Prescribing Cultures and Pharmaceutical Policy in the Asia-Pacific: A Book Launch Event
Pharmaceutical policies are interlinked globally, yet deeply rooted in local culture. The newly published book Prescribing Cultures and Pharmaceutical Policy in the Asia-Pacific, edited by Karen Eggleston, examines how pharmaceuticals and their regulation play an important and often contentious role in the health systems of the Asia-Pacific.
In this colloquium, contributors to Prescribing Cultures discuss how the book analyzes pharmaceutical policy in China, Korea, Japan, Thailand, Taiwan, Australia, and India, focusing on two cross-cutting themes: differences in “prescribing cultures” and physician dispensing; and the challenge of balancing access to drugs with incentives for innovation.
As Michael Reich of Harvard University says in his Forward to Prescribing Cultures,
“The pharmaceutical sector…promises great benefits and also poses enormous risks.… Conflicts abound over public policies, industry strategies, payment mechanisms, professional associations, and dispensing practices—to name just a few of the regional controversies covered in this excellent book.
The tension between emphasizing innovation versus access -- a topic of hot debate on today’s global health policy agenda -- is examined in several chapters…
This book makes a special contribution to our understanding of the pharmaceutical sector in China… Globalization is galloping forward, with Chinese producers pushing the pace at breakneck speed. More and more, our safety depends on China’s ability to get its regulatory act together…”
The colloquium features presentations by Naoko Tomita (Keio University), Anita Wagner (Harvard University), and Karen Eggleston (Stanford FSI Shorenstein Asia-Pacific Research Center). They will give specific examples of how pharmaceutical policy serves as a window into the economic tradeoffs, political compromises, and historical trajectories that shape health systems, as well as how cultural legacies shape and are shaped by the forces of globalization.
Oksenberg Conference Room
Changes in Taiwan's Cigarette Market After the US Forced It Open
The stated purpose of the Trade Act of 1974 was to promote free trade. Section 301 authorized the U.S. President to impose retaliatory trade sanctions if negotiations were unsuccessful in reducing unreasonable limits on trade. The Act was reinforced in 1984, became known as “Super 301”, and made annual assessment and retaliatory measures mandatory.
Because of trade imbalances, four emerging Asian countries gave the US firms access to cigarette markets: Japan (1987), Taiwan (1987), South Korea (1989) and Thailand (1990). These forced market opennings were called the “Second Opium War” by local protestors in these countries, challenging U.S. export of unwelcome and unhealthy products.
A sea change occurred in the decades that followed the cigarette market opening in Taiwan. Of particular interest are changes in areas marketing skills and market share; lower cigarette prices; paradoxical increased smuggling; increased youth consumption; evolution of the powerful tobacco industry lobby; and a sharp increase in tobacco-related cancer deaths. Accompanying the increased cigarette consumption, a special, unusual habit of chewing betel quid started and grew into a mainstream practice among adult males (nearly one out of four). Oral and esophageal cancer increased sharply soon after the market opened. At the same time, the patriotic protectionists, NGOs, and government galvanized an anti-smoking movement, which gradually transformed Taiwan's culture so that smoking in public is no longer socially acceptable. A new term, “de-normalization,” was coined about the favorable effect of market opening.
The ironic outcome of Super 301 is that while the market was forced open solely by the US, in only ten years, US market share, once leading, shrunk to a distant fifth, after Japan, UK, Germany and domestic producers. The trade imbalance was little affected by the opening of the cigarette market.
Dr. Wen's colloquium continues the colloquium series on tobacco control in East Asia, sponsored by the Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center, in coordination with FSI’s Global Tobacco Prevention Research Initiative.
Philippines Conference Room
A Stake in the Heart of Lipset's Law? Indonesia versus Modernization Theory
Seymour Martin Lipset famously claimed that the more well-to-do a nation is, the greater the chance that it will sustain democracy. This "law" fits the experience of several countries in Northeast and Southeast Asia. Formerly authoritarian South Korea and Taiwan grew rich and became stable democracies with active civil societies, as Lipset would have expected. His "law" fits the Philippines and Thailand as well- -poor countries with tenuous holds on democracy where uncivil societies have mobilized to defend elite hegemony against mass-based electoral challenges.
The case of Indonesia, in contrast, limits Lipset's Law. Poor yet stably democratic, Indonesia is free of regime-threatening social conflicts. Arguably, despite its poverty, its democracy is already consolidated. India's record of sustaining democracy is another case in point. These poor yet successfully democratic polities amount to large stakes in the heart of modernization theory.
Prof. Thompson will contend that Indonesia's democracy is neither middle-class-based nor dominated by big business, but is instead still characterized by traditional cross-cutting ethno-religious cleavages that limit the impact of money politics, reduce the risk of populism, foster elite consensus, and thereby encourage democratic stability. He will link his argument not only to Lipset's Law but to the intellectual legacies of Alexis de Tocqueville, Antonio Gramsci, and Barrington Moore among other students of democracy and modernity.
