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The "Carbon Markets: Developing Countries & the Next Clean Development Mechanism" panel will be held from 3:25PM to 4:45PM

PESD researcher Richard K. Morse to speak at the 2010 MIIS International Trade and Investment Conference: Opportunities and Strategies in Emerging Economies on the "Carbon Markets: Developing Countries & the Next Clean Development Mechanism" panel.

The Monterey Institute of International Studies (an affiliate of Middlebury College) will be hosting this all day conference.  This event is being held with the purpose of bringing together stakeholders in the fields of trade policy, business, and human development to enhance knowledge of and create constructive dialogue around the global trends shaping international trade policy, business innovation, and social ventures in emerging economies.

Monterey Institute of International Studies
Irvine Auditorium
499 Pierce Street
Monterey, CA 93940

Richard K. Morse Panelist
Neal Dikeman Co-Founder and Chairman of the Board for Carbonflow Panelist
Barbara Haya PhD Candidate at the UC Berkeley Renewable & Appropriate Energy Laboratory Panelist
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Ken Banks, the founder of kiwanja.net, spoke about the importance of technology solutions that meet the needs of those working in the developing world and his own work in this area through FrontlineSMS.

While current excitement in the technology world may be focused on increasing centralization through cloud computing, this means little to people working in the developing world where internet connectivity is unavailable or unreliable.  Too little investment is going into building tools that will genuinely assist the work many non-profits are doing now.

Ken developed FrontlineSMS to tap into the potential of mobile phones, which are now widely available and used in the developing world. This is a two way communication system that can be used anywhere where there is a mobile phone signal.  FrontlineSMS is available as a free download and Ken's approach has been not to dictate implementation but rather to allow people to use this very general tool in whatever ways meet their particular needs. This has resulted in diverse applications, for example:

  • Monitoring election practices in Nigeria in 2007
  • Sending security alerts to humanitarian workers in conflict areas of Afghanistan
  • Encouraging young people to take part in elections in Azerbaijan
  • Updating local people on the location of speeches during President Obama's visit to Ghana

There is also great potential to combine FrontlineSMS with traditional media, such as radio, that is already widespread throughout Africa, to make this much more interactive.

Ken offered a number of points of guidance for those thinking about designing technology with social applications:

  • Work with the equipment that people already have at their disposal
  • Make equipment easy to assemble and intuitive
  • Price it at a level people can afford
  • Think about how use can be replicated - how will other NGOs find out about it?
  • Assume a situation of no internet connectivity
  • Where possible, give users an ability to connect with others - for example through a forum (this has been particularly successful at FrontlineSMS, with a third of those who download the software joining the online community)
  • Don't let a social science approach dominate - it is much better to think in a multi-disciplinary way
  • Use technology that is appropriate to the context - don't bring in tools that require knowledge and equipment not already held in the community
  • Collaborate, don't compete. Sometimes NGOs can rush to do the same things; examples of genuine cooperation are hard to find

Looking ahead, Ken will be developing functionality for FrontlineSMS that makes use of internet connectivity where this is available. He is also working on finding additional funding to help organizations pay for text messages.

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Since the inception of reform and opening-up thirty years ago, China has established a record of astonishing economic achievements and is, or will soon be, surpassing Japan as the world's second largest economy, something few people would have imagined three decades ago.

The information and communications technologies (ICT) industry is the backbone of the Chinese export driven growth strategy, which many argue as the primary driver of China's economic growth. Recent ICT policy initiatives demonstrate China's shifting strategy in pursuing a different path for the next phase of economic growth.

Promoting indigenous innovation and strengthening information security may be considered the two major thrusts of Chinese ICT policy initiatives. Technical standards, IPR treatments, government procurement, and special industry incentives are some examples of the former domain; internet filtering, compulsory certification of information security product, and encryption control are examples of the latter.

Many of these initiatives are controversial in the international trade arena. However, the real challenges of these policy initiatives concern whether they work to achieve the Chinese government's goal of maintaining sustainable growth. This presentation will attempt to evaluate these challenges.

