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Olena Nikolayenko (Ph.D. Toronto) is a Visiting Postdoctoral Scholar and the recepient of post-doctoral fellowship from the Social Sciences and Humanities Research Council of Canada. Her research interests include comparative democratization, public opinion, social movements, youth, and corruption. In her dissertation, she analyzed political support among the first post-Soviet generation grown up without any direct experience with communism in Russia and Ukraine. Her current research examines why some youth movements are more successful than others in applying methods of nonviolent resistance to mobilize the population in non-democratic regimes. She has recently conducted fieldwork in Azerbaijan, Belarus, Georgia, Serbia, and Ukraine.

Encina Ground Floor Conference Room

CDDRL
Stanford University
Encina Hall, C139c
Stanford, CA 94305-6055

(650) 724-2489 (650) 724-2996
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Visiting Scholar 2007-2009
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Olena Nikolayenko is a recepient of the 2007-2009 post-doctoral fellowship from the Social Sciences and Humanities Research Council of Canada. Her research interests include comparative democratization, public opinion, social movements, youth, and corruption. In her dissertation, she analyzed political support among the first post-Soviet generation grown up without any direct experience with communism in Russia and Ukraine. She has a PhD from the University of Toronto, Canada.

At CDDRL, she examined why some youth movements are more successful than others in applying methods of nonviolent resistance to mobilize the population in non-democratic regimes. She has recently conducted fieldwork in Azerbaijan, Belarus, Georgia, Serbia, and Ukraine.

Selected Publications

  • 2008. "Contextual Effects on Historical Memory: Soviet Nostalgia among Post-Soviet Adolescents." Communist and Post-Communist Studies 41(2): 243-259
  • 2008. "Life-Cycle, Generational and Period Effects on Protest Potential in Yeltsin's Russia." Canadian Journal of Political Science 41(2): 437-460
  • 2007. "The Revolt of the Post-Soviet Generation: Youth Movements in Serbia, Georgia, and Ukraine." Comparative Politics 39(2): 169-188
  •  2007. "Web Cartoons in a Closed Society: Animal Farm as an Allegory of Belarus." PS: Political Science and Politics 40(2): 307-310
  • 2004. "Press Freedom during the 1994 and 1999 Presidential Elections in Ukraine: A Reverse Wave?" Europe-Asia Studies 56(5): 661-686
Olena Nikolayenko Visiting Scholar Speaker CDDRL
Seminars
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This seminar will feature two presentations: an attempt to evaluate the impact of health policy under a decade of progressive governments in Korea; and an investigation into the health and economic well-being of the elderly in Korea. The presenters will be Dr. Byongho Tchoe, a 2008-09 visiting scholar at Stanford University, and Dr. Young Kyung Do, the inaugural postdoctoral fellow in the Asia Health Policy Program at Stanford.

Korea achieved universal health care coverage in 1989 only twelve years after the introduction of social health insurance under an authoritarian government. In 1992 a civil government won the presidential election. Consistent with a conservative ideology oriented toward market principles and globalization, that government emphasized competitive principles in health care policy. However, at the end of 1997 in the face of economic crisis, the progressive party won the Korean presidential election; their health emphasized strengthening equity, redistribution, and regulation of providers’ rent seeking behavior. Under successive progressive governments from 1998 to 2007, ambitious health policy reforms integrated insurers, separated prescribing from dispensing, reformed provider payment, expanded benefits coverage, increased medical-aid enrollees, and increased the role of government providers in the health care market. But in the election of 2007, they were defeated by a conservative party, which insists that competition among insurers and providers will enhance efficiency and quality in health care, and stresses consumer choice and responsibility.

Dr. Tchoe's talk will attempt to evaluate impact of health care policy under a decade of progressive governments in Korea. Although equity in both access to care and financial responsibility appear to be enhanced, there is controversy about whether the policies were cost-effective or improved health, and what will happen as the new government repeals regulations in the health care market. The return of economic crisis also brings renewed urgency to debates of economic and social policy.

Byongho Tchoe is a 2008-09 visiting scholar at Stanford University. After working at the Korea Development Institute from 1983 to 1995, he took up his current post with the Korea Institute for Health and Social Affairs. He has been influential in formulating health and social policy in Korea, having served as an advisor to the minister of health and social welfare and participated in many task forces and committees. In 2007, he was awarded a National Medal in honor of 30 years achievement related to Korea’s National Health Insurance. He has published many articles and books and served as president of the Korean Association of Health Economics and Policy and as vice president of the Korea Association of Social Security. He holds a master’s degree in public policy from Seoul National University and a Ph.D. in economics from the University of Georgia.

