Stanford University

Aging

Ethnic Conflict Resolution in the 21st Century: A Functioning Model from Europe

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The 21st century has been branded the century of the worldwide return of ethnonationalisms. Conflicts based on cultural differences are boiling up in many regions, leading to civil wars and to the breakup of states. Many of these conflicts are direct and indirect consequences of modernization and transnationalization; and they are usually as complex as they are enduring and difficult to settle, because rooted in the "deep“ dimensions of culture and religion. The result is in many cases a conflict pattern where political solutions are often only of temporary value, because the far deeper rooted ethnic and cultural dimensions sooner or later undermine them and spiral the conflict up again. As a consequence, there is a new debate today about the advantages of partition and separation, and an increasing number of scholars and politicians seems to believe that the still most humane lasting solution for ethno-cultural conflicts is to institutionally divide ethnic groups once and for all, accepting to a certain extent (non-recurring) ethnic cleansing and new flows of refugees. Answering such approaches (like the one of Jerry Z. Muller propagated paradigmatically in Foreign Affairs, March/April 2008), Roland Benedikter presents a functioning and long-term proven model from Central Europe, where different ethnic groups have managed it to find a unique institutional arrangement that permits them to live together without territorial and political partition. In presenting core features of the model of autonomy of the Autonomous Province of South Tyrol, a border region between Northern Italy and Austria where three ethnic groups coexist and have made the area formerly ridden by civil wars (until 1972) now one of the wealthiest regions of Europe, Roland Benedikter shows how cornerstones of this model may be successfully applied also to other ethnic conflict regions.

Roland Benedikter, Dott. Dr. Dr. Dr., is European Foundation Fellow 2009-2013, in residence at the Orfalea Center for Global and International Studies of the University of California at Santa Barbara, with duties as the European Foundations Research Professor of Political Sociology. His main field of interest is the multidimensional analysis of what he calls the current "Global Systemic Shift", which he tries to understand by bringing together the six typological discourses (and systemic order patterns) of Politics, Economy, Culture, Religion, Technology and Demography. Roland is currently working on two major book projects: One about the "Global Systemic Shift", and one about the "Contemporary Cultural Psychology of the West", the latter comparing culturo-political trends in the European and American hemispheres. With both projects he is also involved in European Policy Advice.

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Roland Benedikter Speaker
Seminars

Comparative Policy Responses to Demographic Change in East Asia: Defining a Research Agenda

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Demographic changes are profoundly shaping the political, economic, and social landscape of the Asia-Pacific region. How have individuals, families, communities, and policymakers responded? How should they? For example, how will national and social identities transform as population ageing strains traditions of filial piety and immigration disrupts ethnic homogeneity? Will the economies of East Asia languish, or will a "second demographic dividend" spur renewed economic growth? Demographic change can have important psychological and political effects. For example, can one seriously imagine a resurgent, militaristic Japan with a declining and aging population? The responses to demographic change in Japan, South Korea, China, and their neighbors will have great potential long-term effects in the Asia-Pacific region.

This panel discussion, the opening and public portion of a 1-1/2 day workshop that will define a research agenda for the next three years, will bring together selected outside experts and faculty within the Shorenstein Asia-Pacific Research Center for an interdisciplinary and comparative discussion of the policy responses to rapid demographic change in East Asia.

  • 3:00p.m. – 3:10p.m.
    Gi-Wook Shin, Director, Shorenstein Asia-Pacific Research Center, Stanford University: Introduction and welcome
  • 3:10p.m. – 3:25p.m.
    Brian Nichiporuk, RAND Corporation: The Security Implications of Demographic Trends in East Asia
  • 3:25p.m. – 3:40p.m.
    Michael Sutton, East-West Center, Washington, DC: Political & Security Implications of Population Aging in Japan
  • 3:40p.m. – 3:55p.m.
    John Skrentny, Director, Center for Comparative Immigration Studies, Professor of Sociology, University of California, San Diego: An East Asian Model to Managing Immigration? Durability & Change in the 2000s.
  • 3:55p.m. – 4:10p.m.
    Chong-En Bai, Chair, Department of Economics, Freeman Chair Professor of Economics, Tsinghua University: Policy Responses to Demographic Change in China
  • 4:10p.m. – 4:25p.m.
    David Bloom, Clarence James Gamble Professor of Economics and Demography Chair, Department of Global Health and Population, Harvard University: Demographic Change in East Asia: Challenges, Options and Evidence
  • 4:25p.m. – 4:40p.m.
    Naohiro Ogawa, Director, Population Research Institute, Nihon University: Population Aging & Changing Human Capital in Japan & other East Asian Countries
  • 4:40p.m. – 4:55p.m.
    Andrew Mason, Professor of Economics, University of Hawaii, Manoa & Senior Fellow, East-West Center, Hawaii: Population Aging and the Generational Economy: Key Findings
  • 4:55p.m. – 5:10p.m.
    James Raymo, Professor of Sociology, University of Wisconsin, Madison The “Second Demographic Transition” and family change in Japan
  • 5:10p.m. – 5:30p.m.
    Discussion/Conclusion
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Gi-Wook Shin

