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Iris Malone is an Assistant Professor of Political Science and International Affairs at the George Washington University Elliott School of International Affairs. Her research agenda focuses on the causes of terrorism and insurgency as well as how states identify and respond to these emerging threats. She is an affiliate of the DHS-sponsored National Counterterrorism Innovation, Technology and Education (NCITE) Center of Excellence at the University of Omaha, Nebraska. Iris previously received her PhD from the Stanford University Department of Political Science in 2019.

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The world is experiencing an unprecedented period of geopolitical change and technological disruption. How should we rethink U.S. national security and defense in an era of intensifying great power competition? What principles should guide US policy and presidents in the future?

 

Drell Lecture Recording: https://youtu.be/y8a307Sttjc

 

Drell Lecture Transcript: Click here to view

 

Speaker's Biography: Michèle Flournoy is Co-Founder and Managing Partner of WestExec Advisors, and former Co- Founder and Chief Executive Officer of the Center for a New American Security (CNAS), where she currently serves on the board.

Michèle served as the Under Secretary of Defense for Policy from February 2009 to February 2012. She was the principal advisor to the Secretary of Defense in the formulation of national security and defense policy, oversight of military plans and operations, and in National Security Council deliberations.

Michèle is a former member of the President’s Intelligence Advisory Board, the CIA Director’s External Advisory Board, and the Defense Policy Board. She’s currently a member of the Council on Foreign Relations and the Aspen Strategy Group, is a Senior Fellow at Harvard’s Belfer Center for Science and International Affairs, and sits on the Honorary Advisory Committee of The Leadership Council for Women in National Security. Michèle serves on the boards of Booz Allen Hamilton, Amida Technology Solutions, The Mission Continues, Spirit of America, CARE, the U.S. Naval Academy Foundation.


Hauck Auditorium, David and Joan Traitel Building of Hoover Institution435 Lasuen Mall, Stanford, CA, 94305
Michèle Flournoy Co-Founder and Managing Partner WestExec Advisors
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Every summer, the Draper Hills Summer Fellows Program brings together international leaders who are pioneering new approaches to advance social and political change in some of the most challenging global contexts. The fellows spend three weeks living and taking classes on the Stanford campus, visiting Silicon Valley tech companies and building a network.

Representing business, government and the nonprofit sector, fellows are working on the frontlines of democratic change to combat the global rise of authoritarianism and populism. The Freeman Spogli Institute for International Studies spoke to five of the fellows about the impact of the Draper Hills program on their work and activism. These are their stories.

Shaili Chopra, India

shaili3 Shaili Chopra, founder of SheThePeopleTv. Photo: Alice Wenner
“I run a platform called SheThePeopleTv. It's a platform for women, and it aims to share news, opinions, data and statistics through a gendered lens. Women are a critical part of democracy — from where I come, in India, we have 600 million women. That's half of the country's population. I think they must also have half of the country’s voice, which they don't.

“I think a big plus of a program like Draper Hills is that when we are all working in the general construct of democracy, we have shared problems, and we also look for shared solutions. It's very empowering to be around people who understand these situations, or have found solutions or overcame them in their countries, or are going through similar problems. You can discuss them and get a sense of solidarity and a sense of empathy.”

Wiem Zarrouk, Tunisia

wiem1 Wiem Zarrouk, senior advisor to the Minister of Development, Investment and International Cooperation in Tunisia. Photo: Alice Wenner

“I’ve been working for the Tunisian government for three years as an advisor to the Minister of Development, Investment and International Cooperation. I am leading the government reforms to improve Tunisia's ranking in the World Bank Competitiveness Report - Doing Business.

“In Tunisia, we’ve set up most of our democratic institutions, and now we want to improve the business environment to attract more investment in local businesses. Eight years ago, the people went into the streets demanding more jobs. The challenge in Tunisia right now is economic, that’s why economic reforms are important to our government.