Young Kyung Do is the inaugural Postdoctoral Fellow in Asia Health Policy Program at the Walter H. Shorenstein Asia-Pacific Research Center. He completed his Ph.D. in health policy and administration at the University of North Carolina at Chapel Hill School of Public Health in August 2008. He has also earned M.D. and Master of Public Health degrees from Seoul National University (in 1997 and 2003, respectively). He earned board certification in preventive medicine from the Korean Medical Association in 2004. He received the First Prize Award in the Graduate Student Paper Competition in the Korea Labor and Income Panel Study Conference in 2007. He also is the recipient of the Harry T. Phillips Award for Outstanding Teaching by a Doctoral Student from the UNC Department of Health Policy and Administration in 2007. In May 2008, he was selected as a New Investigator in Global Health by the Global Health Council.

Daniel and Nancy Okimoto Conference Room

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 723-6530
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Visiting Scholar, 2008-09
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Byongho Tchoe is a 2008-09 visiting scholar at Stanford University. He began his research career at the KDI (Korea Development Institute) which is a topnotch government think tank in Korea and served from 1983 to 1995. After earning his PhD in economics, he continued his research career at KIHASA (Korea Institute for Health and Social Affairs) from 1995 up to now. 

He has always been an influential resource in formulating health and social policy in Korea, and served as an advisor to the minister of health and social welfare in 2000. He participated as a member of many task forces and committees for health and social policy making. He was awarded a National Medal for contributing 30 years achievement of National Health Insurance in 2007. 

He was also active in academic society. He published many articles and books. He served as a president of Korean Association of Health Economics and Policy and a vice president of Korea Association of Social Security. He holds a master's degree in public policy from Seoul National University and a PhD in economics from the University of Georgia. 

Byong Ho Tchoe Visiting Scholar, 2008-09 Speaker Shorenstein APARC
Young Kyung Do Postdoctoral Fellow, 2008-09 Speaker Shorenstein APARC
Seminars

CDDRL
Stanford University
Encina Hall
Stanford, CA 94305-6055

(650) 725-8805 (650) 724-2996
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CDDRL Visiting Scholar Winter/Spring 2009
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Vera was a visiting researcher during the spring and winter quarters of 2009 CDDRL. She was also a doctoral candidate in the department of political and social sciences at the Freie Universität Berlin in Germany. In her thesis, she compared and explained the active engagement of Mediterranean non-member countries in cooperation with the European Union (EU) and its democracy promotion efforts. During her time at CDDRL, she finished the first draft of her thesis and coordinate the grant proposal for a joint research project, with Professors Stephen D. Krasner of Stanford University and Tanja A. Börzel of Freie Universität Berlin, on the "governance export" of international actors to areas of limited statehood.

Since 2005, she has been working as a research associate at the Center for European Integration at the Freie Universität Berlin, where she researches and teaches on the EU as an international actor and particularly on European neighborhood policies. She received a Master's degree in "European Studies" from the University of Osnabrück, Germany, and the "Certificat d'Etudes Politiques" from the the Institut d'Etudes Politiques de Grenoble, France. Together with a colleague, she has contributed a chapter on "Comparing EU and US democracy promotion in the Mediterranean and the Newly Independent States" in a forthcoming (2009) volume edited by Amichai Magen, Michael McFaul and Thomas Risse.

India, the world's largest democracy, is a country of contrasts. Not the least among these is the tremendous economic diversity of India's states. The Law and Economy in India program aims to analyze and explain why growth patterns are so different across India. The program analyzes the major differentials in growth across Indian states and sectors as a means of assessing potential interrelationships between the quality of legal institutions and economic development. 

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Fuchs argues that health reform must encompass the Four Cs in order to succeed: coverage, cost control, coordinated care and choice. While details are certainly important, Fuchs writes, Congress and the Obama Administration must remember that "God is in the essentials." Without the essentials, no reform plan can succeed.

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Larry Diamond
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Bush gave democracy promotion a bad name, Larry Diamond writes in Newsweek. The new administration needs to get it right.

The new U.S. President will face more than one kind of global recession. In addition to the economic downturn, the world is suffering a democratic contraction. In Russia, awash with oil money, Vladimir Putin and his KGB cronies have sharply restricted freedom. In Latin America, authoritarian (and anti-American) populism is on the rise. In Nigeria, the Philippines and once again in Pakistan, democracy is foundering amid massive corruption, weak government and a loss of public faith. In Thailand, the government is paralyzed by mass protests. In Africa, more than a dozen fragile democracies must face the economic storm unprepared. And in the Middle East—the Bush administration's great democratic showcase—the push for freedom lies in ruins.

