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abstract blue image with text Trust and Safety Research Conference
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Join us September 29-30 for two days of cross-professional presentations and conversations designed to push forward research on trust and safety.

Hosted at Stanford University’s Frances. C. Arrillaga Alumni Center, the Trust and Safety Research Conference will convene trust and safety practitioners, people in government and civil society, and academics in fields like computer science, sociology, law, and political science to think deeply about trust and safety issues.

Your ticket gives you access to:

  • Two days of talks, panels, workshops, and breakouts
  • Networking opportunities, including happy hours on September 28, 29 and 30th.
  • Breakfast and lunch on September 29 and 30th.

Early bird tickets are $100 for attendees from academia and civil society and $500 for attendees from industry. Ticket prices go up August 1, 2022. Full refunds or substitutions will be honored until August 15, 2022. After August 15, 2022 no refunds will be allowed.

For questions, please contact us through internetobservatory@stanford.edu

Frances C. Arrillaga Alumni Center
326 Galvez Street
Stanford, CA 94305

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Stanford e-China has been an incredible academic experience from day one.

My journey with the program started with the interview, which was an enjoyable and memorable experience. I was greeted by a warm smile the moment I entered the Zoom room, and Ms. Carey Moncaster showed genuine interest in learning about me as a person. Rather than focusing on my experiences or achievements, she wanted to know more about my personality, interests, and dreams. Ms. Moncaster and the director of SPICE, Dr. Gary Mukai, have remained passionate advisors and generous mentors to many students even after the course, including me. Over the last year and a half, they were always there when I needed advice on how to proceed with a project or wisdom on dealing with a difficult situation.

The sense of community permeated the course itself, which was designed to be highly interactive. The expert speakers gave insightful lectures, followed by long sessions of Q&A. I can still remember my excitement at being able to ask Mr. Roy Ng, our fintech speaker, three questions after his seminar, where he explained how blockchain could help us reach the unbanked. In fact, my current obsession almost perfectly mirrors that topic—exploring how Central Bank Digital Currencies can help facilitate financial inclusion to mitigate inequality. That session made me realize that social entrepreneurship and tech-based solutions will be key players in upholding justice.

The Q&A was also a chance for my cohort to learn from each other. We bonded over our productive, collaborative, and enthusiastic discussions, and many of us stayed in touch after the course. Over the last year and a half, I have grown to be close friends with my fellow honoree, Jason Li. After meeting in person when he visited Shanghai, we decided to co-found a platform to connect students across the globe. Inspired by the diverse community of brilliant students we saw at Stanford e-China, we developed SPOT. The acronym stands for Student Projects Organized Together, and we hope to bring together an international network of passionate youth. We believe that together, we undertake global initiatives that make tangible impacts. Our website is www.spotaproject.com.

It is not every day that a course leaves such a significant impact, continuing to play a role in my life long after its conclusion.

Last but not least, e-China has helped me with my work in social justice. Design Thinking has not only aided in my endeavors with SPOT but also in my other initiatives, including the Law Association for Crimes Across History (LACAH) mock trial, where we put perpetrators of atrocities on the stand (lacah.net). Dora Gan from my e-China cohort is actually a member of our Youth Council! Design Thinkings methodical approach helped us scale up rapidly, and we were recently honored by the EARCOS Global Citizen Grant.

Throughout high school, I have learned a lot from a wide range of outstanding programs. I have also met many other fabulous peers through them. However, it is not every day that a course leaves such a significant impact, continuing to play a role in my life long after its conclusion. Stanford e-China is truly an exceptional experience. I am very thankful to have been a part of the first cohort.

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High School Students in China and the United States Collaborate

Students in SPICE’s China Scholars and Stanford e-China Programs meet in virtual classrooms.
High School Students in China and the United States Collaborate
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The following reflection is a guest post written by Nathan Chan, an alumnus and honoree of the 2021 Stanford e-China Program, which is accepting student applications until September 1, 2022.

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This interview with Oriana Skylar Mastro was originally published by the Center for Advanced China Research.


A little over a year ago, you pointed out in an article in Foreign Affairs that there is “no quick and easy fix” for the United States to ensure Taiwan’s security. How would you assess the United States’ Taiwan policy in the time since you wrote those words? How much progress has Washington made in improving Taiwan’s security picture and our military posture in the region?

Unfortunately, I don’t think we have made much progress in those particular areas. One of the reasons I wrote that article is that I was trying to make the argument that an assessment of US capabilities right now is largely driving Chinese thinking. They are assessing US capabilities and also their own capabilities to achieve certain military goals much more than they are assessing questions of resolve, as I wrote in that article. Chinese strategists are assuming US military intervention. Unfortunately, the Biden administration seems to still be focused on this communication of resolve aspect, and they spend a lot of their time and effort doing things like signing joint declarations about how Taiwan is important or having Biden make statements that lean much more towards strategic clarity, saying they’re going to defend Taiwan. I don’t think this enhances deterrence because this is not the primary factor that Beijing is currently considering when they’re deciding whether or not to attack Taiwan. It’s really about those capabilities.