Dr. John C. Chiang was appointed as Director of Global Innovation Research Center at Peking University in June 2008. He joined PKU in February 2006 as Professor in the Department of Management of Technology at the School of Software and Microelectronics. Dr. Chiang is also President of USITO, the organization representing five major US IT industry trade associations and close to 50 individual U.S. IT companies in China, a role he has held since October 2008.

Dr. Chiang came to China in 2000, joining Motorola China as Deputy GM of the infrastructure business unit, spearheading its post-WTO strategy. He then moved to Motorola China HQ, serving as Senior Director of Strategy and Business Development. In 2003, he served as Director of Motorola China R&D Institute, and in 2004, he became the founding president of Motorola (China) Technologies, Limited.

From October 2006 to September 2008, Dr. Chiang was a Partner in DragonBridge Capital, a U.S.-based merchant bank with China as its primary serving market.

Dr. Chiang was born in Beijing, raised in Taiwan, and received the Ph.D. from Johns Hopkins University in 1975. He received the EMBA from Georgia State University in 1989.

After his academic career, Dr. Chiang joined Bell Laboratories in 1979, and later held progressive technical and managerial positions at Racal-Milgo, Hayes, and GTE. He was Senior Vice President of Operations at KG Telecom and led the launch of the first private mobile services in Taiwan, during 1997-2000.

Dr. Chiang currently also serves as the Vice Chair of the China Association of Standards and as an Investment Advisor to the Beijing Municipal Government.

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John C. Chiang Director, Global Innovation Research Center Speaker Peking University
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FSE Center Fellow David Lobell and research associate Marshall Burke released a new book, Climate Change and Food Security, this week out of Springer publishing house. The book explains the nature of the climate threat, the ways in which crops and farmers might respond, and the potential role for public and private investment to help agriculture adapt to a warmer world.

Roughly a billion people around the world continue to live in state of chronic hunger and food insecurity. Unfortunately, efforts to improve their livelihoods must now unfold in the context of a rapidly changing climate, in which warming temperatures and changing rainfall regimes could threaten the basic productivity of the agricultural systems on which most of the world's poor directly depend. But whether climate change represents a minor impediment or an existential threat to development is an area of substantial controversy, with different conclusions wrought from different methodologies and based on different data.

This book aims to resolve some of the controversy by exploring and comparing the different methodologies and data that scientists use to understand climate's effects on food security. It explains the nature of the climate threat, the ways in which crops and farmers might respond, and the potential role for public and private investment to help agriculture adapt to a warmer world. This broader understanding should prove useful to both scientists charged with quantifying climate threats, and policy-makers responsible for crucial decisions about how to respond.

 

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In only two generations, South Korea has transformed from an economic "basket case" into one of the world’s leading economies and trading states. Its phenomenal economic development brought its people out of poverty, modernized its society, and culminated in a dynamic democracy. Today Korea stands as a leading developmental model for countries throughout East Asia and, indeed, the entire world.

Having achieved an advanced economy, Korea’s economic policymakers now face major new challenges. The ever-increasing pace of globalization requires that they provide a vision for the economy that takes into account increased competition, the transition in postwar global financial and trade regimes, scientific and technological revolutions, energy shortages, and climate change, among many others. Korea is seeking again to be a model, this time in leading the way in adjusting to and shaping a new global economic era. The administration of President Lee Myung-bak has undertaken major reforms at home, and is also playing a significant role in international economic, trade, and financial policymaking, including as host of the November 2010 G20 summit.

Using Korea as a case study to explore the parameters of economic globalization and individual states’ adjustment to it, Stanford’s Korean Studies Program, in collaboration with the Korea Development Institute, will host an international workshop on campus, March 18–19, 2010. Leading scholars and former senior officials from Korea and the United States will explore key aspects of economic globalization and Korea’s role, from policies and politics, to the economic prospects of a unified Korea. Their presentations will be published as an edited volume in conjunction with the Brookings Institution Press. 

