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1. Far-Right Violence and the American Midterm Elections: Early Warning Signs to Monitor Ahead of the Vote

Publication Date:
05-2022
Content Type:
Special Report
Institution:
Armed Conflict Location & Event Data Project (ACLED)
Abstract:
A narrow focus on aggregate trends in political violence can obscure important new patterns and warning signs. While the total number of political violence events in the United States declined in 2021 after far-right groups stormed the Capitol at the start of the year, trends since then reflect an ongoing evolution in anti-democratic mobilization on the right — not the aftermath of its high-water mark. Many of the same far-right groups and networks involved in the Capitol attack have adapted their activity to fit the new environment. These adaptations have manifested in multiple ways: the landscape of actors has become more defined; demonstration engagement has shifted, with a focus on protests that allow for the co-option of new supporters; some actors, like the Proud Boys, have increased their use of violence; armed protests have proliferated, particularly at legislative facilities; contentious counter-demonstration trends have intensified; offline propaganda and vigilantism is on the rise, especially motivated by white supremacy and white nationalism; and preparatory actions have surged, including recruitment drives and training exercises. ACLED data indicate that political violence in the United States, and specifically violence involving far-right militias and militant social movements, typically manifests in peaks and lulls. Against this backdrop, the recent decline in aggregate events should not be taken as a sign that the threat of violence has abated. On the contrary, current trends indicate that it may only represent a relative calm before the next storm. The United States faces many latent risks, and a wide range of factors that can contribute to and elevate these risks — from the ascendance of extremist protest drivers like white supremacy, to the increased rate of armed demonstrations at statehouses, to a rise in militia training and recruitment campaigns — are intensifying. Monitoring these factors, and these groups, will be critical for detecting emerging threats, particularly in the lead-up to potential flashpoint events, such as this year’s midterm elections.
Topic:
Political Violence, Elections, and Far Right
Political Geography:
United States

2. Mental Health Conditions and Substance Use: Comparing U.S. Needs and Treatment Capacity with Those in Other High-Income Countries

Author:
Melinda K. Abrams, Reginald D. Williams II, Katharine Fields, and Roosa Tikkanen
Publication Date:
05-2021
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
About one-quarter of U.S. adults report having a mental health diagnosis such as anxiety or depression or experiencing emotional distress. This is one of the highest rates among 11 high-income countries. While U.S. adults are among the most willing to seek professional help for emotional distress, they are among the most likely to report access or affordability issues. Emotional distress is associated with social and economic needs in all countries. Nearly half of U.S. adults who experience emotional distress report such worries, a higher share than seen in other countries. The United States has some of the worst mental health–related outcomes, including the highest suicide rate and second-highest drug-related death rate. The U.S. has a relatively low supply of mental health workers, particularly psychologists and psychiatrists. Just one-third of U.S. primary care practices have mental health professionals on their team, compared to more than 90 percent in the Netherlands and Sweden.
Topic:
Health, Health Care Policy, Mental Health, Drugs, and Substance Abuse
Political Geography:
United States, Europe, and Global Focus

3. Amidst Anti-COVID Protests, Far-Right Extremists Are Using a New Symbol: An All-Black American Flag

Author:
Grace Vaule
Publication Date:
10-2021
Content Type:
Special Report
Institution:
TRAC: Terrorism Research & Analysis Consortium
Abstract:
Currently, amidst a backdrop of COVID-related vaccine and mask mandates, far-right extremists in the United States are using another symbol: the all-black American flag.
Topic:
Terrorism, Violent Extremism, COVID-19, Political Extremism, and Countering Violent Extremism
Political Geography:
United States

4. Framing Violence: US and Chinese State-Funded News Outlets during the Hong Kong Protests

Author:
Hanmin Kim
Publication Date:
06-2021
Content Type:
Special Report
Institution:
Pacific Forum
Abstract:
State-funded news media outlets and the ways in which they convey the messages of government and government-affiliated officials represent an essential but under-emphasized area of study in the realm of international diplomacy. Through a case study of the Hong Kong protests of 2019, this paper draws on theories from journalism and public diplomacy to analyze articles by state-funded media covering the unrest. This paper argues that the state-funded news outlets of the US and China used the same frame—violence and conflict—but approached the Hong Kong protests differently. Using this frame, state media outlets made themselves channels for government officials during the US-China rivalry, but made different arguments regarding the violence that occurred there. While US government-funded media focused on the violence of the Hong Kong Police Force as a danger to the territory’s democracy, Chinese state media emphasized the violence of the Hong Kong protestors as a danger to national security.
Topic:
Government, Communications, Media, Protests, and Journalism
Political Geography:
United States, China, and Hong Kong

5. A Movement Between Parliamentary Politics and the Pathway to Violence and Terrorism: Germany’s Radical Right Narratives and Counter-narratives

Author:
Maximilian Kreter
Publication Date:
06-2021
Content Type:
Special Report
Institution:
Hedayah
Abstract:
This country report, written by Maximilian Kreter, is one of the outputs of the CARR-Hedayah Radical Right Counter Narratives Project, a year-long project under the STRIVE Global Program at Hedayah funded by the European Union and implemented by the Centre for Analysis of the Radical Right (CARR). The overall project creates one of the first comprehensive online toolkits for practitioners and civil society engaged in radical right extremist counter narrative campaigns. It uses online research to map narratives in nine countries and regions, including Australia, Canada, Germany, Hungary, New Zealand, Norway, Ukraine, United Kingdom, and the United States. It also proposes counter narratives for these countries and regions and advises on how to conduct such campaigns in an effective manner.
Topic:
Civil Society, Far Right, Radical Right, Civil Society Organizations, and Countering Violent Extremism
Political Geography:
United States, United Kingdom, Ukraine, Canada, Norway, Germany, Hungary, Australia, and New Zealand

