Enter the Dragon and the Elephant

China’s and India’s Participation in Global Health Governance

Among the emerging powers, China and India have long been critical to successfully addressing global health problems. Historically, infectious diseases that originated in either country have altered epidemiological patterns worldwide. The first known pandemic of cholera began in the Ganges River delta, and many major disease outbreaks, including the 1957 Asian flu, the 1968 Hong Kong flu, and the 2003 SARS epidemic, originated in China. The negative effects of health crises are unlikely to remain within national boundaries and could have serious implications for regional and global stability, security, and prosperity. This paper examines China’s and India’s involvement in GHG in three core areas: health-related development assistance, the development of global health rules, and the promulgation of ideas for GHG. While both countries have been increasingly active in participating in GHG, they are not yet in a position to offer a viable, sustainable alternative to the existing governance paradigm.

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Health

The Little Red Guard

When Wenguang Huang was nine years old, his grandmother became obsessed with her own death. Fearing cremation, she extracted from her family the promise to bury her after she died. This was in Xi’an, a city in central China, in the 1970s, when a national ban on all traditional Chinese practices, including burials, was strictly enforced. But Huang’s grandmother was persistent, and two years later, his father built her a coffin. He also appointed his older son, Wenguang, as coffin keeper, a distinction that meant, among other things, sleeping next to the coffin at night.

Over the next fifteen years, the whole family was consumed with planning Grandma’s burial, a regular source of friction and contention, with the constant risk of being caught by the authorities. Many years after her death, the family’s memories of her coffin still loom large. Huang, now living and working in America, has come to realize how much the concern over the coffin affected his upbringing and shaped the lives of everyone in the family. Lyrical and poignant, funny and heartrending, The Little Red Guard is the powerful tale of an ordinary family finding their way through turbulence and transition. —Riverhead Books

Xi Jinping Goes to Russia

Xi Jinping’s trip to Moscow earlier this week, his first journey abroad as China’s new Head of State, has raised interesting questions about China’s ambitions in Asia, and coupled with Washington’s “pivot to Asia” is resurrecting the specter of a strategic standoff between Southern and Northern Asia around the world’s two leading superpowers. How realistic is this vision? In today’s show, we try our best to find out.

China’s Path to Consumer-Based Growth

Reorienting Investment and Enhancing Efficiency

This paper proposes a possible framework for identifying excessive investment. Based on this method, it finds evidence that some types of investment are becoming excessive in China, particularly in inland provinces. In these regions, private consumption has on average become more dependent on investment (rather than vice versa) and the impact is relatively short-lived, necessitating ever higher levels of investment to maintain economic activity. By contrast, private consumption has become more self-sustaining in coastal provinces, in large part because investment here tends to benefit household incomes more than corporates. If existing trends continue, valuable resources could be wasted at a time when China’s ability to finance investment is facing increasing constraints due to dwindling land, labor, and government resources and becoming more reliant on liquidity expansion, with attendant risks of financial instability and asset bubbles. Thus, investment should not be indiscriminately directed toward urbanization or industrialization of Western regions but shifted toward sectors with greater and more lasting spillovers to household income and consumption. In this context, investment in agriculture and services is found to be superior to that in manufacturing and real estate. Financial reform would facilitate such a reorientation, helping China to enhance capital efficiency and keep growth buoyant even as aggregate investment is lowered to sustainable levels.

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Economy

China Goes Global

Most global citizens are well aware of the explosive growth of the Chinese economy. Indeed, China has famously become the “workshop of the world.” Yet, while China watchers have shed much light on the country’s internal dynamics—China’s politics, its vast social changes, and its economic development—few have focused on how this increasingly powerful nation has become more active and assertive throughout the world.

In China Goes Global, eminent China scholar David Shambaugh delivers the book that many have been waiting for—a sweeping account of China’s growing prominence on the international stage. Thirty years ago, China’s role in global affairs beyond its immediate East Asian periphery was decidedly minor and it had little geostrategic power. As Shambaugh charts, though, China’s expanding economic power has allowed it to extend its reach virtually everywhere—from mineral mines in Africa, to currency markets in the West, to oil fields in the Middle East, to agribusiness in Latin America, to the factories of East Asia. Shambaugh offers an enlightening look into the manifestations of China’s global presence: its extensive commercial footprint, its growing military power, its increasing cultural influence or “soft power,” its diplomatic activity, and its new prominence in global governance institutions.

But Shambaugh is no alarmist. In this balanced and well-researched volume, he argues that China’s global presence is more broad than deep and that China still lacks the influence befitting a major world power—what he terms a “partial power.” He draws on his decades of China-watching and his deep knowledge of the subject, and exploits a wide variety of previously untapped sources, to shed valuable light on China’s current and future roles in world affairs.  —Oxford University Press

China’s Demography and its Implications

In coming decades, China will undergo a notable demographic transformation, with its old-age dependency ratio doubling to 24 percent by 2030 and rising even more precipitously thereafter. This paper uses the permanent income hypothesis to reassess national savings behavior, with greater prominence and more careful consideration given to the role played by changing demography. We use a forward-looking and dynamic approach that considers the entire population distribution. We find that this not only holds up well empirically but may also be superior to the static dependency ratios typically employed in the literature. Going further, we simulate global savings behavior based on our framework and find that China’s demographics should have induced a negative current account in the 2000s and a positive one in the 2010s given the rising share of prime savers, only turning negative around 2045. The opposite is true for the United States and Western Europe. The observed divergence in current account outcomes from the simulated path appears to have been partly policy induced. Over the next couple of decades, individual countries’ convergence toward the simulated savings pattern will be influenced by their past divergences and future policy choices. Other implications arising from China’s demography, including the growth model, the pension system, the labor market, and the public finances are also briefly reviewed.

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China 2030: Building a Modern, Harmonious, and Creative Society

Can China’s growth rate still be among the highest in the world even if it slows from its current pace? And can it maintain this rapid growth with little disruption to the world, the environment, and the fabric of its own society? This report answers both questions in the affirmative, without downplaying the risks. By 2030, China has the potential to be a modern, harmonious, and creative high-income society. But achieving this objective will not be easy. To seize its opportunities, meet its many challenges, and realize its development vision for 2030, China needs to implement a new development strategy in its next phase of development. The reforms that launched China on its current growth trajectory were inspired by Deng Xiaoping, who played an important role in building consensus for a fundamental shift in the country’s strategy. After more than thirty years of rapid growth, China has reached another turning point in its development path when a second strategic, and no less fundamental, shift is called for. The 12th Five Year Plan provides an excellent start. This report combines its key elements to design a longer-term strategy that extends to 2030. More important, it focuses on the “how,” not just the “what.”

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World Bank

How Effective are Macroprudential Policies in China?

This paper investigates macroprudential policies and their role in containing systemic risk in China. It shows that China faces systemic risk in both the time (procyclicality) and cross-sectional (contagion) dimensions. The former is reflected as credit and asset price risks, while the latter is reflected as the links between the banking sector and informal financing and local government financing platforms. Empirical analysis based on 171 banks shows that some macroprudential policy tools (e.g., the reserve requirement ratio and house-related policies) are useful, but they cannot guarantee protection against systemic risk in the current economic and financial environment. Nevertheless, better-targeted macroprudential policies have greater potential to contain systemic risk pertaining to the different sizes of the banks and their location in regions with different levels of economic development. Complementing macroprudential policies with further reforms, including further commercialization of large banks, would help improve the effectiveness of those policies in containing systemic risk in China.

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Economy