Under the Biden administration, there’s more consideration of what Taiwan needs to defend itself, but none of that has actually come to fruition to any significant degree. There’s also more consideration about the need for more funding for things like the Pacific Deterrence Initiative, but not much has actually come to fruition on that either. So I think we’re not in any better position than we were when I wrote that article.

It sounds like you feel that the communicative aspect of deterrence doesn’t matter and that it’s only capabilities that matter, but you have also argued in the New York Times that the United States would be “outgunned” in a Taiwan conflict, which you based on tabletop exercises that you’ve been a part of and other assessments. If the United States is really at a military disadvantage in a Taiwan contingency, are US capabilities really the thing that’s deterring China anymore, or is it simply the geographical challenges in conquering the island, which you also talked about? Is the US military factor not really doing the deterrence job anymore?

I see those as the same thing. I say the United States is “outgunned,” and this is more of a balance of forces type of scenario, but the most important thing to keep in mind is, I’m talking about situations under which China initiates the conflict. So if we’re in that scenario, they’re going to find a time and place that is most favorable to them and least favorable to the United States. There are many ways the war could happen that the United States wins. So it’s not the case that China wins every time, but I guess part of my argument is, China is going to try to not fight those wars that they know that they would lose and instead guide the conflict towards areas of success, and one big aspect of that is moving quickly. So the problem with the amphibious assault is, let’s just say it’s completely uncontested, you’re just talking about a couple of hours of moving ships across a narrow strait, that’s not quite so difficult. The issue is if there’s any contestation. And sure, Taiwan is a component of this, but Taiwan doesn’t really have the military means, even with the geography and difficulty of landing stuff. Taiwan has the means to impose some costs on China for the invasion but not to stop the invasion. The real question is whether or not the United States can bring the massive firepower needed in a timely manner while they're trying to conduct that invasion, and a lot of that has to do with the amount of early warning the United States gets, whether or not we can get better at more quickly deploying our assets, things of that sort. So I think the Chinese calculations about how difficult the invasion is going to be are also predicated on how quickly and with what the United States can respond once it becomes apparent that the invasion is underway.

You also talked in the New York Times article about the difficulty of responding given that we have a limited number of air bases that are within refueling range, and of course our forces are dispersed all over the globe. How dire, for lack of a better word, do you think the situation is for the US military? Is this something that we could fix with more aircraft carriers in the region, or is this something that we can only do over a longer time frame? You have mentioned trying to get more basing rights in regional partners; is this something that we really stand a decent chance of addressing in the near term, or is that something that it would just take longer to do?

It’s very dire, and it’s not even just the number of bases. As a crazy hypothetical example, let’s say that the president says tomorrow, Asia is so important that now I’m dedicating all military forces to Asia. There’s no place we could put them! These airfields, for example, can only generate so many sorties, they can only house so many aircraft. It’s not like all of a sudden you can put all these forces forward deployed in Asia.

I don’t want to say that it’s long-term because these things can happen quite quickly when there’s political will on both sides, but it really is a diplomatic problem, it really is about getting the United States more access and more flexible access to the bases we already have, because there are rules, regulations, and restrictions to what we can have certain places, what types of operations we can do. The South Koreans, for example, we have to consult ahead of time, we have all these sorts of things that slow us down, and so we do need more places from which we can operate, and we need more flexibility with our allies and partners in how we operate when the time comes. That is going to be negotiated and that is going to be paved by diplomats.

So when Secretary Blinken says he wants to lead with diplomacy, I’m all for that, but you have to actually put in that work, and I don’t see that work being put in with key countries in the region.

Given that the Biden administration has already been in office for a year and a half, do you feel that’s something that is likely to be turned around, or do you think we’re going to be stuck in neutral for the foreseeable future?

I think the Biden administration is a bit risk averse. There’s a number of very logical reasons for this. They inherited a mess domestically, just like President Obama before, having to dig our way out of economic troubles and with COVID and all these other issues. I’m not an expert on American domestic politics, but my sense is that you always need support for certain policies, and so where are you going to be pushing things forward? Is it going to be on gun reform, or is it going to be on bases in Palau? And you know that because of the hostility of our politics these days, if things aren’t easy and perfect and everything isn’t going the way it’s supposed to go, the opposing party is going to jump down your neck about it. And so I understand the reluctance, the desire to engage with countries that we already have close relationships with and that we already do things with, the easier route of less resistance, versus potentially seriously reconsidering what our force posture should look like in a Taiwan conflict, because then you’re talking about changing your relationship with countries that are not unproblematic, like Vietnam. So I get why they are reluctant. Even with diplomatic initiatives, if they put together an initiative to try to regulate military uses in outer space or in cyber for the first time, what if it failed, what if no one came along with us? Politically, that wouldn’t look good, so I understand why they’re reluctant to try and fail. But I think just in government more generally, we can’t always predict all aspects of things, and we think doing nothing is better than something. But in this competition, we can try smaller-scale stuff, see how it works out, see what happens, and then hopefully experimentation in military strategy becomes more politically viable.

