Policy Analysis

Please join Larry Diamond, Senior fellow at the Freeman Spogli Institute for International Affairs and the Hoover Institution for the launch of his latest book, "Ill Winds: Saving Democracy from Russian Rage, Chinese Ambition, and American Complacency."

 

Featuring a Panel Conversation with:

 

Zin Mar Aung

Burmese MP and political activist

 

Vladimir Kara-Murza

Russian journalist and anti-corruption crusader

 

Cara McCormick

CEO, Chamberlain Project, Co-founder/Co-leader of The

Committee for Ranked Choice Voting in Maine

 

*Reception to follow

Bechtel Conference Center

Encina Hall

616 Serra Mall

Stanford, CA 94305

-

Abstract: Sound strategy requires alignment of ends, ways, and means. A significant gap in ends (the objectives to be achieved) and means (the resources to be applied towards that objective) result in risk and likely policy failure. Few policies over the last decade have had a wider gap between ends and means than Syria. Declared U.S. objectives – “Assad must go” – were not matched by the resources for achieving that objective nor considered thought as to how it might realistically be achieved. This situation has worsened in the Trump administration as the declared objectives have increased but the available resources and political commitment have decreased. McGurk will discuss Syria policy across both administrations based on his own experience leading the U.S. response to ISIS. He has traveled to Syria extensively and calls for an urgent realignment of ends and means to drawn down risk to the United States. The lessons to be drawn are then applied to other foreign policy challenges and offer a ready formula for assessing the declared objectives of U.S. policy.  The talk will be based on McGurk’s recent article in the May/June issue of Foreign Affairs magazine.

 

Speaker's Biography: Brett McGurk is the Frank E. and Arthur W. Payne Distinguished Lecturer at the Freeman Spogli Institute and Center for Security and Cooperation at Stanford University.

 

McGurk’s research interests center on national security strategy, diplomacy, and decision-making in wartime.  He is particularly interested in the lessons learned over the presidencies of George W. Bush, Barack Obama, and Donald Trump regarding the importance of process in informing presidential decisions and the alignment of ends and means in national security doctrine and strategy.  At Stanford, he will be working on a book project incorporating these themes and teaching a graduate level seminar on presidential decision-making beginning in the fall of 2019.  He is also a frequent commentator on national security events in leading publications and as an NBC News Senior Foreign Affairs Analyst. 

 

Before coming to Stanford, McGurk served as Special Presidential Envoy for the Global Coalition to Defeat ISIS at the U.S. Department of State, helping to build and then lead the coalition of seventy-five countries and four international organizations in the global campaign against the ISIS terrorist network.  McGurk was also responsible for coordinating all aspects of U.S. policy in the campaign against ISIS in Iraq, Syria, and globally.

 

McGurk previously served in senior positions in the George W. Bush and Barack Obama administrations, including as Special Assistant to President Bush and Senior Director for Iraq and Afghanistan, and then as Deputy Assistant Secretary of State for Iraq and Iran and Special Presidential Envoy for the U.S. campaign against the Islamic State under Obama.

 

McGurk has led some of the most sensitive diplomatic missions in the Middle East over the last decade. His most recent assignment established one of the largest coalitions in history to prosecute the counter-ISIS campaign. He was a frequent visitor to the battlefields in both Iraq and Syria to help integrate military and civilian components of the war plan. He also led talks with Russia over the Syria conflict under both the Trump and Obama administrations, initiated back-channel diplomacy to reopen ties between Iraq and Saudi Arabia, and facilitated the formation of the last two Iraqi governments following contested elections in 2014 and 2018.

 

In 2015 and 2016, McGurk led fourteen months of secret negotiations with Iran to secure the release of Washington Post reporter Jason Rezain, U.S. Marine Amir Hekmati, and Pastor Saad Abadini, as well as three other American citizens.

 

During his time at the State Department, McGurk received multiple awards, including the Distinguished Honor Award and the Distinguished Service Award, the highest department awards for exceptional service in Washington and overseas assignments.

 

McGurk is also a nonresident senior fellow in the Middle East Program at the Carnegie Endowment for International Peace.

