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1. Productivity and Adaptability: Why COVID-19 Has Not Overrun American Hospitals

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, and Pharmaceuticals
Political Geography:
North America and United States of America

2. A Global Survey of US-China Competition in the Coronavirus Era

Author:
Eric B. Brown, Patrick M. Cronin, H.R. McMaster, Husain Haqqani, Aparna Pande, Satoru Nagao, John Lee, Seth Cropsey, Peter Rough, Liselotte Odgaard, Blaise Misztal, Douglas J. Feith, and Michael Doran
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
The outbreak of the novel coronavirus has introduced a series of new stresses and factors in the US-China relationship. While the world has struggled to contain the pandemic and its tragic repercussions, the People’s Republic of China has used the outbreak to launch a global campaign of misinformation, further its economic coercion through the Belt and Road Initiative, and continue military expansion efforts in the South China Sea. China’s attempt to exploit the pandemic for political, strategic, and economic gain is problematic in the current environment, yet it is consistent with, and a continuation of, China’s long-term strategy. This report offers a global survey and assessment of attempts by the Chinese Communist Party (CCP) to expand its influence, including by exploiting the pandemic. As the United States and its allies focus on combatting the virus and salvaging their economies, there is an opportunity to better understand China’s strategy and develop a unified response.
Topic:
International Relations, Foreign Policy, Economics, Strategic Competition, and COVID-19
Political Geography:
China, South Asia, Asia, North America, and United States of America

3. The Impact of COVID-19 on Vulnerable Mineral Supply Chains

Author:
Thomas J. Duesterberg
Publication Date:
07-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
This report will concentrate on select examples of the growing US vulnerability to global competitors due to shortages of key mineral resources in our domestic supply base. Dependence on China for raw materials and competition with its manufacturing firms is also a key focus. Shortages do not always indicate a problem because our close allies in mineral-rich countries like Australia and Canada can mitigate gaps in domestic supply. However, China’s growing control over many basic materials, and its history of using that control as leverage for its own economic and political goals, makes this a cause of concern for the continued strength of the US manufacturing economy.
Topic:
Natural Resources, Economy, COVID-19, and Minerals
Political Geography:
China, Canada, Australia, North America, and United States of America

4. Next Steps for US Trade, Manufacturing, and Supply Chains After COVID-19

Author:
Thomas J. Duesterberg
Publication Date:
07-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
The imperative to return supply chains to the United States for products important to national defense, medical security, and competitiveness in key industrial and technology sectors is not new. The explosive growth of the Chinese manufacturing sector, its mercantilist challenge to the world trading system, and its impact on jobs and industrial leadership in the United States is well known and well documented. This challenge has prompted new research and policies to help reverse the erosion of US supply chains. US technology leadership has been undermined by China’s forced technology transfer, theft of intellectual property, and subsidization of traditional and new higher technology sectors. In turn, the loss of global markets and US manufacturing jobs have resulted in social problems of increasing devastation to communities in industrial areas. China’s economic growth depends, in a historically unprecedented way, on its export model and the suppression of domestic consumption. This results in a cycle of overproduction, expansion of external spheres of economic influence, and dumping of products abroad. In recent years, the United States has begun to challenge the Chinese model. However, much work remains to be done to accomplish the goal of ending mercantilist practices, establishing a level playing field for US producers, and reinvigorating domestic production. Critical supply chains for US national defense and high technology leadership have become overly dependent on China and other foreign sources. The vulnerability of supply chains has been demonstrated by interruptions in supply of key materials by both natural disasters and political decisions such as Beijing’s cutoff of rare earth metals a decade ago. More recently, in July 2020, the production of critical personal protective equipment was interrupted by massive flooding in the interior of China. Beyond Beijing’s unfair practices, China is a continental economy with the ambition to displace the United States as the leader in the global economy of the 21st century and has the economies of scale to represent a serious, long term threat to US leadership and markets. The COVID-19 pandemic has accelerated these preexisting trends and underscores the importance of bringing industrial supply chains, including medical products, back to the United States. First, the cut-off of medical supplies, not just from China but from Europe and other allies, brought the vulnerabilities of relying on outside sourcing into clearer and more immediate focus. Ninety countries blocked the exports of medical products during the early months of the pandemic. Second, border closures around the world, even within the European Union (EU), added to the worries about supply chain interruptions, including for workers and logistics. Seventy percent of the world’s points of entry restricted foreign travelers at some point as the pandemic grew. Third, border closures and supply chain interruptions increased tensions between nations, especially between the United States and China, which was criticized for its suppression of information at the start of the pandemic. Beijing’s brazen imposition of a new security law in Hong Kong while the world was preoccupied by the pandemic further eroded its global standing, especially in Europe. Fourth, the economic collapse due to the pandemic response again focused attention on the need to create more domestic jobs, including those in the hard-hit industrial sector. Finally, all these developments led allies such as the United Kingdom, Japan, and the EU to advance new policies meant to bring production back to home territories. These trends support initiatives to increase the resiliency of domestic production, even beyond the parameters of defense and medical security.
Topic:
Economics, Science and Technology, Manufacturing, Trade, COVID-19, and Supply Chains
Political Geography:
China, Asia, North America, and United States of America