The Koret Fellowship was established at the Korean Studies Program in 2008, with the generous support of the Koret Foundation, to bring leading professionals in Asia and the United States to Stanford to conduct research on contemporary U.S.-Korean relations, with the broad aim of fostering greater understanding and closer ties between the two countries.

This workshop is supported by the generous grant from Koret Foundation.

Bechtel Conference Center

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

(650) 723-9744
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2009-10 Koret Fellow
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Byongwon Bahk, former Senior Advisor to President Lee Myung-bak of Korea, joined the Korean Studies Program as the recipient of the Koret Fellowship for 2009-10 academic year.

Mr. Bahk served as Vice Minister of the Ministry of Finance and Economy in Korea and was a senior advisor to President Lee Myung-bak briefly.  While at the Center, he will lead a reach project on economic affairs of Korea in relations to the U.S.

The Koret Fellowship, generously funded by the by Koret Foundation of San Francisco, was established at the Center in 2008 to bring leading professionals in Asia and the United States to Stanford to conduct research on contemporary U.S.-Korean relations, with the broad aim of fostering greater understanding and closer ties between the two countries.

Byongwon Bahk 2009-2010 Koret Fellow Speaker
Shorenstein APARC
Encina Hall E301
616 Jane Stanford Way
Stanford, CA 94305-6055
(650) 724-8480 (650) 723-6530
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Senior Fellow at the Freeman Spogli Institute for International Studies
Professor of Sociology
William J. Perry Professor of Contemporary Korea
Professor, by Courtesy, of East Asian Languages & Cultures
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Gi-Wook Shin is the William J. Perry Professor of Contemporary Korea in the Department of Sociology, senior fellow at the Freeman Spogli Institute for International Studies, and the founding director of the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center (APARC) since 2001, all at Stanford University. In May 2024, Shin also launched the Taiwan Program at APARC. He served as director of APARC for two decades (2005-2025). As a historical-comparative and political sociologist, his research has concentrated on social movements, nationalism, development, democracy, migration, and international relations.

In Summer 2023, Shin launched the Stanford Next Asia Policy Lab (SNAPL), which is a new research initiative committed to addressing emergent social, cultural, economic, and political challenges in Asia. Across four research themes– “Talent Flows and Development,” “Nationalism and Racism,” “U.S.-Asia Relations,” and “Democratic Crisis and Reform”–the lab brings scholars and students to produce interdisciplinary, problem-oriented, policy-relevant, and comparative studies and publications. Shin’s latest book, The Four Talent Giants, a comparative study of talent strategies of Japan, Australia, China, and India to be published by Stanford University Press in the summer of 2025, is an outcome of SNAPL.

Shin is also the author/editor of twenty-six books and numerous articles. His books include Korean Democracy in Crisis: The Threat of Illiberalism, Populism, and Polarization (2022); The North Korean Conundrum: Balancing Human Rights and Nuclear Security (2021); Superficial Korea (2017); Divergent Memories: Opinion Leaders and the Asia-Pacific War (2016); Global Talent: Skilled Labor as Social Capital in Korea (2015); Criminality, Collaboration, and Reconciliation: Europe and Asia Confronts the Memory of World War II (2014); New Challenges for Maturing Democracies in Korea and Taiwan (2014); History Textbooks and the Wars in Asia: Divided Memories (2011); South Korean Social Movements: From Democracy to Civil Society (2011); One Alliance, Two Lenses: U.S.-Korea Relations in a New Era (2010); Cross Currents: Regionalism and Nationalism in Northeast Asia (2007);  and Ethnic Nationalism in Korea: Genealogy, Politics, and Legacy (2006). Due to the wide popularity of his publications, many have been translated and distributed to Korean audiences. His articles have appeared in academic and policy journals, including American Journal of SociologyWorld DevelopmentComparative Studies in Society and HistoryPolitical Science QuarterlyJournal of Asian StudiesComparative EducationInternational SociologyNations and NationalismPacific AffairsAsian SurveyJournal of Democracy, and Foreign Affairs.