 

McGurk received his JD from Columbia University and his BA from the University of Connecticut Honors Program.  He served as a law clerk to Chief Justice William H. Rehnquist on the U.S. Supreme Court, Judge Denis Jacobs on the U.S. Court of Appeals for the 2d Circuit, and Judge Gerard E. Lynch on the U.S. District Court for the Southern District of New York.

Brett McGurk Payne Distinguished Lecturer Center for International Security and Cooperation
Seminars
Authors
News Type
Commentary
Date
Paragraphs

If voters in Ukraine elect television star Volodymyr Zelensky president Sunday, as seems almost certain, that should please the Kremlin, which in the course of supporting rebels in the eastern regions of Ukraine has made clear its dislike for incumbent Petro Poroshenko. Zelensky, a political neophyte who plays a teacher unexpectedly elected president in the TV show “Servant of the People,” handily won the first round of the election March 31. Polls suggest he will beat the president in the runoff by as many as 30 points, and to the Kremlin, he must seem like a much more malleable figure.

That doesn’t mean he will be. Champagne corks popped in Moscow in November 2016 when Donald Trump unexpectedly won, and he has been a major disappointment for Putin, who wanted a change in Washington’s Russia policy. Zelensky could foil the Russians in exactly the same way.

Zelensky has no policy track record. During the campaign, he avoided detailed platform proposals, media interviews or political rallies, preferring instead to let his TV persona define his image. He could make mistakes — huge mistakes — as president. But he is no dummy: He built a successful business empire, and he may not be as prone to manipulation as Putin would want.

Read the rest at The Washington Post.

Hero Image
steven pifer 0
All News button
1

Room 212, Crown Quadrangle
559 Nathan Abbott Way
Stanford, CA 94305-8610

650.736.8771
0
Lecturer in Residence, Stanford Law School
jamie-oconnell-3-400x400.jpg

Jamie O’Connell is a Lecturer in Residence at Stanford Law School. He teaches and writes on political and legal development and has particular expertise in law and development, transitional justice, democratization, post-conflict reconstruction, and business and human rights. Until 2018, he was a Senior Fellow of the Honorable G. William and Ariadna Miller Institute for Global Challenges and the Law at the University of California, Berkeley, School of Law, as well as a Lecturer in Residence, teaching both law and undergraduate students.

O’Connell has worked on human rights and development in over a dozen countries in Africa, the Americas, Asia, and Europe, under the auspices of the United Nations, local and international non-governmental organizations, and academic institutions. He co-founded International Professional Partnerships for Sierra Leone, a non-governmental organization that worked with the government of Sierra Leone to enhance the performance of its agencies and civil servants. Earlier in his career, O’Connell studied international business as a researcher at Harvard Business School, publishing numerous case studies. He has directed the Human Rights Clinic at the University of Sierra Leone and taught as a visitor at Harvard Law School and Columbia Law School. O’Connell clerked for the Honorable James R. Browning on the U.S. Court of Appeals for the Ninth Circuit and is admitted to practice in California (inactive status) and New York. In 2016-17, he was a visiting professor and Fulbright Senior Scholar at the University of Valencia (Spain) Faculty of Law.

O’Connell’s scholarship includes “Representation, Paternalism, and Exclusion: The Divergent Impacts of the AKP’s Populism on Human Rights In Turkey” in Human Rights in a Time of Populism: Challenges and Responses (2020); “When Prosecution Is Not Enough: How the International Criminal Court Can Prevent Atrocity and Advance Accountability by Emulating Regional Human Rights Institutions” (with James L. Cavallaro, Yale Journal of International Law, 2020); “Common Interests, Closer Allies: How Democracy in Arab States Can Benefit the West” (Stanford Journal of International Law, 2012); “Empowering the Disadvantaged after Dictatorship and Conflict: Legal Empowerment, Transitions and Transitional Justice,” in Legal Empowerment: Practitioners’ Perspectives (2010); “East Timor 1999,” in The Responsibility to Protect: Moving the Campaign Forward (2007); “Gambling with the Psyche: Does Prosecuting Human Rights Violators Console Their Victims?” (Harvard International Law Journal, 2005); “Here Interest Meets Humanity: How to End the War and Support Reconstruction in Liberia, and the Case for Modest American Leadership” (Harvard Human Rights Journal, 2004); and Sierra Leone’s Truth and Reconciliation Commission and Special Court: A Citizen’s Handbook (with Paul James-Allen and Sheku B.S. Lahai, 2003).

