Afghanistan held its landmark legislative elections this Sunday. Almost exactly four years after 9/11, and the invasion that followed, Afghanistan will have, for the first time in its history, a democratically elected constitutional government. That is something remarkable, and cause to celebrate - but only in the way that one cheers hopefully during a tough game at halftime.

Everything we know about democracy promotion and post-conflict reconstruction tells us that Afghanistan is far from out of the woods. Even after significant international intervention, many failed states remain unstable, or relapse into conflict and chaos. Remember Haiti? The United States invaded in 1994 and oversaw reconstruction and elections in 1995 and 2000, as international forces slowly withdrew. By 2004, U.S. and United Nations Forces were dispatched to the troubled island again. Haiti is not an outlier. World Bank studies show that countries coming out of civil war are forty percent likely to return to war within five years. It took one horrific hurricane to turn New Orleans to chaos. Imagine the effects of 25 years of war.

One of the main reasons failing countries continue to fail is economic. Economic recovery after war provides one of the best measures of the likelihood of long-term stability. International assistance can play a key role in jump-starting the economy and paying for basic government services, but it can take a generation to return to pre-war standards of living. The problem is that donor countries tend to be most generous in the first few years of the crisis - when local capacity to do something with those funds is limited. And just when the government starts to get on its feet - usually around the four-year mark - the assistance dries up.

The Afghan economy has seen remarkable growth rates over the last four years, but that is only half good. There is a truly free market now in Afghanistan - free from the rule of law. Much of the growth has come from the booming opium trade and other smuggling operations. While a strong economy is necessary to rebuild state and society, a criminal economy will necessarily destroy them both.

Politically, Afghanistan is getting its first taste of real elections - but it is far from being a stable democracy. There were more than 5,000 candidates in the legislative elections this Sunday, violence was relatively low, and turnout decent - all signs that political participation is blossoming. But nobody knows who will run the new parliament, or how it will function. It has no building and no staff. The only other parliament in Afghanistan's history, from 1965 to 1973, is widely blamed for increasing the polarization that led to civil war there. Since armed warlords still dominate many parts of the country, they will undoubtedly be strongly represented in the new legislature. As we have seen in places like Liberia and Serbia, post-conflict elections can produce quite undemocratic leaders.

What does this mean for Afghanistan? First, it means that the next four years will be as important there as the last four. Afghanistan's leaders, elected and otherwise, must put the cause of their nation before their factional, ethnic and venal interests. For our part, the United States and its allies must continue to support Afghanistan, financially and militarily, until it gets out of the danger zone. That means the same level of support for at least another four years.

Second, it means we have to shift our mentality there from short term to long term. If the United States has one overarching goal, it must be to build a legitimate Afghan state that is strong enough to survive and competent enough to deliver results. The Afghan police and legal system remain in shambles. Afghanistan's school system was rated the worst in the world last year by the United Nations Development Program. More international support needs to go to education, training a capable Afghan government, and supporting the rule of law.

Finally, it means something a little more intangible: continued political attention. If Afghanistan falls off the policy agenda in Washington, London and Berlin, the dangers that lurk there will prosper. Lagging reconstruction is already creating support for the ongoing Taliban insurgency. An unchecked opium trade keeps warlord armies well fed.

On this anniversary, we must remember the true cause of those grim attacks four years ago: Bin Laden and Al Qaeda had free reign of a failed state in chaos. We may not be able to find bin Laden, but we know where Afghanistan is located.

China has a large and growing elderly population, but to be old in China-particularly in the countryside-is to be vulnerable. In the country's rural areas there are few clinics and hospitals, and health insurance is virtually nonexistent. Compared with elderly Chinese living in urban areas, those in rural areas have a shorter life expectancy and a poorer quality of life.

Further, little academic research has focused on the health needs and health status of China's elderly. It is with the goal of addressing this deficit that Pengqian Fang, a trainee with CHP/PCOR's China-U.S. Health and Aging Research Fellowship, recently returned to China from Stanford. Fang is seeking to document the health disparities between China's rural and urban elderly population, and to use his findings to propose healthcare assistance programs for the elderly in rural areas of China.

Fang spent a year at Stanford studying health-services research concepts and methods and developing his research project.

In the project, which Fang refined with guidance from CHP/PCOR faculty, Fang will conduct a detailed survey of the health status, health needs, and healthcare utilization of elderly people in rural and urban areas of China, through in-home interviews in three Chinese provinces with different geographic and socioeconomic characteristics: Guizhou (in southwest China), Hubei (in central China), and Guangdong (in the southeast).