In the past decade, the breathtaking democratic wave that swept the world during the final quarter of the 20th century reversed course. Making democracy work proved harder than bringing down authoritarian rule. And receptive peoples everywhere were alienated by the arrogance and unilateralism of President George W. Bush's approach, which associated "democracy promotion" with the use of force and squandered America's soft power. Advancing democracy abroad remains vital to the U.S. national interest. But the next president will have to craft a more modest, realistic and sustainable strategy.

It's easy today to forget how far freedom has advanced in the past 30 years. When the wave of liberation began in 1974 in Portugal, barely a quarter of the world's states met the minimal test of democracy: a place where the people are able, through universal suffrage, to choose and replace their leaders in regular, free and fair elections. Over the course of the next two decades, dictatorships gave way to freely elected governments first in Southern Europe, then in Latin America, then in East Asia. Finally, an explosion of freedom in the early '90s liberated Eastern Europe and spread democracy from Moscow to Pretoria. Old assumptions—that democracy required Western values, high levels of education and a large middle class—crumbled. Half of sub-Saharan Africa's 48 states became democracies, and of the world's poorest countries, about two in every five are democracies today.

This great shift coincided with an unprecedented moment of U.S. military, economic and cultural dominance. Not only was America the world's last remaining superpower, but U.S. values—individual freedom, popular sovereignty, limited government and the rule of law—were embraced by progressive leaders around the world. Opinion surveys showed democracy to be the ideal of most people as well.

In recent years, however, this mighty tide has receded. This democratic recession has coincided with Bush's presidency, and can be traced in no small measure to his administration's imperial overreach. But it actually started in 1999, with the military coup in Pakistan, an upheaval welcomed by a public weary of endemic corruption, economic mismanagement and ethnic and political violence. Pakistan's woes exposed more than the growing frailty of a nuclear-weapon state. They were also the harbinger of a more widespread malaise. Many emerging democracies were experiencing similar crises. In Latin America and the post-communist world, and in parts of Asia and Africa, trust in political parties and parliaments was sinking dramatically, as scandals mounted and elected governments defaulted on their vows to control corruption and improve the welfare of ordinary people.

Thanks to bad governance and popular disaffection, democracy has lost ground. Since the start of the democratic wave, 24 states have reverted to authoritarian rule. Two thirds of these reversals have occurred in the past nine years—and included some big and important states such as Russia, Venezuela, Bangladesh, Thailand and (if one takes seriously the definition of democracy) Nigeria and the Philippines as well. Pakistan and Thailand have recently returned to rule by elected civilians, and Bangladesh is about to do so, but ongoing crises keep public confidence low. Democracy is also threatened in Bolivia and Ecuador, which confront rising levels of political polarization. And other strategically important democracies once thought to be doing well—Turkey, South Africa and Ukraine—face serious strains.

This isn't to say there haven't been a few heartening successes in recent years. Indonesia, the world's most populous Muslim country, has become a robust democracy nearly a decade after its turbulent transition from authoritarian rule. Brazil, under the left-leaning Luiz Inácio Lula da Silva, has also strengthened its democratic institutions while maintaining fiscal discipline and a market orientation and reducing poverty. In Africa, Ghana has maintained a quite liberal democracy while generating significant economic growth, and several smaller African countries have moved in this direction.

But the combination of tough economic times, diminished U.S. power and the renewed energy of major authoritarian states will pose a stiff challenge to some 60 insecure democracies in Asia, Africa, Latin America and the former Soviet bloc. If they don't strengthen their political institutions, reduce corruption and figure out how to govern more effectively, many of these democracies could fail in the coming years.

Part of the tragedy is that Washington has made things worse, not better. The Bush administration was right that spreading democracy would advance the U.S. national interest—that truly democratic states would be more responsible, peaceful and law-abiding and so become better contributors to international security. But the administration's unilateral and self-righteous approach led it to overestimate U.S. power and rush the dynamics of change, while exposing itself to charges of hypocrisy with its use of torture and the abuse of due process in the war on terror. Instead of advancing freedom and democracy in the Middle East, 2005 and 2006 witnessed a series of embarrassing shocks: Hamas winning in the Palestinian territories and Islamist parties winning in Iraq; Hizbullah surging in Lebanon and the Muslim Brotherhood surging in Egypt. After a brief moment of optimism, the United States backed away and Middle Eastern democrats grew embittered.

