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  • Publication Date: 04-2021
  • Content Type: Working Paper
  • Institution: Carnegie Endowment for International Peace
  • Abstract: During the pandemic, Chinese medical and equipment supplies to Chile have come mostly from a diverse cast of Chinese players with local experience in Chile. They adapted to Chile’s unique system of emergency and disaster management. China has become a global power, but there is too little debate about how this has happened and what it means. Many argue that China exports its developmental model and imposes it on other countries. But Chinese players also extend their influence by working through local actors and institutions while adapting and assimilating local and traditional forms, norms, and practices. With a generous multiyear grant from the Ford Foundation, Carnegie has launched an innovative body of research on Chinese engagement strategies in seven regions of the world—Africa, Central Asia, Latin America, the Middle East and North Africa, the Pacific, South Asia, and Southeast Asia. Through a mix of research and strategic convening, this project explores these complex dynamics, including the ways Chinese firms are adapting to local labor laws in Latin America, Chinese banks and funds are exploring traditional Islamic financial and credit products in Southeast Asia and the Middle East, and Chinese actors are helping local workers upgrade their skills in Central Asia. These adaptive Chinese strategies that accommodate and work within local realities are mostly ignored by Western policymakers in particular. Ultimately, the project aims to significantly broaden understanding and debate about China’s role in the world and to generate innovative policy ideas. These could enable local players to better channel Chinese energies to support their societies and economies; provide lessons for Western engagement around the world, especially in developing countries; help China’s own policy community learn from the diversity of Chinese experience; and potentially reduce frictions.
  • Topic: Diplomacy, Disaster Relief, Health, Pandemic, COVID-19
  • Political Geography: China, Asia, South America, Chile
  • Author: Lorenza Errighi
  • Publication Date: 03-2021
  • Content Type: Commentary and Analysis
  • Institution: Istituto Affari Internazionali
  • Abstract: If 2020 was the year of “mask diplomacy”, as countries raced to tackle the spread of the SARS-CoV-2 virus and acquire the necessary protective gear and equipment, 2021 is likely to be remembered as the year of “vaccine diplomacy”. Growing competition between states to secure the necessary quantities of vaccines to inoculate their population has already become an established feature of the post-COVID international system and such trends are only likely to increase in the near future. It normally takes up to a decade to transition from the development and testing of a vaccine in a laboratory to its large-scale global distribution. Despite current challenges, the speed of COVID-19 vaccination campaigns is unprecedented. To put an end to the current pandemic – which in one year has led to the loss of 2.6 million lives and triggered the worst economic recession since the Second World War – the goal is to ensure the widest immunisation of the world population in a timeframe of 12 to 18 months. In this context, COVID vaccines emerge as instruments of soft power, as they symbolise, on the one hand, scientific and technological supremacy and, on the other, means to support existing and emerging foreign policy partnerships and alliances with relevant geopolitical implications. From their experimentation in laboratories, to their purchase and distribution, the vaccine has emerged as a significant tool for competition between powers, often associated with the promotion of competing developmental and governance models across third countries.
  • Topic: Diplomacy, Health, Vaccine, COVID-19
  • Political Geography: Global Focus
  • Author: Joseph E. Gagnon, Steve Kamin, John Kearns
  • Publication Date: 05-2021
  • Content Type: Policy Brief
  • Institution: Peterson Institute for International Economics
  • Abstract: COVID-19 vaccination programs are generally understood to be a prerequisite for a return to normalcy in our social and economic lives. Emergency measures to research, test, produce, and distribute vaccines have been expensive, but increases in GDP resulting from the vaccines are expected to exceed those costs by wide margins. Few studies have quantified the economic costs and benefits of different rates of COVID-19 vaccination, however. This Policy Brief focuses on developing such a quantitative assessment for the United States; the approach may be applied to other countries as well. Two illustrative scenarios support the conclusion that most plausible options to accelerate vaccinations would have economic benefits that far exceed their costs, in addition to their more important accomplishment of saving lives. This Policy Brief shows that if, for example, the United States had adopted a more aggressive policy in 2020 of unconditional contracts with vaccine producers, the up-front cost would have been higher but thousands of lives would have been saved and economic growth would have been stronger. Instead, the federal government conditioned its contracts on the vaccines’ being proven safe and effective. The projections presented in this analysis show that even if unconditional contracts led to support for vaccines that failed the phase III trial and ultimately were not used, the cost would have been worth it.
  • Topic: Economics, Health, Crisis Management, COVID-19, Health Crisis
  • Political Geography: North America, United States of America
  • Author: Xi Chen, Qi Gao
  • Publication Date: 03-2021
  • Content Type: Video
  • Institution: Weatherhead East Asian Institute, Columbia University
  • Abstract: A considerable amount of attention has been paid to the relationship between education and the promotion of one’s own health. This talk presents the latest evidence and discusses both the upward and downward multigenerational impacts of educational reforms in China over the past few decades on healthy aging. Cosponsored by the Weatherhead East Asian Institute, the Columbia China Center for Social Policy, and the Columbia School of Social Work.
  • Topic: Education, Health, Aging, Domestic Policy
  • Political Geography: China, Asia
  • Author: Martin Hellwig, Viola Priesemann, Guntram Wolff
  • Publication Date: 05-2021
  • Content Type: Working Paper
  • Institution: Bruegel
  • Abstract: Escape variants can cause new waves of COVID-19 and put vaccination strategies at risk. To prevent or delay the global spread of these waves, virus mobility needs to be minimised through screening and testing strategies, which should also cover vaccinated people. The costs of these strategies are minimal compared to the costs to health, society and economy from another wave.
  • Topic: Health, Governance, Global Political Economy, Vaccine, COVID-19
  • Political Geography: Global Focus
  • Author: Kateryna Markevych
  • Publication Date: 05-2021
  • Content Type: Special Report
  • Institution: Razumkov Centre
  • Abstract: Today’s world is being shaped in new conditions, where digital technologies are gaining more and more weight. They can greatly increase the level of labour efficiency and well-being of people, meet the challenges of health, education and state management (these advantages are particularly evident now, during the COVID-19 pandemic), but also increase the level of innovation of the economy or reduce the carbon intensity.
  • Topic: Education, Health, Labor Issues, Economy, COVID-19, Digitalization
  • Political Geography: Global Focus
  • Publication Date: 01-2021
  • Content Type: Policy Brief
  • Institution: Centre for Policy Research, India
  • Abstract: This brief presents some of the key effects of the COVID-19 pandemic on India’s public school education, focussing specifically on children. It begins with a discussion of the pre-pandemic status of school education and key policy shifts over the past few years, and provides an overview of the principal issues arising from the pandemic and the resulting school closures. It then offers potential policy suggestions to address these challenges, and thereby ensuring quality education to all children.
