One of Stanford's many remarkable attractions is the Rodin sculpture garden. And perhaps the most extraordinary Rodin sculpture is his Gates of Hell, inspired by Dante’s “Inferno.” In his Divine Comedy, Dante tells us that the inscription over the Gates of Hell is “abandon all hope, ye who enter here.”

For hundreds of millions of people, that sad admonition belongs over their workplace. Abandon all hope … and not only your hope. Abandon your health and your right to associate; and don’t expect to be paid much.

That problem — the terrible unfairness of so many people having to sacrifice so much simply to make a living — provides the focus for the Just Supply Chains project of the Program on Global Justice (PGJ). Because of resistance to such working conditions, and pressure from movements against sweatshops, many companies have adopted codes of conduct for themselves and their suppliers over the past decade. But studies of these “private voluntary codes” have generated considerable skepticism about their effectiveness in improving compensation, working conditions, and rights of association. The aim of the project is to explore how codes and monitoring for compliance might be improved and also to consider some alternatives to private voluntary codes for regulating global labor markets.

PGJ has held two meetings, with participation from academics (from Stanford and elsewhere), NGOs (Fair Labor Association, Ethical Trading Initiative, Workers Rights Consortium), companies (Ford, Nike, Gap, Coca-Cola, Apple, HP, and Costco), and unions (including the International Textile, Garment and Leather Workers’ Federation). Through wide-ranging discussions, participants identified a set of research topics: whether consumers are willing to pay more for goods produced under decent conditions, whether there is a “business case” for improved labor standards, what the effects on labor standards will be of current reorganizations of supply chains in response to growing transportation costs, and how national labor-inspection systems might work better under conditions of globalized production. The next step is to establish working groups, combining academics and practitioners, to refine these topics and start to answer open questions about how to promote more decent working conditions in global supply chains.

In addition to the Just Supply Chains project, PGJ has been working to launch some other interdisciplinary, policy-oriented research initiatives. Along with colleagues in the School of Earth Sciences, the Interdisciplinary Program on Environment and Resources, FSI’s Center on Food Security and the Environment (FSE), the Ethics Center, and the Woods Institute, PGJ is a partner in an NSF proposal aimed at establishing a training program for graduate students in social sciences and climate science on the differential vulnerability of human-environment systems to climate change, the ethical implications of such differential vulnerability, and the role of institutions in shaping the adaptive capacity of communities.

PGJ is also working on a project on Liberation Technology, bringing together social scientists with researchers in applied technology interested in economically, socially, and politically constructive uses of new information technologies (to enable producers to learn more about markets, citizens to monitor elections and hold officials accountable, and public service providers to identify where those services are most needed). Finally, the Program on Global Justice is launching a Human Rights project, with support from the Presidential Fund for Innovation in International Studies, for historical and comparative research on the roles of political mobilization and legal protections in securing human rights.

“Emerging democracies must demonstrate that they can solve governance problems and meet citizens’ expectations for freedom, justice, a better life, and a fairer society.”

If the big global story of the 1980s and 1990s was the remarkable expansion of democracy, the bad news of this decade is that democracy is slipping into recession. In the two decades following the Portuguese revolution in 1974, the number of democracies tripled (from 40 to 120) and the percentage of the world’s states that are at least electoral democracies more than doubled (to about 60 percent). Since the late 1990s however, there has been little if any net progress in democracy. To be sure, significant new transitions to democracy took place in countries like Mexico, Indonesia, Serbia, Georgia, and Ukraine. But globally, the democratic wave has been neutralized and is now at risk of being overtaken by an authoritarian undertow, which has extinguished democracy in such states as Pakistan, Russia, Nigeria, Venezuela, Bangladesh and Kenya. In fact, two-thirds (15) of all the reversals of democracy (23) since 1974 have taken place just in the last eight years, since the October 1999 military coup in Pakistan.

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Two other negative trends are important to note. One is the implosion of democratic openings in the Arab world. Under pressure from the George W. Bush administration beginning in 2003, several authoritarian Arab regimes liberalized political life and held competitive, multiparty elections. Then, Islamist political forces made dramatic gains in Egypt and Lebanon and won a majority of seats in Palestine and Iraq — and suddenly the Bush Administration got cold feet. Arab democrats who had surfaced and mobilized felt abandoned and betrayed. The liberal secular politician Ayman Nour, who had the temerity to challenge President Hosni Mubarak in Egypt’s first contested presidential election, languishes in prison three years later. The country’s political opening is now frozen, while more than a billion dollars in American aid continues to flow to the regime.