What happens after a Taiwan conflict? A lot of the discussion about a war over Taiwan is predicated on the idea that it’s a vital US interest, but is there a scenario in which Taiwan gets “reunified” but the United States’ network of alliances in Asia remains intact? Or is it an all-or-nothing deal, like a lot of people assume?

It completely depends on how it happens. Let’s say China moves very quickly and the United States is not able to come to Taiwan’s aid in time. That doesn’t really call into question US capability. For example, we have US forces in Japan, we have the forces necessary to defend Japan that are already there, so that’s a different scenario than the United States, with all of its might, waging major naval battles and major air battles and losing. Then, all of a sudden, I think the alliance system is more likely to fall apart because then it becomes clear to countries in Asia that the United States military no longer has the capability to stand up to the Chinese military, so then we see a lot more bandwagoning. So it kind of depends on what the United States’ role is in the actual conflict, and then a lot of it depends on the political decisions the United States makes after the conflict. One of the things I point out, for example, about the economic ramifications of a conflict or whether or not the United States has access to semiconductors and things like that, is that a lot of that depends on the US. We’re going to sanction, we’re going to prevent ourselves from engaging with the new Taiwan as punishment to China for taking Taiwan, that’s my most likely prediction of how the United States, at least politically and economically, is going to respond. We won’t recognize it, and then we’re going to try to lead some very serious decoupling economic sanctions against Beijing, so one of the ramifications of that war could be very serious economically if all of a sudden now we have two blocs and China and the United States don’t trade at all. Alternatively, it could be very minimal, if Europe and the US are like, “well, we didn’t want that to happen, but now it did, so let’s move on,” and we continue a similar economic relationship with Taiwan and China even in spite of that use of force. So whatever the situation is, it’s worse than if we defend Taiwan and win, that much I know for sure, but then in terms of how bad it would be for the United States and our allies and partners, I think that depends on so many of those factors it’s hard to say with 100% certainty what the situation will be.

Could the fear of losing all that credibility in a direct conflict with China over Taiwan create an incentive not to fight or to accept one of the phased invasions you talked about in the Foreign Affairs piece?

Yeah. I mean, that’s actually one of my biggest fears, that China moves quickly and the United States looks at the situation and says, “well, you could send this, but we know it’s not going to be enough.” So actually I think the worst-case scenario is that the United States sends some sort of token force. This is also why I’m very much against the statements Biden is making about strategic clarity, because I think it means that people in the administration are so focused on the rhetorical aspect of credibility that they might think it’s a good idea to send a token force so you can say that you tried, but it didn't work, and in my mind, that’s the worst of both worlds, because again, it might give people the impression that the United States doesn’t have the capability to defend them anymore, and then also China gets to defeat the United States. So in my mind, if the situation is such that we know we cannot win, I’m sorry to say, but I think it’s better that we don’t do anything versus sending some sort of token force to say, oh, well, you know, at least we tried.

But doesn’t the existence of that issue, the possibility that it would be more in our interest not to fight, reinforce the notion that we should have strategic clarity if we want to deter an attack?

Well, no, because again, China is not moving with the expectation that we will not fight. When they make that decision, they have to take a look at what’s going to happen if the United States counters [them], can they still win, so whether or not we do or we don’t in the end, they’re basing it on that worst-case scenario thinking. Of course, if tomorrow the United States said, we won’t defend Taiwan under any circumstances, that would impact Beijing’s calculus. I guess my point is it’s not about not saying anything at all, it’s just that in the 1990s, it used to be the case that if the United States would intervene, China could never win, and so making those clear statements would have really significantly impacted their decision-making, but that’s no longer the case.

You spoke in both those articles about the possibility of China striking US bases at the outset of a conflict. Would that create a risk of NATO allies and other US partners being drawn into the conflict, and if so, would that even be a factor for China?