  • Topic: Education, Health, Children, COVID-19
  • Political Geography: South Asia, India
  • Author: Gordon Abekah-Nkrumah
  • Publication Date: 03-2021
  • Content Type: Policy Brief
  • Institution: Ghana Center for Democratic Development
  • Abstract: The goal of health financing is main to promote financial access to preventive and curative care by making funds available and setting the right financial incentive to healthcare providers.
  • Topic: Development, Health, Health Care Policy, Finance
  • Political Geography: Ghana
  • Author: Mma Amara Ekeruchera
  • Publication Date: 04-2021
  • Content Type: Working Paper
  • Institution: Centre for the Study of the Economies of Africa (CSEA)
  • Abstract: The COVID-19 outbreak began in December 2019 in the Wuhan city of China and has continued to spread globally. As of this writing, 28.2 million cases have been recorded globally with 910,000 deaths. Aside the health impact, the pandemic has led to an unprecedented disruption in economic activities, initiating a sudden demand, supply, and financial shock. The mitigation strategies put in place by governments across the world to curb the virus as well as the uncertainty associated with the pandemic has led to a reduction in the consumption of non-essential commodities. Meanwhile, disruptions to global supply chains in a closely connected world as well as the reduced demand have necessitated a slowdown in production. Furthermore, investors have become more risk averse with the prices of risk assets falling to levels experienced in the 2007-20008 global financial crisis. To counteract the fall in private sector demand, stabilize the financial system, and ensure economic recovery, governments and central banks across the world have deployed a range of policies and programmes. Central banks are cutting policy rates and providing direct liquidity to the financial system. Federal and sub-national governments are providing tax relief, cash transfers, and employee retention schemes to alleviate the burden on affected individuals and businesses. Africa is not left behind as governments have increased spending plans (about 1.9% of their GDP) and central banks are adopting more accommodating monetary policies.
  • Topic: Economics, Health, Monetary Policy, Central Bank, Macroeconomics, Pandemic, COVID-19, Socioeconomics , Supply Chains
  • Political Geography: Africa
  • Author: Melinda K. Abrams, Reginald D. Williams II, Katharine Fields, 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, Substance Abuse
  • Political Geography: United States, Europe, Global Focus
  • Publication Date: 01-2021
  • Content Type: Research Paper
  • Institution: Global Philanthropy Project (GPP)
  • Abstract: As COVID-19 spread across the globe in 2020, and its health and broader political and socioeconomic implications became evident, lesbian, gay, bisexual, transgender, and intersex (LGBTI)2 communities organized. To meet new challenges, LGBTI organizations across the world stepped up, aware that legal and social discrimination and marginalization would make their communities particularly vulnerable to impacts of the pandemic. LGBTI community response included: delivering essential food to communities of unemployed trans men in rural Guatemala; providing housing for LGBTI communities escaping unsafe living environments in Macedonia; ensuring that lesbian, bisexual, and queer female sex workers have access to essential medicines in Uganda; and other examples in communities around the world. As governments, donors, and service providers have largely failed to acknowledge the specific needs of LGBTI people in responding to COVID-19, LGBTI organizations have filled the void to provide basic protection and support for their communities. Many of these organizations have traditionally focused on advocacy and community organizing to advance and protect the human rights of LGBTI people. Now, in the era of COVID-19, they have become direct service providers, out of necessity—albeit with limited resources and capacity. In April 2020, the Global Philanthropy Project launched a short survey to understand the initial response of global LGBTI philanthropy to the pandemic, soliciting data from all GPP member organizations as well as non-GPP members within the top 20 funders of global LGBTI issues. A key outcome from that report was an identified role for GPP to monitor shifts in resources flowing to LGBTI movements and communities, as well as the broader impact of COVID-19 on international development and humanitarian assistance funding.
  • Topic: Health, Discrimination, LGBT+, Advocacy, Community, Marginalization
  • Political Geography: Global Focus, Global South
  • Author: Joana Purves, William Echikson
  • Publication Date: 04-2021
  • Content Type: Policy Brief
  • Institution: European Centre for International Political Economy (ECIPE)
  • Abstract: The European Union has built a one-stop-shop for its member state regulators to post product safety notifications – Safety Gate (European Commission 2021d). Constructed on top of the Rapid Alert System for Dangerous Non-Food Products, or RAPEX, the Safety Gate web portal is designed to make public the “quick exchange of information” between 31 European countries and the European Commission “about measures taken against dangerous non-food products.” While Safety Gate represents a significant achievement, our research revealed areas for improvement to increase its utility for manufacturers, marketplaces and consumers. Many product notifications published on the website lack details required to facilitate speedy removals and recalls. The study graded eight essential criteria for a total of 918 Safety Gate notifications published over eight months in 2020. The average notification score was a respectable 70 out of 100, but over 98% of the notifications omitted at least one key criterion. Only 14 notifications included all the information to enable efficient and accurate product identification.
  • Topic: Health, Food, European Union, Regulation
  • Political Geography: Europe
  • Author: Johan Norberg
  • Publication Date: 03-2021
  • Content Type: Policy Brief
  • Institution: European Centre for International Political Economy (ECIPE)
  • Abstract: During the Covid-19 pandemic, Europe has benefitted strongly from being an open economy that can access goods and services from other parts of the world. Paradoxically, some politicians in Europe think that dependence on foreign supplies reduced the resilience of our economy – and argue that Europe now should wean itself off its dependence on other economies. In this Policy Brief, it is argued that self-sufficiency or less economic openness is a dangerous direction of policy. It would make Europe less resilient and less capable of responding to the next emergency. It is key that people, firms and governments can get supplies from other parts of the world. It is diversification, not concentration of production, that will make Europe more resilient when the next emergency hit. We don’t know where the next crisis will come from. Nature will throw nasty surprises at us, and we will make stupid mistakes, some of which will have devastating consequences. What we do know, though, is that we stand a better chance to fight the next emergency if we get richer and improve our technology. The best policy for resilience is one that encourages specialisation and innovation – and, when the emergency hit, allow for people to improvise in search for solutions. For that to happen, we need openness to goods, services and technology from abroad.