5. Sustaining the Undersea Advantage: Transforming Anti-Submarine Warfare Using Autonomous Systems

Author:
Bryan Clark, Seth Cropsey, and Timothy A. Walton
Publication Date:
09-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
Submarines have posed a challenge to naval forces for more than a century, enabling weaker maritime powers to launch surprise attacks ashore or cut an opponent off from the sea. But submarine threats, and the difficulty of countering them, increased substantially for the United States and its allies during the past decade. The Chinese People’s Liberation Army Navy (PLAN) is modernizing its fleet with conventional air-independent propulsion submarines (SSPs) that support its broader sensor and weapon networks. It is also fielding nuclear-powered attack submarines (SSN) and ballistic missile submarines (SSBNs) capable of longer or more distant deployments. New generations of Russian Federation Navy (RFN) SSNs are difficult to track and could be employed for conventional or nuclear strikes during a conflict. Both countries are augmenting their submarine fleets with large autonomous underwater vehicles (AUVs) incorporating submarine like capabilities. Modern submarine technology has also proliferated, with the North Korean and Iranian navies using submarines and AUVs to level the playing field with their larger regional competitors and the United States. Unfortunately, the current US and allied approach to antisubmarine warfare (ASW) is unlikely to cope with the probable scale of undersea threats in a crisis or conflict. US Navy ASW concepts rely on fixed seabed sensors such as the Sound Surveillance System (SOSUS) or Surveillance Towed Array Sensor System (SURTASS) ships to detect and initially track submarines. Multiple maritime patrol aircraft and guided missile destroyers (DDGs) then track each adversary submarine before potentially passing it to an SSN for longerterm surveillance. This approach works when opposing submarines deploy infrequently but is likely to break down during a large-scale submarine deployment or as submarines become quieter and harder to track. When manned platforms and expendables such as sonobuoys or torpedoes run out or are needed elsewhere, ASW operations will necessarily collapse to a defensive strategy protecting high-value targets, instead of suppressing enemy submarine operations closer to the adversary’s waters. This may result in unlocated adversary submarines operating in the open ocean, where they could threaten US and allied shipping and maritime operations.
Topic:
Defense Policy, National Security, Science and Technology, Military Affairs, Maritime, Automation, and Submarines
Political Geography:
China, Asia, North America, and United States of America

6. Weaponizing the 5G Value Chain

Author:
Bryan Clark and Dan Patt
Publication Date:
09-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
US national security experts worry the United States is falling behind China in the competition for 5G mobile communication dominance. While US companies led establishment of today’s 4G networks, they are not the frontrunners in setting 5G standards, building 5G equipment, or deploying 5G infrastructure. The lead in 5G implementation belongs instead to China’s Huawei, which exploited a combination of regulatory protection, government subsidies, and capable technology to rapidly gain one-third of the global 5G market.
Topic:
National Security, Science and Technology, Internet, and 5G
Political Geography:
China, Asia, North America, and United States of America

7. Towards an Even Stronger Japan-US Alliance

Author:
Taro Hayashi
Publication Date:
11-2020
Content Type:
Policy Brief
Institution:
Hudson Institute
Abstract:
Sixty years ago, Japan and the United States signed the Treaty of Mutual Cooperation and Security marking the beginning of the Japan-US Alliance as we know it today. The two countries have made a commitment to core values such as democracy, respect for human rights, and a rules-based international order. The Alliance has played an integral role in ensuring the peace and security of the two countries as well as realizing their shared vision of a free and open Indo-Pacific through security cooperation.
Topic:
Bilateral Relations, Economy, Alliance, and COVID-19
Political Geography:
Japan, Asia, North America, and United States of America