CDDRL Affiliated Scholar
Date Label
-

Abstract: Ambassador Koster will address the following political-military issues during his lecture. How has the security environment in Europe evolved since 2014, with growing instability and insecurity in the North Africa and the Middle East, and an assertive Russia in the East? How has Europe and NATO reacted to these challenges? Policies, structures and capabilities have been adapted, but will it be enough to restore peace and stability in Europe ? How will the demise of the arms control architecture affect all of this in the years to come?

 

Speaker's Biography: Ambassador Timo S. Koster is a career diplomat at the Dutch Ministry of Foreign Affairs. As of November 2018, Mr. Koster assumed his position as Ambassador-at-large for Security Policy & Cyber. Prior to this, since 2012, he was Director for Defence Policy and Capabilities at NATO HQ in Brussels.

After finishing his law degree at the University of Amsterdam, Ambassador Koster joined the diplomatic academy of the Ministry of Foreign Affairs of the Netherlands in 1991. His first appointment was at the Royal Netherlands Embassy in Nairobi, Kenya. Back in The Hague from 1994, he served in several positions within the Ministry, including a stint as Private Secretary to the Minister for European Affairs, before moving to the Royal Netherlands Embassy in London, as Head of Economic Department, between 1998 and 2001.

In 2001, Ambassador Koster became Acting Director for European Integration at the Ministry of Economic Affairs, after which he served as a Project Director at the Ministry for Foreign Affairs. In 2003 Mr. Koster was appointed Deputy Ambassador at the Royal Netherlands Embassy in Athens, Greece. In 2008 he moved to Brussels where he served as Defence Advisor at the Netherlands Permanent Representation to NATO until 2012 when he moved to the position of Director Defence Policy & Capabilities in the NATO International Staff.

Ambassador Koster is affiliated to the Atlantic Council Washington DC as a non-resident Ambassadorial Fellow at the Brent Scowcroft Centre for International Strategy and Security.

Timo S. Koster is married with two sons and two daughters.

Timo Koster Career Diplomat Dutch Ministry of Foreign Affairs
Seminars
-

RSVP required

NOTE: THIS EVENT IS CLOSED TO THE MEDIA 

No recording will be allowed during the program. RSVP required for admission. No walk-ins.

Experts talk about a new Cold War between China and the United States. The world’s two largest economies are in open trade conflict, engaged in technological competition and stoking geopolitical uncertainty. The Oksenberg Conference will explore the causes that underlie today’s intensified conflict between the United States and China. We ask: What has precipitated the confrontational approach that currently unites U.S. policy towards China? What is the future of our strategic competition in the technological, economic and security realms? If U.S.-China rivalry is allowed to escalate, what might its implications be for our international liberal order? If a “new” Cold War is forming, how might it follow or diverge from the “old” Soviet-era Cold War?

Image
2019 Oksenberg Conference
The Oksenberg Conference
, held annually honors the legacy of the late Professor Michel Oksenberg (1938–2001) who was a senior fellow at Shorenstein APARC and the Freeman Spogli Institute for International Studies. Professor Oksenberg also served as a key member of the National Security Council when the United States normalized relations with China, and consistently urged that the United States engage with Asia in a more considered manner. In tribute, the Oksenberg Lecture recognizes distinguished individuals who have helped to advance understanding between the United States and the nations of the Asia-Pacific.
 
Agenda
 
2:35-3:05 PM    Conversation with Dr. Condoleezza Rice, former U.S. Secretary of State and National Security Advisor
3:05-3:30 PM    Audience Q & A
3:30-3:45 PM    Break
3:45-4:25 PM    Panel discussion with Prof. David M. Lampton and Amb. Michael A. McFaul
4:25-5:00 PM    Audience Q & A
 
 
 