The new American administration will have to fashion a fresh approach—and fast. That will mean setting clear priorities and bringing objectives into alignment with means. The United States does not have the power, resources or moral standing to quickly transform the world's entrenched dictatorships. Besides, isolating and confronting them never seems to work: in Cuba, for example, this policy has been a total failure. This does not mean that the United States should not support democratic change in places like Cuba, Burma, Iran and Syria. But it needs a more subtle and sophisticated approach.

The best strategy would be to open up such places to the freer flow of people, goods, ideas and information. The next administration should therefore start by immediately lifting the self-defeating embargo on Cuba. It should offer to establish full diplomatic ties with Havana and free flows of trade and investment in exchange for a Cuban commitment to improve human rights. Washington should also work with Tehran to hammer out a comprehensive deal that would lift economic sanctions, renounce the use of force to effect regime change and incorporate Iran into the WTO, in exchange for a verifiable halt to nuclear-weapons development, more responsible behavior on Iraq and terrorism, and improved human-rights protection and monitoring. Critics will charge that talking to such odious governments only legitimizes them. In fact, engaging closed societies is the best way to foster democratic change.

At the same time, the United States should continue to support diaspora groups that seek peaceful democratic change back home, and should expand international radio broadcasting, through the Voice of America and more specialized efforts, that transmits independent news and information as well as democratic values and ideas.

In the near term, however, Washington must focus on shoring up existing democracies. Fragile states need assistance to help them adjust to the shocks of the current economic crisis. But they also need deep reforms to strengthen their democratic institutions and improve governance. This will require coordinated help from America and its Western allies to do three things.

First, they must ramp up technical assistance and training programs to help the machinery of government—parliaments, local authorities, courts, executive agencies and regulatory institutions—work more transparently and deliver what people want: the rule of law, less corruption, fair elections and a government that responds to their economic and social needs. This also means strengthening democratic oversight.

Second, we know from experience that these kinds of assistance don't work unless the political leaders on the receiving end are willing to let them. So we need to generate strong incentives for rulers to opt for a different logic of governance, one that defines success as delivering development and reducing poverty rather than skimming public resources and buying support or rigging elections. This will mean setting clear conditions that will have to be met before economic and political aid is doled out to governments.

The third priority is to expand assistance to independent organizations, mass media and think tanks in these fragile states that will increase public demand for better governance and monitor what governments do. This means aiding democratic professional associations, trade unions, chambers of commerce, student groups and organizations devoted to human rights, women's rights, transparency, civic education, election monitoring and countless other democratic activities. Ordinary people must be educated to know their rights and responsibilities as citizens—and be ready to defend them.

While Western countries have provided this kind of aid for more than two decades, economic assistance handed out at the same time has often undermined democracy efforts by subsidizing corrupt, abusive governments. Aid donors should thus strike a new bargain with recipients, telling them: if you get serious about containing corruption, building a rule of law and improving people's lives, we will get serious about helping you. Those that show a real commitment should get significant new rewards of aid and freer trade. Those unwilling to reform should get little, though the West should continue to fight disease and directly help people in dire need wherever they are.

Finally, the new president should keep in mind the power of example. Washington can't promote democracy abroad if it erodes it at home. The contradictions between the rhetoric of Bush's "freedom agenda" and the realities of Abu Ghraib, Guantánamo, torture, warrantless surveillance and boundless executive privilege have led even many of the United States' natural allies to dismiss U.S. efforts as hypocritical. Thus the new president must immediately shut down Guantánamo and unequivocally renounce the use of torture; few gestures would restore American credibility more quickly. The United States should also reduce the power of lobbyists, enhance executive and legislative transparency and reform campaign-finance rules—both for its own good and for the message it would send.

Make no mistake: thanks to the global economic crisis and antidemocratic trends, things may get worse before they get better. But supporting democracy abroad advances U.S. national interests and engages universal human aspirations. A more consistent, realistic and multilateral approach will help to secure at-risk democracies and plant the seeds of freedom in oppressed countries. Patience, persistence and savvy diplomacy will serve the next president far better than moralistic rhetoric that divides the world into good and evil. We've seen where that got us.

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This seminar proposes readings of texts by migrants to and from Galicia as a means of mapping the cultural consequences, in Galicia, of the shifting relations between territory and citizenship, language and identity that have resulted from the massive population movements of the last century. While an important body of work already exists on migration between Galicia and the Americas, I argue here that the full implications of questions of migration and diaspora in Galicia can only be uncovered by relocating our discussion of diaspora and migration outside the colonial framework and the inevitably tangled linguistic, racial, cultural and historical ties within which Galician migration to Latin America has taken place. To this end, the paper focuses on writers connected with the Anglophone and Germanic diasporas for whom Galician is or has been a creative language.