The second negative trend is that authoritarian states have, unfortunately, learned some of the lessons of democratic breakthroughs of the past decade, particularly the color revolutions that brought down neocommunist autocracies in Serbia, Georgia, Ukraine, and Kyrgyzstan. As a result, they have closed political space, swallowed up or arrested independent media, crushed independent political opposition, sabotaged or shut down innovative uses of the Internet, and sought to block or sever external flows of democratic assistance. Vladimir Putin’s Russia (with its sinister cabal of savvy Kremlin “political technologists”) has blazed the trail in this authoritarian pushback, but China, Belarus, Iran, Azerbaijan, Uzbekistan, and other “post” communist and Middle Eastern dictatorships have followed suit. To make matters worse, China and Russia have drawn together with the Central Asian dictatorships in a new club, the Shanghai Cooperation Organization, to formalize and advance their authoritarian pushback.

To renew democratic progress in the world, we must understand the reasons for the democratic recession. Authoritarian learning is one. Another has been the inconsistent and often unilateralist policies of the United States. Although President Bush has done much to put democracy promotion at the center of American foreign policy and has substantially increased funding for U.S. democracy assistance programs, he has also alienated potential allies in the effort to advance democracy globally by associating democracy promotion with the use of (largely unilateral) force, as in Iraq; by promoting democracy with a tone that was often self-righteous and a style that was too often poorly coordinated with our democratic allies; and then by failing to sustain pressure for democratic change when the going got rough in the Middle East.

Structural factors have also driven the recession of democracy. One has had to do with the global political economy. As the price of oil has gone up, the prospects for democracy have receded. Russia, Nigeria, and Venezuela have all seen their democracies slip back into authoritarianism as oil prices have skyrocketed, sending huge new infusions of discretionary revenue into the hands of autocratic leaders, which they have used to buy off opponents and strengthen their security apparatuses. In Iran and Azerbaijan, surging oil revenues have shored up authoritarian states that once seemed vulnerable.

A second and more pervasive factor has had to do with the performance of the new democracies. Some new democracies are holding their own (like Mali) and even making progress (like Brazil and Indonesia) in the face of enormous accumulated problems and challenges. But the general reality, even in these countries, is that democracy often does not work for average citizens. Rather, it is blighted by multiple forms of bad governance: abusive police and security forces, domineering local oligarchies, inept and indifferent state bureaucracies, corrupt and pliant judiciaries, and ruling elites who routinely shred the rule of law in the quest to get rich in office. As a result, citizens grow alienated from democracy and become susceptible to the patronage crumbs of corrupt political bosses and the demagogic appeals of authoritarian populists like Putin in Russia and Hugo Chávez in Venezuela.

“If democracies do not work better to contain crime and corruption, generate economic growth, relieve economic inequality, and secure freedom and a rule of law, people will eventually lose faith and turn to authoritarian alternatives.”Before democracy can spread further, it must take deeper root where it has already sprouted. Emerging democracies must demonstrate that they can solve governance problems and meet citizens’ expectations for freedom, justice, a better life, and a fairer society. If democracies do not work better to contain crime and corruption, generate economic growth, relieve economic inequality, and secure freedom and a rule of law, people will eventually lose faith and turn to authoritarian alternatives. Struggling democracies must be consolidated, so that all levels of society become enduringly committed to democracy as the best form of government and to the country’s constitutional norms and restraints. Western governments and international aid donors can assist in this process by making most foreign aid contingent on key principles of good governance: a free press, an independent judiciary, and vigorous, independently led institutions to control corruption. International donors also need to expand their efforts to assist these institutions of horizontal accountability as well as initiatives in civil society that monitor the conduct of government and press for institutional reform.

The only way to stem the democratic recession is to show that democracy really is the best form of government — that it can not only provide political freedom but also improve social justice and human welfare.

Clear evidence suggests the importance of health service provider payment incentives for achieving efficiency, equal access, and quality, including attention to primary, secondary, and tertiary prevention. “Pay for performance” may be on the cusp of significant expansion in Asia, and reform away from fee-for-service has been underway for several years in several economies. Yet despite the policy relevance, the evidence base for evaluating payment reforms in Asia is still very limited.

China in particular has been undertaking significant reforms to its health care system in both rural and urban areas. With the expansion of insurance coverage and need to resolve incentive problems like “supporting medical care through drug sales,” there is an urgent need for evaluating alternative ways of paying health service providers. Evidence from policy reforms in specific regions of China, as well as other economies of the Asia-Pacific, can provide valuable evidence to help inform policy decisions about how to align provider incentives with policy goals of quality care at reasonable cost.

To illuminate these questions, the Asia Health Policy Program and several collaborating institutions are planning to convene a conference on health care provider payment incentives on November 7-8, 2008 in Beijing. The conference will highlight and seek to distill “best-practice” lessons from rigorous and policy-relevant evaluations of recent reforms in China and elsewhere in the Asia Pacific.