“I think the impact of the Draper Hills program will be immediate. I’ve learned a lot here about the link between development and democracies, so it really covers the scope of my work. And it's been great to learn about the theoretical side — the professors are really speaking about things that impact our daily work.” 


Ujwal Thapa, Nepal

ujwal1 Ujwal Thapa, president of the BibekSheel Nepali youth movement. Photo: Alice Wenner

“Bibeksheel Nepali is basically a political startup. It’s a youth-led movement, and we’re focused on changing the norms and mindsets of the culture in Nepal. We work a lot with citizens to instill the values of transparency, empathy and humility because we think democracy needs to be more emotional instead of just logical. I think liberal democracy needs to be understood more in the context of humanity. So it’s an experiment that we're doing in Nepal.

“When we started with the experiment, we decided not to focus only on the state, but thought about a few more components: one is our citizens, another is the society and the third is the government. Nepal recently came out of a violent civil war, and we just built a new constitution that is much more tolerant. Transparency is another value that we want to instill, because of the long isolationist and autocratic dictatorship that has existed in the past.

“Draper Hills is bringing all of these practitioners together who are experimental and innovative. And the world needs better collaboration from people who really believe in the ideals of the 21st century, which are liberal, democratic and more humanistic. That’s one of the strongest aspects of the Draper Hills program.”


N.S. Nappinai, India

nappinai1 N.S. Nappinai, senior practitioner in the Supreme Court of India and Bombay High Court. Photo: Alice Wenner

“I'm a lawyer — I specialize in cyber laws. My work throughout my career has been focused on ensuring responsible technology and the use of technology to fight crime. Two years ago I was appointed by the Supreme Court of India as Amicus Curiae on a matter related to protecting against the uploading of videos and images of gang rape and child pornography online.

“Some of the social media platforms had very good reporting mechanisms, whereas it was more hidden on other platforms. So we ensured that this issue was brought to the forefront so that people know that these are things that can be reported and some action can be taken. The whole idea was that as long as you identify such content at the earliest possible time, then you help the victim that much more.

“For me, balancing victims' rights with free speech is very important. This was a big dilemma that I faced, in terms of ‘How much of what I am doing is likely to stifle free speech?’ A lot of discussions at Draper Hills have helped formulate and structure my thoughts, and it's very nice to get the perspective from people from 26 other countries.”


Hinda Bouddane, Morocco

hinda1 Hinda Bouddane, the first vice president of the elected provincial council of the city of Fez. Photo: Alice Wenner

“I'm involved in women's empowerment and education for girls in Morocco. And especially for women in rural areas — they are less privileged, and many of them don't know their rights. So my fight through JA Worldwide and my activism is to empower these women and to raise awareness about their rights and the importance of education for girls.

“Education for girls is really important in fighting discrimination against women. Education empowers women to become financially independent, say no to violence, and to get engaged in the public sphere. Through that, women can be a part of the democratic process not only by voting, but also by taking part from within and running for office.

At Draper Hills, we're deepening our knowledge about topics like the rule of law, democracy and human rights, and hearing many different perspectives. And importantly, we are building a great network to connect many intelligent people from around the world, and we will work together to foster democratic values.”

 

 

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Armed conflict continues its brutal march in Syria, Yemen, Southeast Asia and South Sudan — to name a few of the international hotspots that contributed to an 11% increase in political violence around the world in 2018.

Nearly 10 million Yemenis are facing famine this year; Syria was the deadliest place on earth for civilians last year, with more than 7,100 fatalities.

Many of those killed — and even more who face starvation — are children. And that’s when Stanford professor of pediatrics Paul Wise finds it hard to stand on the sidelines. Wise, who has traveled to Guatemala annually for the last 40 years to treat children in rural communities, also travels to the frontlines of global calamities.

As part of a small team of physicians, Wise went to Mosul, the northern city in Iraq once controlled by ISIS, in 2017 to evaluate the World Health Organization-led system to treat civilians injured in the brutal battle for the city. 