  • Topic: Health, International Political Economy, Innovation, Economic Cooperation, Pandemic, COVID-19
  • Political Geography: Europe, Global Focus
  • Author: Abigail Bellows, Nada Zohdy
  • Publication Date: 11-2020
  • Content Type: Working Paper
  • Institution: Carnegie Endowment for International Peace
  • Abstract: The pandemic is spurring elite and grassroots civic actors to cooperate more, but the gulf between them remains wide. Civic actors must seize the opportunity for reform on open government issues. From Africa to Latin America to Europe, the coronavirus pandemic has generated a surge in public demand for government transparency and accountability. To seize this window for reform, elite and grassroots civic actors concerned with open governance must overcome the cleavage that has long existed between them. Thus far, the pandemic has catalyzed some new civic collaborations, but not at the scale or depth needed to seize that window. In general, civil society groups report feeling more isolated during the pandemic. In some places, the urgency of tackling open government issues during the pandemic has helped overcome that isolation by deepening partnerships among existing networks. But in other places, those partnerships have yet to take shape, and new alliances are less likely to form without the benefit of face-to-face interactions. Even the partnerships that have crystallized or deepened do not appear to be changing the fundamental roles of elite and grassroots civic actors. It is possible that this shift may happen over time. Or it may be that the pandemic alone is not enough to dislodge structural barriers to deeper cooperation. The pandemic has dramatically changed the operations of elite and grassroots actors alike. The impact of those changes on collaboration between the two depends on preexisting levels of technological capacity. In places with limited connectivity, the pandemic has exacerbated the digital divide, adversely affecting grassroots actors. Meanwhile, in places with good connectivity, technology is enabling broader (though shallower) participation, laying the groundwork for more elite-grassroots collaboration. Although many civil society groups are struggling financially during the pandemic, those effects are mitigated to some degree by continuing donor interest in the open government sector. This is encouraging, as coalition building requires dedicated, flexible resources. Finally, it is a more dangerous time to be working on open government issues in general, and grassroots actors bear disproportionate risks in doing so. This underscores the need for more vertical alliances to mitigate civic space threats.
  • Topic: Civil Society, Government, Health, Pandemic, COVID-19
  • Political Geography: Global Focus
  • Author: Shruti Sharma
  • Publication Date: 12-2020
  • Content Type: Working Paper
  • Institution: Carnegie Endowment for International Peace
  • Abstract: India faces a host of biological risk factors. Drawing lessons from the coronavirus pandemic and prior biological disasters, India’s government should pursue new safety protocols and develop new institutions to manage future biological risk. Infectious diseases such as COVID-19, the disease caused by the novel coronavirus; severe acute respiratory syndrome (SARS); Middle East respiratory syndrome (MERS); and the diseases caused by the Ebola, Nipah, and Zika viruses have exposed countries’ susceptibility to naturally occurring biological threats. Even though scientists from multiple countries concluded that the virus responsible for the coronavirus pandemic shifted naturally from an animal source to a human host,1 the international community should not ignore the possibility of pathogens escaping accidentally from research labs and threats of deliberate manipulation to create more dangerous bioweapons. India is especially vulnerable to such infections because of its geographical position, large population, low healthcare spending, minimal expenditure on research that benefits public health, weak coordination between central and state health authorities, limited involvement of private actors, poor awareness of biosecurity, and the rickety state of public health infrastructure. Most recently, COVID-19 has revealed the deep fault lines in India’s public health infrastructure, including a shortage of healthcare workers, lack of trained epidemiologists, scarcity of medical equipment, poor access to healthcare facilities in rural areas, and inefficient disease reporting and surveillance in most states. The pandemic should therefore be a wake-up call for India to assess gaps in its public health infrastructure and divert its resources toward the healthcare sector to prepare itself for both natural and man-made biological emergencies. Like any country, India faces three major biological threats: naturally occurring infections in humans or animals, or agricultural infestations; infections arising from accidental release of pathogens into the environment; and possible outbreaks caused by deliberate weaponization of dangerous pathogens that affect humans, animals, or crops. These threats—either alone or together—will force India to strengthen its capacity to detect and respond to them.
  • Topic: Health, Biology, Non-Traditional Threats
  • Political Geography: South Asia, India
  • Author: Younes Mahmoudieh
  • Publication Date: 01-2020
  • Content Type: Special Report
  • Institution: Georgetown Journal of International Affairs
  • Abstract: When I visited Iran this summer, severe panic attacks, depression, and anxiety—longstanding byproducts of post-traumatic stress disorder—caused me to seek out a trauma therapist. After weeks of contacting Iranian pharmacies, hospitals, charities, and relief organizations, my prescriptions for Zoloft, Xanax, Ativan, and Clonazepam remained unfilled. Since the United States exited the Iranian nuclear deal (JCPOA) and imposed new sanctions, this kind of shortage has become commonplace.
  • Topic: Health, Sanctions, International Community, International Court of Justice (ICJ)
  • Political Geography: Iran, Middle East, North America, United States of America
  • Author: Maggie Brady
  • Publication Date: 02-2020
  • Content Type: Special Report
  • Institution: Georgetown Journal of International Affairs
  • Abstract: Alcohol: No Ordinary Commodity, a book sponsored by the World Health Organization (WHO) and boasting fifteen international authors, describes alcohol policies as authoritative decisions made by government or non-government groups designed to minimize or prevent the adverse consequences of alcohol consumption. This compilation of high-quality research and advice, in addition to the WHO’s other channels of communication, provides a blueprint for action for WHO member states designed to help governments around the world make national policies. This is necessary because many countries have no clear alcohol policies at all. Uganda, for example, has not reviewed its liquor laws since the 1960s, and China has no systematic data collection, legally enforceable drinking age, nor regulation over sales, despite rising alcohol consumption.
  • Topic: Health, World Health Organization, Governance, Culture, Public Policy, Indigenous, Alcohol
  • Political Geography: Australia, Australia/Pacific
  • Author: Ben Bland, Alexandre Dayant, John Edwards, Stephen Grenville, Natasha Kassam, Herve Lemahieu, Alyssa Leng, Richard McGregor, Shane McLeod, Alex Oliver, Jonathan Pryke, Roland Rajah, Sam Roggeveen, Sam Scott
  • Publication Date: 06-2020
  • Content Type: Policy Brief
  • Institution: Lowy Institute for International Policy
  • Abstract: The fight against COVID-19 has been the greatest challenge the world has faced since the middle of last century. As countries have fought to control the disease, they have closed borders, quarantined their citizens, and shut down economies almost entirely. The ramifications will reverberate for years, if not decades, to come. In April 2020, the Lowy Institute published a digital feature in which twelve Institute experts examined the ways in which the COVID crisis would affect Australia, the region and the world. In this new feature, Lowy Institute experts provide policy recommendations for Australia to address issues that are critical to our nation’s — and the world’s — successful emergence from the pandemic. Countries have turned inwards in an attempt to fend off the threat of an infection that is oblivious to borders. Some have seen globalisation as the cause of the crisis, and have focused on solving problems without recourse to the international institutions of global security and prosperity, including the United Nations, the World Health Organization, and the G20. Yet global problems require international solutions. As the world emerges from the crisis, cooperation between nations will be more important than ever. Nation states cannot revive their economies purely through national solutions. They cannot address global threats, including the possibility of further pandemics, alone. Australia’s achievements in managing the COVID crisis have been exemplary. It has handled the health and economic emergency with great competence. But this is just the beginning of our crisis recovery. The challenges in our region, and the global problems that existed before COVID, have only been exacerbated by the pandemic. Australia has already done much to address the domestic economic and health issues from the COVID crisis. But to shape a prosperous and secure future, it will also need to work in cooperation with other nations, large and small, allies and partners, on a much broader array of international issues ranging from the economic disruption across the region, pressure from China on trade, and development challenges in the Pacific, to increasingly competitive relations between the United States and China, the weakening of the World Health Organization, and the declining utility of the G20.