Shin is not only the recipient of numerous grants and fellowships, but also continues to actively raise funds for Korean/Asian studies at Stanford. He gives frequent lectures and seminars on topics ranging from Korean nationalism and politics to Korea's foreign relations, historical reconciliation in Northeast Asia, and talent strategies. He serves on councils and advisory boards in the United States and South Korea and promotes policy dialogue between the two allies. He regularly writes op-eds and gives interviews to the media in both Korean and English.

Before joining Stanford in 2001, Shin taught at the University of Iowa (1991-94) and the University of California, Los Angeles (1994-2001). After receiving his BA from Yonsei University in Korea, he was awarded his MA and PhD from the University of Washington in 1991.

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Director of the Korea Program and the Taiwan Program, Shorenstein Asia-Pacific Research Center
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Gi-Wook Shin Director, APARC Director, APARC Speaker
Oh-Seok Hyun President of Korea Development Institute Speaker
Hyoung-Tae Kim President of Korea Capital Market Institute Speaker

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

(650) 724-5656
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Peter M. Beck teaches at American University in Washington, D.C. and Ewha University in Seoul.  He also writes a monthly column for Weekly Chosun and The Korea Herald. Previously, he was the executive director of the U.S. Committee for Human Rights in North Korea and directed the International Crisis Group's Northeast Asia Project in Seoul.  He was also the Director of Research and Academic Affairs at the Korea Economic Institute in Washington. He has served as a member of the Ministry of Unification's Policy Advisory Committee and as an adjunct faculty member at Georgetown and Yonsei universities.

He also has been a columnist for the Korean daily Donga Ilbo, an instructor at the University of California at San Diego, a translator for the Korea Foundation, and a staff assistant at Korea's National Assembly and Ministry of Foreign Affairs. He has published over 100 academic and short articles, testified before Congress, and conducted interviews with the world's leading media outlets. He received his B.A. from the University of California at Berkeley, completed the Korean language program at Seoul National University, and conducted his graduate studies at U.C. San Diego's Graduate School of International Relations and Pacific Studies.

2009-10 Pantech Fellow
Peter M. Beck 2009-10 Pantech Fellow, APARC 2009-10 Pantech Fellow, APARC Speaker
Joon Nak Choi Stanford University Speaker
Eun Mee Kim Eun Mee Kim Professor, Ewha University Speaker
Taeho Bark Professor, Seoul National University Speaker
Jin Kyo Suh Director, Korea Institute for International Economic Policy Speaker

No longer in residence.

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Associate Director of the Korea Program
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David Straub was named associate director of the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) on July 1, 2008. Prior to that he was a 2007–08 Pantech Fellow at the Center. Straub is the author of the book, Anti-Americanism in Democratizing South Korea, published in 2015.

An educator and commentator on current Northeast Asian affairs, Straub retired in 2006 from his role as a U.S. Department of State senior foreign service officer after a 30-year career focused on Northeast Asian affairs. He worked over 12 years on Korean affairs, first arriving in Seoul in 1979.

Straub served as head of the political section at the U.S. embassy in Seoul from 1999 to 2002 during popular protests against the United States, and he played a key working-level role in the Six-Party Talks on North Korea's nuclear program as the State Department's Korea country desk director from 2002 to 2004. He also served eight years at the U.S. embassy in Japan. His final assignment was as the State Department's Japan country desk director from 2004 to 2006, when he was co-leader of the U.S. delegation to talks with Japan on the realignment of the U.S.-Japan alliance and of U.S. military bases in Japan.

After leaving the Department of State, Straub taught U.S.-Korean relations at the Johns Hopkins University's School of Advanced International Studies in the fall of 2006 and at the Graduate School of International Studies of Seoul National University in spring 2007. He has published a number of papers on U.S.-Korean relations. His foreign languages are Korean, Japanese, and German.