So the short answer is no, which is really disturbing. I’m here speaking to you in my civilian capacity, and my views do not represent those of the United States Air Force, the Department of Defense, or the US Government. But I was just on military orders out in NATO – and I’m a China expert, so I’m with all of our NATO partners and allies, but I’m not an expert on NATO, and of course, we start talking about Article V, and I’m very curious about this exact question that you have about mutual defense if the United States or a US European presence is attacked. [Article V] very specifically makes reference to US European forward bases, so I asked explicitly if US forces are attacked in Japan, or attacked in Korea, does Article V cover that? It seems like the specification of European bases means no. They wouldn’t give me a direct answer on that. And so then I emailed some European specialists and NATO specialists at Stanford because I thought maybe they know, and they said, no, it’s very vague, you should keep on harassing them about it. So the bottom line is that Europe wants no part of this. It seems to me that the way that the NATO treaty is written, they’re not obligated to do anything, militarily I mean, and I think they’re probably not, and I’ve never heard or seen any situation in which people are considering European military involvement. So I would say no to Europe.

Now, the situation with Asian allies is a bit different. It completely depends. I mean, I have heard people in Japan, for example, Japanese government officials have told me that attacks on US bases wouldn’t necessarily constitute an attack on Japan enough to trigger the clause that allows them self-defense. But we’ve had that understanding for quite some time, I mean, we even fought a whole war in Vietnam and the Japanese wouldn’t let us use Japanese bases for combat reasons during the Vietnam war. If China attacks the United States, you could also say that that creates a lot of disincentives for countries to allow the United States to engage in military operations from their territory if China has already demonstrated the willingness to use military force against those bases. So China will also go to countries and say, “listen, we won’t do anything to you as long as you don’t allow the Americans to operate,” and then that sort of puts the burden on them to make that decision.

When you were talking about that NATO summit, was it government officials you were talking to who weren’t giving you a straight answer about that?

I was there in uniform, so it was all military members.

Once you have Chinese forces on Taiwan, it’s my view that there’s nothing we can do to get them to leave.
Oriana Skylar Mastro

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Maybe a more important question related to that – would a preemptive attack on US bases in Asia have a significant impact on the United States’ willingness to fight and try to win a longer, escalated war, a la Pearl Harbor?

So that’s the thing – just like Pearl Harbor, it’s the same calculus. The United States has significant advantages in a protracted war against China. So China’s making the same calculation that the Japanese made, right? That they can win before those advantages come into play, before the United States can reconstitute its forces, before the United States can flow more forces in the region, even if the United States has the will to do that – because even strategic clarity just says you’re willing to fight, but it doesn't tell you anything about the costs we’re willing to absorb to fight. So they’re making a very similar bet, that they’ll get to Taiwan before that happens. Because once you have Chinese forces on Taiwan, it’s my view that there’s nothing we can do to get them to leave.

So you don’t think we have the military capability to get them off the island or to take any part of the island?

No, I mean, this is – it would have to be a brute force strategy, given the difference in resolve at that point. Then I think we’re kind of toast. That’s why I feel like we have to stop them from the landing.

[On an earlier point,] China would be deterred if they felt like a coalition of all European and Asian allies were going to fight against them.

That’s really what I was asking – would the deterrent effect of that outweigh the advantages of them hitting US bases in Japan?

Oh, yeah, absolutely, so you don’t even need everyone, you just need Japan. If Japan was going to fight militarily with the United States, we win. We win that war every time.

Wow, I didn’t know that – like in the tabletops?

I would just say based on my experience of thinking about planning and forces, that with the United States’ ability for allowing to operate our forces from Japan – we have one airbase, and I forget the numbers, but Japan has thirty, forty airbases – all of a sudden, where we can operate from, our sortie rates, or ability to achieve air superiority is significantly advanced. Japan also has, second to China, the most advanced Navy in the region and one of the most advanced in the world, so if they’re projecting power with their navy into the Taiwan Strait, they can hold them off on their own for a period of time. That definitely gives us enough time to flow what we need.

So it sounds like Japan’s involvement is really the key question, almost.

Yeah, but it’s kind of one of these, like, magic unicorns. Also, if we could all of a sudden not require fuel to conduct military operations…

Is it that unlikely, though? Because Japanese officials have been talking more about how important Taiwan is to Japan’s defense since last year.

No, I mean, even when they make those strong statements and then have meetings with Japanese government officials, I asked them about those strong statements, and often I’m like, are you actually going to do something? They say, well, no, we’re still not going to do anything, but we just want to voice our unhappiness or voice our solidarity with the United States. But it’s not like operationally things are really changing in Japan, in my understanding. I’m not an expert in Japanese domestic politics, but it’s my understanding that this is a bit of a gray area of how it would go.

What are your thoughts about China signing a security cooperation agreement with the Solomon Islands? Are Western concerns about the military consequences of that agreement overblown? Does China’s subsequent attempt to secure a multilateral security agreement with ten more Pacific Island countries suggest that it wants military bases throughout the Pacific?

