. At Stanford he has served as chair of the Department of Sociology, director of the Asia-Pacific Research Center, and director of the Division of International, Comparative, and Area Studies in the School of Humanities and Sciences. His most recent books are Fractured Rebellion: The Beijing Red Guard Movement (2009), China under Mao: A Revolution Derailed (2015), and Agents of Disorder: Inside China’s Cultural Revolution (2019).

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Register at: https://bit.ly/2WiwPvm

Karen Eggleston <br> Senior Fellow at FSI; Director of the Asia Health Policy Program, Shorenstein APARC, Stanford University <br><br>
Thomas Fingar <br> Shorenstein APARC Fellow, Stanford University <br><br>
Barry Naughton <br> Sokwanlok Chair of Chinese International Affairs, School of Global Policy and Strategy, UC San Diego <br><br>
Jean C. Oi <br> Director, Stanford China Program; William Haas Professor of Chinese Politics, Stanford University <br><br>
Andrew Walder <br> Senior Fellow at FSI; Denise O'Leary and Kent Thiry Professor, Stanford University <br><br>
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Cover of Healthy Aging in Asia that shows an elderly woman in a Chinese village.
Life expectancy in Japan, South Korea, and much of urban China has now outpaced that of the United States and other high-income countries. With this triumph of longevity, however, comes a rise in the burden of noncommunicable diseases (NCDs) like diabetes and hypertension, reducing healthy life years for individuals in these aging populations, as well as challenging the healthcare systems they rely on for appropriate care.  
 
The challenges and disparities are even more pressing in low- and middle-income economies, such as rural China and India. Moreover, the COVID-19 pandemic has underscored the vulnerability to newly emerging pathogens of older adults suffering from NCDs, and the importance of building long-term, resilient health systems. 
 
What strategies have been tried to prevent NCDs—the primary cause of morbidity and mortality — as well as to screen for early detection, raise the quality of care, improve medication adherence, reduce unnecessary hospitalizations and increase “value for money” in health spending? 
 
Fourteen concise chapters cover multiple aspects of policy initiatives for healthy aging and economic research on chronic disease control in diverse health systems — from cities such as Singapore and Hong Kong to large economies such as Japan, India, and China. 
 

Desk, examination, or review copies can be requested through Stanford University Press.

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COVID-19 is having a profound impact on our online systems - exposing both the essential role they can and do play in our modern society, and the risks and vulnerabilities they represent. Substantial research is emerging on this topic, and the implications of that research  will have important consequences for both medium (e.g., 2020 elections) and long-term cyber policies. 

Welcome Remarks: Mike McFaul

  • Introduction to CPC and the center’s work on COVID from moderator Kelly Born
  • Alex Stamos of the Internet Observatory will discuss their work examining shifting narratives about coronavirus from Chinese and Russian State Media, early insights into covid misinformation in other countries (e.g., Nigeria), and how tech companies are responding; as well as how Zoom and other platforms have been working to adapt policies and practices to meet growing demands, and risks.
  • Nate Persily at PDI will discuss the challenges of running the elections in the current environment, including implications for state necessary changes to state policies and practices.
  • Eileen Donahoe at GDPI will discuss geopolitical threats to the international human rights law framework due to ineffective response to COVID by democratic govs; cite risks to 5 specific substantive civil/political rights; and recommend that democratic govs apply international human rights process principles in COVID-19 context.  [I will use ~2 slides  -only  if others use slides]
  • Marietje Schaake will discuss human-rights challenges (to privacy, freedom of association, and freedom of expression) that have arisen with various applications of AI in COVID-19 context - e.g.,contact tracking and content moderation; as well as emerging criteria for policymakers to consider when deploying tracing and related technologies. 
  • Andy Grotto from GTG will discuss recent work on How to Report Responsibly on Hacks and Disinformation, and the implications for mainstream media’s coverage of COVID.
  • 30 min for Q&A
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Early this year, Vladimir Putin had big plans for an excellent spring:  first, constitutional amendments approved by the legislative branch and public allowing him the opportunity to remain in power until 2036, followed by a huge patriotic celebration of the 75th anniversary of the defeat of Nazi Germany.  Well, stuff happens—specifically, COVID-19.  Putin’s spring has turned out quite differently from what he had hoped.