Working with colleagues at the Freeman Spogli Institute for International Studies, Wise has collaborated with the U.S. military, non-governmental organizations and the United Nations on the interaction of humanitarian and security challenges.

So, it should come as no surprise that the American Academy of Arts & Sciences — of which he is a member — recently appointed him and two other global health experts to lead a new initiative to develop new strategies to protect civilians, health care and cultural heritage in areas of extreme violence. 

The initiative, Rethinking the Humanitarian Health Response to Violence Conflict, will be a collaboration among political scientists, international human rights lawyers, physicians, academics and even the curators of major museums. They will develop strategies to prevent civilian harm and deliver critical health services in areas plagued by violent conflict, most notably in the Middle East, central and north Africa and parts of Asia. 

“We also want to address the humanitarian and protective frameworks that operate in areas that are extremely violent but wouldn’t necessarily be defined as being in armed conflict, like in the northern triangle of Central America. The human toll in these areas is at least as great as some of these other more traditionally defined areas,” Wise said.

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Another of those areas is Myanmar, where nearly 700,000 ethnic Rohingya Muslims have fled to neighboring Bangladesh amid sectarian violence in the northern Rakhine province, in what the United Nations calls a “textbook example of ethnic cleansing.”

Rethinking is also headed up by global health expert Jaime Sepulvedaof the University of California, San Francisco, and Jennifer M. Welsh, a global governance and security expert at   McGill University in Canada. Their work will result in a series of publications, blog posts, videos, podcasts and op-eds as a means to reach not only a general audience but also local and field-based humanitarian health providers. The initiative will also seek the engagement of those directly victimized by violence in the areas of greatest concern. 

“We will come up with new strategies to protect civilians and deal with their needs when protection fails in the real world,” Wise said. “The goal is to make a difference in the real world. That’s a much more ambitious goal of course, but it’s the only goal that’s worthy of this kind of initiative.” 

A professor of pediatrics in the Medical School and core faculty member at Stanford Health Policy, Wise is also appointed in several international security programs at Stanford, including the Center on Democracy, Development and the Rule of Law,and the Center for International Security and Cooperation,and is a senior fellow at the Freeman Spogli Institute for International Studies.

Wise said he is particularly excited about the prospect of working with those who curate and protect cultural heritage sites and objects.

“The other thing about the American Academy of Arts & Sciences is that we are not just academics, but artists, musicians, novelists — and we expect to take full advantage of breaking out into these disciplines that aren’t normally part of these conversations,” Wise said.

When fire nearly toppled Notre Dame in Paris three months ago, Parisians gathered near the French Gothic cathedral to pray and to sing. When al-Qaida seized control of the North African country of Mali in 2012, a band of librarians undertook a dangerous mission to protect 350,000 centuries-old Arabic texts and smuggled them out of the library in Timbuktu.

At a recent meeting at the Getty Museum in Los Angeles, Wise met with museum directors, archeologists and political scientists about the preservation of cultural heritage.

“It was very clear that there were enormous areas of overlap between the efforts to protect cultural heritage and the efforts to protect people,” he said. “They’re just pragmatically connected because when you start destroying things of cultural importance, it tends to be associated ultimately with atrocities against people.”

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Brett McGurk, the former Special Presidential Envoy for the Global Coalition to Counter ISIL, has had a busy summer. Between working on a new book contract, travelling to international security conferences on two continents and prepping for his upcoming class — “Presidential Decision-Making in Wartime” — which will be taught this fall at Stanford, the Payne Distinguished Lecturer at the Center for International Security and Cooperation sat down with the Freeman Spogli Institute to reflect on what he’s learned about Middle Eastern politics this summer.

FSI: You recently attended a number of conferences focused on international security. Tell us a little about where you’ve been and the conferences you participated in.