Shorenstein APARC
Encina Hall E301
616 Jane Stanford Way
Stanford, CA 94305-6055
(650) 723-2408 (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
Gi-Wook Shin_0.jpg
PhD

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; the director of the Walter H. Shorenstein Asia-Pacific Research Center (APARC) since 2005; and the founding director of the Korea Program since 2001, all at Stanford University. In May 2024, Shin also launched the new Taiwan Program at APARC. 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 Sociology, World Development, Comparative Studies in Society and History, Political Science Quarterly, Journal of Asian Studies, Comparative Education, International Sociology, Nations and Nationalism, Pacific Affairs, Asian Survey, Journal 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 and historical reconciliation in Northeast Asia and to 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 coming to 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 Shorenstein Asia-Pacific Research Center
Director of the Korea Program and the Taiwan Program
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Gi-Wook Shin Director Speaker Shorenstein Asia-Pacific Research Center, Stanford University
Andrew Mason Professor of Economics, University of Hawaii, Manoa & Senior Fellow Panelist East-West Center, Hawaii
Naohiro Ogawa Director, Population Research Institute Panelist Nihon University
David Bloom Clarence James Gamble Professor of Economics and Demography, Chair, Department of Global Health and Population Panelist Harvard University
Chong-En Bai Chair, Department of Economics, Freeman Chair Professor of Economics Panelist Tsinghua University
John Skrentny Director, Center for Comparative Immigration Studies, Professor of Sociology Panelist University of California, San Diego
Michael Sutton Panelist East-West Center, Washington, DC
Brian Nichiporuk Panelist RAND Corporation
James Raymo Professor of Sociology Panelist University of Wisconsin, Madison
Panel Discussions
Comparative Policy Responses to Demographic Change in East Asia

Declining Fertility and Investment in Children: The Quality-Quantity Trade-off in Japan and East Asia

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Professor Ogawa will present recent work on declining fertility and the rising cost of children in East Asian countries, using measures of investment per child from the National Transfer Accounts analysis of public and private investments in children's education and health. He and his co-authors also study whether the amount of resources allocated to children has been crowded out by the increasing amount of resources needed for support of the elderly in Japan and other aging societies.

Naohiro Ogawa is professor of population economics at the Nihon University College of Economics and Advanced Research Institute for Sciences and Humanities (ARISH), Tokyo. He is also Director of the Nihon University Population Research Institute (NUPRI). Over the past thirty years he has written extensively on population and development in Japan and other Asian countries. More specifically, his research has focused on issues such as socioeconomic impacts of low fertility and rapid aging, modeling demographics and social security-related variables, as well as policies related to fertility, employment, marriage, child care, retirement and care for the elderly. His recent work includes measuring intergenerational transfers. He has published numerous academic papers in internationally recognized journals. In collaboration with other scholars he has also edited several journals and books among which the most recent one is Population Aging, Intergenerational Transfers and the Macroeconomy (2007). Naohiro Ogawa has served on a number of councils, committees and advisory boards set up by the Japanese government and international organizations such as the Asian Population Association, the IUSSP and the WHO. He is currently an associate member of the Science Council of Japan.

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Naohiro Ogawa Professor of Population Economics Speaker the Nihon University
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On demographic change in East Asia: An interview with Karen Eggleston

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Over the past year, the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) has engaged in leading-edge research on demographic change in East Asia. Karen Eggleston, director of the Asia Health Policy Program at Shorenstein APARC, discusses the recent book Aging Asia: The Economic and Social Implications of Rapid Demographic Change in China, Japan, and South Korea, and the workshop on the economic, social, and political/security implications of demographic change in East Asia, held January 20-21 at Shorenstein APARC.