Mark R. Thompson is a professor of political science at the University of Erlangen-Nuremberg in Germany. A Chicago native, he took his first degree in religious studies at Brown University followed by postgraduate work at Cambridge University and the University of the Philippines. Fascinated by Philippine people power, he wrote his dissertation at Yale University on the anti-Marcos struggle (Yale University Press, 1996). After moving to Germany, he witnessed popular uprisings in East Germany and Eastern Europe, inspiring him to conceptualize democratic revolutions in essays later published as a book (Routledge, 2004). He is in residence at Stanford from February through April 2009.
Philippines Conference Room
The Tamogami Affair: History and Security in Northeast Asia
Reckoning with the Past: Truth, Justice and Reconciliation in Asia
Is it possible to come to terms with the violent past and foster reconciliation with former foes, what are the obstacles and how can they be overcome? These are some of the questions we are asking in the "Divided Memories and Reconciliation" project. This colloquia will bring several scholars to Stanford to discuss the ‘history problem' in a series of lectures analyzing the ways in which past conflict has or has not been addressed and resolved in contemporary Asia. Examining issues of memory and forgetting, guilt and innocence, apology and restitution from diverse social science perspectives, our speakers investigate the handling of the violent past both within and between countries in contexts ranging from international diplomacy to the broadcast media to mass education.
In November of 2008, the head of the Japanese air self defense force, General Tamogami Toshio, resigned in a swirl of controversy over an essay he wrote entitled "Was Japan An Aggressor Nation?" The essay argued that Japan's seizure of Korea and of northern China was a legal act and that it had pursued a moderate policy of modernization in its colonial rule of Korea, Taiwan and Manchuria, superior to the colonial rule of the Western imperial powers. General Tamogami also argued, in his published essay, that Japan's war with the United States was a result of being "ensnared in a trap that was carefully laid by the United States to draw Japan into a war." What is the story behind this controversial incident? What does it mean when a senior Japanese military officer holds such views of the wartime past? What are the implications of this for Japan's security relations with its neighbors and the United States?
Daniel and Nancy Okimoto Conference Room
Late Democratizers? Developmentalism in Pacific Asia
Some theorists of modernization have influentially claimed that successful "late industrialization" led by developmental states creates economies too complex, social structures too differentiated, and (middle-class-dominated) civil societies too politically conscious for non-democratic rule to be sustained. Probably nowhere has this argument-that democratic transitions are driven by economic growth-been more celebrated than in Northeast and Southeast Asia (Pacific Asia). South Korea and Taiwan, having democratized only after substantial industrialization, seem to fit the narrative well. Prof. Thompson will argue, however, that "late democratizers" have been the exception rather than the rule. Indonesia, the Philippines, and Thailand democratized much earlier in the developmental process, before high per capita incomes were achieved. Malaysia and especially Singapore are more wealthy than they are democratic. The communist "converts" to developmentalism, China and Vietnam, are aiming for authoritarian versions of modernity. "Late democratization" via modernization is only one scenario. The experiences of Pacific Asia support Barrington Moore's thesis that there are other "paths to the modern world."
Mark R. Thompson is a professor of political science at the University of Erlangen-Nuremberg in Germany. A Chicago native, he took his first degree in religious studies at Brown University followed by postgraduate work at Cambridge University and the University of the Philippines. Fascinated by Philippine “people power,” he wrote his dissertation at Yale University on the anti-Marcos struggle (Yale University Press, 1996). After moving to Germany, he witnessed popular uprisings in East Germany and Eastern Europe, inspiring him to conceptualize “democratic revolutions” in essays later published as a book (Routledge, 2004). He is in residence at Stanford from February through April 2009.
Daniel and Nancy Okimoto Conference Room
Law Enforcement and Stock Market Development: Evidence from India
Corporate governance reform is a global phenomenon sweeping through the US, Europe, China, Korea, India, Latin America and many other places. These reforms have been accompanied by a surge in corporate governance scholarship focused on emerging markets. This research suggests, although not uniformly, that "better" corporate law and governance tend to be correlated with better stock market development, more dispersed ownership structures, and higher firm profitability, amongst other things. These findings have sparked debate and thought on why these correlations exist and whether there are particular features of corporate law and governance that matter more than others to these economic measures. Indeed, recent research in developed markets has begun to focus on enforcement of corporate and securities laws.