Speakers

Image
David M. Lampton
David M. Lampton is Oksenberg-Rohlen Fellow and Research Scholar at FSI and affiliated with Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC).  He also is the Hyman Professor of China Studies and Director of the China Studies Program at the Johns Hopkins School of Advanced International Studies (SAIS) Emeritus.  Dr. Lampton's current book project is focused on the development of high-speed railways from southern China to Singapore.  He is the author of a dozen books and monographs, including Following the Leader: Ruling China, from Deng Xiaoping to Xi Jinping (University of California Press, 2014, and second edition 2019) and The Three Faces of Chinese Power: Might, Money, and Minds (University of California Press, 2008).  He has testified at multiple congressional and commission sessions and published numerous articles, essays, book reviews, and opinion pieces in many venues popular and academic in both the western world and in Chinese-speaking societies, including Foreign Affairs, Foreign Policy, The American Political Science Review, The China Quarterly, The New York Times, The Washington Post,and many others.

Formerly President of the National Committee on United States-China Relations, Professor Lampton consults with government, business, and social sector organizations, and has served on the boards of several non-governmental and educational organizations, including the Asia Foundation for which he served as chairman.  The recipient of many academic awards, he is an Honorary Senior Fellow of the American Studies Institute of the Chinese Academy of Social Sciences, former Gilman Scholar at Johns Hopkins, and the inaugural winner of the Scalapino Prize in 2010, awarded by the National Bureau of Asian Research and the Woodrow Wilson International Center for Scholars in recognition of his exceptional contributions to America’s understanding of the vast changes underway in Asia.

 

Image
Amb. Michael McFaul
Michael McFaul is the Ken Olivier and Angela Nomellini Professor of International Studies in Political Science; Director and Senior Fellow at the Freeman Spogli Institute for International Studies (FSI); and the Peter and Helen Bing Senior Fellow at the Hoover Institution, all at Stanford University.  He was also the Distinguished Mingde Faculty Fellow at the Stanford Center at Peking University from June to August of 2015.  He joined the Stanford faculty in 1995.  Professor McFaul is also an analyst for NBC News and a contributing columnist to The Washington Post.  

Dr. McFaul served for five years in the Obama administration, first as Special Assistant to the President and Senior Director for Russian and Eurasian Affairs at the National Security Council at the White House (2009-2012), and then as U.S. Ambassador to the Russian Federation (2012-2014).  He has authored several books, most recently TheNew York Timesbestseller, From Cold War to Hot Peace: An American Ambassador in Putin’s Russia.  Earlier books include Advancing Democracy Abroad: Why We Should, How We Can; Transitions to Democracy: A Comparative Perspective(eds. with Kathryn Stoner); Power and Purpose: American Policy toward Russia after the Cold War (with James Goldgeier); and Russia’s Unfinished Revolution: Political Change from Gorbachev to Putin.  

 

Image
Jean Oi

Jean C. Oi is the William Haas Professor of Chinese Politics in the Department of Political Science and a Senior Fellow of FSI at Stanford University.  She is the founding director of the Stanford China Program at Shorenstein APARC and is the founding Lee Shau Kee Director of the Stanford Center at Peking University.  Professor Oi has published extensively on political economy and the process of reform in China.  Her books include Zouping Revisited:  Adaptive Governance in a Chinese County, co-edited with Steven Goldstein (2018); and Challenges in the Process of China’s Urbanization, co-edited with Karen Eggleston and Wang Yiming (2017); Rural China Takes Off (1999); Property Rights and Economic Reform in China (1999), co-edited with Andrew Walder; and State and Peasant in Contemporary China (1989).  Professor Oi also has an edited volume, China’s Path to the Future: Challenges, Constraints, and Choices, co-edited with Dr. Thomas Fingar (forthcoming, Stanford University Press).  Her recent articles include “Unpacking the Patterns of Corporate Restructuring during China’s SOE Reform,” co-authored with Xiaojun Li in Economic and Political Studies (2018); and “Reflections on 40 Years of Rural Reform,” in Jacques deLisle and Avery Goldstein, eds., Reform and Opening:  40 Years and Counting, forthcoming.  Her current research centers on fiscal reform and local government debt as well as continuing SOE reforms in China.

 

Image
Secretary Condoleezza Rice

Secretary Condoleezza Rice is currently the Denning Professor in Global Business and the Economy at the Stanford Graduate School of Business; the Thomas and Barbara Stephenson Senior Fellow on Public Policy at the Hoover Institution; and a professor of Political Science at Stanford University. She is also a founding partner of RiceHadleyGates, LLC.