  • Topic: Diplomacy, Economics, Health, World Health Organization, G20, Geopolitics, COVID-19, International Order
  • Political Geography: China, Indonesia, Australia, United States of America
  • Author: Francesca Ghiretti
  • Publication Date: 03-2020
  • Content Type: Commentary and Analysis
  • Institution: Istituto Affari Internazionali
  • Abstract: The bilateral relationship between Italy and China is back in the spotlight one year after the signature of the Memorandum of Understanding (MoU) on China’s Belt and Road Initiative. To date, Italy is the second hardest hit country by COVID-19 pandemic after China. Despite strict measures in place to limit the crisis, numbers keep rising, placing the national health care system under severe strain.
  • Topic: Health, Bilateral Relations, Foreign Aid, Propaganda
  • Political Geography: China, Europe, Asia, Italy, European Union
  • Author: Nona Mikhelidze
  • Publication Date: 04-2020
  • Content Type: Commentary and Analysis
  • Institution: Istituto Affari Internazionali
  • Abstract: On 25 March, one month after Russia registered its first confirmed case of Coronavirus, President Vladimir Putin announced a week of paid national holiday and invited Russians to stay home in a televised address to the nation. Further measures were subsequently introduced to limit the spread of the virus, while authorities prepared emergency plans to safeguard socio-economic conditions in the country. Initiatives included providing a new support package to businesses hit by the pandemic, a monthly bonus to medical personnel and the construction of new hospitals, following the Chinese model. Meanwhile, the constitutional referendum meant to extend Putin’s term limit as president was postponed. Originally scheduled for 22 April, this delay is due to Putin’s concern for public health and the multidimensional impact of the pandemic, a perfect storm involving quarantine measures, declining living standards, inflation and a weakened exchange rate, rising prices and increased job insecurity. Taken together, these challenges could jeopardise the outcome of the referendum. A recent poll conducted by the Levada Center in March highlighted a very slim majority (45 per cent) in favour of Putin’s constitutional amendments.
  • Topic: Foreign Policy, Health, Soft Power, Coronavirus, Vladimir Putin
  • Political Geography: Russia, Europe, Italy
  • Author: Yara Hawari
  • Publication Date: 09-2020
  • Content Type: Working Paper
  • Institution: Istituto Affari Internazionali
  • Abstract: As of early September 2020 more than 27 million cases of COVID-19 have been recorded worldwide, along with approximately 890,000 deaths. After many months of lockdown, countries are having to re-open despite growing infection rates and fears of a second wave while people adapt to a “new normal” which includes restrictions, social distancing and limited travel. At the start of the lockdowns, many Palestinians commented that the world now finally understood what life was like for them. Particularly in the West Bank and Gaza, the curfews, the closure of public spaces, the inability or difficulty to travel, lingering anxiety and perpetual uncertainty are features common to Palestinian life. However, this new global reality reflects only a fraction of the Palestinian experience of suffering from nearly a century of ongoing settler colonialism.
  • Topic: Health, Settler Colonialism, Pandemic, COVID-19
  • Political Geography: Middle East, Israel, Palestine
  • Author: Afrah Nasser
  • Publication Date: 10-2020
  • Content Type: Working Paper
  • Institution: Istituto Affari Internazionali
  • Abstract: After Yemen’s 2011 uprising broke out, the country went through a series of political upheavals and cycles of violence that tore the country apart, including the start of a full-scale civil war in 2014 and the Saudi- and UAE-led intervention in 2015. In a context where civilians have been deliberately attacked by all sides, COVID-19 has added a new layer to the unspeakable suffering for millions of civilians in Yemen, whilst Europe has reacted with development aid but has thus far failed to support need for accountability in the conflict.
  • Topic: Arms Control and Proliferation, Health, War, Coronavirus, COVID-19
  • Political Geography: Middle East, Yemen, Saudi Arabia
  • Author: Magdalena Stawkowski
  • Publication Date: 04-2020
  • Content Type: Policy Brief
  • Institution: Danish Institute for International Studies
  • Abstract: Around the world, hundreds of thousands of people live in and around former nuclear test sites. Semipalatinsk Nuclear Test Site in Kazakhstan provides both a home and a livelihood for an estimated 50,000 people, but security measures are not yet sufficient to protect them from radioactive waste from the past. RECOMMENDATIONS ■ Establish local education programs to prevent unintentional exposure to residual radioactivity ■ Encourage local authorities to promote radiation-safety programs ■ Cordon off and secure unmarked radioactive areas on nuclear test sites ■ Carry out regular radiation monitoring in villages close to nuclear test sites, as well as of livestock
  • Topic: Health, Nuclear Weapons, Nuclear Power
  • Political Geography: Central Asia, Kazakhstan
  • Author: Maurice Obstfeld, Adam S. Posen, Olivier Blanchard, Chad P. Bown, Cullen S. Hendrix, Ana González, Simeon Djankov, Anne-Laure Kiechel, Anna Gelpern, Sean Hagan, Adnan Mazarei, Christopher G. Collins, Simon Potter, Edwin M. Truman, Joseph E. Gagnon
  • Publication Date: 04-2020
  • Content Type: Special Report
  • Institution: Peterson Institute for International Economics
  • Abstract: The world's leading economic powers must cooperate more to combat the health and economic shocks resulting from the COVID-19 pandemic. In a new PIIE Briefing, Peterson Institute experts outline how collective action by the Group of Twenty (G20) nations can make a difference. The PIIE agenda includes removal of trade barriers impeding the flow of medical supplies and food, and more money for research, testing, and disease control, especially for debt-burdened low-income countries. The World Bank and the World Health Organization need more resources to relieve suffering, and the International Monetary Fund must step up to stabilize the world financial system.
  • Topic: Economics, Health, World Health Organization, International Monetary Fund, World Bank, G20, Coronavirus
  • Political Geography: Global Focus
  • Author: Julien Maire
  • Publication Date: 11-2020
  • Content Type: Policy Brief
  • Institution: Peterson Institute for International Economics
  • Abstract: In March 2020, most countries implemented stringent measures—closing schools and workplaces, limiting public gatherings, and curbing travel—to reduce the spread of the SARS-CoV-2 virus, which causes COVID-19. Using the Oxford Stringency Index and smartphone data from Google, Maire examines the effects of the stringent measures implemented in March–May 2020 on individual mobility. The results suggest that stringent measures were more effective at reducing individual mobility in higher-income countries than in lower-income countries and that the differences reflect factors such as extreme poverty, perception of risk, the share of vulnerable employment, number of hospital beds, age distribution of the population, and population density. Understanding how the effects of lockdown measures on individual mobility differed across countries is important to determine the effectiveness of such measures on health outcomes and their impact on economic activity.