Sure. I was recently at a conference in Beijing sponsored by the Carnegie Foundation for International Peace that focused on China in the Middle East. This was a good opportunity to reconnect with former officials and experts on China and also to discuss with Chinese officials and academics how Beijing views its emerging role in the Middle East region. This is an important topic, and we intend to develop it further here at Stanford FSI through a combination program with CISAC and the Shorenstein Asia-Pacific Research Center. I recently published an article in the Atlantic on some of the themes from Beijing.

I also attended the Oslo Forum in Norway, which brings together top diplomats from around the world engaged in mediating the most difficult conflicts. UN envoys from Syria and Libya, for example, participate, as do leaders working on Yemen and other seemingly intractable crises. The main takeaway from that important conference was that there is a window of opportunity right now for active U.S. diplomacy to help de-escalate what are in effect proxy wars between regional powers. Libya is increasingly a conflict between long-time U.S. allies, with Turkey and Qatar on one side and UAE and Egypt on the other side. Yemen is a humanitarian catastrophe and UN mediation has opened the door to ceasefires and a path for winding down the war, which some of our key allies now support. 

Iran and extremists like al Qaeda and ISIS take advantage of proxy wars and vacuums – so it’s in our interests both from a humanitarian, geostrategic, and national security perspective to use diplomacy and other tools to end these conflicts. That was the focus of the Norway meetings.

In spectacular #Oslo today for the 2019 #OsloForum. Look forward to reconnecting with former counterparts and friends from around the globe, many trying largely on their own to mediate some of the world’s most intractable conflicts. @NorwayMFA pic.twitter.com/0DmTY7swW6

— Brett McGurk (@brett_mcgurk) June 18, 2019

To what extent did the U.S. participate in the Oslo Forum?

I was struck that the United States was largely absent. There were no U.S. officials at the Forum, for the first time as I can recall, and total lack of clarity on U.S. goals and objectives. On Syria, the top UN Envoy, Geir Pederson, attended as did a number of parties to the Syrian conflict, including from the Syrian Democratic Forces, which played a key role in defeating ISIS. 

There is some hope that Syria is approaching a stage for a meaningful political settlement; I’ve expressed some skepticism on that, again, due largely to questionable U.S. intent and commitment and the facts on the ground and in the region, which leave Washington with few good options. The sooner we acknowledge that reality the better because the situation can still get much worse. My recent article in Foreign Affairs delves into those issues in some detail.

You were at the Herzliya Conference in Israel. Did Iran’s nuclear program dominate the agenda? What else was top of mind for the conference organizers, presenters, and people in attendance?

Yes, I attended the annual security conference sponsored by Israel’s Institute for Policy and Strategy. It’s become a go-to event for assessing the direction of Middle East politics and Israeli policies in a difficult part of the world. I used to attend as a sitting official and it was great to be there as a private citizen.

Flying from San Francisco to Tel Aviv for the annual @HerzliyaConf which has become a go-to event for thinkers and practitioners on the Middle East. Look forward to reconnecting with former colleagues and new friends. @FSIStanford @CarnegieMEC pic.twitter.com/0se7WvGCG1

— Brett McGurk (@brett_mcgurk) June 28, 2019

Much of the focus this year, of course, was on Iran – but also on the internal situation inside Israel, President Donald Trump’s much-delayed Middle East peace plan, and the rift I mentioned earlier between Egypt, Saudi Arabia, and UAE on one side, with Turkey and Qatar on the other side. 

There was also an open question and significant discussion over whether current U.S. policies are worsening tensions in the region. Much of that will depend on whether the core White House assumption driving its Iran policy is correct. That assumption holds that maximum pressure against Iran will force Iran back to the negotiating table that Trump himself left and result in a better nuclear deal and more responsible Iranian behavior in the region. If that assumption is false, and Iran reacts to unilateral American pressure by forging stronger ties with China and Russia, restarting its illicit nuclear activities, and increasing its malign behavior in the region – then U.S. policy may have precisely the opposite effect than its stated intent. That would require Trump to either double down on pressure, to include military pressure, or back down from what is now a zero-sum bargaining position. 