The organizing committee – including health economists from Shorenstein APARC, Peking University, Tsinghua University, and Seoul National University – reviewed submissions in June 2008 and accepted sixteen. The conference papers cover payment issues in Korea, Japan, China, Taiwan, Thailand, Tajikistan, the Philippines, and the US, and the disciplines of economics, health services research/health policy, public health, medicine, and ethics. Topics include institutionalized informal payments; the impact of global budget policies on high-cost patients; public-private partnerships; public-sector physicians owning private pharmacies; evidence-informed case payment rates; payment and hospital quality; bonuses and physician satisfaction; physician prescription choice between brand-name and generic drugs; and differences in pharmaceutical utilization across insurance plans that pay providers differently (fee-for-service versus capitation).

Policymakers from China’s National Development and Reform Commission and Ministry of Health will also speak at the conference. Selected research papers will be published through the Shorenstein Asia-Pacific Research Center either in a special volume or in a special issue of an English-language health policy journal.

Interest in democracy, economic development, and the rule of law is clearly on the rise. Just as global attention in 2005 remained riveted on establishing and protecting the fundamentals of democracy in transitioning societies—the parliamentary elections in Afghanistan, the constitutional vote in Iraq, the threat to civil liberties in Russia—these issues took on increasing prominence on the Stanford campus, for policymakers and students alike.

STANFORD SUMMER FELLOWS PROGRAM

The Center on Democracy, Development, and the Rule of Law (CDDRL), the Freeman Spogli Institute’s newest research center, hosted its first annual Summer Fellows Program on campus in August. This innovative program is designed to help emerging and established leaders of transitioning countries in their efforts to create the fundamental institutions of democracy, fight the pernicious problem of corruption, improve governance at all levels of society, and strengthen prospects for sustainable economic development. In contrast to other programs of democracy promotion, which seek to transfer ready-made models to countries in transition, the Stanford program provides a comparative perspective on the evolution of established democratic practices, as well as theoretical and practical background on issues of democracy and good governance, to assist with needed economic, political, and judicial reform.

The three-week 2005 leadership seminar attracted 32 participants from 28 countries for specialized teaching, training, and outreach, including leaders from the Middle East, North and Sub-Saharan Africa, Central Asia, and parts of the former Soviet Union, whose stability is so vital to the international system. The curriculum draws on the combined expertise of Stanford scholars and practitioners in the fields of political science, economics, law, sociology, and business and emphasizes the dynamic linkages among democratization, economic development, and the rule of law in transitioning countries.

DEMOCRACY, DEVELOPMENT, AND THE RULE OF LAW

In the fall quarter of 2005, a new undergraduate course, titled %course1% (PS/IR 114D), examining the dynamic and interactive linkages among democratic institutions, economic development, and the framework of law proved to be an all-star attraction for Stanford students. Conceived by the research faculty and staff at CDDRL as an important introduction to fundamental concepts and team-taught by a number of prominent Stanford scholars—including University President Emeritus Gerhard Casper (Stanford Law School), Larry Diamond (Hoover Institution), CDDRL Director Michael A. McFaul (Hoover Institution and Department of Political Science), and Peter B. Henry (Graduate School of Business), the course attracted a record number of students this fall. Encina Columns recently interviewed Kathryn Stoner, associate director of research and senior research scholar at CDDRL, the course convener, to glean a few highlights.

Q. WHY DID YOU CHOOSE TO OFFER THE COURSE AT THIS TIME?

A. CDDRL research staff and faculty decided to offer the course in the fall of 2005 as a launch for what we hope will become an honors program. We wanted to use PS/IR 114D as a gateway course into other courses taught by our faculty, as well. For example, Larry Diamond teaches a very popular course on democracy, and we thought our course would be a good way to introduce undergraduates to some of the basic themes of that course, while also introducing them to connections between democracy and economic development and the interplay of these with the rule of law.

Q. DID YOU ENVISION A QUARTER-LONG OR YEAR-LONG COURSE? WHY?

A. The course was always envisioned as just a quarter-long course. This is to provide a launch into the menu of other courses that are offered by our faculty.

Q. WERE YOU SURPRISED BY THE STUDENT RESPONSE?

A. We were very surprised to have 130 students in the course this fall. We ran the course as a “beta test” in the spring of 2005 with just 25 students, but apparently the buzz among undergraduates was good and our enrollment numbers jumped in September when we offered the course again. The political science department was caught a little off guard and we had to hustle to find enough teaching assistants to staff the course.

Q. WHO WERE YOUR MAIN LECTURERS AND WHAT WERE THEIR TOPICS?

A. We had 13 lecturers in all including Gerhard Casper, on what rule of law means and why people choose to follow law or not; Larry Diamond, on meanings of democracy and Iraq; Avner Greif, on how economic institutions are established historically; and Jeremy M. Weinstein, on international aid and development in Africa, to name but a few.