From January 2005 to 2009, Rice served as the 66th Secretary of State of the United States, the second woman and first African American woman to hold the post. Rice also served as President George W. Bush’s Assistant to the President for National Security Affairs (National Security Advisor) from January 2001 to 2005, the first woman to hold the position.

Rice served as Stanford University’s Provost from 1993 to 1999, during which she was the institution's chief budget and academic officer. As Provost, she was responsible for a $1.5 billion annual budget and the academic program involving 1,400 faculty members and 14,000 students. In 1997, she also served on the Federal Advisory Committee on Gender -­- Integrated Training in the Military.

From 1989 through March 1991, Rice served on President George H.W. Bush’s National Security Council staff. She served as Director; Senior Director of Soviet and East European Affairs; and, Special Assistant to the President for National Security Affairs. In 1986, while an international affairs fellow of the Council on Foreign Relations, Rice also served as Special Assistant to the Director of the Joint Chiefs of Staff.

As professor of Political Science, Rice has been on the Stanford faculty since 1981 and has won two of the highest teaching honors – the 1984 Walter J. Gores Award for Excellence in Teaching and the 1993 School of Humanities and Sciences Dean's Award for Distinguished Teaching.

She has authored and coauthored numerous books, including three bestsellers, Democracy: Stories from the Long Road to Freedom (2017); No Higher Honor: A Memoir of My Years in Washington (2011); and Extraordinary, Ordinary People: A Memoir of Family (2010). She also wrote Germany Unified and Europe Transformed: A Study in Statecraft (1995) with Philip Zelikow; The Gorbachev Era (1986) with Alexander Dallin; and Uncertain Allegiance: The Soviet Union and the Czechoslovak Army (1984).

In  1991,  Rice  cofounded  the  Center for  a  New  Generation  (CNG),  an  innovative,  after-­school academic enrichment program for students in East Palo Alto and East Menlo Park, California. In 1996, CNG merged with the Boys and Girls Club of the Peninsula (an affiliate club of the Boys and Girls Clubs of America). CNG has since expanded to local BGCA chapters in Birmingham, Atlanta, and Dallas. She remains an active proponent of an extended learning day through after school programs.

Since 2009, Rice has served as a founding partner at Rice Hadley Gates, LLC, an international strategic consulting firm based in Silicon Valley and Washington, D.C. The firm works with senior executives of major companies to implement strategic plans and expand in emerging markets. Other partners include former National Security Advisor Stephen J. Hadley and former Secretary of Defense Robert M. Gates.

Rice currently serves on the boards of Dropbox, an online-­storage technology company; C3, an energy software company; and Makena Capital, a private endowment firm. In addition, she is vice chair of the board of governors of the Boys and Girls Clubs of America; a member of the board of the Foundation for  Excellence in Education; and a trustee of the Aspen Institute. Previously, Rice served on various additional boards, including those of: the George W. Bush Institute; the Commonwealth Club; KiOR, Inc.; the Chevron Corporation; the Charles Schwab Corporation; the Transamerica Corporation; the Hewlett-­Packard Company; the University of Notre Dame; the John F. Kennedy Center for the Performing Arts; and, the San Francisco Symphony Board of Governors.

In 2013, Rice was appointed to the College Football Playoff Committee, formerly the Bowl Championship Series.

Born in Birmingham, Alabama, Rice earned her bachelor's degree in political science, cum laude and Phi Beta Kappa, from the University of Denver; her master’s from the University of Notre Dame; and her Ph.D. from the Graduate School of International Studies at the University of Denver.

Rice is a Fellow of the American Academy of Arts and Sciences and has been awarded fifteen honorary doctorates. She currently resides in Stanford, California.