  • Topic: Health, Science and Technology, Governance, COVID-19
  • Political Geography: Global Focus
  • Author: Sungchul Park, Hansoo Ko
  • Publication Date: 06-2020
  • Content Type: Working Paper
  • Institution: Walter H. Shorenstein Asia-Pacific Research Center
  • Abstract: Effective as of July 1, 2018, South Korea set a new cap on employees’ weekly working hours, decreasing the maximum number from 68 to 52. In this study, we comprehensively analyze the effectiveness of the law’s implementation by observing changes in work time, health status, health care utilization, health behavior, monthly expenses, and satisfaction between pre- and post-implementation periods (2014–2017 vs. 2019). We find evidence of both intended and unintended consequences—and, in this last category, some are beneficial and some not. As intended, employees eligible for the 52-hour work week saw their average working hours decrease, while their monthly spending on leisure increased substantially. A beneficial unintended consequence was that work time also decreased in firms with less than 300 employees that had not yet implemented the 52-hour work schedule (they have done so since, in January 2020). Among adverse unintended consequences, the most notable were heterogeneous effects across employment types (full-time vs. precarious employment) and, in particular, negative impacts on precarious employees (that is, those facing relatively high levels of job insecurity). Despite almost no change in their work time, precarious employees saw substantial increases in outpatient visits and monthly expenses for health care, indicating suggestive evidence of adverse health consequences. Another adverse unintended consequence was that overall job satisfaction decreased among several groups of employees. This may reflect a heavy workload among employees still expected to work overtime, especially experienced employees or those working in large firms. While employment rates increased after the new schedule’s implementation, the majority were in precarious jobs. This has negative implications because of the adverse health impacts of being in precarious employment; also, the workload of experienced employees in this field might have intensified amid all the new hiring. Our findings suggest key policy recommendations for how to leverage the benefits of the 52-hour cap on weekly working hours while addressing its negative unintended consequences.
  • Topic: Health, Labor Issues, Employment, Labor Policies
  • Political Geography: Asia, South Korea
  • Author: Leah Zamore, Tayseer Alkarim
  • Publication Date: 05-2020
  • Content Type: Policy Brief
  • Institution: Center on International Cooperation
  • Abstract: The humanitarian crisis in northern Syria is on the verge of becoming a COVID-19 catastrophe. A decade of conflict has left the healthcare system in ruins—and millions of displaced people in Idlib province were already suffering due to a lack of shelter and sanitation. Now, with the coronavirus pandemic posed to spread to an area with just 600 doctors and fewer than 50 adult ventilators for four million people, the situation is dire. Why is Idlib the last refuge for internally displaced Syrians, and what can donors, international humanitarian actors, and local organizations do to ensure that they are not left behind as the world grapples with COVID-19? This policy briefing by Tayseer Alkarim, Hanny Megally, and Leah Zamore delves into roots of the humanitarian crisis in Idlib, details the current capacity of the exhausted healthcare system amid the ongoing conflict, and examines what these constraints mean for mounting a response to the spread of the coronavirus. The briefing explains how donors and international humanitarian organizations can take action now to support local institutions, increase testing and treatment capacity, improve availability of PPE and public information, and press for an immediate ceasefire. The plight of Idlib is one of the most complex humanitarian dilemmas of our time, influenced by prolonged conflict, a looming COVID-19 outbreak, and the ongoing failure of the international community to take effective action. A further failure to minimize the impact of the COVID-19 pandemic on Idlib will cost lives—and risk global health security further by allowing the virus to spread in one of the places that is least-equipped to contain it.
  • Topic: Health, Conflict, Humanitarian Crisis, COVID-19
  • Political Geography: Middle East, Syria, Idlib
  • Author: Dr. Evan Ellis
  • Publication Date: 05-2020
  • Content Type: Commentary and Analysis
  • Institution: The Strategic Studies Institute of the U.S. Army War College
  • Abstract: The COVID-19 pandemic will have profound and enduring negative effects on Latin America and the Caribbean, significantly impacting the security, interests, and strategic position of the United States. Department of Defense and other US senior leaders should begin planning now to mitigate or manage the consequences. The effects of COVID-19 on Latin America and the Caribbean, as in many other parts of the developing world, will be far more significant than is commonly anticipated for two reasons. First, the virus will likely play out across the region over an extended length of time owing to a variety of factors discussed later. Second, the pandemic’s mutually reinforcing health, economic, social, and political effects will combine to wreak far more havoc than anticipated in analyses that only consider disease propagation or effects on commerce. Together, these two dynamics of COVID-19 will leave a Latin America that is far sicker, poorer, beset by crime, violence, social unrest, and political instability than today. It will also leave a region with expanded People’s Republic of China (PRC) commercial presence and political influence, even while being more resentful of it.
  • Topic: Defense Policy, Health, Pandemic, COVID-19
  • Political Geography: Latin America, Caribbean
  • Author: Mehdi Khalaji
  • Publication Date: 03-2020
  • Content Type: Policy Brief
  • Institution: The Washington Institute for Near East Policy
  • Abstract: Even as their lack of transparency worsens the public health crisis, the Supreme Leader and other officials have systematically gutted any civil society elements capable of organizing substantial opposition to such policies. Iran’s ongoing coronavirus epidemic has left the people with less reason than ever to trust the information and directives issued by their leaders. Part 1 of this PolicyWatch discussed the clergy’s role in aggravating this problem, but the state’s mistakes and deceptions have been legion as well. They include scandalous discrepancies between official reports after a period of denial that the virus had entered the country; a health system that was unprepared to deal with such a disease promptly and properly; and official resistance to implementing internationally recommended precautionary measures, such as canceling flights from China and quarantining the center of the outbreak. These decisions have sown widespread confusion about facts and fictions related to the virus, the most effective medically proven ways to control it, and the degree to which it is spreading throughout the country. As a result, an already restive population has become increasingly panicked about the future and angry at the state. Yet can the coronavirus actually bring down the regime? The harsh reality is that the state has left little space for opposition to organize around health issues, or any issues for that matter. Instead, it has sought to confuse the people and redirect their anger toward external enemies, even as its own policies contribute to the crisis.
  • Topic: Security, Foreign Policy, Civil Society, Health, Public Health, Coronavirus
  • Political Geography: Iran, Middle East, United States of America
  • Author: Mehdi Khalaji
  • Publication Date: 03-2020
  • Content Type: Policy Brief
  • Institution: The Washington Institute for Near East Policy
  • Abstract: The clergy’s ambitions for global Shia revolution made the city of Qom uniquely vulnerable to the disease, and their resistance to modern medical science weakened the state’s ability to combat its spread. On February 19, two days before the Iranian government officially announced the arrival of coronavirus, an infected businessman who had recently returned from China to Qom passed away. The location and timing of his death illustrate how the Shia holy city and the religious leaders and institutions who call it home have played an outsize role in the disease’s disproportionately rapid spread inside Iran compared to other countries. How did this situation come to pass, and what does it say about the current state of the clerical establishment, its relationship with the regime, and its alienation from large swaths of Iranian society? (Part 2 of this PolicyWatch discusses the regime's role in the outbreak and its resiliency to such crises.)