David Straub Associate Director of Korean Studies Program, APARC Moderator

Stanford University
Encina Hall, Room E301
Stanford, CA 94305-6055

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Lecturer in International Policy at the Ford Dorsey Master’s in International Policy
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Daniel C. Sneider is a lecturer in international policy at Stanford's Ford Dorsey Master’s in International Policy and a lecturer in East Asian Studies at Stanford. His own research is focused on current U.S. foreign and national security policy in Asia and on the foreign policy of Japan and Korea.  Since 2017, he has been based partly in Tokyo as a Visiting Researcher at the Canon Institute for Global Studies, where he is working on a diplomatic history of the creation and management of the U.S. security alliances with Japan and South Korea during the Cold War. Sneider contributes regularly to the leading Japanese publication Toyo Keizai as well as to the Nelson Report on Asia policy issues.

Sneider is the former Associate Director for Research at the Walter H. Shorenstein Asia-Pacific Research Center at Stanford. At Shorenstein APARC, Sneider directed the center’s Divided Memories and Reconciliation project, a comparative study of the formation of wartime historical memory in East Asia. He is the co-author of a book on wartime memory and elite opinion, Divergent Memories, from Stanford University Press. He is the co-editor, with Dr. Gi-Wook Shin, of Divided Memories: History Textbooks and the Wars in Asia, from Routledge and of Confronting Memories of World War II: European and Asian Legacies, from University of Washington Press.

Sneider was named a National Asia Research Fellow by the Woodrow Wilson International Center for Scholars and the National Bureau of Asian Research in 2010. He is the co-editor of Cross Currents: Regionalism and Nationalism in Northeast Asia, Shorenstein APARC, distributed by Brookings Institution Press, 2007; of First Drafts of Korea: The U.S. Media and Perceptions of the Last Cold War Frontier, 2009; as well as of Does South Asia Exist?: Prospects for Regional Integration, 2010. Sneider’s path-breaking study “The New Asianism: Japanese Foreign Policy under the Democratic Party of Japan” appeared in the July 2011 issue of Asia Policy. He has also contributed to other volumes, including “Strategic Abandonment: Alliance Relations in Northeast Asia in the Post-Iraq Era” in Towards Sustainable Economic and Security Relations in East Asia: U.S. and ROK Policy Options, Korea Economic Institute, 2008; “The History and Meaning of Denuclearization,” in William H. Overholt, editor, North Korea: Peace? Nuclear War?, Harvard Kennedy School of Government, 2019; and “Evolution or new Doctrine? Japanese security policy in the era of collective self-defense,” in James D.J. Brown and Jeff Kingston, eds, Japan’s Foreign Relations in Asia, Routledge, December 2017.

Sneider’s writings have appeared in many publications, including the Washington Post, the New York Times, Slate, Foreign Policy, the New Republic, National Review, the Far Eastern Economic Review, the Oriental Economist, Newsweek, Time, the International Herald Tribune, the Financial Times, and Yale Global. He is frequently cited in such publications.

Prior to coming to Stanford, Sneider was a long-time foreign correspondent. His twice-weekly column for the San Jose Mercury News looking at international issues and national security from a West Coast perspective was syndicated nationally on the Knight Ridder Tribune wire service. Previously, Sneider served as national/foreign editor of the Mercury News. From 1990 to 1994, he was the Moscow bureau chief of the Christian Science Monitor, covering the end of Soviet Communism and the collapse of the Soviet Union. From 1985 to 1990, he was Tokyo correspondent for the Monitor, covering Japan and Korea. Prior to that he was a correspondent in India, covering South and Southeast Asia. He also wrote widely on defense issues, including as a contributor and correspondent for Defense News, the national defense weekly.

Sneider has a BA in East Asian history from Columbia University and an MPA from the John F. Kennedy School of Government at Harvard University.