 

 

Bechtel Conference Center
616 Serra Mall
Encina Hall, Central, 1st Floor
Stanford, CA 94305

David M. Lampton <br><i>Oksenberg-Rohlen Fellow, FSI, Stanford University</i><br><br>
Michael A. McFaul <br><i>Director, Freeman Spogli Institute for International Studies (FSI); Professor, Political Science, Stanford University; Senior Fellow, Hoover Institution </i><br><br>
Jean C. Oi (Moderator) <br><i>Director, Stanford China Program; William Haas Professor of Chinese Studies, Stanford University</i><br><br>
Secretary Condoleezza Rice <br><i>The Denning Professor in Global Business and the Economy, Stanford Graduate School of Business; The Thomas and Barbara Stephenson Senior Fellow on Public Policy, Hoover Institution; Professor of Political Science, Stanford University</i><br><br>
Lectures
Authors
Beth Duff-Brown
News Type
News
Date
Paragraphs

Most studies that look at whether democracy improves global health rely on measurements of life expectancy at birth and infant mortality rates. Yet those measures disproportionately reflect progress on infectious diseases — such as malaria, diarrheal illnesses and pneumonia — which relies heavily on foreign aid.

A new study led by Stanford Health Policy's Tara Templin and the Council on Foreign Relations suggests that a better way to measure the role of democracy in public health is to examine the causes of adult mortality, such as noncommunicable diseases, HIV, cardiovascular disease and transportation injuries. Little international assistance targets these noncommunicable diseases. 

When the researchers measured improvements in those particular areas of public health, the results proved dramatic.

“The results of this study suggest that elections and the health of the people are increasingly inseparable,” the authors wrote.

A paper describing the findings was published today in The Lancet. Templin, a graduate student in the Department of Health Research and Policy, shares lead authorship with Thomas Bollyky, JD, director of the Global Health Program at the Council on Foreign Relations.

“Democratic institutions and processes, and particularly free and fair elections, can be an important catalyst for improving population health, with the largest health gains possible for cardiovascular and other noncommunicable diseases,” the authors wrote.

Templin said the study brings new data to the question of how governance and health inform global health policy debates, particularly as global health funding stagnates.

“As more cases of cardiovascular diseases, diabetes and cancers occur in low- and middle-income countries, there will be a need for greater health-care infrastructure and resources to provide chronic care that weren’t as critical in providing childhood vaccines or acute care,” Templin said.

Image

Free and fair elections for better health

In 2016, the four mortality causes most ameliorated by democracy — cardiovascular disease, tuberculosis, transportation injuries and other noncommunicable diseases — were responsible for 25 percent of total death and disability in people younger than 70 in low- and middle-income countries. That same year, cardiovascular diseases accounted for 14 million deaths in those countries, 42 percent of which occurred in individuals younger than 70.

Over the past 20 years, the increase in democratic experience reduced mortality in these countries from cardiovascular disease, other noncommunicable diseases and tuberculosis between 8-10 percent, the authors wrote.

“Free and fair elections appear important for improving adult health and noncommunicable disease outcomes, most likely by increasing government accountability and responsiveness,” the study said.

The researchers used data from the Global Burden of Diseases, Injuries, and Risk Factors StudyV-Dem; and Financing Global Health databases. The data cover 170 countries from 1970 to 2015.

What Templin and her co-authors found was democracy was associated with better noncommunicable disease outcomes. They hypothesize that democracies may give higher priority to health-care investments.

HIV-free life expectancy at age 15, for example, improved significantly — on average by 3 percent every 10 years during the study period — after countries transitioned to democracy. Democratic experience also explains significant improvements in mortality from cardiovascular disease, tuberculosis, transportation injuries, cancers, cirrhosis and other noncommunicable diseases, the study said.

Watch: Some of the authors of the study discuss the significant their findings: 

 

What Templin and her co-authors found was democracy was associated with better noncommunicable disease outcomes. They hypothesize that democracies may give higher priority to health-care investments.

HIV-free life expectancy at age 15, for example, improved significantly — on average by 3 percent every 10 years during the study period — after countries transitioned to democracy. Democratic experience also explains significant improvements in mortality from cardiovascular disease, tuberculosis, transportation injuries, cancers, cirrhosis and other noncommunicable diseases, the study said.

Foreign aid often misdirected

And yet, this connection between fair elections and global health is little understood.

“Democratic government has not been a driving force in global health,” the researchers wrote.  “Many of the countries that have had the greatest improvements in life expectancy and child mortality over the past 15 years are electoral autocracies that achieved their health successes with the heavy contribution of foreign aid.”