I think it’s too soon to tell. You know, in my own research about Chinese military strategy, I do argue that there are many aspects of the US approach which they have not emulated to date, not because of lack of capability, but because they feel like those approaches are ineffective. And one of those is a global military presence coupled with forward military intervention as a main tool of promoting your interests. A lot of aspects of how they’ve protected overseas interests to date over the past 25 years have been fundamentally different than how the United States does it. And so I was very interested when that agreement was signed about what the actual details of those [other] agreements were. Is China preparing to engage in high-intensity combat operations from these bases, or are they more logistics hubs, or [are they] for surveillance and reconnaissance against the United States? That would still not be great, but it would be a different operating concept of how a base structure would fit into overall military strategy than what it is for the United States. And so I actually think that we shouldn’t be discouraging China from having overseas bases, because we’re at such an advantage. China is at an advantage only a couple hundred miles from its coast – 2, 3, 400 if we’re generous – but if they go any farther, we destroy-- we would knock them out of the park. So if all of a sudden China wants to start contesting us militarily in other parts of the world, I recognize that that’s uncomfortable from the perspective of a lot of other countries who are there, but my perspective as a military planner is that this is the way that we maintain our military position. China is just so far behind in its ability to project power to the degree that the United States does that this would give us a significant advantage and a significant ability to impose costs on them in the short term. So I’m not particularly concerned about it. If China does start building these bases, it means that it’s significantly shifted its thinking on military strategy, and I think towards a direction in which they’re trying to directly compete with the United States, and my research shows that whenever they try to directly compete with us, we win every time. So I’m not as concerned about that as I am about how they can be pretty entrepreneurial about exploiting US weaknesses or gaps and competing with us less directly.

Headshot of Oriana Skylar Mastro

Oriana Skylar Mastro

Oriana Skylar Mastro is a Center Fellow at FSI and is based at APARC, where her research focuses on Chinese military and security policy, Asia-Pacific security issues, war termination, nuclear dynamics and coercive diplomacy.
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Ukraine Is a Distraction from Taiwan

Getting bogged down in Europe will impede the U.S.’s ability to compete with China in the Pacific.
Ukraine Is a Distraction from Taiwan
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Center Fellow Oriana Skylar Mastro talks to the Center For Advanced China Research about the risk of Chinese attacks on U.S. military bases in Asia at the outset of a Taiwan conflict, the likelihood of Japanese or NATO involvement in a war over Taiwan, the downsides of focusing on communicating resolve to defend Taiwan, whether the United States is “outgunned” by China, and more.

Shorenstein APARC
Stanford University
Encina Hall E337
Stanford, CA 94305-6055

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Kristian has been involved in the Chinese media industry since 1996, when he started his career at Claydon Gescher Associates, a China media-focused law firm and consultancy.

As a founder and managing director of China Media Management Inc, Kristian holds decades of experience building partnerships for international media companies in China and 20 years of bringing Chinese media companies to global film and TV markets in Cannes, Singapore, Hong Kong, Los Angeles, and Austin, TX. He is proficient in Mandarin and has lived in China for more than 25 years, mostly in Beijing.

He is a graduate of both The Ohio State University and the Beijing Languages Institute and was a 2020 Stanford DCI Fellow.

Associate Director, China Program
Associate Director, SCPKU
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As populations age, societies must take into account the nuanced needs of different groups. This is the research domain of Cynthia Chen, who joined the Walter H. Shorenstein Asia-Pacific Research Center as visiting scholar with the Asia Health Policy Program during the 2022 winter and spring quarters. An Assistant Professor at the National University of Singapore (NUS), Chen’s current research focuses on the well-being of older adults, healthcare financing, and the economics of aging. 

Drawing on support from Singapore’s Ministry of Health, Ministry of Education, the U.S. National Institutes of Aging, and the Thai Health Promotion Foundation among others, Chen explores how demographic, economic and social changes affect the burden of care, financing needs, and optimal resource allocation in the future. 

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In a recent talk at APARC, Chen presented findings on gender and socioeconomic differences in aging, exploring the ways in which such society-level characteristics can have major positive and negative effects on the health and well-being of older persons. 

“We must move beyond the archaic old-age dependency ratios and metrics, such as GDP, which neglect many of the critical factors that influence societal function”
Cynthia Chen
Visiting Scholar, Asia Health Policy Program

According to Chen, these effects are interconnected with factors including access to effective health care, support systems that enhance function and restrict dependency, and programs assuring financial security and opportunities for older persons to effectively engage in society. “We must move beyond the archaic old-age dependency ratios and metrics, such as GDP, which neglect many of the critical factors that influence societal function,” Chen argued.

Finding Better Metrics for Aging

Gender and socioeconomic differences affect a country's ability to support its older adult population. Specifically, the longevity risk associated with females' longer life expectancy entails different needs between genders in old age. Chen aims to quantify gender differences in the aging experience of Organization for Economic Co-operation and Development (OECD) countries and compare differences in projections of disability and chronic diseases among future cohorts of older adults, including disparities by educational attainment.