He will conduct the project in collaboration with the health departments of the

three provinces, and with support from Tongji Medical College in Wuhan, where he

is director and associate professor of healthcare management.

Fang's study will be among the first of its kind in China. Such research is needed, Fang explained, because China's elderly population (of whom 70 percent reside in rural areas) is growing steadily, and in the coming years its members will require medical services at increasing rates. According to the country's 2000 census, China has 132 million people over age 65, making up more than 10 percent of the population; the over-80 population, which numbers 10 million people, is increasing by 5.4 percent a year; and about 20 percent of all elderly people in the world live in China.

The elderly in China's rural areas face particular challenges in getting high-quality, affordable healthcare services, Fang explained. There are few clinics and hospitals in rural areas, and there is no government-sponsored health coverage for the elderly (like the United States' Medicare program) anywhere in China. All of these factors put China's rural elderly in a vulnerable position, especially those with disabilities or serious illnesses.

"This research will show the disparities that exist, and it will encourage a dialogue about policies to help rural elderly people in China," Fang said.

Fang plans to conduct his survey in the first half of 2005, analyze the data in the summer and fall, and return to Stanford in November 2005 to present the results. In each of the three provinces studied, the research team will recruit 500 households and will conduct interviews with all individuals age 65 and over who reside there, for an estimated final sample of 2,500 people.

The respondents will be asked for a variety of information, including their income and education, insurance status, health status, daily activities, social activity, mental health, utilization of healthcare services, and accessibility and affordability of medical care. The researchers will also interview community healthcare workers-including physicians, nurses, and administrative staff-to seek information on the health needs of the elderly and the barriers they and their healthcare providers face.

The China-U.S. Health and Aging Research Fellowship, administered jointly by

CHP/PCOR and the China Health Economics Institute (Beijing), aims to improve

healthcare quality and efficiency in China through an exchange program in which

selected Chinese health services researchers come to Stanford to study for six months to a year, and then return to China to conduct an original research project. The fellowship is funded by the National Institutes of Health's Fogarty International Center.

"I have learned very much from Stanford and this program," Fang said. "The classes I attended have given me very useful ideas." He noted that since health services research is still a young field in China-about ten years old-"we learn a lot from the United States, like how to ask the research question, how to get a grant, how to design a study."

One aspect of Stanford that particularly impressed Fang was its emphasis on interdisciplinary collaboration.

"This is a very good feature-the close relationship between different fields," he said. "In my country we are more focused on one narrow field."

Fang said he is interested in establishing research collaborations between Stanford and Tongji Medical College-an idea that he and CHP/PCOR's leadership will be exploring in the coming months.

There is much to admire about the U.S. healthcare system's emphasis on innovation and technology, Fang said. Still, he said, "I don't hope for China to follow the U.S. health system," with its heavy reliance on free-market principles. For one thing, "medicine here is very costly." He cited a personal example of how he fractured his arm in a minor bicycle accident, and how his emergency room visit for the injury, along with a follow-up physician appointment, cost more than $1,000. "I was surprised it cost so much," he said.

A review of the fellowship program conducted by officials at the China Health Economics Institute last fall concluded that it has been successful and valuable. Leaders at the institute said the trainees' Stanford experience has enhanced their intellectual abilities, their knowledge of research methodology, their leadership capacity, and their ability to collaborate internationally.

Among the growing number of recent cases where international actors have become engaged in trying to rebuild a shattered state and construct democracy after conflict, Iraq is somewhat unique. The state collapsed not as a result of a civil war or internal conflict, but as a result of external military action to overthrow it. We are still very much in the middle of an internationally assisted political reconstruction process in Iraq, and we will not know for a year or two, or maybe five or ten, the outcome of the postwar effort to rebuild the Iraqi state. Nevertheless, some important lessons can be identified.

Prepare For A Major Commitment

Rebuilding a failed state is an extremely expensive and difficult task under any circumstance, and even more so in the wake of violent conflict. Success requires a very substantial commitment of human and financial resources, delivered in a timely and effective fashion, and sustained over an extended period of time, lasting (not necessarily through occupation or trusteeship, but at least through intensive international engagement) for a minimum of five to ten years.