6. Radical Right Narratives and Norwegian Counter-narratives in the Decade of Utøya and Bærum Solo-actor Attacks

Author:
Mette Wiggen
Publication Date:
05-2021
Content Type:
Special Report
Institution:
Hedayah
Abstract:
This country report, written by Dr. Mette Wiggen, is one of the outputs of the CARR-Hedayah Radical Right Counter Narratives Project, a year-long project under the STRIVE Global Program at Hedayah funded by the European Union and implemented by the Centre for Analysis of the Radical Right (CARR). The overall project creates one of the first comprehensive online toolkits for practitioners and civil society engaged in radical right extremist counter narrative campaigns. It uses online research to map narratives in nine countries and regions, including Australia, Canada, Germany, Hungary, New Zealand, Norway, Ukraine, United Kingdom, and the United States. It also proposes counter narratives for these countries and regions and advises on how to conduct such campaigns in an effective manner.
Topic:
Civil Society, Terrorism, Violent Extremism, Counter-terrorism, Political Extremism, Civil Society Organizations, and Countering Violent Extremism
Political Geography:
United States, United Kingdom, Ukraine, Canada, Norway, Germany, Hungary, Australia, and New Zealand

7. Charting a New Course: Women, Peace and Security, and the Maritime Domain

Author:
Sahana Dharmapuri, Pamela Tansey, and Lexie Van Buskirk
Publication Date:
08-2020
Content Type:
Special Report
Institution:
Our Secure Future
Abstract:
The Women, Peace and Security (WPS) agenda is a transformative policy mandate with a global constituency. It provides policymakers with the tools to end cycles of violent conflict, create more equitable peace processes, and promote gender equality on a global, national, and local scale. Passed in October 2000, United Nations Security Council Resolution 1325 on Women, Peace and Security (UNSCR 1325) underscores women’s agency, voice, and capacities as intrinsic to creating more effective international peace and security policies. Since 2000, more than 80 countries have adopted Women, Peace and Security National Action Plans and other policies to robustly implement the WPS agenda. In 2017, the US Congress adopted the Women, Peace, and Security Act to incorporate the principle of gender equality into US foreign policy. The two main objectives of the WPS agenda are to 1) increase the representation of women in decision-making positions, and 2) to apply a gender perspective to matters of international peace and security.
Topic:
International Relations, Security, Gender Issues, Women, and Peace
Political Geography:
United States and Global Focus

8. Do Americans Face Greater Mental Health and Economic Consequences from COVID-19? Comparing the U.S. with Other High-Income Countries

Author:
Michelle M. Doty, Eric C. Schneider, Roosa Tikkanen, Arnav Shah, and Reginald D. Williams II
Publication Date:
08-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
With more than 4 million confirmed cases and 150,000 deaths as of August, the United States is failing to control the COVID-19 pandemic. At a time when many nations are reopening their economies and societies, the U.S. is struggling in its attempts to do the same. To examine the early impact of the pandemic on the well-being of adults in the U.S. and abroad, the Commonwealth Fund joined the survey research firm SSRS to interview 8,259 adults age 18 and older between March and May 2020. It is the latest in the Commonwealth Fund’s series of cross-national comparisons featuring the United States and nine other high-income countries that participate in the Fund’s annual International Health Policy Survey. The following exhibits illustrate COVID-19’s effects on people’s mental health and economic security and compare levels of public trust in national leaders in responding to the pandemic.
Topic:
Health, Health Care Policy, Mental Health, and Public Health
Political Geography:
United States, Europe, and Global Focus

9. Bundled-Payment Models Around the World: How They Work and What Their Impact Has Been

Author:
Meredith B. Rosenthal, Paul F. van Gils, Caroline A. Baan, Eline F. de Vries, and Jeroen Struijs
Publication Date:
04-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
We identified 23 initiatives in eight countries that have implemented bundled-payment models, focusing on procedures such as total joint replacements and cardiac surgery, as well as chronic conditions like diabetes and breast cancer. Of the 35 studies retrieved, 32 reported effects on quality of care and 32 reported effects on medical spending. Twenty of 32 studies reported modest savings or a modest reduction in spending growth, while two studies (both based on the same initiative) demonstrated increased spending in the early years of the bundled-payment model’s implementation. Eighteen of 32 studies reported quality improvements for most evaluated measures, while other studies showed no difference in measured quality. Our study provides evidence that bundled-payment models have the potential to reduce medical spending growth while having either a positive impact or no impact on quality of care.
Topic:
Economics, Health, Health Care Policy, Income Inequality, Macroeconomics, Coronavirus, and COVID-19
Political Geography:
United States and Global Focus

10. U.S. Health Care from a Global Perspective, 2019: Higher Spending, Worse Outcomes?

Author:
Roosa Tikkanen and Melinda K. Abrams
Publication Date:
01-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
A 2015 Commonwealth Fund brief showed that — before the major provisions of the Affordable Care Act were introduced — the United States had worse outcomes and spent more on health care, largely because of greater use of medical technology and higher prices, compared to other high-income countries. By benchmarking the performance of the U.S. health care system against other countries — and updating with new data as they become available — we can gain important insights into our strengths and weaknesses and help policymakers and delivery system leaders identify areas for improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that uses health data from the Organisation for Economic Co-operation and Development (OECD) to assess U.S. health care system spending, outcomes, risk factors and prevention, utilization, and quality, relative to 10 other high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom. We also compare U.S. performance to that of the OECD average, comprising 36 high-income member countries.
Topic:
Health and Health Care Policy
Political Geography:
United States, Europe, and Global Focus

11. Cartel Presence by State; Jalisco Nueva Generacion Cartel(CJNG) Achieves the Top Spot in the Country-Wide Territorial Campaign, Surpassing Sinaloa Cartel’s Control Throughout Mexico

Author:
Machiko Olivera
Publication Date:
09-2020
Content Type:
Special Report
Institution:
TRAC: Terrorism Research & Analysis Consortium
Abstract:
Despite the fact that the federal government has ordered the deployment of the armed forces in the country to combat drug traffickers, at least nineteen (19) cartels have active operations throughout the country, of which four (4) have a presence in more than ten (10) state – Jalisco Nueva Generación Cartel (CJNG) being the largest.
Topic:
War on Drugs, Violent Extremism, Trafficking, Drugs, and Legal Sector
Political Geography:
United States and Mexico

