Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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joan donovan and emily dreyfuss headshots with book cover Meme wars

Join the Program on Democracy and the Internet (PDI) and moderator Nate Persily, in conversation with Dr. Joan Donovan, Research Director of the Shorenstein Center on Media, Politics and Public Policy, and Emily Dreyfuss, a journalist who covers the impact of technology on society, with a focus on social media and information systems.

Memes have long been dismissed as inside jokes with no political importance. Nothing could be further from the truth. Memes are bedrock to the strategy of conspiracists such as Alex Jones, provocateurs like Milo Yiannopoulos, white nationalists like Nick Fuentes, and tacticians like Roger Stone. While the media and most politicians struggle to harness the organizing power of the internet, the “redpill right” weaponizes memes, pushing conspiracy theories and disinformation into the mainstream to drag people down the rabbit hole. These meme wars stir strong emotions, deepen partisanship, and get people off their keyboards and into the streets--and the steps of the US Capitol.  Meme Wars is the first major account of how “Stop the Steal” went from online to real life, from the wires to the weeds. Leading media expert Joan Donovan, PhD, veteran tech journalist Emily Dreyfuss, and cultural ethnographer Brian Friedberg pull back the curtain on the digital war rooms in which a vast collection of antiesablishmentarians bond over hatred of liberal government and media. Together as a motley reactionary army, they use memes and social media to seek out new recruits, spread ideologies, and remake America according to their desires.

This session is part of the Fall Seminar Series, a months-long series designed to bring researchers, policy makers, scholars and industry professionals together to share research, findings and trends in the cyber policy space. Both in-person and virtual attendance is available; registration is required.

Dr. Joan Donovan is the Research Director of the Shorenstein Center on Media, Politics and Public Policy. Dr. Donovan leads the field in examining internet and technology studies, online extremism, media manipulation, and disinformation campaigns.

Dr. Donovan leads The Technology and Social Change Project (TaSC). TaSC explores how media manipulation is a means to control public conversation, derail democracy, and disrupt society. TaSC conducts research, develops methods, and facilitates workshops for journalists, policy makers, technologists, and civil society organizations on how to detect, document, and debunk media manipulation campaigns.

Emily Dreyfuss is a journalist who covers the impact of technology on society, with a focus on social media and information systems. She is the senior editor of the Technology and Social Change (TaSC) team and the co-lead of the Harvard Shorenstein Center News Leaders summit. Emily got her start in journalism as a local newspaper reporter, then as an editor at an alt-weekly, before entering the tech reporting fray as an editor at CNET. She was a senior writer and editor at WIRED for many years and most recently helped launch the tech news site Protocol. As a 2017-2018 Harvard Nieman Berkman Klein fellow, Emily studied ephemerality and the internet. She is interested in how technology accelerates change.

Nathaniel Persily
Joan Donovan Substack
Emily Dreyfuss
Seminars
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joshua tucker headshot for echo chambers, rabbit holes and algorithmic bias seminar

Join the Program on Democracy and the Internet (PDI) and moderator Nate Persily, for the next seminar in the Fall Seminar SeriesEcho Chambers, Rabbit Holes, and Algorithmic Bias: How YouTube Recommends Content to Real Users with Joshua Tucker, Professor of Politics, Director of the Jordan Center for the Advanced Study of Russia, Co-Director of New York University's Center for Social Media and Politics(CSMaP), Affiliated Professor of Russian and Slavic Studies, and Affiliated Professor of Data Science.