 

For more on Brett McGurk’s policy recommendations on Iranian nuclear ambitions, read his Op-Ed in Bloomberg News.

On stated U.S. intent, there was also quite a bit of discussion about U.S. objectives, given that Trump says one thing and his national security team says something else, often within the same 24-hour time span.  This uncertainty, I would argue, is breeding more instability, not less.

There was an interesting “war game” conducted at the Herziliya Conference, which simulated direct negotiations between U.S. and Iranian officials. The game ended without producing an agreement. What do you make of that?

I participated in that war game. Having confronted the Iranians from the shadows and in direct face-to-face negotiations, I would say this simulation was fairly accurate and its findings important. My first conclusion was that it’s highly unlikely the Iranians are going to return to the table under the current circumstances and without some up-front concession (such as reinstating some waivers to allow limited export of oil) by the Trump administration.  Nobody likes that answer, but it’s a realistic assessment of Iranian decision-making and important if the U.S. objective is truly – as Trump says – to get back to the negotiating table for a better nuclear deal. 

I read recently that the Emir of Qatar, who visited Trump in the Oval Office in mid-July, told the president the same thing.  So even our close friends in the region have this assessment. It means, if you want to get back to the negotiating table, then you need to create a pretext with some up-front steps, to be taken both from Washington and from Tehran.  A creative package, for example, might offer some limited sanctions relief and also demand release of Americans held in Iranian prisons. Absent something like that, relying on pressure alone, there are unlikely to be any talks.

How did the simulated negotiations between the U.S. and Iran unfold?

Presuming you get to the stage of talks, which was the focus of the simulation, the position of the two sides are irreconcilable. Iran was willing to consider some amendments to the Joint Comprehensive Plan of Action – but from the U.S. side, that was insufficient. We demanded, as Secretary of State Mike Pompeo has demanded, a total abandonment of Iran’s enrichment program, defunding proxy militias throughout the region, cabining the ballistic missile program, and other measures. The talks totally broke down after a number of rounds, and risks of a conflict increased significantly. It’s better to have no talks than ill-prepared talks where the U.S. is not even clear on what it’s hoping to achieve or has demands that are known non-starters.

The only silver lining was that if the goal is a strengthened nuclear deal that truly blocks Iran’s path to a weapon in perpetuity, while allowing a civilian program, then it’s achievable. Trump has said that’s the goal. If so, there is a path. But that’s a far more limited goal than what has been discussed by his national security team. The more ambitious objectives are unlikely to be met, and without a realistic objective, the talks themselves are unlikely to get off the ground.

A more comprehensive approach for Iran: 1) Naval coalition to protect shipping; 2) On-ramp to strengthen nuke deal; 3) Diplomacy to de-escalate proxy wars; 4) Treat Iranian people as allies (end travel ban); 5) Keep focus on ISIS: don't leave Iraq/Syria. https://t.co/BBNVtbLEhn

— Brett McGurk (@brett_mcgurk) June 26, 2019

Have you participated in “war games” like this one before?

I don’t like the phrase “war game” because it suggests something trite like a game or reenactment; in fact, simulations like this are among the best tools we have to predict the future and prepare for contingencies in foreign policy. Even with all the tools and information available to a policy-maker at the most senior level, humans can’t predict the future. Well-run simulations alert you to policy adjustments that may be necessary. We used them quite a bit during the campaign to defeat ISIS and to good effect. A famous war game, SIGMA II, run out of the Pentagon in 1965 predicted perfectly what would happen if the U.S. pursued its graduated pressure campaign against North Vietnam – a quagmire that sucked in multiple U.S. divisions.

So these simulations are important. I hope the administration is conducting them on Iran, though I tend to doubt they are, at least not at the highest levels. Sound foreign policy depends on setting clear and achievable objectives, marshaling the resources for achieving them, and regularly testing assumptions to make adjustments as circumstances warrant.