In order to gain a more nuanced perspective on aging data, Chen drew data from The Aging Society Index, composed of established and available social and economic measures. The Index provides a quantitative estimate of the degree to which a society is successfully adapting to demographic transformation.

Much of Chen’s time is spent focusing on how to address gender-specific needs when developing policies and programs for aging societies. Chen cites The Network on an Aging Society, which defines a successfully aging society as “one which provides for the general well-being of older adults, is cohesive with minimal tension between generations and major subgroups, productive with opportunities for engagement both within and outside the workforce, and is equitable and secure.” Such society-level characteristics are necessary to understand the difference between successful and unsuccessful policies. 

Chen identifies systemic gender differences across critical domains of successful social aging that favor males. Thus, Chen argues, for many wealth or income-based measures, such as security, equity and productivity, males experience an advantage, which suggests room for improving women’s standing in paid work, job opportunities, and retirement income. One aspect where women do have an advantage is life expectancy. However, they tend to live longer in poorer health, reflected in a lower well-being score. 

Likewise, the gender disparity in cohesion is significantly driven by differences in co-residence rates, which is attributable to women outliving their spouses. These findings suggest that gender-specific needs should be considered when engineering policies and programs for aging societies. 

Varying Rates of Functional Disabilities 

Gender is not the only society-level characteristic that Chen investigates in her resarch on aging. In a recent study, published in Asian Development Review, Chen and her co-authors, including AHPP Director and FSI Senior Fellow Karen Eggleston, shed light on the dynamic evolution of the health and functional disparities of the future elderly.

“Despite overall increases in educational attainment, all elderly, including those with a college degree, experience an increased burden of functional disability and chronic diseases because of survival to older ages.”
Cynthia Chen
Visiting Scholar, Asia Health Policy Program

In order to understand the differences in aging and its relationship with functional disabilities across multiple societies, Chen looked at data from Korea and Singapore. While the two nations have a similar pace of aging, they differ in the rate of increase in functional disability and chronic diseases. This may be due to many factors, including diet, lifestyle, and cultural differences, Chen suggests. Most notably, older adults with high educational attainment are projected to have a lower prevalence of functional disability and chronic diseases, and consistent across gender in both Korea and Singapore. 

The study employs a new model to compare projections of functional status and disability among future cohorts of older adults, including disparities in disability prevalence by educational attainment. These changes will have important implications for social protection systems, including the financing and delivery of long-term care and health care. The study highlights potential differences in the aging experience by gender and education in each country to inform social and healthcare policy and provides a common platform for international comparison to identify and compare challenges across countries.

Studying aging and effective medical care in late adulthood, especially with an eye for society-level characteristics, is an urgent task. Chen’s research complements the existing literature on life-protection activities, further underscoring the importance of investment in healthy aging and control of chronic disease so that the future elderly may receive appropriate care.

Cynthia Chen

Cynthia Chen

Visiting Scholar, Asia Health Policy Program
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Education Level Will Widen Disparity in Health Outcomes of the Future Elderly Population, New Study Projects

In the first study to compare the progression of educational disparities in disability across two rapidly aging Asian societies, APARC coauthors Cynthia Chen and Karen Eggleston project that from 2015 to 2050, elders with high educational attainment will have a lower prevalence of functional disability and chronic conditions compared to elderly with low educational attainment.
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Strengthening the Frontline: How Primary Health Care Improves Net Value in Chronic Disease Management

Empirical evidence by Karen Eggleston and colleagues suggests that better primary health care management of chronic disease in rural China can reduce spending while contributing to better health.
Strengthening the Frontline: How Primary Health Care Improves Net Value in Chronic Disease Management
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Broadening the existing scholarship on aging and the needs of different societal groups, Cynthia Chen, Visiting Scholar at APARC’s Asia Health Policy Program, presents nuanced and comprehensive aging metrics that account for the critical factors that influence societal function.

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Lauren Sukin
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The Russian nuclear saber-rattling that has accompanied the invasion of Ukraine represents a level of nuclear risk unprecedented since the end of the Cold War. One wonders how global nuclear politics will adapt to these changing circumstances. The ongoing Russia-Ukraine war poses major challenges for several core international institutions and issues, from the upcoming Non-Proliferation Treaty review conference to President Biden’s proposed arms control efforts with Russia and China. Read more at thebulletin.org

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The Russian nuclear saber-rattling that has accompanied the invasion of Ukraine represents a level of nuclear risk unprecedented since the end of the Cold War.

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A vast array of critical new technologies rely on rare earth metals, a group of elements that are difficult to mine because they are so well dispersed in the earth and often contain radioactive elements such as thorium and uranium.