Synopsis

Prof. Hooper begins by aiming to address the question of how to understand Galicia in a contemporary world where literature goes beyond state boundaries. She explains of Galicia’s complicated relationship with the world; while seen as a major literary force, it is still part of Spain and often disputes its nationhood. Prof. Hooper reveals, however, that Galicia’s self-image and image in the rest of the world has long been shaped by emigration. However, to Prof. Hooper, the traditional narrative of Galicia is no longer adequate. The overwhelming focus of this narrative on Galicia’s relationship with Spain and Latin America further perpetuates the notions of colonialism and Galicia as a minority. On the other hand, Prof. Hooper explains how decolonization and globalization have made artists and writers changed their approach to representing Galicia. Emigration is crucial to this reimagining because it is such a central part of Galician identity.

The 2005 Galician elections, decided by voters abroad, raised key questions about voting rights and Galician identity, according to Prof. Hooper. She discusses how conservatives and nationalists alike have promoted artificially stabling coordinates of identity in the region. Prof. Hooper illustrates such uncertainty about identity in Galicia through the example of the literary community. Those who are fervent supports of Galicia but write in Spanish are excluded, while foreigners writing in Galician are welcomed.

Another key aspect which Prof. Hooper raises is the emphasis on 'process over essences' in moving Galicia’s identity past state boundaries. However, Prof. Hooper reveals how this emigrant identity is characterized by various tensions. The intergenerational clash between what may be seen as the romantic notion of exile and economically driven emigration figures prominently in literature. Another significant tension is between nationalism and displacement, according to Prof. Hooper. She also argues that romanticizing emigration could lead dangerously to reinforcing conservative models. Finally, Prof. Hooper makes the point that immigration back into Galicia is changing identity in ways that the region does not yet know how to cope with.

Prof. Hooper finishes by taking questions on a range of topics from linguistic standardization to Galician literary work in Latin America. One of the issues particularly explored is the role of Galician electorate abroad, both in terms of voters and candidates. In addition, Prof. Hooper explores of notion of Galician identity abroad as a brand.

About the speaker

Kirsty Hooper teaches Spanish and Galician at the University of Liverpool, UK, where she is a founding editor of the journal Migrations & Identities and an assistant editor of the Bulletin of Hispanic Studies. She has published widely on modern and contemporary Spanish and Galician culture and literature, and is an active translator of Galician, Polish and Spanish literature.

This event is jointly sponsored by the Forum on Contemporary Europe and the Department of Spanish and Portuguese at Stanford University.

Daniel and Nancy Okimoto Conference Room

Kirsty Hooper Lecturer in Spanish and Galician Speaker University of Liverpool
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OBJECTIVE: To assess and compare alternative approaches of measuring preference-based health-related quality of life (HRQoL) in treatment-experienced HIV patients and evaluate their association with health status and clinical variables. DESIGN: Cross-sectional study.

SETTING: Twenty-eight Veterans Affairs hospitals in the United States, 13 hospitals in Canada, and 8 hospitals in the United Kingdom.

PATIENTS: Three hundred sixty-eight treatment-experienced HIV-infected patients enrolled in the Options in Management with Antiretrovirals randomized trial.

MEASUREMENTS: Baseline sociodemographic and clinical indicators and baseline HRQoL using the Medical Outcome Study HIV Health Survey (MOS-HIV), the EQ-5D, the EQ-5D visual analog scale (EQ-5D VAS), the Health Utilities Index Mark 3 (HUI3), and standard gamble (SG) and time trade-off (TTO) techniques. RESULTS: The mean (SD) baseline HRQoL scores were as follows: MOS-HIV physical health summary score 41.70 (11.16), MOS-HIV mental health summary score 44.76 (11.38), EQ-5D 0.77 (0.19), HUI3 0.59 (0.32), EQ-5D VAS 65.94 (21.71), SG 0.75 (0.29), and TTO 0.80 (0.31). Correlations between MOS-HIV summary scores and EQ-5D, EQ-5D VAS, and HUI3 ranged from 0.60 to 0.70; the correlation between EQ-5D and HUI3 was 0.73; and the correlation between SG and TTO was 0.43. Preference-based HRQoL scores were related to physical, mental, social, and overall health as measured by MOS-HIV. Concomitant medication use, CD4 cell count, and HIV viral load were related to some instruments' scores.

CONCLUSIONS: On average, preference-based HRQoL for treatment-experienced HIV patients was decreased relative to national norms but also highly variable. Health status and clinical variables were related to HRQoL.

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Journal of Acquired Immune Deficiency Syndromes
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Douglas K. Owens
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