To what extent does the YouTube recommendation algorithm push users into echo chambers, ideologically biased content, or rabbit holes? Despite growing popular concern, recent work suggests that the recommendation algorithm is not pushing users into these echo chambers. However, existing research relies heavily on the use of anonymous data collection that does not account for the personalized nature of the recommendation algorithm. We asked a sample of real users to install a browser extension that downloaded the list of videos they were recommended. We instructed these users to start on an assigned video and then click through 20 sets of recommendations, capturing what they were being shown in real time as they used the platform logged into their real accounts. Using a novel method to estimate the ideology of a YouTube video, we demonstrate that the YouTube recommendation algorithm does, in fact, push real users into mild ideological echo chambers where, by the end of the data collection task, liberals and conservatives received different distributions of recommendations from each other, though this difference is small. While we find evidence that this difference increases the longer the user followed the recommendation algorithm, we do not find evidence that many go down `rabbit holes' that lead them to ideologically extreme content. Finally, we find that YouTube pushes all users, regardless of ideology, towards moderately conservative and an increasingly narrow range of ideological content the longer they follow YouTube's recommendations.

This session is part of the Fall Seminar Series, a months-long series from the Program on Democracy and the Internet, designed to bring researchers, policy makers, scholars and industry professionals together to share research, findings and trends in the cyber policy space. Both in-person and virtual attendance is available; registration is required. Lunch will be provided for in-person attendees. 

About the Speaker:

Joshua A. Tucker is Professor of Politics, an affiliated Professor of Russian and Slavic Studies, and an affiliated Professor of Data Science at New York University.  He is the Director of NYU’s Jordan Center for Advanced Study of Russia. He is one of the co-founders and co-Directors of the NYU  Center for Social Media and Politics (CSMaP) and the Social Media and Political Participation (SMaPP) laboratory. 

Nathaniel Persily
Joshua Tucker NYU
Seminars
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tim hwang headshot with text microeconomics of disinformation over the top

Join the Program on Democracy and the Internet (PDI) and moderator Nate Persily, in conversation with Tim Hwang, General Counsel of Substack, for a look at how microeconomics and disinformation are connected. Despite the tendency to wildly speculate on the future of disinformation and next-generation psychological operations, the vast majority of propagandists are rank pragmatists. How might microeconomic principles help us understand how disinformation campaigns are actually organized, and the kinds of tactics they are likely to deploy going into the future? This session will explore some early research exploring the small but critical incentives that shape tactical decisionmaking around disinformation efforts, and how such a framework might be used to ground threat modeling going forwards. 

This session is part of the Fall Seminar Series, a months-long series designed to bring researchers, policy makers, scholars and industry professionals together to share research, findings and trends in the cyber policy space. Both in-person and virutal attendance is available; registration is required.

About the Speaker:

Tim Hwang is a writer and researcher, currently the general counsel at Substack. He’s the author of Subprime Attention Crisis, a book about the online advertising bubble. He’s a research fellow at the Center for Security and Emerging Technology, is on the board of Meedan, and is an investor in Temescal Brewing. Previous work includes serving as the director of the Harvard-MIT Ethics and Governance of AI Initiative, $27M philanthropic fund and research effort working to advance the development of machine learning in the public interest. He also was the global public policy lead for artificial intelligence and machine learning at Google.

Nathaniel Persily
Tim Hwang Substack
Seminars
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Register: bit.ly/3UHwDTF

Co-sponsored by Peking University and the Asia Health Policy Program

Time cost of healthcare is important but is largely overlooked in the literature. This paper investigates how time cost affects the healthcare usage in both China and the US. Using the retirement age policy in both countries, we first employ a Regression Discontinuity Design (RDD) and show that the hospitalization rate persistently increases by 20-30 percent just after retirement age. The effects are larger and more significant among the people with higher time costs prior to retirement. Then, we use the school starting date and provide further significant evidence of the impact of time cost on hospitalization among the age-eligible children. These results underline the remarkable impact of time cost on healthcare usage and provide a more comprehensive picture of moral hazard in health insurance.