  • Topic: Foreign Policy, Health, Religion, Shia, Coronavirus
  • Political Geography: China, Iran, Middle East, Global Focus, United States of America
  • Author: Bhashkar Mazumder, Maria Rosales-Rueda, Margaret Triyana
  • Publication Date: 12-2020
  • Content Type: Working Paper
  • Institution: Kellogg Institute for International Studies
  • Abstract: We analyze the long-run and intergenerational effects of a large-scale school building project (INPRES) that took place in Indonesia between 1974 and 1979. Specifically, we link the geographic rollout of INPRES to longitudinal data from the Indonesian Family Life Survey covering two generations. We find that individuals exposed to the program have better health later in life along multiple measures. We also find that the children of those exposed experience improved health and educational outcomes and that these effects are generally stronger for maternal exposure than paternal exposure. We find some evidence that household resources, neighborhood quality, and assortative mating may explain a portion of our results. Our findings highlight the importance of considering the long-run and multigenerational benefits when evaluating the costs and benefits of social interventions in a middle-income country.
  • Topic: Education, Health, Poverty, Inequality, Economic Growth, Economic Development
  • Political Geography: Indonesia, Asia
  • Author: Aspen Institute
  • Publication Date: 03-2020
  • Content Type: Working Paper
  • Institution: Aspen Institute
  • Abstract: The USC Schaeffer Center for Health Policy & Economics and the Aspen Institute’s Health, Medicine & Society Program have together established an advisory panel to consider how the U.S. can better link the price of health technologies to the benefits they provide to patients while ensuring a sustainable healthcare ecosystem that supports innovation.
  • Topic: Health, Science and Technology, Health Care Policy, Emerging Technology
  • Political Geography: North America, United States of America
  • Publication Date: 04-2020
  • Content Type: Working Paper
  • Institution: Aspen Institute
  • Abstract: In June 2019, the Aspen Health Strategy Group met for three days to explore the topic of antimicrobial resistance. We are pleased to present the final report from our work, based upon the group’s rich discussion. In the tradition of the thought-provoking conversations and dialogue on how to address critical societal issues — the hallmark of the Aspen Institute — the report includes five big ideas to address antimicrobial resistance.
  • Topic: Health, Public Health, Resistance, Medicine
  • Political Geography: Global Focus
  • Author: Raffaello Pantucci, Abdul Basit, Kyler Ong, Nur Aziemah Azman, V. Arianti, Muh Taufiqurrohman
  • Publication Date: 04-2020
  • Content Type: Journal Article
  • Journal: Counter Terrorist Trends and Analysis
  • Institution: Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
  • Abstract: The Coronavirus Disease 2019 (COVID-19) pandemic has redefined almost all spheres of modern life. While states around the world are redeploying their financial resources, energies and military capabilities to cope with the challenge of the coronavirus, terrorist groups across the ideological spectrum have positioned themselves to exploit the gaps created by these policy re-adjustments. Terrorist groups are milking people’s fears amid confusion and uncertainty to promote their extremist propagandas. The rearrangement of global imperatives will push counter-terrorism and extremism down the priority list of the international community. Anticipating these policy changes, existing counter-terrorism frameworks and alliances should be revisited to devise cost-effective and innovative strategies to ensure continuity of the fight against terrorist groups. With these considerations in mind, this special issue of the Counter Terrorist Trends and Analyses (CTTA) features four articles that identify and assess important security risks around COVID-19, given its far-reaching social, economic and geopolitical impact. In the first article, Raffaello Pantucci reasons that COVID-19 will have a deep-seated and prolonged impact across government activity, both in terms of the categorisation of risks, as well as the resources available to tackle other issues. Perceptions of risk around terrorist threats may shift, with states grappling with stark economic, social and political challenges. At the same time, security threats continue to evolve, and may even worsen. According to the author, some of the tools developed to deal with the pandemic can potentially be useful in tracking terrorist threats. However, resource constraints will require states, on a global scale, to think far more dynamically about how to adequately buffer much-needed security blankets both within and beyond their borders. In the second article, Abdul Basit outlines the opportunities and potential implications that COVID-19 has created for terrorist groups across the ideological divide. According to the author, terrorist groups have exploited the virus outbreak to spread racial hatred, doomsday and end-of-times narratives. Among jihadist groups, IS has taken a more totalitarian view of the coronavirus pandemic, while Al-Qaeda (AQ) and the Taliban have used it as a PR exercise to gain political legitimacy. Far-right groups in the West have spun it to promote native nationalism, border restoration and anti-immigration policies. Terrorist groups have increased their social media propaganda to radicalise and recruit vulnerable individuals. At the same time, these groups have urged their supporters to carry out lone-wolf attacks and use the coronavirus as a bioweapon. In the post-COVID-19 world, revisiting existing counter-terrorism frameworks to devise more adaptable and cost-effective strategies would be needed to continue the fight against terrorism. In the next article, V. Arianti and Muh Taufiqurrohman observe that the COVID-19 outbreak has had a varied impact on Indonesia’s security landscape. On the one hand, it has emboldened IS-affiliated Indonesian militant groups to step up calls for attacks, with the government seen as weakened amidst a worsening domestic health crisis. On the other, ongoing indoctrination and recruitment activities of militant groups have also faced disruptions. According to the authors, counter-terrorism strategies will need to be reoriented as circumstances evolve, particularly in dealing with the arrest of militants and the subsequent processes of their prosecution and incarceration. Finally, Kyler Ong and Nur Aziemah Azman examine the calls to action by far-right extremists and the Islamic State (IS), which reveals varying degrees of organisational coherence in the respective movements. According to the authors, such variations influence these two groups’ preferred techniques, tactics and procedures adopted in seeking to exploit the health crisis. For its part, IS has a more organised hierarchical structure, even if it has increasingly granted autonomy to its affiliates to plan and execute attacks. In comparison, the absence of a central authority, or command structure in the far-right, can lead to a fragmentation of interests. These factors invariably create uncertainties in how, when and where extremists of both ilk may seek to operationalise an attack.
  • Topic: Security, Government, Health, Terrorism, Counter-terrorism, Al Qaeda, Islamic State, COVID-19
  • Political Geography: South Asia, Indonesia, Southeast Asia, Global Focus
  • Author: Luis Montesclaros
  • Publication Date: 04-2020
  • Content Type: Commentary and Analysis
  • Institution: Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
  • Abstract: While engaging in hoarding behaviour at the national level may seem like a strategic move in response to household hoarding amid disruptions in trade, doing so can potentially trigger a repeat of the 2007-08 food crisis.