Big Plans for the Spring

The president surprised Russians on January 15 in his annual speech to the Federal Assembly (the lower house of the Russian legislative branch).  He proposed amending the constitution to reduce the authority of the presidency, increase the power of the Federal Assembly, and provide a legal basis for a State Council.

The amendments prompted speculation that Putin, who likes to have options, sought to create ways to hold on to power after 2024, when term limits would require him to step down from the presidency.  He might become an empowered prime minister or head the State Council.

Then, on March 10, another surprise.  A Federal Assembly deputy proposed an additional amendment that would, in effect, allow Putin to run for president twice more, opening the possibility that he could remain in office until 2036.  He had consistently argued in the past against ending term limits.  However, according to the Kremlin spokesperson, Putin was so taken with the deputy’s justification that he changed his mind on the spot.

Things can move fast in Russia—especially when Putin wants them.  On March 11, the Federal Assembly approved the constitutional amendments by a vote of 383-0, and the Federal Council (Russia’s senate) gave its approval 160-1.  (Nothing like having a rubber-stamp legislative branch.)  Within two days, all 85 regional parliaments had approved the amendments.  The Constitutional Court worked over a weekend and, on March 16, unsurprisingly found the amendments consistent with the constitution.

All told, it took just six days to check the legal requirements for amending the constitution.  Putin, however, desired more.  He called in January for a nationwide referendum on April 22 to approve the package of amendments.  The constitution provides no requirement for such a vote.  Putin wanted it to further legitimize the changes to the constitution.  Popular endorsement would undercut any future challenge should he decide to run for reelection in 2024.

Topping off the spring would be the May 9 celebration of the 75th anniversary of VE Day.  Putin has built this holiday up to rival New Year’s Day, traditionally the biggest holiday for Russians.  The celebration of World War II veterans and a large military parade on Red Square not only remind Russians of their country’s part in defeating Hitler, but they also play well to the themes of nationalism and Russia’s place as a great power on the world stage that Putin has embraced and perpetuated, particularly over the past eight years.

COVID-19 Intrudes

Alas for Putin, reality intruded.  The number of COVID-19 cases began to grow in mid-March.  As of April 21, the country reported over 52,000 cases, with more than half of those just in Moscow.  The number undoubtedly is understated—as in many countries—if for no other reason than some are asymptomatic or suffer mild symptoms.  There are also indications that local health authorities are underreporting cases.

Moscow’s mayor adopted a shelter-at-home policy, but with lots of exceptions.  While the mayor asserted that the city’s hospitals had sufficient capacity, medical staff described more difficult situations, and videos showed ambulances in line to wait hours to admit patients.  The health infrastructure outside of Moscow and other large cities is weaker, raising concern about the virus’s impact in rural areas.

Much like his American counterpart, Putin responded slowly to the mushrooming health crisis, leaving it to mayors and regional authorities to manage.  Sounding a lot like Donald Trump in February, Putin told Russians on April 19 (Orthodox Easter) “the situation is under full control.”  He has raised his public profile the past ten days, conducting videoconferences from his residence outside Moscow.  Russia, however, may be just beginning its COVID-19 trial.

As the number of cases grew in March, questions arose about the feasibility of the April 22 referendum.  Putin apparently very much desired it, and the Kremlin wanted a large turnout to bolster the referendum’s legitimacy.  Some suggested the referendum could be conducted over several days, allowing voters to space out visits to polling stations.  But the Kremlin bowed to reality and announced on March 25 that the referendum would be postponed.

