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11. Japan's Global Health Policy

Author:
Katherine E. Bliss, Haruko Sugiyama, Ayaka Yamaguchi, and Hiromi Murakami
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Recent years have seen a considerable shift in the sources of financial assistance for global health activities. With the private sector as well as emerging economies joining the more developed nations as major players, the balance of power is changing, leading to a momentous shift in perceptions of “global health.” Japan has yet to adopt a comprehensive approach that acknowledges the new global health reality. With political changes, natural disasters, and a sluggish economy dominating the policy scene in recent years, there has been little appetite among decision-makers to develop—in a practical sense—more effective ways to strategically support global health activities in facilitating a greater impact of Japan's foreign policy. Japan must develop a comprehensive perspective of global health in order to maximize aid effectiveness and to promote transparency in order to boost the overall effectiveness of the country's initiatives and benefit the people of Japan, as well.
Topic:
Foreign Policy, Development, Emerging Markets, Globalization, Health, and Health Care Policy
Political Geography:
Japan and Israel

12. The Real Problem in U.S.-Israeli Relations

Author:
Dov Waxman
Publication Date:
03-2012
Content Type:
Journal Article
Journal:
The Washington Quarterly
Institution:
Center for Strategic and International Studies
Abstract:
Of all the foreign relationships of the United States, perhaps none is as closely watched and incessantly scrutinized as its relationship with Israel. Like a couple in counseling, U.S.—Israeli relations are the subject of endless analysis. Both supporters and critics are forever on the lookout for the slightest signs of tension or unease, with the former anguishing over them, and the latter celebrating. While there was little to pay attention to during the years of the Bush administration, given its tight and largely uncritical embrace of Israel, the tenure of the Obama administration has provided ample opportunities for U.S.—Israel watchers to speculate on the troubles between Washington and Benjamin Netanyahu's government. By now, the nature of this debate is entirely predictable_on one side are those who decry President Obama's alleged failure to resolutely support Israel,and on the other are those who defend the president's pro-Israeli record.
Political Geography:
United States, Washington, and Israel

13. U.S.-China Parallel Development Assistance Goals

Author:
Xiaoqing Lu Boynton and Conor M. Savoy
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As China's economy expanded in recent decades, there has been a corresponding rise in the amount of foreign assistance it offers to the developing world. In particular, China increased aid to countries in Africa, Latin America, and Southeast Asia. Some of China's methods and objectives are controversial with the international aid community. Critics accuse China of frequently following a “mercantilist” strategy in using aid and loans in order to secure natural resources such as oil and raw materials. One commentator went so far as to describe Chinese aid as “rogue aid,” because it is driven by self-interest and not what is best for the developing world.1In remarks widely interpreted as aimed at China, Secretary of State Hillary Clinton recently warned countries to be “wary of donors who are more interested in extracting your resources than in building your capacity.”2Added to these feelings, China treats the methodology of its aid as a competitive asset and has sought to distance itself from international efforts at creating a cooperative framework for foreign assistance. In spite of this, since the second term of the Bush administration, the United States has sought to engage with China on international development. This includes high-level meetings be-tween the heads of China's foreign aid bureaucracy and the U.S. Agency for International Development (USAID), as well as on-the-ground attempts to find common ground on development.
Topic:
Development, Natural Resources, and Foreign Aid
Political Geography:
United States, China, Israel, and Southeast Asia

14. e-Health for Japanese Health Services

Author:
Masanori Akiyama and Ryozo Nagai
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As Japan faces rapid aging, a declining birthrate, widening income disparity, expanding fiscal debt, and remarkable hikes in health care costs, the sustainability of its health care system is at stake. Despite the need to allocate limited medical resources optimally, Japan lacks a common platform for sharing medical data, ideally over the Internet. The potential benefits of health information technology, or health IT, are not well known among patients, practitioners, or policymakers. Electronic patient records are not available from one hospital to another and are isolated from the Internet due to privacy concerns. Clinical practitioners have no remote access to patients' information when away from a particular hospital or clinic. Unique medical data, stored individually in each hospital or clinic, is vulnerable to accidents and natural disasters. The Tohoku disaster demonstrated the absence of a reliable backup for health data, the challenge of data management during an emergency, and the dangers of prescribing drugs with insufficient access to medical records.
Topic:
Demographics, Health, and Science and Technology
Political Geography:
Japan and Israel

15. The U.S.-Japan Alliance: Anchoring Stability in Asia

Author:
Joseph S. Nye and Richard L. Armitage
Publication Date:
08-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
This report on the U.S.-Japan alliance comes at a time of drift in the relationship. As leaders in both the United States and Japan face a myriad of other challenges, the health and welfare of one of the world's most important alliances is endangered. Although the arduous efforts of Assistant Secretary of State Kurt Campbell and his colleagues in both governments have largely kept the alliance stable, today's challenges and opportunities in the region and beyond demand more. Together, we face the re-rise of China and its attendant uncertainties, North Korea with its nuclear capabilities and hostile intentions, and the promise of Asia's dynamism. Elsewhere, there are the many challenges of a globalized world and an increasingly complex security environment. A stronger and more equal alliance is required to adequately address these and other great issues of the day.
Topic:
Security, Foreign Policy, Diplomacy, International Trade and Finance, and Bilateral Relations
Political Geography:
United States, Japan, China, Israel, Asia, and North Korea