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Wei Huang 102022
Dr HUANG Wei is an Associate Professor at the National School of Development (NSD), Peking University. Previously, he was an assistant professor at Emory University and National University of Singapore. He received his Ph.D. in economics from Harvard in 2016. His research fields include public economics, labor economics, and health economics. His research work has been published in journals such as Review of Economic and Statistics, American Economic Journal: Applied Economics, Nature, Journal of Economic Perspectives, Journal of Development Economics, Journal of Labor Economics, etc. He is a co-editor for Economics of Transition.

Jianan Yang

Via Zoom Webinar.

Wei Huang Associate Professor, the National School of Development (NSD), Peking University
Seminars

Encina Commons,
615 Crothers Way Room 117,
Stanford, CA 94305-6006

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Assistant Professor, Health Policy
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PhD

Fernando Alarid-Escudero, Ph.D., is an Assistant Professor of Health Policy at Stanford University School of Medicine. He obtained his Ph.D. in Health Decision Sciences from the University of Minnesota School of Public Health, and was an Assistant Professor at the Center for Research and Teaching in Economics (CIDE) Región Centro, Aguascalientes, Mexico, from 2018 to 2022, prior to coming to Stanford. His research focuses on developing statistical and decision-analytic models to identify optimal prevention, control, and treatment policies to address a wide range of public health problems and develops novel methods to quantify the value of future research. Dr. Alarid-Escudero is part of the Cancer Intervention and Surveillance Modeling Network (CISNET), a consortium of NCI-sponsored investigators that includes modeling to improve our understanding of the impact of cancer control interventions (e.g., prevention, screening, and treatment) on population trends in incidence and mortality. Dr. Alarid-Escudero co-founded the Stanford-CIDE Coronavirus Simulation Modeling (SC-COSMO) workgroup. He also co-founded the Decision Analysis in R for Technologies in Health (DARTH) workgroup and the Collaborative Network on Value of Information (ConVOI), international and multi-institutional collaborative efforts where we develop transparent and open-source solutions to implement decision analysis and quantify the value of potential future investigation for health policy analysis. He received a BSc in Biomedical Engineering from the Metropolitan Autonomous University in Iztapalapa (UAM-I), and a Master’s in Economics from CIDE, both in Mexico.

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Reshmaan Hussam, Harvard Business School

Negative Behavioral Transmission

Behavior change programs, including much of early education curricula, assume the positive transmission of behavior from one context to another. We randomize a hand hygiene edutain- ment program in schools in Bangladesh to trace school-to-home transmission of handwashing behavior and randomize the proportion of students who receive handwashing resources at home to track home-to-school transmission. We find that children induced to wash more at home exhibit less washing at school. Likewise, children induced to wash more at school wash less at home. This negative transmission spills over to other household members and non-school days, such that the cumulative impact of school edutainment on total washing is negative. Our results are consistent with the mechanisms of crowd-out, cue-based habit formation, and ‘reverse’ vertical transmission of behavior. They highlight an unintended consequence of behavior change interventions, like those often implemented in education, that presume complementarities in behavior across contexts but evaluate effects only at the site of intervening. 

Reshma Hussam, PhD, is an assistant professor of business administration in the Business, Government and International Economy Unit at Harvard Business School, a Faculty Research Fellow at the National Bureau of Economic Research (NBER), and a faculty affiliate at the Abdul Latif Jameel Poverty Action Lab (J-PAL) and the Bureau for Research and Economic Analysis of Development (BREAD).

Her research explores questions at the intersection of development and behavioral economics, with research in three areas: migration, health, and finance.  Her most recent work engages refugee populations including the Rohingya in Bangladesh, examining the psychosocial value of employment in contexts of mass unemployment, the role of home in migration decisionmaking, and refugee preferences for repatriation, integration, and resettlement. In her work in health, which involves field experiments across South Asia, she considers the puzzle of the ubiquitously low adoption of low cost, high return goods, behaviors, and technologies in the developing world, exploring the role of learning and habit formation in behavior change.