Likewise, the Kremlin hoped that the May 9 commemoration could go forward, and troops began practicing for the military parade (one video showed thousands of soldiers in close formation with no masks).  However, the day’s heroes—World War II veterans now in their 90s—constitute an age-group very vulnerable to COVID-19.  Going forward with a celebration that could devastate their ranks hardly made sense.  On April 16, Putin announced a postponement.

The Economic Prognosis Looks Grim

Instead of a big public endorsement of his constitutional amendments and a patriotic gala on May 9, Putin faces a daunting challenge:  the combination of COVID-19 and an economy in trouble.  Under the virus’s impact, Russia’s already anemic economy is headed for recession.  The International Monetary Fund expects it to contract by 5.5 percent in 2020.

Complicating the economic picture for the Kremlin is continued application of Western sanctions due to Russia’s seizure of Crimea and its conflict with Ukraine in Donbas.  Economists estimate they cost Russia 1-1.5 percent of its gross domestic product.  While Russian officials downplay the effect, they miss few opportunities to ask for their removal.  For example, Putin used his intervention in the March 26 videoconference of G20 leaders to call for an end to all international sanctions.

COVID-19 has another negative impact on the Russian economy.  It has crashed global demand for oil, by far Russia’s most important export.  Perhaps not expecting the economic consequences of the virus, Russia on March 6 did not agree to an OPEC proposal to reduce production.  Igor Sechin, head of the Rosneft Oil Company and a close associate of Putin, reportedly wanted to drive the price down to push U.S. shale oil producers out of the market (their production has boosted the United States to supplant Russia and Saudi Arabia as the world’s largest oil producer).

The price dropped, more than Sechin might have anticipated.  Saudi Arabia responded to Russia’s refusal to cut production by boosting its own output and cutting the price.  On March 8, the price of oil fell 30 percent.  The resulting havoc hurt both sides.  On April 9, Russia and OPEC agreed to cut production by about 10 million barrels per day.

Whether that will suffice is uncertain.  The global economic slowdown has caused demand for oil to drop by 20-25 millions barrels per day.  On April 21, the price of a barrel of Brent oil fell below $20, a price not seen since 2002.  That was down from $74 one year earlier (the Russian government budget was designed to balance at a price of $42 per barrel).  The per barrel export duty collected by the Russian government fell to below $1, also the lowest since 2002.  Russia has to cut 2.5 million of barrels per day of production to meet its part of the April 9 agreement.  With oil storage facilities nearing capacity, there may well be further price drops before things turn around.

None of this is good news for the Russian economy, but how hard a hit it will take remains to be seen.  Thus far, the Kremlin has adopted a stimulus package to counter the COVID-19 economic consequences that is relatively modest, especially compared to programs being implemented by the United States, Germany, Britain and other industrial countries.

Managing the health crisis and its economic consequences, which could affect Putin’s approval rating—something to which the Kremlin pays extraordinarily close attention—is now the Russian president’s top preoccupation.  This is not anything like he anticipated three months ago.

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In 2008, the U.S. National Intelligence Council (NIC) published the fourth installment in its effort to identify “megatrends” likely to shape world events a decade or more into the future. Shorenstein APARC Fellow and China expert Thomas Fingar, the then chairman of the NIC, oversaw that report, Global Trends 2025. The unclassified report uses scenarios to illustrate some of the ways in which the factors driving world events – from climate change to demographic decline to changing geopolitical powers – may interact to generate challenges and opportunities for future decisionmakers. One of these scenarios is the emergence of a global pandemic that bears a chilling resemblance to COVID-19.