Across Northeast Asia, countries are facing the issue of an aging population, which causes socio-economic challenges that have policy implications. You explore this phenomenon in your forthcoming book Aging Asia: The Economic and Social Implications of Rapid Demographic Change in China, Japan, and South Korea. When did aging begin to become an issue and what are some of the greatest factors that you address in the book?

Aging started at different times in the countries of East Asia. The country with the oldest life expectancy in the world and the oldest age structure of its population is Japan. It had a very short baby boom after the war and has had a steep decline in fertility. Mortality has also been falling around the world, and so this creates a change in the population. Japan is already at the fourth stage of demographic transition. South Korea is rapidly moving towards that and already has one of the lowest fertility rates in the world. Of course, neither of them have policies to reduce fertility; in fact, they are trying to encourage it. China, on the other hand, has long been trying to control fertility and is not as extreme in terms of the population age structure, but it is rapidly changing. China will be older in median age than the United States soon—this is not a trivial factor when you think in terms of the absolute size of the Chinese population.

One of the things that we wanted to study in this project is the premise that the demographic transition is a "problem." It is true that you need to think about and have policy responses to it. But it can also be seen as a sign of success, and as an opportunity. We wanted to reframe the issue and think about evidence on both sides. There is some research highlighted in the book, for example, that looks at the impact of population aging on economic growth, which is one of the first things that comes to many people's minds. For example, if you have a lot of elderly people, they are not in the work force and they need to be supported. It is true that this can be bad for economic growth, but there also are policy and individual responses that may moderate the effects. Our research is trying to highlight several different aspects of aging, including the question of opportunity. For example, there is more investment in individual children now and elderly persons' savings have actually contributed to economic growth. In some aspects, this has been a sign of resiliency for Japan where there are a lot of transfers to the working-age population.

Ronald Lee at the University of California, Berkeley and Andrew Mason at the East-West Center at the University of Hawai'i, who is participating in the January workshop, have been working on the concept of a "second demographic dividend." They find that as countries have an older age structure, there are more people that are saving. In the widely accepted "first demographic dividend," there are more people in the working-age part of the population—more people employed and more people contributing to the GDP. You get a boom contributing to growth. We know that this contributed to Japan and South Korea's earlier growth, and to China's in the 80s and part of the 90s, but only one or two percent of GDP. The question then is whether it is a problem that with aging you are losing that first demographic dividend. A second demographic dividend might arise because people who are preparing for a longer retirement life are saving more, and those savings are then invested in the economy and the investment drives economic growth.

Is there any correlation to demographic issues faced by the United States?

Interestingly, the aging issue is more pronounced in East Asia than in the United States for several reasons. We have a higher fertility rate than in Japan and South Korea, and many other countries in Europe as well. We also historically are much more open to immigration than most other countries, and this has led to a certain vitality in the population mix that has slowed the impact of demographic change. That said, of course, there are issues with having a lot of baby boomers. Sometimes, depending on the specific question or the specific area of policy, you find other factors that are much more important than aging. For example, the growth of healthcare spending has been in the news a lot lately. Although obviously there is an impact from having more elderly people, there are much bigger issues, such as what we are spending per person per age group and the growth of that spending. Just aging per se is not as big of an issue as people might think.

In late January, you will be holding the workshop Comparative Policy Responses to Demographic Change in East Asia: Defining a Research Agenda. What are the major issues you will explore in the conference? Who will be involved? Finally, what is the publication or research project that you will launch from this?

We had an Aging Asia conference in February 2009, co-sponsored with the Global Aging Program at the Stanford Center on Longevity. The outcome of this is the forthcoming volume, co-edited with Shripad Tuljapurkar of the Department of Biology at Stanford University. We started with a basic survey of the region and thought about the basic trends-demographic, social, and economic-and built upon that to figure out where the gaps are in the literature and where the interesting research questions are. That is where the January 2011 workshop comes in as the next step. We are bringing in some of the same and some different people to focus on three specific themes: economics, society, and politics/security. The upcoming event again focuses on East Asia and there will be a public component, but it is a smaller event and its main goal is to dig deeper into these themes to figure out an interesting research agenda on the policy responses to demographic transition.