Commit Enough Troops

One of the major problems with the American engagement in Iraq is that there were not enough international troops on the ground in the wake of state collapse to secure the immediate postwar order. As a result, Iraq descended into lawless chaos once Saddam's regime fell. The United States Army wanted a much larger force on the ground in order to secure the postwar order, something like 400,000 troops rather than the total invasion force of less than 200,000 that was ultimately authorized. Of course, what is needed is not simply enough troops but the right kind of troops with the proper rules of engagement. It does no good to have troops on the ground if they simply stand by and watch what is left of the state being stolen and burned. One lesson of Iraq is that international post-conflict stabilization missions need to be able to deploy not just a conventional army but a muscular peace implementation force that is somewhere between a war-making army and a crime-fighting police, between a rapid reaction and riot control force.

Mobilize International Legitimacy and Cooperation

In the contemporary era, a successful effort at post-conflict reconstruction requires broad international legitimacy and cooperation, for at least two key reasons. First, the scope and duration of engagement is typically more than any one country-and public-is willing to bear on its own. The broader the international coalition, the greater the human and financial resources that can be mobilized, and the more likely that the engagement of any participating country can be sustained, as its public sees a sense of shared international commitment and sacrifice. Second, when there is broad international engagement and legitimacy, people within the post-conflict country are less likely to see the intervention as the imperial project of one country or set of countries. All other things being equal, international cooperation and legitimacy tends to generate greater domestic legitimacy-or at least acceptance-for the intervention.

Generate legitimacy and trust within the post-conflict country

No international reconstruction effort can succeed without some degree of acceptance and cooperation-and eventually support and positive engagement-from the people in the post-conflict country. Without some degree of trust in the initial international administration and its intentions, the international intervention can become the target of popular wrath, and will then need to spend most of its military (and administrative) energies defending itself rather than rebuilding the country and its political and social order. Unfortunately, these qualities were lacking in the occupation of Iraq, and the Iraqi people knew it. From the very beginning, the American occupation failed to earn the trust and respect of the Iraqi people. As noted above, it failed in its first and most important obligation as an occupying power-to establish order and public safety. Then it failed to convey early on any clear plan for post-conflict transition.

All international post-conflict interventions to reconstruct a failed state on more democratic foundations confront a fundamental contradiction. Their goal is, in large measure, democracy: popular, representative, and accountable government, in which "the people" are sovereign. But their means are undemocratic: in essence, some form of imperial domination, however temporary and transitional. This requires a balancing of international trusteeship or imperial functions with a distinctly non-imperial attitude and some clear and early specification of an acceptable timetable for the restoration of full sovereignty. As much as possible, the humiliating features of an extended, all-out occupation should be avoided.

Hold Local Elections First

One of the toughest issues on which to generalize concerns the timing of elections. Ill-timed and ill-prepared elections do not produce democracy, or even political stability, after conflict. Instead, they may only enhance the power of actors who mobilize coercion, fear, and prejudice, reviving autocracy and even precipitating large-scale violent strife. In Angola in 1992, in Bosnia in 1996, and in Liberia in 1997, rushed elections set back the prospects for democracy and, in Angola and Liberia, paved the way for renewed civil war. There are therefore compelling reasons, based in logic and in recent historical experience, for deferring national elections until militias have been demobilized, new moderate parties trained and assisted, electoral infrastructure created, and democratic media and ideas generated. International interventions that seek to construct democracy after conflict must balance the tension between domination for democracy and withdrawal through democracy. In these circumstances, two temptations compete: to transform the country, its institutions and values, through an extended and penetrating occupation (à la British colonial rule), and to hold elections and get out as soon as possible. The question is always, in part, how long can international rule be viable? In Iraq, for better or worse, the answer-readily apparent from history, and from the profound and widespread suspicion of American motives in the region and among Iraqis themselves-was: not long.

Disperse Economic Reconstruction Funds and Democratic Assistance As Widely As Possible

Both for the effectiveness and speed of economic revival, and in order to build up local trust and acceptance, there is a compelling need for the decentralization of relief and reconstruction efforts, as well as democratic civic assistance. The more that the international administration, as well as private donors, works with and through local partners, the more likely that their relief and reconstruction efforts will be directed toward the most urgent needs, and the better the prospect for the accumulation of political trust and cooperation with the overall transition project. In Iraq there was a particularly compelling need for the creation of jobs, which might have been done more rapidly by channeling repair and reconstruction contracts more extensively through a wide range of local Iraqi contractors, instead of through the big American mega-corporations.

