Yanzhong Huang

Sources and limits of Chinese ‘soft power’

In current analysis and debate concerning Chinas rise, the subject of soft power is either missing or misapplied. Since the 1990s, China has achieved impressive gains both in terms of soft power resources and the ability to convert the resources into desired foreign-policy outcomes. Unlike the former Soviet Union, China appears to be more successful in developing hard and soft power in tandem. Its steppedup endeavours in expanding its soft power nevertheless continue to be constrained by three factors: imbalance in resources, legitimacy concerns regarding its diplomacy, and a lack of coherent agenda. How Washington and its allies respond to this unique power pattern will shape the future strategic landscape of East Asia and beyond.

Dragon’s underbelly: An analysis of China’s soft power

Using both quantitative and qualitative data, this paper extends Joseph Nye’s analytical framework on soft power to the China case, in order to provide a more balanced and updated analysis of the country’s power status. We argue that the rise of China is not simply an expansion of hard power; it has also been accompanied by tremendous efforts to develop soft power. Soft power helps Beijing redraw geopolitical alliances in ways that will propel its rise as a global power. This process is nevertheless complicated by the deficiency of its soft power resources and the uneven progress in projecting the soft power abroad. The paper concludes that despite Beijing’s growing ability to shape other people’s worldview or political agenda, soft power remains Beijing’s underbelly and China still has a long way to go to become a true global leader.

Bringing the local state back in: the political economy of public health in rural China

Contrary to what most alarmist reports would imply, China has not witnessed a measurable decline in the overall public health status. What explains the continuous improvement in some important domains of public health despite the pertinacious pricing, financing and institutional‐behavioral problems in Chinas health system change? This study provides a political economy analysis of the role the local Chinese state played in rural public health provision during the reform era. Through comparative case studies, statistical analysis, and formal modeling, the study shows that state capacity is a principal factor setting the parameters for rural public health in China. It also suggests that the post‐Mao reforms, while generating strong disincentives for the provision of public services, unleashed forces that lay down the institutional bases for sustained state engagement in the health sector.Contrary to what most alarmist reports would imply, China has not witnessed a measurable decline in the overall public health status. What explains the continuous improvement in some important domains of public health despite the pertinacious pricing, financing and institutional‐behavioral problems in Chinas health system change? This study provides a political economy analysis of the role the local Chinese state played in rural public health provision during the reform era. Through comparative case studies, statistical analysis, and formal modeling, the study shows that state capacity is a principal factor setting the parameters for rural public health in China. It also suggests that the post‐Mao reforms, while generating strong disincentives for the provision of public services, unleashed forces that lay down the institutional bases for sustained state engagement in the health sector.

China's position in negotiating the Framework Convention on Tobacco Control and the revised International Health Regulations

Abstract This paper examines Chinas position in the negotiations of the Framework Convention on Tobacco Control and the revised International Health Regulations. In particular, it explores three sets of factors shaping Chinas attitudes and actions in the negotiations: the aspiration to be a responsible power; concerns about sovereignty; and domestic political economy. In both cases, China demonstrated strong incentives to participate in the negotiation of legally binding international rules. Still, the sovereignty issue was a major, if not the biggest, concern for China when engaging in global health rule making. The two cases also reveal domestic political economy as an important factor in shaping Chinas position in international health negotiations.

BRICS? role in global health and the promotion of universal health coverage: the debate continues

The acronym BRIC was coined in 2001 by Jim O’Neill, a senior executive at Goldman Sachs, to denote four emerging national economies: Brazil, the Russian Federation, India and China.1 The acronym was subsequently extended – to BRICS – to include South Africa. Together, the nations in the BRICS group, which are widely considered to represent the most important emerging economies, hold approximately 40% of the world’s population. Although BRICS and other multinational groupings may be useful to policy-makers involved in the development of some foreign policies, it remains unclear if such groupings have a role in the study and development of global health policy. We examine the debate around this issue and focus on the potential role of BRICS in the promotion of universal health coverage – an “umbrella” goal for health in the post-2015 development framework.2

China's Response to Pandemics: From Inaction to Overreaction

Two U.S. specialists (on the governance and foreign policy aspects of Chinas public health issues as well as its human and medical geography) examine how two different sets of policies implemented by the government of China have affected both the geography and political ecology of pandemic disease outbreaks (HIV/AIDS, SARS, and H1N1) over the past two decades. More specifically, they argue that: (1) broad development and reform policies largely responsible for Chinas rapid modernization/urbanization and increasingly successful perfomance in the global economic arena have generated unexpected side-effects in terms of the location, incidence, and spread of pandemics as well as the states capacity to mount an adequate health care response; and (2) politically motivated public health policies implemented in response to the spread of specific pandemics in China have had unanticipated impacts on the progression of disease outbreaks and their outcomes. Journal of Economic Literature, Classification Numbers: H510, H750, I180. 3 figures, 2 tables, 76 references.

Bureaucratic capacity and state-society relations in China

In view of the efforts of post-Mao state-rebuilding, how does bureaucratic capacity affect the pattern of state-society interaction in China, where a robust civil society is still missing? Using the case of China’s population control, we analyze the linkage between bureaucratic capacity and state-society relations. The study demonstrates remarkable resilience of the party-state and its transformative thrust in reformist China. Through a mix of mass mobilization and institutional building, the Chinese state remains puissant in extending social control over its people. Equally important, bureaucratic capacity is a major predictor of state coerciveness. Other things being equal, localities with stronger bureaucratic capacity tend to develop a less antagonist and more cooperative state-society relationship. Bureaucratic capacity can serve as remedy to despotic or authoritarian rule despite the lack of an autonomous civil society. This finding has important implications for the potential of democratization in China.

International institutions and China's health policy.

This article examines the role of international institutional actors in Chinas health policy process. Particular attention is paid to three major international institutional actors: the World Bank, the World Health Organization, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. Through process tracing and comparative case studies, the article looks at how international institutions contribute to policy change in China and seeks to explain different outcomes in the relationship between international institutions and Chinas health policies. It finds that despite the opaque and exclusive authoritarian structure in China, international institutions play a significant role in the countrys domestic health governance. By investing their resources and capabilities selectively and strategically, international institutions can change the preferences of government policy makers, move latent public health issues to the governments agenda, and affect the timing of government action and the content of policy design. Furthermore, the study suggests that different outcomes in the relationship between Chinas health policies and global health governance can be explained through the seriousness of the externalities China faces.

Managing Biosecurity Threats in China

Compared to the extensive literature on bioterrorism and biosecurity in the United States, less analysis has been conducted on similar challenges in China. This article seeks to fill this void by providing an integrated and updated assessment of 3 major biosecurity threats China faces: biowarfare, bioterrorism, and biocrimes. An analysis of Chinas biosecurity threats and biodefense building suggest varying levels of risk associated with each threat type. First, a direct bioweapons attack on China is highly unlikely, although the threat of biowarfare cannot be simply written off. Second, potential perpetrators of bioterrorism have capabilities at their disposal for carrying out such attacks. While terrorist organizations in China do not have a strong interest in bioterrorism, the limited state capability to counter such a threat may increase the risk in the future. Third, unlike the threats of biowarfare and bioterrorism, potential perpetrators of biocrimes have both incentives and capabilities, and biocrimes can produce reactions far out of proportion to the actual number of casualties. Despite the distinct biosecurity challenges it faces, China has yet to articulate a differentiated and coherent strategy to effectively tackle the challenges. Assessing different types of biosecurity threats in terms of degrees of risk not only provides greater analytical clarity but also has important implications for the strategies required to manage the risks.