I recently published an essay in Foreign Affairs on the misalignment of ends and means with respect to Trump’s foreign policies in Syria, Venezuela, and Iran. That’s generally a recipe for either a failed policy or unintended consequences that box presidents into decisions they don’t want to make: either double down on resources or ratchet back objectives.

Did you have a chance to reconnect with old friends from your many years as a U.S. diplomat in the Middle East?

I did, and I also caught up with a number of former colleagues still serving in the Trump administration. They are a dedicated group and doing all they can under difficult circumstances. I could not hide my enthusiasm for being out of Washington and out here at Stanford. Stanford is just an incredible place to think deeply and differently about the issues now confronting our nation and the world.

You start teaching in the Ford Dorsey Master’s in International Policy program in the fall quarter.  Can you tell us a bit about your course?

Sure. In the fall I will teach “Presidential Decision-Making in Wartime.” It’s a course about how the most consequential decisions – war and peace – are made in reality, particularly since 9/11. We will dive into the essential laws of strategy such as setting clear objectives, aligning ends, ways, and means, and what happens when those essential laws are ignored. I hope it will give students the tools to ask the right questions if they are ever in the Situation Room with a chance to influence the course of history for the better. 

Most debacles have this same basic flaw of ignoring what I call the iron law of strategy and alignment of ends, ways, and means. Even for students not heading towards a national security career, the tools and elements of strategic thinking are broadly applicable. 
 

 

 

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This one day workshop will offered scene setters and allowed for discussion on technical, legal and policy considerations around end-to-end encryption.

Agenda

8:00-8:30Breakfast and Registration
8:30-9:00Introductions and Welcome Remarks
 Alex Stamos, Director, Stanford Internet Observatory
 Scene Setters: Equities, Proposals and Positions
9:00-9:30Industry
 Guy Rosen, Vice President of Integrity, Facebook
Jay Sullivan, Director of Messaging Privacy, Facebook
9:30-10:00Victim Safety Advocacy
 Travis Bright, Director of Product, Thorn
Brooke Istook, Director of Strategy and Operations, Thorn
Michelle DeLaune, Chief Operating Officer, National Center for Missing and Exploited Children
10:00-10:15Break
10:15-11:00

Civil Liberties Advocacy 
Jennifer Granick, Surveillance and Cybersecurity Counsel, ACLU
Erica Portnoy, Staff Technologist, Electronic Frontier Foundation
Kurt Opsahl, General Counsel, Electronic Frontier Foundation

  
11:00-11:30Government
 Crispin Robinson, Technical Director for Cryptanalysis, GCHQ
Darrin Jones, Assistant Director, Information Technology Infrastructure Division, FBI
11:30-11:45Hong Kong Observations
 Maciej Cegłowski, New Yorker/Pinboard
11:45-12:15Break
12:15-1:30Working Lunch - Discussion on equities, red lines and goal setting
1:30-3:30Break-Out Tracks
 The break-outs are to be conducted under Chatham House Rules.

Legal and Policy Track (Annenberg Room)
Chair - Riana Pfefferkorn, Associate Director of Surveillance and Cybersecurity, Center for Internet and Society at Stanford Law School

Technical Track (LHH Room 101)
Chair - Kate Starbird, Associate Professor, Human Centered Design and Engineering, University of Washington; Visiting Associate Professor, Cyber Policy Center, Stanford

3:30-3:45Break
3:45-4:30Summary presentations from track leads
4:30-5:00Discussion on next steps, potential collaborations, and moving forward

 

Stanford, CA

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In the honor of publication of Larry Diamond's "Ill Winds: Saving Democracy from Russian Rage, Chinese Ambition, and American Complacency" Foreign Affairs are providing past the paywall article "Democracy Demotion: How the Freedom Agenda Fell Apart" by Larry Diamond. Read here


 

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A new study by Stanford economists shows that giving fathers flexibility to take time off work in the months after their children are born improves the postpartum health and mental well-being of mothers.