Proceed With Some Humility

This encompasses perhaps the ultimate, overarching contradiction. It is hard to imagine a bolder, more assertive, and self-confident act than a nation, or a set of nations, or "the international community," intervening to seize effective sovereignty in another nation. There is nothing the least bit humble about it. But ultimately the intervention cannot succeed, and the institutions it establishes cannot be viable, unless there is some sense of participation and ultimately "ownership" on the part of the people in the failed and re-emerging state. This is why holding local elections as early as possible is so important. It is why it is so vital to engage local partners, as extensively as possible, in post-conflict relief and economic reconstruction. And it is why the process of constitution making must be democratic and broadly participatory.

Coit D. Blacker, director of the Freeman Spogli Institute for International Studies at Stanford University, recently named Professor Michael McFaul as the new director of the Center on Democracy, Development, and the Rule of Law (CDDRL). McFaul, a reknowned specialist on the former Soviet Union, is currently associate professor of political science at Stanford as well as the Peter and Helen Bing Senior Fellow at the Hoover Institution. He is also an alumnus of Stanford University.

In appointing McFaul to lead CDDRL, Blacker expressed his confidence that the center will continue to establish itself as one of the leading research units in the United States devoted to exploring the interactions between the establishment of democracies, promoting development, and the rule of law. The center's previous director was Stephen D. Krasner, who took Ppublic service leave from Stanford in the winter of 2004 to serve as the director for policy planning at the U.S. Department of State.

Before joining the Stanford faculty in 1995, McFaul worked for two years as a senior associate for the Carnegie Endowment for International Peace in residence at the Moscow Carnegie Center. McFaul is also a research associate at the Center for International Security and Arms Control (CISAC) and a senior adviser to the National Democratic Institute. He serves on the board of directors of the Eurasia Foundation, Firebird Fund, International Forum for Democratic Studies of the National Endowment for Democracy, Institute of Social and Political Studies, Center for Civil Society International, and Institute for Corporate Governance and Law; the steering committee for the Europe and Eurasia division of Human Rights Watch; and the editorial boards of Current History, Journal of Democracy, Demokratizatsiya, and Perspectives on European Politics and Society. He has served as a consultant for numerous companies and government agencies.

McFaul's current research interests include democratization in the post-communist world and Iran, U.S.-Russian relations, and American efforts at promoting democracy abroad. With Abbas Milani and Larry Diamond, he codirects the Hoover project on Iran.

McFaul is the author and editor of several monographs including one with Kathryn Stoner-Weiss, After the Collapse of Communism: Comparative Lessons of Transitions (Cambridge University Press, 2004). With Nikolai Petrov and Andrei Ryabov, Between Dictatorship and Democracy: Russian Post-Communist Political Reform (Carnegie Endowment for International Peace, 2004); with James Goldgeier, Power and Purpose: American Policy toward Russia after the Cold War (Brookings Institution Press, 2003); with Timothy Colton, Popular Choice and Managed Democracy: The Russian Elections of 1999 and 2000 (Brookings Institution Press, 2003); Russia's Unfinished Revolution: Political Change from Gorbachev to Putin (Cornell University Press, 2001); Russia's 1996 Presidential Election: The End of Bi-Polar Politics, (Hoover Institution Press, 1997); with Tova Perlmutter, Privatization, Conversion and Enterprise Reform in Russia (Westview Press, 1995); Post-Communist Politics: Democratic Prospects in Russia and Eastern Europe (CSIS, 1993); and, with Sergei Markov, The Troubled Birth of Russian Democracy: Political Parties, Programs and Profiles (Hoover Institution Press, 1993). His articles have appeared in Constitutional Political Economy, Foreign Affairs, Foreign Policy, International Organization, International Security, Journal of Democracy, Political Science Quarterly, Post-Soviet Affairs, and World Politics.

McFaul also comments on current Russian and U.S.-Russian affairs, including articles in the Chicago Tribune, Los Angeles Times, Moscow Times, New Republic, New York Times, San Jose Mercury News, Washington Post, Washington Times, and the Weekly Standard, as well as television appearances on ABC, BBC, CBS, CNN, Fox News, NBC, and PBS. During the 1995 parliamentary elections in Russia, he worked as senior consultant and commentator for CBS News. During the 1996 presidential election, 1999 parliamentary election, and 2000 presidential election in Russia, he served as a commentator and adviser for CNN. While in Moscow in 1994-95, he also coproduced and appeared in his own television program on democracy for the Russian Television Network (RTR).

McFaul was born and raised in Montana. He received his BA in international relations and Slavic languages and his MA in Slavic and East European Studies from Stanford University in 1986. He was awarded a Rhodes Scholarship to Oxford where he completed his PhD in international relations in 1991.