Over the last 20 years, demand for these elements in the U.S. has increased while domestic supply and production have fallen off. And globally, the supply chain is tightly controlled by just a few countries.

To explore the significant challenges created by this imbalanced supply chain, Gorakh Pawar, a visiting scholar at CISAC, and CISAC Co-Director Rod Ewing edited “Rare Earth Elements in Material Science,” a special theme issue of the MRS Bulletin, a journal of the Materials Research Society.

“With China's rapid rise and the reemergence of Russia as a major power, the global stage is set for multipolar competition to secure the critical materials supply chains and control the rare earth elements (REE) derived high-end products and relevant technologies,” Ewing and Pawar write in the introduction to the issue.

The issue includes six articles that delve into the material science aspects of the rare earth elements supply chain. Researchers from Australia, Germany, Korea and the US contributed articles on mineralogy, separation and extraction, mining economics and the environmental impact of rare earth element mining.

“REE recycling is no longer just a choice, but it has become necessary in a world where resources are constrained,” Pawar and Ewing write.

The MRS Bulletin includes recommendations that the US and other countries can follow to reduce dependence on China for rare earth elements.

The March issue of the MRS Bulletin can be found here

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A vast array of critical new technologies rely on rare earth metals, a group of elements that are difficult to mine because they are so well dispersed in the earth and often contain radioactive elements such as thorium and uranium.

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In my line of work, you have to have a long memory. Periods of success in negotiations are followed by droughts, because of politics, military upheaval, arms buildups—yes, sometimes the weapons have to be built before they can be reduced—or a sense of complacency: “We have arms control treaties in place; let’s just focus on implementing them.” In those cases, new thinking and new negotiations may slow or even stop. Yet, the national security interest of the United States continues to drive the necessity for nuclear arms control.
Read the rest at The Foreign Service Journal

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An accomplished negotiator puts nuclear arms control in perspective—what it has achieved, where it has failed and what it can do for our future security.

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Rose Gottemoeller
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A recent study has found small modular reactors (SMRs) may actually produce more radioactive waste than larger conventional nuclear power reactors has drawn reaction from vendors and supporters of SMRs.

Small modular reactors are often described as nuclear energy’s future. Nuclear power can generate electricity with limited greenhouse gas emissions, but large reactor plants are expensive, and they also create radioactive waste that pose a threat to people and the environment for hundreds of thousands of years. In an attempt to address this challenge, the nuclear industry is developing smaller reactors that industry analysts say will be cheaper, safer and yield less radioactive waste than the larger ones.

The study on SMRs noted above was conducted by Lindsay Krall, lead author and a former MacArthur Postdoctoral Fellow at the Center for International Security and Cooperation (CISAC), and co-authors Allison Macfarlane, professor and director of the School of Public Policy and Global Affairs at the University of British Columbia, and Rodney Ewing, the Frank Stanton Professor in Nuclear Security at Stanford and co-director of CISAC.

Summing up their findings, Krall wrote in the study, “Our results show that most small modular reactor (SMR) designs will actually increase the volume of nuclear waste in need of management and disposal, by factors of 2 to 30 per unit of energy generated for the reactors in our case study. These findings stand in sharp contrast to the cost and waste reduction benefits that advocates have claimed for advanced nuclear technologies.”

In a recent interview, Krall, Macfarlane and Ewing elaborated on the fuller context of and industry reaction to their study:

What have you learned from publishing this research?

Lindsay Krall: I would like to emphasize the positive responses to this article, particularly among experts in Europe’s nuclear waste management and disposal community, who found the results surprising and very important. It appears that the article has swiftly brought the discussion of SMR waste issues (or lack thereof) to the forefront and attracted the attention of decision- and policy-makers in certain European countries. This makes me hopeful that the results of this study and follow-up research will have a real-world impact and improve the viability of nuclear energy, at least in Europe.

Nevertheless, it is also apparent that the scarcity of practical expertise in nuclear waste management in the U.S., exacerbated by the 12 year-long absence of a waste management and disposal strategy, may make it difficult for the results of the study to reach policy- and decision-makers here.

Did your research involve contacting NuScale for information or clarifications regarding NuScale fuel burnup. If yes or no, please describe why?

Lindsay Krall: As part of the background research to the study, I attended advanced nuclear events around Washington, D.C., where I discussed the study with vendors, NGOs, university researchers, national laboratories, and the Nuclear Regulatory Commission (NRC). The reactor certification application that NuScale had already submitted to the NRC contained much of the information needed to estimate and characterize the waste streams for their reactor, with the exception of the fuel burnup, which was redacted.  In an attempt to obtain the fuel burnup, I filed a Freedom of Information Act request with the NRC, but the burnup was not released. Therefore, I calculated the burnup as described in the appendix that was published with the article.

