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331. New Approaches to Global Health Cooperation: Perspectives from Brazil

Author:
Katherine E. Bliss, Paulo Buss, and Felix Rosenberg
Publication Date:
09-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
On November 7, 2011, the Global Health Policy Center of the Center for Strategic and International Studies (CSIS) in Washington, D.C., in partnership with the Fiocruz Center for Global Health (CRIS) in Rio de Janeiro, Brazil, hosted a seminar entitled “New Approaches to Global Health Cooperation.” The event, which took place in Rio de Janeiro, assembled health policy researchers and practitioners from Brazil, Europe, the United States, and sub - Saharan Africa to examine emerging practices in global health co operation. Issues considered included the factors driving greater international engagement on public health challenges, the growing trend of trilateral cooperation, and the role of the BRICS (Brazil, Russia, India, China, and South Africa) and South - South activities in expanding international cooperation on global health. Over the course of the day - long meeting, speakers and audience members examined the reasons for the overall expansion of funding and programming for overseas global health activities durin g the past decade; considered the factors that underpin Brazil's increasing focus on global health as an area of bilateral and multilateral outreach; reviewed the characteristics of successful trilateral cooperation efforts; and debated the future of multi country engagement on health.
Topic:
Development, Emerging Markets, Health, and Health Care Policy
Political Geography:
Africa, Russia, United States, China, Europe, Washington, India, South Africa, Brazil, and Latin America

332. The Afghan War: Creating the Economic Conditions and Civil-Military Aid Efforts Needed For Transition

Author:
Anthony H. Cordesman, Sean T. Mann, and Bryan Gold
Publication Date:
09-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In a little over two years the US and its allies plan to hand over security and other responsibilities to the Afghan government as part of a process labeled “Transition.” Afghanistan is still at war and will probably be at war long after 2014. The political, governance, and economic dimensions of this Transition, however, will be as important as any developments in the fighting.
Topic:
Conflict Resolution, Security, and Economics
Political Geography:
Afghanistan, United States, and Asia

333. The FY2013 Defense Budget, Deficits, Cost-Escalation, and Sequestration

Author:
Anthony H. Cordesman and Robert Shelala II
Publication Date:
09-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The US may not face peer threats in the near to mid term, but it faces a wide variety of lesser threats that make maintaining effective military forces, foreign aid, and other national security programs a vital national security interest. The US does need to reshape its national security planning and strategy to do a far better job of allocating resources to meet these threats. It needs to abandon theoretical and conceptual exercises in strategy that do not focus on detailed force plans, manpower plans, procurement plans, and budgets; and use its resources more wisely. The US still dominates world military spending, but it must recognize that maintaining the US economy is a vital national security interest in a world where the growth and development of other nations and regions means that the relative share the US has in the global economy will decline steadily over time, even under the best circumstances. At the same time, US dependence on the security and stability of the global economy will continue to grow indefinitely in the future. Talk of any form of “independence,” including freedom from energy imports, is a dangerous myth. The US cannot maintain and grow its economy without strong military forces and effective diplomatic and aid efforts. US military and national security spending already places a far lower burden on the US economy than during the peaceful periods of the Cold War, and existing spending plans will lower that burden in the future. National security spending is now averaging between 4% and 5% of the GDP – in spite of the fact the US has been fighting two wars in Iraq and Afghanistan – versus 6-7% during the Cold War.
Topic:
Security, Foreign Policy, Defense Policy, and Economics
Political Geography:
Afghanistan, United States, Iraq, and Asia

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

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

335. Sustainable Energy Futures in Southeast Asia

Author:
Murray Hiebert, Ernest Z. Bower, David Pumphrey, Gregory B. Poling, and Molly A. Walton
Publication Date:
12-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Southeast Asia will be the next big growth engine in Asia. Indonesia, Malaysia, the Philippines, Thailand, and Vietnam, with a population of 525 million and a combined GDP of $2.8 trillion (when measured by purchasing power parity), are expected to grow almost 6 percent between now and 2030, according to the Asian Development Bank. For years, they have been eclipsed by China and India, but now their combined GDP is catching up with India and they could overtake Japan in less than two decades. For U.S. firms, these five members of the Association of South East Asian Nations—hereafter the ASEAN-5—are a trade, energy, and environment story.
Topic:
Development, Economics, Energy Policy, International Trade and Finance, and Oil
Political Geography:
Indonesia, Malaysia, Asia, Vietnam, Philippines, Thailand, and Southeast Asia

336. Moving towards Unity: Expanding the Role of the GCC in Gulf Security

Author:
Anthony H. Cordesman
Publication Date:
12-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The Riyadh Declaration, which was issued at the end of the GCC meeting in December 2011, calls for efforts to explore creating a “single unity” that could deal with the many challenges facing the Arab Gulf states.
Topic:
Security, Foreign Policy, Nuclear Weapons, and Nuclear Power
Political Geography:
United States, Middle East, and Arabia

337. European Defense Trends 2012: Budgets, Regulatory Frameworks, and the Industrial Base

Author:
David J. Berteau, Guy Ben-Ari, Joachim Hofbauer, Priscilla Hermann, and Sneha Raghavan
Publication Date:
12-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The European defense market is composed of three key elements: national defense spending, the European defense acquisition regulatory environment, and the European defense and security industrial base. This report assesses the defense spending of 37 European countries, regulations governing the European defense market, and the health of the European defense and security industrial base. Expanding upon CSIS research on these topics from 2008 and 2010, this report provides an in-depth analysis of these elements of the European defense market, which in turn can serve as the basis for a better understanding of trends in European defense policies and capabilities.
Topic:
Security and Arms Control and Proliferation
Political Geography:
Europe

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

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

339. Reordering Chinese Priorities on the Korea Peninsula

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

340. The State of Public Health in South Sudan

Author:
Richard Downie
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Less than 18 months into its life as an independent nation, South Sudan is facing a desperate struggle for survival. Because the terms of its separation from Sudan were not decided before independence, negotiations have dragged on over issues including borders, security arrangements, and the qualifications for citizenship, diverting attention from the urgent task of development. Most damagingly, the two nations have failed to cooperate on oil production, the mainstay of their economies. Anger over the high price Sudan was demanding to use its pipeline prompted the government of the Republic of South Sudan (GRSS) to shut off oil production entirely in January 2012. Although a compromise was reached in August, implementation stalled until a broader agreement was signed by the two countries in late September. The implications for health development in South Sudan are stark. Even before the oil shutdown, international donors had paid for and delivered most health services. However, talks had been ongoing to transfer to a more sustainable system in which the GRSS assumed more responsibility for the health needs of its citizens. Donors spoke of the importance of moving away from a top-down system centered on emergency relief and primary health care delivery, mainly administered by international nongovernmental organizations (NGOs). Instead, the objective was to move to a new phase focused on developing health systems that would increasingly be managed by South Sudanese themselves. These plans were put on hold by the oil shutdown and the calamitous economic crisis it triggered. Donors feel that South Sudan has regressed in the period since independence, and they apportion a lot of the blame for the dire situation on the government of South Sudan.
Topic:
Conflict Resolution, Development, Economics, Health, Oil, Infectious Diseases, Financial Crisis, and Health Care Policy
Political Geography:
Africa and South Sudan