They note that Ethiopia, Myanmar, Rwanda and Uganda all extended their life expectancy by 10 years or more between 1996 and 2016. The governments of these countries were elected, however, in multiparty elections designed so the opposition could only lose, making them among the least democratic nations in the world.

Yet these nations were among the top two-dozen recipients of foreign assistance for health.

Only 2 percent of the total development assistance for health in 2016 was devoted to noncommunicable diseases, which was the cause of 58 percent of the death and disability in low-income and middle-income countries that same year, the researchers found.

“Although many bilateral aid agencies emphasize the importance of democratic governance in their policy statements,” the authors wrote, “most studies of development assistance have found no correlation between foreign aid and democratic governance and, in some instance, a negative correlation.”

Autocracies such as Cuba and China, known for providing good health care at low cost, have not always been as successful when their populations’ health needs shifted to treating and preventing noncommunicable diseases. A 2017 assessment, for example, found that true life expectancy in China was lower than its expected life expectancy at birth from 1980 to 2000 and has only improved over the past decade with increased government health spending. In Cuba, the degree to which its observed life expectancy has exceeded expectations has decreased, from four-to-seven years higher than expected in 1970 to three-to-five years higher than expected in 2016.

“There is good reason to believe that the role that democracy plays in child health and infectious diseases may not be generalizable to the diseases that disproportionately affect adults,” Bollyky said. Cardiovascular diseases, cancers and other noncommunicable diseases, according to Bollyky, are largely chronic, costlier to treat than most infectious diseases, and require more health care infrastructure and skilled medical personnel.  

The researchers hypothesize that democracy improves population health because:

  1. When enforced through regular, free and fair elections, democracies should have a greater incentive than autocracies to provide health-promoting resources and services to a larger proportion of the population;
  2. Democracies are more open to feedback from a broader range of interest groups, more protective of media freedom and might be more willing to use that feedback to improve their public health programs;
  3. Autocracies reduce political competition and access to information, which might deter constituent feedback and responsive governance.

Various studies have concluded that democratic rule is better for population health, but almost all of them have focused on infant and child mortality or life expectancy at birth.

Over the past 20 years, the average country’s increase in democracy reduced mortality from cardiovascular disease by roughly 10 percent, the authors wrote. They estimate that more than 16 million cardiovascular deaths may have been averted due to an increase in democracy globally from 1995 to 2015. They also found improvements in other health burdens in the countries where democracy has taken hold: an 8.9 percent reduction in deaths from tuberculosis, a 9.5 percent drop in deaths from transportation injuries and a 9.1 percent mortality reduction in other noncommunicable disease, such as congenital heart disease and congenital birth defects.

“This study suggests that democratic governance and its promotion, along with other government accountability measures, might further enhance efforts to improve population health,” the study said. “Pretending otherwise is akin to believing that the solution to a nation’s crumbling roads and infrastructure is just a technical schematic and cheaper materials.”

The other researchers who contributed to the study are Matthew CohenDiana SchoderJoseph Dieleman and Simon Wigley, from CFR, the University of Washington-Seattle and Bilkent University in Turkey, respectively.

Funding for the research came from Bloomberg Philanthropies and the Bill & Melinda Gates Foundation. Stanford’s Department of Health Research and Policy also supported the work.

Hero Image
gettyimages senegal elections2
Election officials count the votes at a polling station on February 24, 2019 in Dakar, Senegal.
Xaume Olleros/Getty Images
All News button
1
Paragraphs

We assess scientific evidence that has emerged since the U.S. Environmental Protection Agency’s 2009 Endangerment Finding for six well-mixed greenhouse gases and find that this new evidence lends increased support to the conclusion that these gases pose a danger to public health and welfare. Newly available evidence about a wide range of observed and projected impacts strengthens the association between the risk of some of these impacts and anthropogenic climate change, indicates that some impacts or combinations of impacts have the potential to be more severe than previously understood, and identifies substantial risk of additional impacts through processes and pathways not considered in the Endangerment Finding.