Q. WHAT TOPICAL THEMES HAVE YOU EXPLORED WITH YOUR STUDENTS?

A. The Iraq lecture by Larry Diamond was particularly topical and the students clearly learned a lot from him. They also enjoyed Jeremy Weinstein’s lecture on debates on aid policy in Africa. He set it up in an engaging way so that students had to decide whether “conditionality” was a good idea in providing aid to Africa or not.

Q. DID YOU FIND THAT PARTICULAR ISSUES HAD SPECIAL "RESONANCE" FOR STANFORD STUDENTS?

A. I think that there is growing interest among Stanford undergraduates in how democracy can be promoted and to what extent the United States should be involved in this project. Many students in our course are interested in doing some sort of work in the development field, so they wanted to explore cases of when democracies have become consolidated versus situations where they slid back into dictatorship. They are also particularly interested in when or whether force is appropriate in promoting or establishing democracy in the Middle East and Afghanistan, for example.

Q. WHAT PROVED MOST GRATIFYING TO YOU? DID YOU GAIN NEW INSIGHT?

A. I always gain new insights when I interact with smart students who are deeply interested and engaged in these issues. I also find it a real privilege to actually sit down and listen to my colleagues deliver lectures on areas of their expertise. That is truly a treat.

Q. WHAT'S NEXT? WILL YOU OFFER THIS COURSE AGAIN?

A. Yes, we intend to offer the course every fall quarter. We are also currently planning to launch an honors program, perhaps this spring. As part of that we will offer a seminar for juniors interested in writing theses on the general themes of democracy, development, and the rule of law in the developing world.

Ellen Johnson Sirleaf’s inauguration as the president of Liberia marks a watershed in the country’s tumultuous history.

Twenty-five years of misrule and civil war under Samuel Doe, Charles Taylor, and successive interim governments have left the country in ruins. Nearly 300,000 Liberians lost their lives, average income is one-eighth what it was in 1980, and large majorities of the population subsist in dire poverty.

Since United Nations and U.S. troops ousted Taylor in 2003, a fragile peace has taken hold, supported by 15,000 U.N. peacekeepers. With free and peaceful elections under their belts, Liberians are feeling new optimism and hope. Markets here are bustling, stores are freshly painted and open for business, and newspapers and radios feature lively debate.

The new government is a clear break from a past characterized by rule by force, extensive corruption, and a culture of impunity. Sirleaf, the first African woman elected head of state, has been an outspoken champion of accountability, transparency, and good governance for decades, a stance that landed her in jail twice and was a hallmark of her opposition to past governments and campaign for the presidency.

Already change is under way. She has instituted a code of conduct and full financial disclosure for senior officials, and endorsed a program that will install internationally recruited financial controllers in several state enterprises and create a strong anticorruption commission. Her government plans to publish financial accounts on the Web, make it easier for whistleblowers to report infractions, and rewrite Liberia’s outdated constitution to firmly establish participatory democracy, decentralize power, and install robust checks on the executive.

Recovery from deep conflict in Africa is not easy, but we know it is possible. Mozambique was destroyed by civil war in the 1980s, but its democratically elected government led the way to peace, stability, and a doubling of income in a dozen years. Sierra Leone suffered a blood bath in the 1990s, but the 1999 peace agreement and 2001 elections brought stability and economic growth of 7 percent a year. Rwanda’s genocide was followed by a recovery that few could have imagined.

But Sirleaf faces a daunting task. Liberia’s recovery will depend mainly on Liberians themselves, but it will require strong international support, just as in Mozambique, Sierra Leone, and Rwanda.

West Africa’s civil wars have spawned widespread smuggling of diamonds, transshipment of drugs, and easy money laundering opportunities for global terrorist groups. Liberia’s historic moment provides the U.S. administration a chance to show it is serious about supporting nascent democracies, creating stability in a volatile region, and providing economic opportunities for Africa’s poorest countries.

First, the United States must continue its crucial role in the demobilization of combatants and commit to long-term rebuilding of Liberia’s police and army. The new government must be able to maintain and enhance security to begin to recover.

Second, the administration should support rapid and comprehensive forgiveness of Liberia’s debts, which were mainly undertaken and wasted by the rapacious Doe government. It makes no more sense to stick today’s Liberians with the bill, including 20 years of accumulated interest, than to force today’s Iraqis to pay Saddam Hussein’s bills.

Third, and perhaps most urgent, Congress should approve supplemental funding of $50 million to $100 million to support the new government. Unfortunately, Congress recently cut the administration’s initial request for Liberia, a short-sighted step that sent the wrong signal to a struggling democracy and old ally at a crucial turning point. These funds would build critical infrastructure, put kids back into schools, and continue vital training for security forces. It would give Liberians their best chance of securing peace and basic freedoms.