Why was the 160 MWth NuScale iPWR design chosen for study?

Lindsay Krall: The design certification application submitted to and reviewed by the NRC provided a comprehensive, high quality dataset for the iPWR analysis. In general, the analysis aimed to assess SMR designs that are undergoing or have undergone the regulatory approval process, rather than hypothetical future SMR designs that might be achievable provided significant technical or policy breakthroughs. Although the industry tends to market the benefits of SMRs around the latter “ideal” designs, these are not as “technologically ready” as the certified designs. Therefore, SMR vendors have levied some unfair criticism against this study, because the article and its accompanying appendix clearly state our preference for NRC-reviewed designs.

Please describe the challenges of completing your analysis in light of the lack of access to relevant design specifications?

Allison Macfarlane: It’s essential that quantitative analyses of waste production and management for new reactor designs be completed.  Our paper was an attempt to do so in an open way, to provide the beginning of the discussion of this issue.  Availability of quality data to do such analyses, especially by independent academic researchers, such as ourselves, will improve public confidence in small modular reactors.

What is your response to NuScale’s claim that its 250-MWt design does not produce more spent nuclear fuel than the small quantities typically observed in the existing light-water reactor fleet?

Rod Ewing: The fundamental point is that the information on the design and operational parameters for the 250MWth have not yet been submitted to the Nuclear Regulatory Commission. Our understanding is that the application will be submitted in December of this year. When the required data are available, then it will be possible to do the analysis.

What responsibility do the vendors, who are proposing and receiving federal support to develop advanced reactors, have in addressing concerns about the waste and conducting research that can be reviewed in open literature settings?

Allison Macfarlane: Vendors should have first-hand knowledge of all issues associated with their reactor designs.  These include waste production, of course (and all wastes – low-, intermediate-, and high-level), as well as fuel supply issues, supply chain issues, awareness of security challenges, and proliferation hazards (one assumes they understand safety issues already).  Many of these designers are early in their progress towards one day making their reactors a reality and so, perhaps, the blanks will be filled.  It will be important to do so transparently and in dialogue with other experts and the public to ensure public support of this technology.

What were your most significant findings in this research that people and the nuclear industry should be aware of?

Rod Ewing: The most important point of our paper is that with different reactor designs with new and more complex fuels and coolants, there will be an impact on the approaches that are required for the safe, final disposal of fuels and activated materials. Of particular significance is that at this time the United States has no long-term strategy for dealing with its highly radioactive waste streams, even from its present reactor fleet.

What have you learned from the reaction to this paper?

Rod Ewing: That many of the negative comments have been misplaced in that our paper has been taken as being anti-nuclear. Our paper had a simple purpose, that is to understand the implications of SMRs for the back-end of the nuclear fuel cycle, particularly for the permanent and safe disposal of nuclear wastes from SMRs. Although the question is a reasonable and an obvious question to ask, I now understand that it was an unwelcomed question to pose. We have been criticized for not seeing and acknowledging the bigger picture – the role of nuclear power in reducing greenhouse gas emissions – and instead focusing only on the nuclear waste issue. I see no reason why a paper about nuclear waste and disposal should also be a cheerleader for nuclear power. These are really two separate issues.

Another surprise was the lack of a technical response. Letters were written to the editor of the Proceedings of the National Academy of Sciences (which published the study), but these letters were not copied to the authors. Letters appeared on the web, but were not copied to the authors. This was a public relations response not a technical, scientific response. Public relations may win the day, but I do not think that this builds public confidence in nuclear power. The public has to see that important issues are discussed openly and in a way that converges on solutions rather than polarized positions.

There was one important, bright spot during the past week. Jose Reyes (chief technology officer and co-founder) of NuScale published his letter to the editor of PNAS in the Nuclear Newswire of the American Nuclear Society. We prepared a response to Dr. Reyes and submitted it to Nuclear Newswire, and it was accepted and published promptly on June 13.  This effort to foster discussion certainly reflects well on the American Nuclear Society.

Any other points?

Allison Macfarlane: I would like to emphasize a point Lindsay Krall made: no country has an operating geologic repository for spent nuclear fuel yet.  A few countries are moving in that direction, but the U.S. has fallen to the back of the pack in this regard.  The U.S. is at a stalemate with regards to developing a deep geologic repository for high-level nuclear waste and is largely uninterested in solving this problem.  Since a waste issue essentially brought us the climate catastrophe, is it responsible to ignore the waste problem from another energy source?

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A recent study has found small modular reactors (SMRs) may actually produce more radioactive waste than larger conventional nuclear power reactors has drawn reaction from vendors and supporters of SMRs. In a recent interview, Lindsay Krall, Allison Macfarlane and Rod Ewing elaborated on the fuller context of and industry reaction to their study.

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