  • Topic: Security, Health, Food, COVID-19, Health Crisis
  • Political Geography: Global Focus
  • Author: Angelo Paolo L. Trias
  • Publication Date: 04-2020
  • Content Type: Commentary and Analysis
  • Institution: Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
  • Abstract: Governments around the world are deploying their military forces to respond to COVID-19. Militaries can be helpful in responding to emergencies and disasters because of their organised and unique capabilities. But how can the military be useful in the fight against the coronavirus?
  • Topic: Health, United Nations, Military Affairs, COVID-19, Disaster Management
  • Political Geography: Global Focus
  • Author: S. Nanthini
  • Publication Date: 04-2020
  • Content Type: Commentary and Analysis
  • Institution: Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
  • Abstract: Irregular migrants already struggling with poverty, displacement and discrimination, will be one of the hardest hit communities by the COVID-19 pandemic. Facing stigmatisation and a lack of resources, they are often overlooked in policy conversations despite their especially high vulnerability to the virus.
  • Topic: Health, Labor Issues, COVID-19, Migrant Workers
  • Political Geography: Global Focus
  • Author: Jose M. L. Montesclaros, Mely Caballero-Anthony
  • Publication Date: 07-2020
  • Content Type: Commentary and Analysis
  • Institution: Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
  • Abstract: Many economies have already started to re-open in spite of growing COVID-19 active cases, but it may be for the wrong reasons, and some may be premature. Analysing the healthcare and fiscal capacity of countries provides insights on framing the logic of re-opening.
  • Topic: Health, Economy, Pandemic, COVID-19
  • Political Geography: Global Focus
  • Author: Mely Caballero-Anthony
  • Publication Date: 04-2020
  • Content Type: Commentary and Analysis
  • Institution: Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
  • Abstract: Averting the catastrophic impact of the COVID-19 pandemic requires no less than a coordinated and effective global response with the participation of all actors at multiple levels of governance. Asia must seize the opportunity to define its role in this endeavour.
  • Topic: Diplomacy, Health, COVID-19
  • Political Geography: Global Focus
  • Publication Date: 07-2020
  • Content Type: Policy Brief
  • Institution: Watson Institute for International and Public Affairs at Brown University
  • Abstract: Developed by Brown University faculty with expertise in infectious diseases, emergency medicine, medical education, and instructional design, the training curriculum has been designed in accordance with World Health Organization standards, best practices, and guidelines. The training program, teaches and evaluates trainees on COVID-19 core competencies, including biology and transmission mechanisms; infection prevention and control; contact tracing; screening and triage; diagnosis and management; stabilization and resuscitation; health facility operations and surge capacity; and risk communication and public health messaging. Designed for ease of remote access, the training program is delivered virtually by Brown University trainers and is accompanied by real-time Q&A support. Tailored for each specific country setting in which it is delivered, the curriculum focuses on strengthening the capacity of health workers in resource-limited settings. The training utilizes a Training-of-Trainers model to engage master trainers and coach new trainers, allowing Project HOPE and CHRHS to quickly build a cadre of competent instructors who are able to train other health workers within their networks to respond efficiently to the threat of COVID-19 while also protecting their own health.
  • Topic: Health, Training, Data, COVID-19
  • Political Geography: Global Focus
  • Author: Harvey Galper, Reehana Raza
  • Publication Date: 11-2020
  • Content Type: Commentary and Analysis
  • Institution: Urban Institute
  • Abstract: On March 13, Kenya reported its first case of COVID-19, and an additional 649 cases were reported in the following two months. As the pandemic spreads, Kenya’s policymakers are facing the first significant challenge to the country’s nascent intergovernmental system and will have to prioritize how to spend the country’s scarce resources amid existing fiscal constraints. Established in 2013, Kenya’s decentralized government structure gives the country’s 47 counties the primary responsibility of delivering health care services to their citizens. But historical and geographical factors have led to substantial variation across counties in both health care capacity and risk of contracting the coronavirus. To make critical decisions to control the pandemic, Kenya’s policymakers will need not only accurate data on the spread of the coronavirus but also county-specific data and analyses on health care capacity and population risk. With such county-level data, the national government can flatten the curve and better allocate the country’s limited resources in line with individual counties' circumstances.
  • Topic: Health, Population, Pandemic, COVID-19
  • Political Geography: Kenya, Africa
  • Author: Mirka Martel
  • Publication Date: 03-2020
  • Content Type: Special Report
  • Institution: Institute of International Education
  • Abstract: The Institute of International Education (IIE) is studying the effects of COVID‐19 (coronavirus) on global student mobility on U.S. higher education campuses. Our aim in this series is to provide more information about the effects that COVID‐19 has had on international student mobility, and the measures U.S. higher education institutions are taking regarding international students currently on campus and those abroad, international students interested in studying in the United States, and U.S. students planning to study abroad. The first survey was launched on Feb. 13, 2020, and specifically focuses on the effects of COVID‐19 with regard to academic student mobility to and from China. As the COVID‐19 outbreak evolves, IIE will administer follow‐on surveys to the U.S. higher education community to monitor the unfolding situation and to keep the international education community informed.
  • Topic: Education, Health, Youth, Mobility, Higher Education, Coronavirus
  • Political Geography: China, Asia, North America, United States of America
  • Author: Marek Wąsiński, Mateusz Piotrowski
  • Publication Date: 03-2020
  • Content Type: Special Report
  • Institution: The Polish Institute of International Affairs
  • Abstract: The coronavirus outbreak is spreading throughout the United States. After its initial underestimation of the threat, the Trump administration has acted to fight against the pandemic, including the introduction of a national emergency. The effectiveness of these actions will be an important factor in whether Trump is re-elected. The limits on social life despite the enormous financial support from the government and the Federal Reserve have dramatically slowed the economy, heading into a recession. Public debt will increase much more rapidly, which may force budget cuts in the coming years.
  • Topic: Economics, Government, Health, Financial Crisis, Health Care Policy, Crisis Management, Donald Trump, Coronavirus
  • Political Geography: North America, United States of America
  • Author: Sebastian Płóciennik
  • Publication Date: 03-2020
  • Content Type: Special Report
  • Institution: The Polish Institute of International Affairs
  • Abstract: The prospect of dire economic repercussions from the coronavirus pandemic has prompted the German government to expand its intervention tools. The latest package puts the emphasis on helping the smallest companies and self-employed, offering more loan guarantees, as well as the possibility of temporary state purchases of shares in companies. The crisis is a challenge for fiscal policy—it will lead to a large deficit in public finances and to rising pressure on the German government to accept joint financial measures in the eurozone.