12. Iran Sanctions: The View From Iran

Publication Date:
01-2020
Content Type:
Special Report
Institution:
World Politics Review
Abstract:
The ballistic missiles that Iran fired at two military bases in Iraq housing American troops could only be the start of Tehran’s retaliation. Many observers worry that more blowback could come in the form of Iran’s favored tactic of asymmetric warfare waged through its proxies, such as Hezbollah in Lebanon and pro-Iranian militias in Iraq. This escalation did not begin with the killing of Soleimani, but in May 2018, when Trump unilaterally took the United States out of the international agreement curbing Iran’s nuclear program, known as the JCPOA, and reimposed crippling sanctions on Iran’s economy. What impact has the U.S. exit from the nuclear deal had in Iran? How has it changed the Iranian regime’s foreign policy calculations? And how have Iranian citizens reacted to Trump’s campaign of “maximum pressure” and more sanctions? This WPR report provides an essential view of events from Iran.
Topic:
Nuclear Weapons, Sanctions, Military Affairs, Nuclear Power, and Denuclearization
Political Geography:
United States, Iraq, and Iran

13. Far, Far More Than Meets the Eye: Extended Deterrence in Complex Crises in Northeast Asia

Author:
Brad Glosserman
Publication Date:
06-2020
Content Type:
Special Report
Institution:
Pacific Forum
Abstract:
The Pacific Forum, with support from the Defense Threat Reduction Agency (DTRA), brought 41 officials and experts from the United States, Japan, and the Republic of Korea (ROK), along with eight Pacific Forum Young Leaders, all attending in their private capacity, to Maui, Hawaii, Sept. 5-6, 2019 to explore the three countries’ thinking about extended deterrence and prospects for and obstacles to strengthened trilateral security cooperation. A two-move tabletop exercise (TTX) was focused on concerted and coordinated efforts by China and North Korea to revise the status quo in Northeast Asia. Key findings include: Despite political difficulties, there was little difference among participants regarding assessments of the situation and dynamics in Northeast Asia. They were generally aligned and this was evident in responses to the TTX: they sought to prevent opportunism, provide off-ramps for adversaries, and didn’t rush to connect the incidents. Official statements notwithstanding, there is rising anxiety in Seoul and Tokyo for a variety of reasons. In the ROK, some concerns focus on the role of nuclear solutions to national security problems. In Japan, the issue is often the US-China balance of power. Tokyo and Seoul remain committed to their alliances with the US, however. Participants acknowledged that conventional strength among allies and the ability to coordinate more seamlessly strengthened extended deterrence.
Topic:
Deterrence
Political Geography:
United States, Japan, Northeast Asia, Korean Peninsula, and Pacific Ocean

14. On the Value of Nuclear Dialogue with China

Author:
David Santoro and Robert Gromoll
Publication Date:
11-2020
Content Type:
Special Report
Institution:
Pacific Forum
Abstract:
This material is based on research sponsored by DTRA and managed by the US Air Force Academy (USAFA), and Pacific Forum International under agreement number FA7000-19-2- 0012. The US Government is authorized to reproduce and distribute reprints for Governmental purposes notwithstanding any copyright notation thereon. The opinions, findings, views, conclusions or recommendations contained herein are those of the authors and should not be interpreted as necessarily representing the official policies or endorsements, either expressed or implied, of the USAFA, DTRA, or the US Government. This paper was written by Dr. David Santoro, Vice President and Director for Nuclear Policy at the Pacific Forum, and Dr. Robert Gromoll, former Director of the Office of Regional Affairs at the US Department of State’s Bureau of International Security and Nonproliferation; Dr. Gromoll is now retired. Both Drs. Santoro and Gromoll participated in numerous dialogue rounds, and Dr. Santoro was a co-organizer. The paper is based primarily on the contents of the dialogue’s written reports, several of which were authored or co-authored by Dr. Santoro. By and large, the paper draws directly from these reports and reviews how the topics addressed in the dialogue were approached and discussed by the US and Chinese sides over time. (A list of these reports is included at the end of the paper; some have been published, others have not.) The paper is also based on the authors’ broader experience in participating in the Track-1.5 dialogue; the conversations they have had with US and Chinese participants on these issues over the years, both during the dialogue and on the margins; and their own personal research. This paper represents the views of the authors and not those of Pacific Forum or the US State Department.
Topic:
Arms Control and Proliferation, International Cooperation, Nuclear Weapons, Treaties and Agreements, Nonproliferation, and Denuclearization
Political Geography:
United States and China

15. Brothers in Arms and Faith? The Emerging US-Central and Eastern Europe ‘Special Relationship’

Author:
Vibeke Schou Tjalve and Minda Holm
Publication Date:
02-2020
Content Type:
Special Report
Institution:
Norwegian Institute of International Affairs
Abstract:
In this policy note, we explore the nature, strength and tensions of the contemporary US-Central Eastern Europe relationship. We describe the expanding US-CEE ‘brotherhood in arms’: growing trade relations, intensified military cooperation, and rekindled diplomatic ties. Further, we unpack the striking and largely ignored dimensions of the US-CEE ‘brotherhood in faith’: the many ways in which the United States and Central and Eastern Europe are tied together by overlapping ideologies of national conservatism and a particular version of Christian ‘family values’. This involves addressing the complexities of an increasingly influential and ambitious Visegrád Group, whose key players – Poland and Hungary – may be brothers, but are by no means twins. It also means raising some broader, burning discussions about the future of NATO and the meaning of ‘Europe’. Universalist, multicultural and postnational? Or conservative, Christian and sovereigntist?
Topic:
Diplomacy, International Cooperation, Conservatism, Alliance, Ideology, Christianity, and Trade Policy
Political Geography:
United States, Eastern Europe, and Central Europe