We decided to focus again on East Asia, which is the research focus of a lot of our Shorenstein APARC faculty. Masahiko Aoki and Michael Armacost are going to chair sessions, and Gi-Wook Shin is going to kick it all off and talk about the social aspects of demographic change. Andrew Walder will be participating in that session as well. Thomas Fingar will be covering the political and security implications. All Shorenstein APARC faculty have been invited to participate and think about how this issue of demographic change—and particularly policy responses—might be related to their own areas of research. 

An illustration that I like to give when people ask about how demographic change is related to other things is from Andrew Walder when he was talking about China's transition in the 1980s. He received a question about whether or not there had been an impact from the One Child policy. He said that obviously there are many different impacts, but the one thing that he noted was that students in China now, especially if they are only children, are under a lot of career pressure. This has changed the space or the freedom for self-exploration. Why does this have broader implications? Young people see access to political power as one key for their careers and this changes their views about joining the Communist Party, which has big implications for China's political future. This is just one illustration of how we are trying to explore the broader implications of demographic change.

Finally, what is the outcome that you would most hope to achieve through Aging Asia and the upcoming demographic change workshop?

I think that the biggest hope would be to develop a much better understanding of what is going on with demographic change: what are the processes and how is society changing? What are the individual challenges that families are facing and what are they are doing about it? What is the broader social or even global perspective on how this is going to shape our future world? For me, I think about the world that my children are going to grow up in.

Through our research, I hope that we will impact not only the understanding of what has driven past developments, but create policy recommendations for each of the societies that were are examining—including our own—on the opportunities and the challenges related to changes in population. That hopefully will be useful as these different societies think about how to respond.

Our research on the economic, the social, and political/security aspects of demographic change is intended to be tangible for individuals and families as well as for broader national policy.

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An Asian dimension to the Stanford Center for Population Research

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The Shorenstein Asia-Pacific Research Center and its Asia Health Policy Program have joined with other centers and programs across the university as collaborative partners for the new Stanford Center for Population Research (SCPR). Supporting population research among faculty and students throughout Stanford, the SCPR is led by Professor Shripad Tuljapurkar, co-editor with Karen Eggleston of the book Aging Asia: Economic and Social Implications of Rapid Demographic Change in China, Japan, and South Korea.

The Stanford Center for Population Research, based in the Institute for Research in Social Sciences, has leadership and involvement across campus including the Humanities, Natural Sciences, Environmental programs, and the Medical School. The goal is to promote, support and develop population studies through collaboration among researchers and training for undergraduate and graduate students, serving as both a resource and nexus for faculty at Stanford across disciplines with interests in population studies, broadly defined.  

The Asia Health Policy Program will work with the Stanford Center for Population Research in studying the implications of demographic change in the Asia-Pacific region. For example, Karen Eggleston is undertaking comparative study of population health trends in China and India with other Stanford faculty associated with SCRP.

AHPP will also support the mission of strengthening the teaching of population studies at the undergraduate, graduate and postdoctoral levels, by helping to make connections for students studying demographic change in Asia. The 2011 postdoctoral fellow in Asia health policy, Qiulin Chen, will be studying population aging in China in comparative perspective. Shorenstein APARC’s affiliation with the SCRP will also help to reinforce the new Shorenstein APARC initiative studying policy responses to population aging in East Asia, kicking off with a workshop in January 2011.

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Asia Health Policy Program working papers join Social Science Research Network

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Karen Eggleston
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The Asia Health Policy Program working paper series on health and demographic change in the Asia-Pacific has now joined the Social Science Research Network (SSRN), broadly disseminating working papers to the social science research community as well as specifically to the Health Economics Network (HEN).

ASIA HEALTH POLICY PROGRAM RESEARCH PAPER SERIES
View Papers: http://www.ssrn.com/link/Asia-Health-Policy-Program-RES.html

The Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at Stanford University sponsors multidisciplinary research on health policy and demographic change in the Asia Pacific region, focusing on how comparative analysis can provide policy insight. Our working paper series promotes dissemination of high-quality social science research on health policy and demographic change in the Asia-Pacific region, drawing from the research of our affiliated faculty, postdoctoral fellows, visiting scholars, and select colleagues from throughout the region. The papers are published electronically and are available online or through email distribution. They can be accessed at http://asiahealthpolicy.stanford.edu/publications/list/0/0/4/ .