8. The Importance of WTO Reform from a Transatlantic Perspective

Author:
Thomas J. Duesterberg
Publication Date:
02-2019
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
Trade is at the forefront of international tensions in 2019. Political developments in the United States and Europe, and the rise of China as a peer competitor to the transatlantic economies, have led many to question the fundamental assumptions and operations supporting the World Trade Organization (WTO). Chinese mercantilism, the Trump administration’s aggressive use of unilateral tariff measures, and the inability of WTO members to reach consensus on expanding its disciplines to important new sectors and forms of commerce in the modern economy reinforce the critique of the WTO. Expansion in global trade, one of the great engines of growth and progress in bringing billions of people out of poverty since 1945, has slowed considerably in the last two decades. In 2018, however, several constructive efforts to craft reforms for this successor institution of the Bretton Woods system are engendering some hope that the WTO can be adapted to meet the needs of the contemporary economy. The first basket of problems revolves around a lack of WTO disciplines for newer sectors like services, including those associated with the emerging digital economy; for state-owned enterprises; for intellectual property protection; and for cross-border investments. The other main issues concern the sometimes ineffective and bounded operations of the WTO itself. Questions have been raised, notably by the United States, over the slow and inconsistent enforcement of existing WTO rules, and over rulings by judges in the Appellate Body which overstep the limits of existing WTO rules, undertake interpretations of domestic laws, and reinterpret facts established by earlier dispute panel decisions. This is the biggest issue now dividing U.S. and EU thinking on the reform of the WTO. The EU, Canada, Japan, the United States and other members have begun offering concrete proposals for addressing these problems, and the G20 political leaders gave a strong endorsement to their efforts in the December 2018 communique of the Buenos Aires summit. Ideas for new rules are being tested in sub-global trade agreements like the new North American and Trans-Pacific pacts and EU free trade agreements with Canada and Japan. Incorporation of new rules into the global WTO is extremely difficult; full consensus among its 164 members is required for the adoption of any new disciplines or internal operations. To overcome that impediment, this paper suggests that plurilateral agreements, like the Information Technology Agreement of 1997, be employed to establish and test new rules needed for the 21st-century economy. Some use of supermajority decision making instead of the consensus rule may also help advance the creation of new rules and redress weaknesses in WTO operations. The role of transatlantic leadership, finally, is emphasized as a key to building broad political support needed to achieve substantive reform.
Topic:
International Relations, World Trade Organization, Reform, Trade, and Transatlantic Relations
Political Geography:
Europe, North America, and United States of America

9. Modernizing the Land-Based Leg of the Nuclear Triad: Myths and Facts

Author:
Rebeccah L. Heinrichs and Brandi Jackson
Publication Date:
07-2019
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
Across Democratic and Republican administrations over the past sixty years, U.S. strategists have determined that for the United States, a nuclear triad is the most strategically sound means to credibly deter adversaries. In an increasingly complex threat environment—facing nuclear adversaries and nuclear aspirants with different national objectives, military capabilities, and strategies—a nuclear triad provides the President of the United States with necessary flexibility while accounting for possible changes in adversaries’ capabilities and the geopolitical environment. To remain effective, the U.S. must modernize its Cold War legacy nuclear forces. This booklet is intended to dispel myths surrounding the land-based leg of the nuclear triad and explore the advantages of adopting the ground-based strategic deterrent missile system (GBSD) rather than continuing to recapitalize the aging Minuteman III system.
Topic:
International Relations, Foreign Policy, National Security, Nuclear Weapons, Science and Technology, Military Spending, and Missile Defense
Political Geography:
North America and United States of America

10. The Cornerstone and the Linchpin: Securing America’s Northeast Asian Alliances

Author:
Patrick M. Cronin
Publication Date:
10-2019
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
During an era in which strategic gravity is shifting to Asia, the United States cannot be careless in tending to its alliances with Japan and South Korea (the Republic of Korea, or ROK). The three countries face persistent threats from North Korea and from China’s semi-transparent bid for regional hegemony. Meanwhile, rocky relations between Tokyo and Seoul are jeopardizing vital U.S. interests in the Indo-Pacific. The latest disagreement between America’s premier allies raises new questions about alliance strategy, commitment, and burden-sharing. These fissures have become exacerbated as the U.S. pressures allies to increase their contributions to regional security and reciprocal trade. [...] This report seeks to explain why the U.S.-Japan and U.S.-ROK alliance are still a vital means of achieving overlapping strategic interests. At the same time, it also argues that keeping these alliances fit for purpose requires radical change rather than business as usual. Both a rapidly changing security environment and growing intra-alliance squabbling pose dangers that require U.S. leadership. This report concludes with specific ideas for advancing bilateral and trilateral cooperation in the coming months and years, without trying to achieve too much too quickly.
Topic:
International Relations, Foreign Policy, Economics, International Security, and Alliance
Political Geography:
Japan, Asia, South Korea, North America, and United States of America