Daniel C. Sneider Associate Director of Research, APARC Commentator
Michael H. Armacost Shorenstein Distinguished Fellow, APARC Moderator
William F. Miller Professor of Computer Science Emeritus, Stanford University Commentator
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FSI Senior Fellow Emeritus and Director-Emeritus, Shorenstein APARC
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Henry S. Rowen was a senior fellow at the Hoover Institution, a professor of public policy and management emeritus at Stanford University's Graduate School of Business, and a senior fellow emeritus of the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC). Rowen was an expert on international security, economic development, and high tech industries in the United States and Asia. His most current research focused on the rise of Asia in high technologies.

In 2004 and 2005, Rowen served on the Presidential Commission on the Intelligence of the United States Regarding Weapons of Mass Destruction. From 2001 to 2004, he served on the Secretary of Defense Policy Advisory Board. Rowen was assistant secretary of defense for international security affairs in the U.S. Department of Defense from 1989 to 1991. He was also chairman of the National Intelligence Council from 1981 to 1983. Rowen served as president of the RAND Corporation from 1967 to 1972, and was assistant director of the U.S. Bureau of the Budget from 1965 to 1966.

Rowen most recently co-edited Greater China's Quest for Innovation (Shorenstein APARC, 2008). He also co-edited Making IT: The Rise of Asia in High Tech (Stanford University Press, 2006) and The Silicon Valley Edge: A Habitat for Innovation and Entrepreneurship (2000). Rowen's other books include Prospects for Peace in South Asia (edited with Rafiq Dossani) and Behind East Asian Growth: The Political and Social Foundations of Prosperity (1998). Among his articles are "The Short March: China's Road to Democracy," in National Interest (1996); "Inchon in the Desert: My Rejected Plan," in National Interest (1995); and "The Tide underneath the 'Third Wave,'" in Journal of Democracy (1995).

Born in Boston in 1925, Rowen earned a bachelors degree in industrial management from the Massachusetts Institute of Technology in 1949 and a masters in economics from Oxford University in 1955.

Faculty Co-director Emeritus, SPRIE
Senior Fellow, Hoover Institution
Henry S. Rowen Professor of Computer Science Emeritus, Stanford University Speaker
Moon Joong Tcha Director, Korea Development Institute Speaker
Euni Valentine former Managing Director of UBS Investment Bank Commentator
Thomas F. Cargill Professor, Department of Economics, University of Nevada, Reno Speaker
Philip Yun Vice President, Asia Foundation Commentator
Suk-In Chang Director, Korea Institute for Industrial Economics and Trade Speaker
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Byongwon Bahk, KSP’s 2009-2010 Koret Fellow and a recent chief economic adviser to South Korean President Lee Myung-bak, spoke in San Francisco January 11 on “Lessons from South Korea's Economic Policy during the Global Financial Crisis.” Mr. Bahk explained how traumatic memories of the 1997-1998 East Asian financial crisis and ensuing reforms resulted in South Korean leaders responding quickly and massively to the current financial crisis, allowing the country to recover more rapidly than any other OECD member. He also discussed future challenges to the South Korean economy as it faces lagging investment, an overregulated services sector, and a rapidly aging society with the world’s lowest birthrate. Co-sponsored by the World Affairs Council of Northern California and the Asia Foundation, the event was moderated by Mr. Philip W. Yun, the Asia Foundation’s Vice President for Resource Development and a former senior U.S. State Department official.

The Byongwon Bahk is generously funded by the Koret Foundation of of San Francisco; it was established to bring leading professionals in Asia and the United States to Stanford to study United States-Korea relations.

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The Stanford China Program in cooperation with the Center for East Asian Studies will host a special series of seminars to mark 60 Years of the People's Republic of China (PRC). Over the course of the winter and spring terms, we will have six leading scholars, each examining one of the six decades of the PRC's history. Our premise is that history matters. The speaker on each decade will characterize their decade, note shifts within that time, identify the pivotal events, and discuss how the decade shaped what happened afterwards.