16. New Britain, Connecticut: A Case Report of Refugees in Towns

Author:
Maha Abdullah, Joy Al-Nemri, Emily Goldman, and Ian James
Publication Date:
12-2019
Content Type:
Special Report
Institution:
Feinstein International Center, Tufts University
Abstract:
New Britain, Connecticut has a long history of immigration. This report focuses on the experiences of newly arrived Arabic-speaking immigrants and refugees from Syria, Iraq, Sudan, Yemen, and Morocco. The Arab population of New Britain has increased faster than other migrant populations over the last eight years, from 161 in 2010 to 733 in 2017. As of December 2018, there were approximately 260 Arabic-speaking families living in New Britain. The services in the city have taken notice and are starting to make changes to meet the needs of New Britain’s Arabic-speaking populations. Educators and employees of nonprofits told us that their organizations are still collecting data about New Britain’s Arabic-speaking community and trying to understand the specific needs of Arabic-speaking immigrants and refugees. Our research focuses on the organizations involved in the resettlement process and individuals’ experiences with the resettlement process. New Britain is a city with a well-documented history of welcoming immigrants, and the ways in which that history is remembered affect how refugees and immigrants adapt today.
Topic:
Migration and Refugees
Political Geography:
United States, Iraq, and Syria

17. U.S.-China Rivalry in the Trump Era

Publication Date:
08-2019
Content Type:
Special Report
Institution:
World Politics Review
Abstract:
Integrating China into the liberal trade order was expected to have a moderating effect on Beijing. Instead, under President Xi Jinping, China has asserted its military control over the South China Sea and cracked down on domestic dissent, all while continuing to use unfair trade practices to boost its economy. As a result, a bipartisan consensus has emerged in Washington that the U.S. must rethink the assumptions underpinning its approach to China’s rise. But President Donald Trump’s confrontational approach, including a costly trade war, is unlikely to prove effective. This report provides a comprehensive look at the military and economic aspects of U.S.-China rivalry in the Trump era.
Topic:
International Trade and Finance, Military Affairs, Trade Wars, and Economic Policy
Political Geography:
United States and China

18. Future Crime: Assessing twenty first century crime prediction

Author:
Katherine Aguirre, Emile Badran, and Robert Muggah
Publication Date:
07-2019
Content Type:
Special Report
Institution:
Igarapé Institute
Abstract:
Cities are where the future happens first. They are hubs of innovation, productivity and experimentation. But many cities also are sites of crime and violence. More than ever, municipal authorities, private firms and civic groups are experimenting with new ways to improve real and perceived safety in cities. In some cities, new technologies are improving the situational awareness of public authorities and citizens. In others, all encompassing surveillance and monitoring systems are challenging fundamental norms of privacy. In most developed cities, high-frequency time series information on insecurity is increasingly available. Literally thousands of gigabytes of raw data are available representing the dynamics and characteristics of crime. New high-power computer analysis is giving rise to a next generation of smart, agile and evidence-informed policing strategies. Predictive platforms in particular can enhance police operations, identifying priority targets for police intervention, and enabling more effective allocation of police resources.
Topic:
Crime, Science and Technology, Basic Data, Violence, Urban, Police, and Cities
Political Geography:
United States, United Kingdom, and Chile

19. What Is the Endgame in Syria?

Publication Date:
10-2019
Content Type:
Special Report
Institution:
World Politics Review
Abstract:
What does victory on President Bashar al-Assad’s brutal terms look like? How has the rise and fall of the Islamic State changed Syria’s political map? How will U.S. President Trump’s decision to withdraw U.S. troops from northeastern Syria and the subsequent Turkish invasion of the area change the situation?And what about reconstruction, let alone reconciliation? This WPR report provides a comprehensive look at those questions and several others that will determine what’s to come in Syria, with impacts far beyond the Middle East.
Topic:
Conflict Resolution, Civil War, Proxy War, and Armed Conflict
Political Geography:
Russia, United States, Turkey, Middle East, and Syria

20. When Islamophobia Turns Violent: The 2016 U.S Presidential Elections

Publication Date:
11-2018
Content Type:
Special Report
Institution:
The Bridge Initiative, Georgetown University
Abstract:
This report highlights trends and patterns surrounding Islamophobia since the start of the 2016 U.S. presidential election cycle. It does so in the broader context of hatred, violence and social hostilities confronting Muslims as a minority faith group in contemporary America and with a particular focus on acts and threats of violence. Since 2015, the Bridge Initiative has been chronicling Islamophobic political rhetoric by each presidential candidate irrespective of his or her party affiliation while finding Republican candidates to be the worst offenders to date. In this publication, however, we aim to contextualize such statements nationally and internationally while also exploring potentially violent effects. To that end, we examined two distinct but overlapping time periods: January 2015 through December 2015 (entire duration of 2015) and March 2015 through March 2016 (2016 presidential election season).
Topic:
Political Violence, Islam, Public Opinion, Elections, Islamophobia, Violence, and Voting
Political Geography:
United States

21. What Is the Status of Women’s Health and Health Care in the U.S. Compared to Ten Other Countries?

Author:
Sara R. Collins, Shanoor Seervai, Roosa Tikkanen, and Munira Z. Gunja
Publication Date:
12-2018
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
Women in the United States have long lagged behind their counterparts in other high-income countries in terms of access to health care and health status. This brief compares U.S. women’s health status, affordability of health plans, and ability to access and utilize care with women in 10 other high-income countries by using international data.
Topic:
Health, Health Care Policy, Women, and Reproductive Health
Political Geography:
United States and Global Focus

22. Defense Nuclear Facilities Safety Board Organizational Assessment

Author:
Michael Dominguez
Publication Date:
11-2018
Content Type:
Special Report
Institution:
The National Academy of Public Administration
Abstract:
Given the current strategic aim of the Department of Defense (DOD) to aggressively update the nation’s nuclear arsenal through DOE-operated defense nuclear facilities, and the aging infrastructure in the DOE’s nuclear complex, the Panel unequivocally concludes that the DNFSB’s safety oversight mission is as important today as it has ever been in its thirty-year history. The Panel, however, finds evidence confirming that the Board has recently underperformed in its essential mission.
Topic:
Defense Policy, Nuclear Weapons, Military Strategy, and Military Affairs
Political Geography:
United States and North America