All Publications button
1
Publication Type
Commentary
Publication Date
Journal Publisher
Science
Authors
Christopher B. Field
Noah Diffenbaugh
David Lobell
-

Abstract

From the point of view of institutional economics, growth is related to the implementation and enforcement of property rights. The system that emits, and enforces those rights needs to have very low transactions costs leading to the least possible frictions. The lowest the transactions costs the highest the level of security of investment, as well as the benefits of direct and indirect socioeconomic impacts. However, traditional economic development models do not focus on transactions costs and property rights systems, both of which seem to be the suspects for low productivity, slow growth, and informality. Many developing countries suffer from systems of property rights that are unpredictable because they are inundated with overwhelming bureaucracy, difficult to follow, track, and measure. The speaker has developed a methodology to best diagnose the reasons why a country has such high transactions costs and how to reduce them systematically. This diagnostic method is called Reality Check Analysis (RCA) and its outcomes allow for the best design of policy reforms and strategic application. The presentation will focus on the theoretical definition of the problem, the analysis of Reality Check Analysis, its application and important results measured through a socioeconomic 3,000 household survey. This survey presented the direct benefits of applying a simple property rights system to investment, savings, property values, trust, child labor, to mention a few.

Speaker Bio

Image
panaritis photo
Elena Panaritis until recently served as a senior economic advisor, handling the Euro and Greek Economic Crisis, to two Greek Governments (2009; 2015). In 2015 she also served as the Special Envoy for Negotiating the Greek Sovereign debt and lending program of Greece. Elena worked directly with 3 Greek Prime Ministers and the Minister of Finance, as well as EU and IMF high-level officials, lenders to Greece. In 2015 she was appointed the Alternate Director to the IMF of Italy, Greece, Portugal, Malta, Albania and San Marino, from which position she resigned the same year after strong political pressures. In 2009 she was appointed honorary Member of the Hellenic Parliament until 2012. She is the founder of Panel Group, a triple-bottom-line business that focuses in the informal sector, transforming the wealth base of poor property holders, to proud middle class owners. She has also founded Thought4Action, an Action Tank that works as an educational foundation to create awareness and calls for action, about transforming countries under solvency, economic crisis and informality. Elena Panaritis has taught economic development, housing finance and property markets reform courses at the Wharton Business School, University of Pennsylvania, INSEAD, and the Johns Hopkins University- School of Advanced International Studies (SAIS).

Elena Panaritis Founder and CEO Thought 4 Action - Panel Group
Seminars
Shorenstein APARC Stanford University Encina Hall Stanford, CA 94305-6055
650.724.6404
0
Oksenberg-Rohlen Fellow
_ksa3419_lampton_2018_photo.jpg
David M. (“Mike”) Lampton is the Oksenberg-Rohlen Fellow at FSI and affiliated with Shorenstein APARC. Lampton (BA ’68, MA ’71, PhD ’74), an expert in Chinese politics and U.S.-China relations, is the Hyman Professor of China Studies and Director of the China Studies Program at the Johns Hopkins School of Advanced International Studies Emeritus.   Lampton's current book project is focused on the development of high-speed railways from southern China to Singapore. He is the author of a dozen books and monographs, including Following the Leader: Ruling China, from Deng Xiaoping to Xi Jinping (University of California Press, 2014, and second edition 2019) and The Three Faces of Chinese Power: Might, Money, and Minds (University of California Press, 2008). He has testified at multiple congressional and commission sessions and published numerous articles, essays, book reviews, and opinion pieces in many venues popular and academic in both the western world and in Chinese-speaking societies, including Foreign Affairs, Foreign Policy, The American Political Science Review, The China Quarterly, The New York Times, The Washington Post, and many others.   Over the course of his career, Lampton accompanied American public and private sector leaders to China, and Chinese leaders to the United States. Formerly President of the National Committee on United States-China Relations, Lampton consults with government, business, and social sector organizations, and has served on the boards of several non-governmental and educational organizations, including the Asia Foundation for which he served as chairman. The recipient of many academic awards, he is an Honorary Senior Fellow of the American Studies Institute of the Chinese Academy of Social Sciences, former Gilman Scholar at Johns Hopkins, and the inaugural winner of the Scalapino Prize in 2010, awarded by the National Bureau of Asian Research and the Woodrow Wilson International Center for Scholars in recognition of his exceptional contributions to America’s understanding of the vast changes underway in Asia.
Subscribe to Policy Analysis