In the study, slated for release by the National Bureau of Economic Research on June 3, Petra Persson and Maya Rossin-Slater examined the effects of a reform in Sweden that introduced more flexibility into the parental leave system. The 2012 law removed a prior restriction preventing a child’s mother and father from taking paid leave at the same time. And it allowed fathers to use up to 30 days of paid leave on an intermittent basis within a year of their child’s birth while the mothers were still on leave.

The policy change resulted in some clear benefits toward the mother’s health, including reductions in childbirth-related complications and postpartum anxiety, according to their empirical analysis.

“A lot of the discussion around how to support mothers is about mothers being able to take leave, but we often don’t think about the other part of the equation — fathers,” says Rossin-Slater, an assistant professor of health research and policy.

“Our study underscores that the father’s presence in the household shortly after childbirth can have important consequences for the new mother's physical and mental health,” says Persson, an assistant professor of economics.

Rossin-Slater and Persson are both faculty fellows at the Stanford Institute for Economic Policy Research.

Among their main findings of effects following the reform: Mothers are 14 percent less likely to need a specialist or be admitted to a hospital for childbirth-related complications — such as mastitis or other infections — within the first six months of childbirth. And they are 11 percent less likely to get an antibiotic prescription within that first half-year of their baby’s life.

There is also an overall 26 percent drop in the likelihood of any anti-anxiety prescriptions during that six-month postpartum period — with reductions in prescriptions being most pronounced during the first three months after childbirth.

What’s more, the study found that the average new father used paid leave for only a few days following the reform — far less than the maximum 30 days allowed — indicating how strong of a difference a couple of days of extra support for the mother could make.

“The key here is that families are granted the flexibility to decide, on a day-to-day basis, exactly when to have the dad stay home,” said Persson. “If, for example, the mom gets early symptoms of mastitis while breastfeeding, the dad can take one or two days off from work so that the mom can rest, which may avoid complications from the infection or the need for antibiotics.”

These indirect benefits from giving fathers workplace flexibility are not trivial matters when you consider the health issues mothers often face after childbirth and after they get home from the hospital, says Rossin-Slater, who is also a faculty member of Stanford Health Policy.

Infections and childbirth complications lead to one out of 100 women getting readmitted to the hospital within 30 days in the United States, according to the study.

Meanwhile, postpartum depression occurs for about one out of nine women, and maternal mortality has also been a rising trend over the past 25 years in the U.S.

The study comes as a growing number of lawmakers in the United States vocalize support for paid family leave but have failed to pass federal legislation.

Washington, D.C., and six states have adopted various paid family leave laws, but the U.S. remains the only industrialized nation in the world that does not have a national mandate guaranteeing a certain amount of paid parental leave.

Some federal lawmakers are working on family leave measures and have proposed such legislation over the past few years — including The Family Act, The New Parents Act — but none of them have ever gained enough traction to proceed in Congress.

This new study can help broaden the policy discussions, the researchers say.

The larger context around paid family leave policies is often framed today as a way to help narrow the gender wage gap by giving women more workplace flexibility and fewer career setbacks.

This study, however, shines a light on maternal health costs and how a policy on paid family leave — that includes workplace flexibility for the father — offers more benefits than previously thought, Rossin-Slater says.

“It's important to think not only about giving families access to some leave, but also about letting them have agency over how they use it,” she says.

And when it comes to concerns that fathers might use paid parental leave to goof off instead of spending the time as intended, the researchers say their study should assuage those worries.

“It's not like fathers are going to end up using a whole month to just stay home and watch TV. We don't find any evidence of that,” Rossin-Slater says. “Instead they only use a limited number of days precisely when the timing for that seems most beneficial for the family.”

“For all these reasons,” Persson says, “giving households flexibility in how to use paternity leave makes a lot of sense.”

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