23. China Maritime Report No. 3: China’s Distant-Ocean Survey Activities: Implications for U.S. National Security

Author:
Ryan D. Martinson and Peter A. Dutton
Publication Date:
11-2018
Content Type:
Special Report
Institution:
China Maritime Studies Institute, U.S. Naval War College
Abstract:
Today, the People’s Republic of China (PRC) is investing in marine scientific research on a massive scale. This investment supports an oceanographic research agenda that is increasingly global in scope. One key indicator of this trend is the expanding operations of China’s oceanographic research fleet. On any given day, 5-10 Chinese “scientific research vessels” (科学考查船) may be found operating beyond Chinese jurisdictional waters, in strategically-important areas of the Indo-Pacific. Overshadowed by the dramatic growth in China’s naval footprint, their presence largely goes unnoticed. Yet the activities of these ships and the scientists and engineers they embark have major implications for U.S. national security. This report explores some of these implications. It seeks to answer basic questions about the out-of-area—or “distant-ocean” (远洋)—operations of China’s oceanographic research fleet. Who is organizing and conducting these operations? Where are they taking place? What do they entail? What are the national drivers animating investment in these activities?
Topic:
Military Strategy, Military Affairs, Geopolitics, Navy, Oceans and Seas, Seapower, Chinese Communist Party (CCP), and People's Republic of China (PRC)
Political Geography:
United States, China, and Asia

24. Echelon Defense: The Role of Sea Power in Chinese Maritime Dispute Strategy

Author:
Ryan D. Martinson
Publication Date:
02-2018
Content Type:
Special Report
Institution:
China Maritime Studies Institute, U.S. Naval War College
Abstract:
On April 10, 2012, two Chinese law-enforcement cutters on joint patrol in the South China Sea received orders to proceed immediately to Scarborough Shoal, a disputed cluster of rocks 140 nautical miles west of Subic Bay, the Philippines. Earlier that day, a Chinese fisherman aboard one of several boats moored in the lagoon had transmitted an alarming message to authorities in his home port in Hainan: “Philippine Navy ship number 15 heading this way.” Ship number 15 was BRP Gregorio del Pilar, an elderly former U.S. Coast Guard (USCG) cutter now serving as a frigate in the Philippine navy. Not long after the first message arrived in Hainan, sailors operating from the ship entered the lagoon and approached the Chinese boats. At this point, the fisherman sent a final message: “They’re boarding.”
Topic:
Military Strategy, Military Affairs, Geopolitics, Navy, Oceans and Seas, Seapower, and Port
Political Geography:
United States, China, and Asia

25. America First: The Past and Future of an Idea

Author:
Melvyn P. Leffler and William Hitchcock
Publication Date:
09-2018
Content Type:
Special Report
Institution:
The Society for Historians of American Foreign Relations (SHAFR)
Abstract:
Like many historians, I was stunned a couple of years ago when Donald Trump started campaigning on the platform of America First. For me, America First was associated with the insularity, isolationism, unilateralism, nativism, anti-Semitism, and appeasement policies that President Franklin D. Roosevelt struggled to overcome in 1940 and 1941. Why, I asked myself, would anyone want to associate himself with that discredited movement, a movement that seemed eviscerated after the attack on Pearl Harbor on December 7, 1941? Did Trump understand or know about that movement?
Topic:
International Relations, Foreign Policy, History, and Diplomatic History
Political Geography:
United States

26. Designing Our Secure Future: Inaugural Convening, Ottawa, Canada

Publication Date:
01-2017
Content Type:
Special Report
Institution:
Our Secure Future
Abstract:
Our Secure Future (OSF) believes that women’s full participation in society makes the crucial difference in achieving more effective governance and lasting peace. OSF aims to strengthen the Women, Peace and Security (WPS) movement by amplifying women’s voices, strengthening the global network of women peacebuilders, and promoting committed action by multiple stakeholders to turn policy into practice. Founded in 2016 with a mission to strengthen the Women, Peace and Security movement to enable effective policy-related decision-making for a more just and peaceful world, we set out to understand how best to achieve our vision of achieving a more peaceful future transformed by women’s full participation. After a series of consultations with multiple stakeholders in the WPS field during the summer and fall of 2016, we found that the issues of developing a shared vision for the Women, Peace and Security agenda and collaborating on common narratives were recurrently named as being critical to making progress in this field. The overwhelming feedback pointed to the nee
Topic:
Foreign Policy, Gender Issues, Women, and WPS
Political Geography:
United States and Global Focus

27. Paying for Prescription Drugs Around the World: Why Is the U.S. an Outlier?

Author:
Shawn Bishop, David Squires, and Dana O. Sarnak
Publication Date:
10-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
arious factors contribute to high per capita drug spending in the U.S. While drug utilization appears to be similar in the U.S. and the nine other countries considered, the prices at which drugs are sold in the U.S. are substantially higher. These price differences appear to at least partly explain current and historical disparities in spending on pharmaceutical drugs. U.S. consumers face particularly high out-of-pocket costs, both because the U.S. has a large uninsured population and because cost-sharing requirements for those with coverage are more burdensome than in other countries. Most Americans support reducing pharmaceutical costs. International experience demonstrates that policies like universal health coverage, insurance benefit design that restricts out-of-pocket spending, and certain price control strategies, like centralized price negotiations, can be effective.
Topic:
Health, Health Care Policy, and Drugs
Political Geography:
United States, Europe, and Global Focus

28. Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers

Publication Date:
09-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
Health care costs are heavily concentrated among people with multiple health problems. Often, these are older adults living with frailty, advanced illness, or other complex conditions. In 2014, the New York–based Commonwealth Fund, a private, independent foundation, established the International Experts Working Group on Patients with Complex Needs through a grant to the London School of Economics and Political Science. The group’s purpose was to outline the prerequisites of a high-performing health care system for “high-need, high-cost” patients and to identify promising international innovations in health care delivery for meeting needs of these patients. Drawing on international experience, quantitative and qualitative evidence, and its members’ collective expertise in policy and program design, implementation, and evaluation, the international working group sought to articulate the principles that underpin high performance for this complex population in health systems around the world.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

29. Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities fo

Author:
Michelle M. Doty, Arnav Shah, David Squires, Dana O. Sarnak, and Eric C. Schneider
Publication Date:
07-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
The U.S. ranked last on performance overall, and ranked last or near last on the Access, Administrative Efficiency, Equity, and Health Care Outcomes domains. The top-ranked countries overall were the U.K., Australia, and the Netherlands. Based on a broad range of indicators, the U.S. health system is an outlier, spending far more but falling short of the performance achieved by other high-income countries. The results suggest the U.S. health care system should look at other countries’ approaches if it wants to achieve an affordable high-performing health care system that serves all Americans.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

30. International Profiles of Health Care Systems

Author:
Elias Mossialos, Ana Djordjevic, Robin Osborn, and Dana O. Sarnak
Publication Date:
05-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
This publication presents overviews of the health care systems of Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States. Each overview covers health insurance, public and private financing, health system organization and governance, health care quality and coordination, disparities, efficiency and integration, use of information technology and evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

31. Danger & Dialogue: American Catholic Public Opinion and Portrayals of Islam

Author:
Jordan Denari Duffner
Publication Date:
09-2016
Content Type:
Special Report
Institution:
The Bridge Initiative, Georgetown University
Abstract:
What do American Catholics think about Islam, Muslims, and interreligious dialogue? And how do Catholic publications portray the faith of Muslims? These are some of the questions addressed in our latest report, “Danger & Dialogue: American Catholic Public Opinion and Portrayals of Islam.”
Topic:
Islam, Religion, Public Opinion, Islamophobia, and Catholic Church
Political Geography:
United States

32. How High-Need Patients Experience the Health Care System in Nine Countries

Author:
Dana O. Sarnak and Jamie Ryan
Publication Date:
01-2016
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
U.S. health care costs are disproportionately concentrated among older adults with multiple chronic conditions or functional limitations—a population often referred to as “high-need” patients. This analysis uses data from the Commonwealth Fund 2014 International Health Policy Survey of Older Adults to investigate health care use, quality, and experiences among high-need patients in nine countries compared with other older adults. High-need patients use a greater amount of health care services and also experience more coordination problems and financial barriers to care compared with other older adults. Disparities are particularly pronounced in the United States. The comparative success of other countries, particularly in reducing financial barriers to care, may be a product of policies that specifically target high-need patients. Similarly focusing on these populations in the U.S. and effectively managing their care may improve their health status while reducing overall costs.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

33. The Strategic Costs of Civilian Harm

Author:
Chris Kolenda and Chris Rogers
Publication Date:
06-2016
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
During the early years of the United States’ involvement in Afghanistan, the U.S. military was killing too many civilians and depriving too many others of basic rights and liberties. By 2008, nearly 40 percent of civilian deaths in Afghanistan resulted from U.S. military operations. The level of “civilian harm”—the military’s term for killing innocent civilians and causing major political, social, and economic disruption—was adversely impacting the United States’ efforts to defeat the Taliban and weakening the legitimacy of the U.S. and Afghan governments. The report, The Strategic Costs of Civilian Harm: Applying Lessons from Afghanistan to Current and Future Conflicts, examines how the U.S. military learned from its early mistakes in Afghanistan and applied lessons to mitigate civilian harm. In fact, starting in 2009, the U.S. military recognized its mistakes and started to understand the high strategic cost of civilian harm. The military’s changes led to a significant reduction in civilian deaths during the next few years. The report argues that the United States should develop a Uniform Policy on Civilian Protection. The new standards would apply to all U.S. military operations in current and future conflicts and, hopefully, better protect civilians caught in conflict.
Topic:
Human Rights, War, Military Affairs, Military Intervention, Conflict, War on Terror, Civilians, and Casualties
Political Geography:
Afghanistan and United States

34. The Super Survey: Two Decades of Americans’ Views on Islam & Muslims

Publication Date:
11-2015
Content Type:
Special Report
Institution:
The Bridge Initiative, Georgetown University
Abstract:
In a climate of increased suspicion and skepticism towards Islam and Muslims, polling data collected over the years reveals how Americans have come to view their country’s third-largest religious group. This Super Survey, which compiles and analyzes polling questions collected by over a dozen polling organizations from 1993 to 2014, finds that Americans remain unfamiliar with Islam; feel more coldly towards Muslims than any other religious group; and tend to see Islam as “more violent” than other religions during national debates about military action in the Middle East. Additionally, while they have been supportive of mosques in their communities, a sizeable portion has favored various measures of religious profiling. In the twenty-first century, on average, six in 10 Americans has reported that they don’t know a Muslim personally. And while a plurality of Americans has reported having favorable views of Muslims since 2000, unfavorable views have persisted, with relatively little fluctuation over time.
Topic:
Islam, Religion, Public Opinion, Ideology, and Islamophobia
Political Geography:
United States

35. Beyond the Wall: Chinese Far Seas Operation

Author:
Peter A. Dutton and Ryan D. Martinson
Publication Date:
05-2015
Content Type:
Special Report
Institution:
China Maritime Studies Institute, U.S. Naval War College
Abstract:
This volume is the product of a groundbreaking dialogue on sea-lane security held between People's Liberation Army (PLA) Navy and U.S. Navy scholars at the Naval War College in August 2013, with additional material from a related conference,"China's Far Seas Operations," hosted by the China Maritime Studies Institute in May 2012. At that time the political climate in China was uncertain, in the shadow of the Bo Xilai crisis and of the impending transition of power between the Hu and Xi regimes; accordingly the PLA Navy, though invited to participate in the "Far Seas" conference, ultimately declined to do so. This was not entirely surprising. Attempts by various agencies of the U.S. Navy up to that time to engage in discussions to advance maritime cooperation between China and the United States had been met with lukewarm responses at best. But at a maritime security dialogue in Dalian in September 2012 Senior Capt. Zhang Junshe of the PLA Navy Research Institute, a key contributor to this volume and to the success of the academic cooperation between our two institutes, approached Peter Dutton to tell him that everything had changed.
Topic:
Military Strategy, Military Affairs, Geopolitics, Navy, Oceans and Seas, Seapower, Chinese Communist Party (CCP), and People's Republic of China (PRC)
Political Geography:
United States, China, and Asia