We sat down with Fingar for an online conversation about the NIC report and its pandemic scenario, the government action it spurred, the United States’ failed initial response to the COVID-19 outbreak, and the implications of the current crisis for U.S.-China relations. Watch:

Twelve years after its publication, the NIC’s "Potential Emergence of a Global Pandemic" scenario (p. 75) has proven to be woefully accurate:

“The emergence of a novel, highly transmissible, and virulent human respiratory illness for which there are no adequate countermeasures could initiate a global pandemic. If a pandemic disease emerges by 2025, […] it probably will first occur in an area marked by high population density and close association between humans and animals, such as many areas of China and Southeast Asia […] Slow public health response would delay the realization that a highly transmissible pathogen had emerged […] Despite limits imposed on international travel, travelers with mild symptoms or who were asymptomatic could carry the disease to other continents. Waves of new cases would occur every few months. The absence of an effective vaccine and near-universal lack of immunity would render populations vulnerable to infection.”

[To get more stories like this delivered to your inbox sign up for our newsletters]

It was not a prediction, recalls Fingar, but rather an attempt to urge policymakers to think “beyond tomorrow,” past the end of their administration, and to stimulate strategic thinking about how to reinforce positive trends and change or ameliorate negative ones. If the report and its global pandemic scenario are precise, he notes, it is because the NIC’s effort involved the best specialists within the U.S. intelligence community and engaged numerous and varied groups of non-U.S. Government experts.

Yet the United States has been unprepared for the COVID-19 pandemic and the crisis is now worsening U.S.-China tensions. To address the crisis, however, argues Fingar, both countries must cooperate in the international fora. “Let that be the way that builds towards a better bilateral relationship.”

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Thomas Fingar is a Shorenstein APARC Fellow in the Freeman Spogli Institute for International Studies at Stanford University. From 2005 through 2008, he served as the first deputy director of national intelligence for analysis and, concurrently, as chairman of the National Intelligence Council. His forthcoming edited volume is 'Fateful Decisions: Choices That Will Shape China's Future' (Stanford University Press, May 2020).
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Vehicle traffic is almost non-existent on Pennsylvania Avenue as the United States Capitol is reflected in a rainwater puddle during the novel coronavirus pandemic April 13, 2020 in Washington, DC. COVID-19 has sent lawmakers home and brought the business of the nation’s capital to a near-total halt.
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In our online conversation, Fingar discusses the 2008 National Intelligence Council report he oversaw and that urged action on coronavirus pandemic preparedness, explains the U.S. initial failed response to the COVID-19 outbreak, and considers the implications of the current crisis for U.S.-China relations.

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This event is via Zoom Webinar. Please register in advance for the webinar by using the link below.

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A Discussion between Matthew Kohrman and Gan Quan, co-editors of Poisonous Pandas: Chinese Cigarette Manufacturing in Critical Historical Perspectives (Stanford University Press, 2018).

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Gan Quan (PhD, Berkeley) is the director of Tobacco Control of the International Union Against Tuberculosis and Lung Disease. His research tackles various topics pertaining to tobacco control in China.

 

 

 

 

 

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Matthew Kohrman (PhD, Harvard) is an associate professor in Stanford’s Department of Anthropology and senior fellow by courtesy at APARC/FSI. His research brings anthropological methods to bear on the ways health, culture, and politics are interrelated.

 

 

 

 

 

 

 

 

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Register at https://bit.ly/2Kpjiww

Gan Quan Director of Tobacco Control of the International Union Against Tuberculosis and Lung Disease
Matthew Kohrman Associate Professor of Anthropology, Stanford University
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Seminar Recording: https://youtu.be/j9S_CKmku00

 

About this Event:

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Bryan Metzger

1:30 PM - 2:15 PM 

Introductions will start at 1:30pm. Each presentation will be 20 minutes with a 10 minute discussion.