SSRN's searchable electronic library contains abstracts, full bibliographic data, and author contact information for more than 302,700 papers, more than 144,200 authors, and full text for more than 243,000 papers. The eLibrary can be accessed at http://ssrn.com/search .

SSRN supports open access by allowing authors to upload papers to the eLibrary for free through the SSRN User HeadQuarters at http://hq.ssrn.com , and by providing free downloading of those papers.

Downloads from the SSRN eLibrary in the past 12 months total more than 8.7 million, with more than 39.1 million downloads since inception. Downloads are currently running at a rate of 10.3 million per year.

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Asia health policy program hiring research assistants

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Karen Eggleston
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Karen Eggleston, Director of the Asia Health Policy Program, seeks to hire two research assistants at the advanced undergraduate or graduate social science level to assist with several projects, including an international comparative study of government financing for health service provision and provider payment. The RA should have a solid background in microeconomics; some background in health economics and comparative health policy; and near-native fluency in English. Knowledge of another European or Asian language (especially Chinese, Japanese, or Korean) would be an advantage. Ideally the RA would be a student whose own studies are related to the topic of health care financing and payment incentives in developing and/or transitional economies, or more generally in public economics, the government sector, and social protection policies. The work would be for autumn quarter, with possibility of extension to winter quarter. Compensation is competitive and commensurate with RA experience. Please send CV and brief statement of interest and related qualifications to Karen Eggleston at karene@stanford.edu by September 24th.

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Economic and Social Implications of Population Aging in Asia

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How will population aging impact the economies and social protection systems of Japan, South Korea, China, and India? This colloquium showcases research addressing that question by contributors to a new Shorenstein APARC book, Aging Asia, co-edited by Karen Eggleston and Shripad Tuljapurkar. Dr. Bloom discusses how aging of the baby boom generation, declines in fertility rates, and an increase in life expectancy imply several changes for the economies of the region. Notwithstanding the potential challenges, Bloom argues that population aging may have less of a negative effect on economic growth than some have predicted. Bloom will also discuss the longitudinal aging study in India.

David Bloom is Clarence James Gamble Professor of Economics and Demography at Harvard University, Chair of the Department of Global Health and Population at the Harvard School of Public Health, and Director of Harvard University’s Program on the Global Demography of Aging (funded by the National Institute of Aging). He is Research Associate at the National Bureau of Economic Research, where he serves as a member of three research programs: Labor Studies, Aging, and Health Economics. He co-chairs the Public Policy Committee of the American Foundation for AIDS Research. Bloom received a B.S. in Industrial and Labor Relations from Cornell University in 1976, an M.A. in Economics from Princeton University in 1978, and a Ph.D. in Economics and Demography from Princeton University in 1981.

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David Bloom Clarence James Gamble Professor of Economics and Demography Speaker Harvard University
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Predictors of health utility among 60-day survivors of acute kidney injury in the VA/NIH Acute Renal Failure Trial Network Study

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BACKGROUND AND OBJECTIVES: Health-related quality of life (HRQOL) after acute kidney injury (AKI) is an area of great importance to patients. It was hypothesized that HRQOL after AKI would relate to intensity of dialysis during AKI and dialysis dependence at follow-up.

DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The Veterans Affairs/National Institutes of Health Acute Renal Failure Trial Network Study was a multicenter, prospective, randomized trial of intensive versus less intensive renal replacement therapy in critically ill patients with AKI. Of 1124 participants, 415 survived at least 60 days and completed the Health Utilities Index (HUI), which measures 8 health attributes and calculates an overall HRQOL score, also called a utility score. How strongly pre-intensive care unit (ICU) health, severity of illness, hospital course, intensity of dialysis, and outcome were associated with 60-day HUI scores was assessed, after adjustment for demographics.

RESULTS: The overall HUI score was 0.40 +/- 0.37, indicating severely compromised health utility and was associated with only admission from home and hospital and ICU length of stay (LOS). Ambulation was better among those with a shorter hospital and ICU LOS. Better cognition was associated with dialysis independence and with fewer comorbid chronic illnesses. Emotion was associated with only hospital LOS. Pain was associated with ICU LOS.

CONCLUSIONS: Health utility was low in this cohort of patients after AKI, and intensity of dialysis did not affect subsequent health utility. The effects of a lengthy hospitalization generally outweighed the effects of delayed recovery of kidney function on HRQOL after AKI.

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Clinical Journal of the American Society of Nephrology
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Mark W. Smith
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