Stanford Health Policy

Conference Room 119

615 Crothers Way Encina Commons

Seminars
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Mark Duggan is the Trione Director of SIEPR and the Wayne and Jodi Cooperman Professor of Economics at Stanford University. He received his B.S. and M.S. degrees in Electrical Engineering at M.I.T. in 1992 and 1994, respectively, and his Ph.D. in Economics from Harvard University in 1999. Professor Duggan's research focuses on the health care sector and also on the effects of government expenditure programs such as Social Security, Medicare, and Medicaid on the behavior of individuals and firms.
Mark Duggan

 

 

After registering, you will receive a confirmation email containing information about joining the meeting.

Registration

 

Hybrid Seminar: Lunch will be provided for on-campus participants.
Please register if you plan to attend, both for in-person and via Zoom.

Log in on your computer, or join us in person:
Encina Commons, Room 119
615 Crothers Way
Stanford, CA 94305

Seminars
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Grant Miller is a Core Faculty Member at the Center for Health Policy and the Department of Health Policy. As a health and development economist based at the Stanford School of Medicine, Dr. Miller's overarching focus is research and teaching aimed at developing more effective health improvement strategies for developing countries.
Grant Miller

 

 

After registering, you will receive a confirmation email containing information about joining the meeting.

Registration

 

Hybrid Seminar: Lunch will be provided for on-campus participants.
Please register if you plan to attend, both for in-person and via Zoom.

Log in on your computer, or join us in person:
Encina Commons, Room 119
615 Crothers Way
Stanford, CA 94305

Seminars
1
Asia Health Policy Postdoctoral Fellow, 2022-23
Jianan_Yang.jpg
Ph.D.

Jianan Yang joined the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) as the 2022-2023 Developing Asia Health Policy Postdoctoral Fellow. She recently obtained her Ph.D. in Economics at the University of California San Diego. She holds B.A. in Economics and Mathematics from the Renmin University of China. Her research lies in the intersection of development and health economics and revolves around what drives the sub-optimal healthcare-seeking behaviors in developing countries and how they can be improved by leveraging price or non-price mechanisms.

Yang views health as a fundamental part of human development. People in developing countries usually face additional barriers to accessing healthcare resources because of underqualified providers on the one side, lower income levels, insufficient insurance coverages, and a lack of information on the other side. Because markets in healthcare settings are usually characterized by imperfect competition and government regulations, Yang thinks it is important to evaluate the policies’ impacts on various aspects of the healthcare system. Through understanding the underlying constraints, we can think about how the policy can be designed more efficiently.

Yang’s dissertation studied how patients’ chronic condition drug utilization responds to price reductions in China. By documenting a larger increase in utilization and a meaningful reduction in underuse among the uninsured, the study suggests that the price elasticities would be higher in developing countries and there will be larger welfare benefits from such price reductions resulting from squeezing out the price markups of the pharmaceutical companies due to market power. The finding suggests that cost is a barrier to both drug take-up and adherence, especially among the lower-income population who meanwhile are more likely to not have insurance coverage.

At APARC, Yang further accessed the underlying factors affecting people’s healthcare-seeking behaviors including the role of cost, information, and behavioral bias. She also extended her research agenda to the other sectors of the healthcare system. 

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Jeremy Goldhaber-Fiebert, PhD, is a Professor of Health Policy, a Core Faculty Member at the Center for Health Policy and the Department of Health Policy, and a Faculty Affiliate of the Stanford Center on Longevity and Stanford Center for International Development. His research focuses on complex policy decisions surrounding the prevention and management of increasingly common, chronic diseases and the life course impact of exposure to their risk factors.
Jeremy Goldhaber-Fiebert

 

 

After registering, you will receive a confirmation email containing information about joining the meeting.

Registration

 

Hybrid Seminar: Lunch will be provided for on-campus participants.
Please register if you plan to attend, both for in-person and via Zoom.

Log in on your computer, or join us in person:
Encina Commons, Room 119
615 Crothers Way
Stanford, CA 94305

Seminars
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