Barry Naughton is an authority on the Chinese economy, with an emphasis on issues relating to industry, trade, finance, and China's transition to a market economy. Recent research focuses on regional economic growth in the People's Republic of China and the relationship between foreign trade and investment and regional growth. He is also completing a general textbook on the Chinese economy. Recently completed projects have focused on Chinese trade and technology, in particular, the relationship between the development of the electronics industry in China, Taiwan and Hong Kong, and the growth of trade and investment among those economies. His book, Growing Out of the Plan: Chinese Economic Reform, 1978-1993, which was published in 1995, is a comprehensive study of China's development from a planned to a market economy that traces the distinctive strategy of transition followed by China, as well as China's superior growth performance. It received the Ohira Memorial Prize in 1996. Naughton is the author of numerous articles on the Chinese economy and is editor or co-editor of three other books: Reforming Asian Socialism: The Growth of Market Institutions, Urban Spaces in Contemporary China, and The China Circle: Economics and Technology in the PRC, Taiwan and Hong Kong. Naughton joined IR/PS in 1988 and was named to the Sokwanlok Chair in Chinese International Affairs in 1998.

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Barry Naughton Sokwanlok Chair of Chinese International Affairs at the Graduate School of International Relations and Pacific Studies Speaker UC San Diego
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As the Doha Development Round trade negotiations have stalled, bilateral and regional free trade agreements have become an important alternative. These agreements have proliferated in recent years, and now all of the major trading countries are engaging in serious bilateral trade negotiations with multiple trading partners. This book provides a comprehensive study of recent bilateral and regional trade agreements. There are two main aspects. First, it surveys the most important recent agreements in relation to each substantive topic covered (e.g. intellectual property, investment, services and social policy) and provides an overview of the law being created in these areas. Second, the bilateral and regional trade agreements are explained in the context of economics, international law and international relations.

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Abstract 

Background

Adherence is crucial for public health program effectiveness, though the benefits of increasing adherence must ultimately be weighed against the associated costs. We sought to determine the relationship between investment in community health worker (CHW) home visits and increased attendance at cervical cancer screening appointments in Cape Town, South Africa.

Methodology/Principal Findings

We conducted an observational study of 5,258 CHW home visits made in 2003–4 as part of a community-based screening program. We estimated the functional relationship between spending on these visits and increased appointment attendance (adherence). Increased adherence was noted after each subsequent CHW visit. The costs of making the CHW visits was based on resource use including both personnel time and vehicle-related expenses valued in 2004 Rand. The CHW program cost R194,018, with 1,576 additional appointments attended. Adherence increased from 74% to 90%; 55% to 87%; 48% to 77%; and 56% to 80% for 6-, 12-, 24-, and 36-month appointments. Average per-woman costs increased by R14–R47. The majority of this increase occurred with the first 2 CHW visits (90%, 83%, 74%, and 77%; additional cost: R12–R26).

Conclusions/Significance

We found that study data can be used for program planning, identifying spending levels that achieve adherence targets given budgetary constraints. The results, derived from a single disease program, are retrospective, and should be prospectively replicated.

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PLoS ONE
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Jeremy Goldhaber-Fiebert
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This issue of the International Journal of Healthcare Finance and Economics features eight
articles evaluating different provider payment methods in comparative international perspective, with authors from Hungary, China, Thailand, the US, Switzerland, and Canada. These contributions illustrate how the array of incentives facing providers shapes their interpersonal, clinical, administrative, and investment decisions in ways that profoundly impact the performance of health care systems. Taken as a whole, the articles show that in addition to the specifics of the reimbursement or remuneration scheme for individual providers and provider organizations, other factors matter—including ownership, allocation of control rights (such as in public-private partnerships), and expectation of a bail-out (soft budget constraints). All of these facets of payment and accountability systems shape the quality and efficiency of service delivery.

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International Journal of Healthcare Finance and Economics
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Karen Eggleston
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