Title: Lobbyists, Public Relations and “Malign Activities”: The JCPOA as a Case Study of Foreign Influence

Abstract: In July 2015, the P5+1 announced the conclusion of the Joint Comprehensive Plan of Action (JCPOA), known colloquially as the “Iran nuclear deal,” an agreement between Iran and the P5+1 to place limits on the Iranian nuclear program. The agreement was controversial not only within American domestic politics, but also in the eyes of American allies in the Middle East that are commonly thought to exercise significant influence over American foreign policy. Using the JCPOA as a case study on foreign influence in American political decision-making, this thesis analyzes the influence strategies of Israel, Saudi Arabia, and Iran from 2013 to 2018 while assessing the efficacy of these strategies. Based on the theoretical literature, I propose four different influence strategies: direct and indirect lobbying, and direct and indirect shaping of the information space. As a result of nearly forty interviews with former government officials, ambassadors, policy advocates, and regional experts, this thesis finds that while foreign influence does not drive US foreign policy, it can act as an important intervening factor, raising or lowering the costs of political decision-making and amplifying existing preferences within the American political system. Thus, this thesis provides a nuanced perspective on foreign influence in American decision-making, showing the real impact that such campaigns can have while eschewing the idea that American policymakers lack agency in important foreign policy matters.

 

 

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andrew

Andrew Lokay

2:15 PM - 2:50 PM

Introductions will start at 1:30pm. Each presentation will be 20 minutes with a 10 minute discussion.

Title: The Repatriation Dilemma: European Countries and Islamic State Foreign Terrorist Fighters

Abstract: This thesis explains differences in European countries’ approaches to the repatriation of Islamic State foreign terrorist fighters (FTFs). Following the territorial defeat of the Islamic State, the United States urged European countries to take back their citizens who travelled to Syria and Iraq to join the caliphate. Some have done so, while others have not. This thesis is the first study to analyze the variation in responses to this request and uses an original dataset of FTF repatriation across 16 European countries. I apply a nested analysis research design to evaluate four explanatory variables: a country’s history of jihadist attacks, justice system capability, desire for a better relationship with the United States, and domestic political pressure. I arbitrate among these potential explanations though a medium-N analysis and case studies of the United Kingdom and the Republic of North Macedonia. I suggest that NATO aspirants are more likely to repatriate FTFs. The empirical evidence I collect does not support the other three hypotheses. I also propose that high evidentiary requirements in legal systems present a challenge to FTF repatriation. This thesis advances the literature’s understanding of the responsiveness of U.S. allies and partners to Washington’s demands, and it expands the counterterrorism scholarship to address a novel question regarding a salient and divisive policy debate.

 

 

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adam

Adam Elliott

2:50 PM - 3:20 PM

Introductions will start at 1:30pm. Each presentation will be 20 minutes with a 10 minute discussion.

Title: Keeping Pace: Addressing Life Sciences Dual Use Risk Across U.S. Government Agencies

Abstract: Why do different institutions address the same security challenge in different ways? Global biosecurity governance is ill-equipped to stay apace with advances in biotechnology. While almost all necessary life sciences research incurs the risk for misuse, certain experiments with higher risk to human health if misused are labelled dual use research of concern (DURC). U.S. government policies to guide public funding for DURC experiments attempt to outline lists of experiment types or select agents that constitute DURC. However, experts argue some experiments are definitionally DURC, but they do not fall within the scope of the U.S. policy. This thesis analyzes how the National Institutes of Health (NIH) and the Defense Advanced Research Projects Agency (DARPA) approach funding two of these experiment types: gene drives and virus engineering for pandemic preparedness. Tracing each agency’s approach to funding these experiments, as well as their institutional history and culture, leads to several findings. First, when experiment types test the limits of what biosecurity policies are scoped to address, agencies tend to respond in accordance with their mission. However, decisions by agency directors may influence the response as well. Coherent leadership and strategies are critical for preserving the integrity of the scientific enterprise and for protecting humanity from biological threats – including natural, accidental, and deliberate release of biological products that could cause human suffering. By studying the ways different agencies respond when they have to address new biosecurity challenges, governments can better assess the effectiveness of existing biosecurity policies and design future policies in a way that allows society to enjoy the benefits of life sciences advances without undue exposure to risk.

Virtual Seminar

Bryan Metzger, Andrew Lokay, and Adam Elliott
Seminars
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