36. After the Dead Are Counted: U.S. and Pakistani Responsibilities to Victims of Drone Strikes

Publication Date:
11-2014
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
Over the past decade, U.S. drone strikes in Pakistan are estimated to have killed well over 2,000 individuals, including an unknown number of civilians. A new report from the Open Society Foundations urges the U.S. and Pakistani governments to properly investigate and provide redress, including compensation, to civilian victims of drone strikes. Based on investigations of 27 separate U.S. drone strikes in Pakistan, and interviews with current and former U.S. and Pakistani officials, the report documents civilian casualties and analyzes the broader threats of militancy and military operations in areas affected by drones. Despite Pakistan’s strong public opposition to U.S. drone strikes, and the United States’ promises on transparency, neither government has addressed the losses suffered by civilians. The report concludes that the U.S. and Pakistani governments should create mechanisms to investigate civilian harm from drone strikes and provide compensation to victims.
Topic:
War, Military Affairs, Weapons, Drones, Civilians, and Casualties
Political Geography:
Pakistan and United States

37. Remaking Bagram: The Creation of an Afghan Internment Regime and the Divide over U.S. Detention Power

Publication Date:
09-2012
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
This report by the Open Society Foundations highlights concerns about the transition of the U.S. detention facility in Bagram, Afghanistan, from U.S. to Afghan control. Remaking Bagram exposes a deep divide between U.S. and Afghan officials on the eve of the planned handover that puts U.S. intentions to maintain detention authority in Afghanistan against the Afghan government’s insistence that Afghans can no longer be detained by the United States on “Afghan soil.” Remaking Bagram, which was released on September 6, also highlights the Afghan government’s efforts to take custody of detainees held by the United States by creating an Afghan internment regime that would detain individuals without trial. Many Afghan legal experts call this new system unconstitutional and have expressed fears that it is susceptible to abuse.
Topic:
Foreign Policy, Military Affairs, Military Intervention, State Building, and Detention
Political Geography:
Afghanistan and United States

38. War on Drugs

Author:
Global Commission On Drug Policy
Publication Date:
06-2011
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
The global war on drugs has failed, with devastating consequences for individuals and societies around the world. Fifty years after the initiation of the UN Single Convention on Narcotic Drugs, and 40 years after President Nixon launched the US government's war on drugs, fundamental reforms in national and global drug control policies are urgently needed. In this seminal report, the Global Commission on Drug Policy calls on global leaders to join an open discussion on drug policy reform.
Topic:
War on Drugs, Public Policy, and Drugs
Political Geography:
United States and Global Focus

39. The Agenda for the EU-US strategic partnership

Author:
Álvaro de Vasconcelos (ed)
Publication Date:
10-2011
Content Type:
Special Report
Institution:
European Union Institute for Security Studies
Abstract:
Nothing is perhaps more fundamental to EU foreign policy than the imperative of defining a common agenda with the US. Unfortunately, however, in Europe relations with the United States are marked by ideological divergences or antagonisms which are largely a legacy of the Cold War era. But such a rift is clearly dysfunctional in a polycentric world, which is no longer characterised by a bipolar world order, but by the need to define much larger coalitions, across ideological divides, than just the Euro-American one.
Topic:
Foreign Policy, Cold War, and Bilateral Relations
Political Geography:
United States, America, and Europe

40. The Constitutional History of U.S. Foreign Policy: 222 Years of Tension in the Twilight Zone

Author:
Walter A. McDougall
Publication Date:
09-2010
Content Type:
Special Report
Institution:
Foreign Policy Research Institute
Abstract:
In 1973, Congress passed the infamous War Powers Resolution (WPR), over Richard Nixon’s veto. It was perhaps the most ambitious Congressional effort to bridle the President since the battle with Andrew Johnson over Reconstruction. The WPR is worth reading—once—then forgetting, because its convoluted, contradictory, and doubtless unconstitutional mix of instructions, restrictions, and ticking clocks has never been honored by any administration or upheld by any court. Presidents Gerald Ford, Jimmy Carter, Ronald Reagan, George H.W. Bush, Bill Clinton, George W. Bush all dispatched U.S. forces into combat situations without paying more than lip service to the WPR. In 1990, following Saddam Hussein’s invasion of Kuwait, President Bush stationed 100,000 personnel in Saudi Arabia. He sought no authorization and, in fact, informed just one member of Congress: Senator Sam Nunn (D., Ga.). When he then prepared Operation Desert Storm to liberate Kuwait, 54 Congressmen led by the chairman of House Armed Services Committee, Berkeley radical Ron Dellums (D., Calif.), filed for an injunction to stop the war. U.S. District Judge Harold H. Greene ran for cover. Noting that 54 fell far short of a majority, he judged the case “not ripe for judicial determination.”
Topic:
Foreign Policy, War, Governance, Law, and Constitution
Political Geography:
United States

41. A Timeline of U.S. Military Aid Cooperation with Uzbekistan

Publication Date:
10-2010
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
"A Timeline of U.S. Military Aid Cooperation with Uzbekistan" tracks U.S.-Uzbek military cooperation from July 1994 to January 2010. Published by the Open Society Foundations, the paper serves as an appendix to the first paper in this series, "U.S. Military Aid to Central Asia 1999-2009: Security Priorities Trump Human Rights and Diplomacy."
Topic:
Diplomacy, Human Rights, Foreign Aid, and Military Affairs
Political Geography:
United States and Uzbekistan