16. Lessons for Japan from U.S. Rebalancing of Mental Health Care

Author:
Richard G. Frank
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As of April 2013, the Japanese government will make mental health a fifth national priority for national medical services, along with cancer, stroke, acute myocardial infarction, and diabetes. This change is a result of multiple factors: an aging population; increases in the demand for mental health care services; and a concern about a system that overly emphasizes institutional mental health care. The plan for shaping the future of mental health delivery in Japan is focused on changing the balance of care from institutional services to community - based services. In pursuing this goal the Japanese government has identified four aims for change: create a system of care that differentiates functions according to the intensity of need of patients; assure high - quality care throughout a restructured delivery system; make investments to support community - based services; and expand community education and expand opportunities for patient preferences to drive the delivery system.
Topic:
Health, Governance, and Health Care Policy
Political Geography:
United States and Israel

17. Reordering Chinese Priorities on the Korea Peninsula

Author:
Scott Snyder, Marcus Noland, Bonnie S. Glaser, and Contributor: Stephan Haggard
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The accession to power of a new leader in North Korea has not increased the prospects for denuclearization. Hints that Kim Jong-un might experiment with agricultural and economic reforms are not accompanied by any suggestion that he is considering abandoning the country's nuclear weapons program. On the contrary, all signs point to North Korea's staunch determination to advance the nuclear program while undertaking efforts to compel the international community to recognize it as a nuclear weapons state. Given the growing urgency of the threat posed by North Korea's nuclear weapons development, it is essential to consider new ways to persuade Pyongyang to freeze, reverse, and eventually eliminate its nuclear capabilities
Topic:
Conflict Resolution, Conflict Prevention, Nuclear Weapons, and Weapons of Mass Destruction
Political Geography:
Israel and Korea

18. Asian Defense Spending, 2000–2011

Author:
David J. Berteau, Guy Ben-Ari, Joachim Hofbauer, Priscilla Hermann, and Sneha Raghavan
Publication Date:
10-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Asia is growing in geostrategic importance. Despite the financial crisis that began in 2008, many Asian countries experienced relatively less fiscal distress and increased their level of involvement in global affairs. Indicative of the region's elevated global role is the United States' pivot toward the Asia-Pacific region as outlined in the Strategic Guidance recently released by the Department of Defense. With Asian defense spending projected to overtake that of Europe by the end of 2012, the United States' posture rebalancing toward the Asia-Pacific region is likely to continue.
Topic:
Foreign Policy, Defense Policy, Arms Control and Proliferation, and International Political Economy
Political Geography:
Israel and Asia

19. Israel's National Security Amidst Unrest in the Arab World

Author:
Ephraim Inbar
Publication Date:
07-2012
Content Type:
Journal Article
Journal:
The Washington Quarterly
Institution:
Center for Strategic and International Studies
Abstract:
Despite all the optimism accompanying the uprisings of 2011, the Arab Middle East remains a stagnant region in deep socio—political crisis with little chance for positive change anytime soon. The current regimes may stay in power or get replaced by new dictatorships, moderate or radical. Either way, in the near future, weak states will continue to grapple with domestic problems and the direction of their foreign policies. For good reason, this situation has Israeli leaders worried about the implications for their country's national security. The changing regional balance of power favors Turkey and Iran, both of whom encourage radical elements in the region, not Israel, while the seeming decline in U.S. clout has negatively affected both the Arab—Israeli peace process and Israel's deterrent power.
Political Geography:
United States, Iran, Turkey, Middle East, Israel, and Arabia

20. Shifting Eastern Mediterranean Geometry

Author:
Jon B. Alterman and Haim Malka
Publication Date:
07-2012
Content Type:
Journal Article
Journal:
The Washington Quarterly
Institution:
Center for Strategic and International Studies
Abstract:
The security architecture that the United States helped establish after the Cold War in the Eastern Mediterranean is crumbling. That architecture emphasized two triangular partnerships: U.S.—Turkey—Israel and U.S.—Egypt— Israel. Each had its origin in the Cold War and gained new emphasis afterwards as a cornerstone of U.S. efforts to promote Middle Eastern stability. Yet the evolution of internal politics in Turkey over the last decade, combined with more recent shifts in Egypt, have brought to the fore civilian politicians who are openly critical of such partnerships and who have sidelined the partnerships' military proponents. The demise of these two triangles has profound implications for Israeli security, as well as for the U.S. military and diplomatic role in the Eastern Mediterranean. The changing geometry of U.S. relationships in the Eastern Mediterranean is part of a set of broader trends that make it more difficult for the United States to shape outcomes and set agendas in the region. This change in particular is likely to force the United States to emphasize bilateral relationships and ad hoc direct action in the future, placing a greater demand on ongoing U.S. management than has been the case in the past.
Political Geography:
United States, Turkey, Middle East, Israel, and Egypt