Is Asia Still Rising? Repercussions Of Recession
Asia’s economies have been hard hit by the current global financial crisis, despite in most cases enjoying strong macroeconomic fundamentals and stable financial systems. Early hopes were that the region might be “decoupled” from the Western world’s financial woes and even able to lend the West a hand through high growth and the investment of large foreign exchange reserves. But that optimism has been dashed by slumping exports, plunging commodity prices, and capital outflows. The region’s most open, advanced and globally-integrated economies—Hong Kong, Singapore, and Taiwan—are already in severe recession, with Japan, Korea and Malaysia not far behind, and dramatic slowdowns are underway in China, India, Indonesia, Thailand and Vietnam. What role did Asian countries play in the genesis of the global crisis, and why have they been so severely impacted? How is their recovery likely to be shaped by market developments and institutional changes in the West, and in Asia itself in response to the crisis? Will the region’s embrace of accelerated globalization and marketization following the 1997-98 Asian financial crisis now be retarded or reversed?
Linda Lim is a leading authority on Asian economies, Asian business, and the impacts of the current global financial crisis on Asia, and she has published widely on these topics. Her current research is on the ASEAN countries’ growing economic linkages with China.
Forthcoming in 2009 are Globalizing State, Disappearing Nation: The Impact of Foreign Participation in the Singapore Economy (with Lee Soo Ann) and Rethinking Singapore’s Economic Growth Model. She serves on the executive committees of the Center for Chinese Studies and the Center for International Business Education at the University of Michigan, where formerly she headed the Center for Southeast Asian Studies. Before coming to Michigan, she taught economic development and political economy at Swarthmore. A native of Singapore, she obtained her degrees in economics from Cambridge (BA), Yale (MA), and Michigan (PhD).
Philippines Conference Room
Opportunities and Constraints in East Asian Regionalism
The U.S. financial crisis has spread around the globe. Financial globalization means that most countries and regions are not immune to the contagious effects of a financial crisis that originates in one country.
East Asian countries had already experienced the contagious effects of a financial crisis in 1997. That year, a financial crisis that broke out in Thailand and Indonesia reached Malaysia and then South Korea. Each of these countries reacted differently to the crisis. South Korea, Indonesia, and Thailand accepted International Monetary Fund (IMF) conditionalities that required neoliberal economic restructuring in return for emergency loans, while Malaysia rejected the IMF offer and instead encouraged the inflow of speculative financial capital, while reforming the banking and financial system. In the aftermath of the East Asian financial crisis, regional economic, financial and security cooperation were discussed among East Asian countries. These efforts resulted in the Chiang Mai Initiative, the Bond Initiative, the East Asian Summit, the Shanghai Cooperation Organization, and the Six Party Talks.
Thus, regionalism in East Asia was revived in response to external shocks, such as global financial volatility, endogenous opportunities such as East Asian market compatibility (Pempel, 2008), endogenous security threats such as the North Korean nuclear development, and exogenous opportunities such as "bringing in the U.S." (Pempel, 2008).
Nonetheless, East Asian regionalism is still at a low level of institutionalization compared to Europe. East Asian regionalism is still basically "bottom-up, corporate (market)-driven regionalism" (Pempel, 2005).
I will discuss the obstacles and the opportunities that Northeast Asian countries are facing since the end of the Cold War and the advent of globalization.
Hyug Baeg Im is Professor at the Department of Political Science and International Relations, Korea University, Seoul, South Korea. He is Dean at the Graduate School of Policy Studies and Director at Institute for Peace Studies. He received B.A. in political science from Seoul National University, M.A. and Ph.D. in political science from the University of Chicago. He was visiting professor at Georgetown University (1995-1996), Duke University (1997), Stanford University (2002-2003) and visiting fellow at International Forum for Democratic Studies, National Endowment for Democracy, Washington DC (1995-1996). He served as a presidential adviser of both Kim Dae Jung and Roh Moo Hyun presidency. His current research focuses on the impact of IT revolution and globalization on Korean democracy. His publications include “The Rise of Bureaucratic Authoritarianism in South Korea,” World Politics, Vol. 34, No. 2 (1987), “South Korean Democratic Consolidation in Comparative Perspective” in Consolidating Democracy in South Korea (Lynne Rienner, 2000) and “’Crony Capitalism’ in South Korea, Thailand, and Taiwan: Myth and Reality,” (co-authored with Kim, Byung Kook) Journal of East Asian Studies, Vol. 1, No. 1 (2001), “Faltering Democratic Consolidation in South Korea: Democracy at the End of Three Kims Era” Democratization, Vol. 11, No. 5(2004), “Christian Churches and Democratization in South Korea” in Tun-jen Cheng and Deborah A. Brown (eds.), Religious Organizations and Democratization: Comparative Case Studies in Contemporary Asia (M.E. Sharpe, 2006) and “The US Role in Korean Democracy and Security since Cold War Era,” International Relations of the Asia Pacific, Vol. 6, No.2 (2006).
Philippines Conference Room