  • Topic: Government, Health, Fiscal Policy, Coronavirus
  • Political Geography: Europe, Germany
  • Author: Marcin Andrzej Piotrowski
  • Publication Date: 04-2020
  • Content Type: Special Report
  • Institution: The Polish Institute of International Affairs
  • Abstract: Iran’s official figures on cases and deaths from COVID-19 (the disease resulting from coronavirus, SARS-CoV-2) do not reflect the real scale of the pandemic in that country, which might be among the hardest hit in the world. The pandemic will deepen the economic crisis and disfunction of the state, becoming a challenge to Iran’s ruling elite. The regime might survive thanks to the security apparatus and, in parallel, continue its support of Shia militias in Lebanon, Iraq, and Yemen, and the Syrian government. Only the succession of power after Ali Khamenei will be the real test of the coherence of the Iranian elite, and in case of disruption, it might result in the collapse of Iran’s theocracy.
  • Topic: Security, Foreign Policy, Economics, Government, Health, Coronavirus, Pandemic, Elites
  • Political Geography: Iraq, Iran, Middle East, Yemen, Lebanon, Syrian Arab Republic
  • Author: Bartlomiej Znojek
  • Publication Date: 06-2020
  • Content Type: Special Report
  • Institution: The Polish Institute of International Affairs
  • Abstract: The spread rate of COVID-19 in Brazil is increasing and the policies of the federal government, headed by President Jair Bolsonaro, do not contribute to a slowdown in the pandemic. Bolsonaro downplays the threat and rejects restrictive measures as he priori-tises support for the economy. He has clashed with state governors who introduced restrictions and with the Federal Supreme Court, which defended their autonomy. The deteriorating situation in Brazil amid the pandemic and political situation diminish Bolsonaro’s chances of re-election in 2022 and may strain his government’s relations with EU partners.
  • Topic: Government, Health, Politics, Health Care Policy, Coronavirus, Pandemic, Jair Bolsonaro
  • Political Geography: Brazil, South America
  • Author: Xian Huang
  • Publication Date: 11-2020
  • Content Type: Video
  • Institution: Weatherhead East Asian Institute, Columbia University
  • Abstract: On October 14, 2020, Xian Huang, Assistant Professor of Political Sciencee at Rutgers University joined Qin Gao, Professor of Social Policy and Social Work and director of the China Center for Social Policy for an event: "Social Protection under Authoritarianism: Health Politics and Policy in China." Why would an authoritarian regime expand social welfare provision in the absence of democratization? Yet China, the world's largest and most powerful authoritarian state, has expanded its social health insurance system at an unprecedented rate, increasing enrollment from 20 percent of its population in 2000 to 95 percent in 2012. Significantly, people who were uninsured, such as peasants and the urban poor, are now covered, but their insurance is less comprehensive than that of China's elite. With the wellbeing of 1.4 billion people and the stability of the regime at stake, social health insurance is now a major political issue for Chinese leadership and ordinary citizens. In this book talk, Xian Huang analyzes the transformation of China's social health insurance in the first decade of the 2000s, addressing its expansion and how it is distributed. Drawing from government documents, filed interviews, survey data, and government statistics, she reveals that Chinese leaders have a strategy of "stratified expansion," perpetuating a particularly privileged program for the elites while developing an essentially modest health provision for the masses. She contends that this strategy effectively balances between elites and masses to maximize the regime's prospects of stability.
  • Topic: Democratization, Government, Health, Authoritarianism, Political stability
  • Political Geography: China, Asia
  • Author: Mfundo Mandla Masuku, Primrose Thandekile Sabela, Nokukhanya Noqiniselo Jili
  • Publication Date: 07-2020
  • Content Type: Journal Article
  • Journal: The Rest: Journal of Politics and Development
  • Institution: Centre for Strategic Research and Analysis (CESRAN)
  • Abstract: This paper aims to provide a critical review of the proposed National Health Insurance Bill in South Africa with reference to the finance mechanisms and implications within the development context. This starts with a brief analysis of health coverage, looking at the international and local context and describes the development benefits of the NHI. The paper reviews the funding mechanisms with particular reference to the tax incidence of the different types of taxes that could be used to raise funds for the NHI. Fiscal policy implications of the proposed health care provision changes are also discussed, and the proposed NHI Fund evaluated, focusing on the impact on the achievement of a performance-based budgeting system. The paper concludes that the increase of income and consumption-based taxes could result in loss of welfare to society, as labour is discouraged from working and the poor are further disadvantaged through increases in taxes such as value- added tax.
  • Topic: Development, Health, Governance, Health Care Policy
  • Political Geography: Africa, South Africa
  • Publication Date: 12-2020
  • Content Type: Special Report
  • Institution: The Sexual Violence Research Initiative
  • Abstract: This Knowledge Exchange seeks to expand our understanding of effective interventions for managing ongoing trauma resulting from child sexual abuse (CSA) and sexual violence through the lifespan, highlighting innovative and increasingly evidence-based body-mind approaches that are showing great promise in the treatment of Post Traumatic Stress Disorder (PTSD) and other trauma induced symptoms, and exploring some basics about the neuro-biological underpinnings of body-focused interventions. We examine complex trauma and various aspects of recovery and healing, followed by an exploration of body-focused approaches. The Knowledge Exchange is not intended to be a systematic review of therapeutic options in cases of trauma and PTSD (for a recent meta-analysis of psychological and pharmacological interventions for PTSD and comorbid health problems, see Coventry et al., 2020), nor is it a review of cognitive-behavioral approaches or talk therapy more generally.
  • Topic: Health, Trauma, Mental Health, Sexual Violence, PTSD
  • Political Geography: Global Focus
  • Author: Hanns Kuttner
  • Publication Date: 11-2020
  • Content Type: Working Paper
  • Institution: Hudson Institute
  • Abstract: Early in the COVID-19 epidemic, many gloomy images emerged of what might be ahead. In one, hospitals would be overrun by more COVID-19 patients than they could treat. Models developed at the Institute for Health Metrics and Evaluation (IHME) provided numbers that supported the image. For the most part, overrun hospitals did not happen. Things turned out better because America’s hospitals did better than the IHME model thought they could. Hospital productivity has proved to be greater than anticipated in the IHME model. Productivity determines how many patients hospitals can serve. Productivity reflects how many beds a hospital has and how many days each patient stays in a bed. The most common pattern in hospitals, patients who are discharged alive and do not require time in an intensive care unit (ICU), provide an example. Length of stay for that group has been a third shorter than assumed in the IHME model. The data required to tell the adaptability story in detail is not yet available. Only a qualitative assessment is possible at this point. Hospitals adapted in ways not anticipated in the IHME model. For example, they delayed elective surgical procedures, freeing up beds. The story will become more detailed as data about hospital admissions and the clinical course of COVID-19 patients becomes available.
  • Topic: Health, Science and Technology, Health Care Policy, COVID-19, Pharmaceuticals
  • Political Geography: North America, United States of America