42. Abraham Lincoln: Leadership and Democratic Statesmanship in Wartime

Author:
Mackubin Thomas Owens
Publication Date:
01-2009
Content Type:
Special Report
Institution:
Foreign Policy Research Institute
Abstract:
No president in American history has faced a greater crisis than Abraham Lincoln confronted in 1861. Although sections of the country had threatened disunion many times in the past, the emergency had always passed as some compromise was found. But in 1861, Lincoln, who had won the election of 1860 because of a split in the Democratic Party, faced a rebellion “too powerful to be suppressed by the ordinary course of judicial proceedings.” By the time of his inauguration on March 4, 1861, seven states had declared their separation from the Union and had set up a separate provisional government called the Confederate States of America. A little over five weeks later, at 4:30 am on April 12, 1861, rebel gunners opened fire on Fort Sumter in Charleston harbor. In response, Lincoln issued a call for 75,000 volunteers to serve ninety days. Denouncing the president’s policy of “coercion,” four more states left the Union. The ensuing war, the most costly in American history, would last for four agonizing years. When it was over, some 600,000 Americans had died and the states of the South had suffered economic losses in the billions of dollars when measured in terms of today’s currency
Topic:
Civil War, Politics, History, and Elections
Political Geography:
United States

43. Restoring American Leadership

Publication Date:
04-2005
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
Cosponsored by the Open Society Foundations and the Security and Peace Institute (a joint program of the Center for American Progress and The Century Foundation), Restoring American Leadership: 13 Cooperative Steps to Advance Social Progress offers a starting point for restoring America's international alliances. The papers in the report, written by experts in 13 fields, recommend how President George W. Bush can make progress in areas where his personal commitment to action is needed and where global alliances can help strengthen the national security goals of the United States. Restoring American Leadership covers a wide range of topics, from international cooperation in the war on terror, to curbing proliferation of nuclear weapons, to advancing the rights of women across the globe. Each paper offers a specific set of recommendations for executive action by the president consistent with his stated values, as well as a brief overview of the administration's position on the issue to date.
Topic:
Foreign Policy, Diplomacy, International Cooperation, Leadership, and War on Terror
Political Geography:
United States and Global Focus

44. Getting to “Yes” on Missile Defense: The Need to Rebalance U.S. Priorities & The Prospects for Transatlantic Cooperation

Author:
Jeffrey P. Bialos and Stuart L. Koehl
Publication Date:
01-2004
Content Type:
Special Report
Institution:
Center for Transatlantic Relations
Abstract:
At the end of the day, missile defense is and should be here to stay as a key element of U.S., and in all likelihood, European defense strategy for the twenty-first century. The threats are real and there is an emerging consensus about creating defenses against it. While the “macro” issues of ABM withdrawal and initial fielding of the U.S. midcourse segment are behind us, there are very legitimate issues that warrant debate on both sides of the Atlantic. We now need to focus on making the right choices to provide a better balance of capabilities between various strategic, regional, force protection, and homeland security needs. Moreover, U.S.-European engagement on missile defense is potentially, but not inevitably, a win-win proposition—binding alliance partners together geo-politically, creating a layered, multi-national plug and play “system of system” architecture, and enhancing our ability to fight wars together. And, an enhanced coalition war fighting capability is likely to have beneficial spillover effects on the broader Transatlantic relationship; it is axiomatic that countries that fight wars together tend to have congruent interests in a range of areas. But for this to happen, Europe needs to begin to seriously consider its missile defense needs soon and apply resources to the task and the United States needs to resolve the underlying technology transfer issues and questions of roles and responsibilities. Thus, with hard work and good will, multi-national cooperation between the United States and its allies offers “win-win” from the standpoint of strengthening the alliance and our mutual security.
Topic:
Defense Policy, Nuclear Weapons, Military Strategy, Weapons, and Missile Defense
Political Geography:
United States, China, and Europe

45. Keeping Secrets: America and Iraq’s Public Finances

Publication Date:
10-2003
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
Keeping Secrets, a report from the Open Society Iraq Revenue Watch project, concludes that Iraq’s public finances have so far fallen short of international standards of accountability. The report was released on the eve of an international donors’ conference for Iraq in Madrid, scheduled for October 23–24. It calls for greater transparency in the management of the Development Fund for Iraq (DFI), the central repository for U.S. reconstruction assistance as well as Iraqi oil and gas revenues. The Coalition Provisional Authority (CPA)—the U.S.-established governing agency in Iraq—has delayed the establishment of a crucial oversight body and refused to disclose basic information about large purchase contracts and DFI expenditures, the report says. Keeping Secrets calls on the CPA to reverse these trends and offers a set of recommendations, including increased Iraqi involvement in the DFI, more substantial oversight authority for the United Nations’ International Advisory and Monitoring Board, and better public access to information.
Topic:
Finance, Accountability, Public Sector, Fiscal Policy, Transparency, and Public Spending
Political Geography:
United States and Iraq

46. Inside Baltimore's Safety Net

Publication Date:
07-2001
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
This report presents data from a series of surveys of safety net organizations, clients who access care at these sties, and the providers who work there. The goal of this project was to identify issues and needs facing clients at these sites and the unique role of safety net organizations in meeting these needs. An additional goal was to identify potential challenges to the mission and capacity of this network of providers that is caring for society’s most vulnerable and needy individuals. The surveys were conducted by medical students participating in the Soros Service Program for Community Health. This summer internship, part of the Open Society Institute’s Medicine as a Profession initiative, places first year medical students from around the country in community-based organizations for a seven-week internship. The students get to experience first-hand issues facing patients trying to access care in the face of poverty, addiction, abuse, and homelessness. They receive mentoring from a very talented and committed team of community providers and participate in an intensive curriculum that focuses on issues of professionalism facing physicians. The goal is to introduce students early in their education and training to positive examples of empowered communities and providers serving the needs of traditionally disenfranchised patient populations and to introduce the concepts and practice of patient advocacy.
Topic:
Labor Issues, Employment, Inequality, Public Policy, Welfare, and Public Health
Political Geography:
United States