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Theorizing and Extrapolating China’s Increased Participation in Global Health Governance

  • Lai-Ha Chan
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Part of the Palgrave Series on Asian Governance book series (PSAG)

Abstract

Previous chapters have presented the ways in which China has fought the HIV/AIDS pandemic through multi-lateral cooperation both at home and abroad. China’s engagement with the health regime in dealing with the disease has had mixed results. With increasing economic, political, and normative clout, whether China would comply with the Western norms and rules without any qualification is a crucial question. Against this background, this chapter primarily addresses two questions. First, why did China change its stance at the turn of the century and has since then increased its participation in global health governance? Second, what does China’s record of compliance and non-compliance with the international health regime and its activities in both the WHO and WTO reveal about its preferences for the world order?

Keywords

Global Governance Asian Development Bank Soft Power Chinese Leader National Sovereignty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

  1. 1.
    Robert Zoellick was the then deputy secretary of state of the United States. The quotation is excerpted from his comments on the U.S.-China relations during an interview with Phoenix Television on April 18, 2006 in Washington on the eve of Chinese President Hu Jintao’s visit to Washington. In his speech, he once again requested China to act as a “responsible stakeholder” in the international system. See Jane Morse, “Relations with China a Top US Concern, State’s Zoellick Says,” Amercia.Gov, May 10, 2006, http://www.america.gov/st/washfile-english/2006/May/20060510172111ajesromo.8644068.html (accessed August 12, 2010).Google Scholar
  2. 3.
    This section draws and elaborates on Lai-Ha Chan, “The Evolution of Health Governance in China: A Case Study of HIV/AIDS,” Griffith Asian Institute Regional Outlook, no. 8 (Brisbane: Griffith Asia Institute, 2006)Google Scholar
  3. This section draws and elaborates on Lai-Ha Chan, “The Evolution of Health Governance in China: A Case Study of HIV/AIDS,” Griffith Asian Institute Regional Outlook, no. 8 (Brisbane: Griffith Asia Institute, 2006); and Lai-Ha Chan, Pak K. Lee, and Gerald Chan, “China Engages Global Health Governance: Processes and Dilemmas,” Global Public Health 4, no. 1 (January 2009): 1–30.CrossRefGoogle Scholar
  4. 4.
    For example, Bates Gill, J. Stephen Morrison, and Drew Thompson, Defusing China’s Time Bomb: Sustaining the Momentum of China’s HIV/AIDS Response (Washington, D.C.: The Center for Strategic and International Studies, 2004).Google Scholar
  5. 5.
    Compliance studies have shown that an actor’s compliant behavior could be motivated by both utilitarian and nonutilitarian reasons. See Abram Chayes and Antonia Handler Chayes, The New Sovereignty: Compliance with International Regulatory Agreements (Cambridge: Harvard University Press, 1995)Google Scholar
  6. Oran R. Young, Compliance and Public Authority: A Theory with International Applications (Baltimore and London: Johns Hopkins University Press, 1979).Google Scholar
  7. 6.
    See Yong Deng, “Conception of National Interests: Realpolitik, Liberal Dilemma, and the Possibility of Change,” in In the Eyes of the Dragon: China Views the World, ed. Yong Deng and Fei-Ling Wang (Lanham: Rowman & Littlefield Publishers, 1999), 47–72.Google Scholar
  8. 7.
    The first application that China lodged to the Global Fund was rejected in early 2002, due to its unreliable statistics and closed attitude toward its HIV/AIDS problem. The government submitted another application again later that year. See Elisabeth Rosenthal, “China Now Set to Make Copies of AIDS Drugs,” New York Times, September 7, 2002.Google Scholar
  9. 9.
    For details of these projects, please see the Global Fund official website, http://www.theglobalfund.org/programs/portfolio/?countryI D=CHN&lang=en (accessed February 11, 2010); and Mure Dickie, “China to Receive Aids Grants Despite Dispute over Supervisory Board,” Financial Times, July 11, 2006.Google Scholar
  10. 15.
    Sandra Teresa Hyde, Eating Spring Rice: The Cultural Politics of AIDS in Southwest China (Berkeley: University of California Press, 2007).Google Scholar
  11. 16.
    Xiushi Yang, “Temporary Migration and the Spread of STDs/HIV in China: Is There a Link?” International Migration Review 38, no. 1 (Spring 2004): 212–35.CrossRefGoogle Scholar
  12. 17.
    Joseph Kahn, “World Briefing Asia: China: Business Urged to Help Fight AIDS,” New York Times, March 19, 2005.Google Scholar
  13. 19.
    “HIV/AIDS Community-Based Prevention Initiative in Sichuan Expression of Interest: 001–05,” Ministry of Health of the PRC, November 29, 2005, http://www.moh.gov.cn/news/sub_index.aspx?tp_class=B2 (accessed January 26, 2006); and Linda M. Distlerath, “China and HIV/AIDS-Public-Private Partnership: Breaking the Chain,” The World Today 62, no. 4 (April 2006): 15–17.Google Scholar
  14. 21.
    Colin McInnes, “HIV/AIDS and Security,” International Affairs 82, no. 2 (2006): 315–26.CrossRefGoogle Scholar
  15. 24.
    United Nations Security Council, “Resolution 1308 (2000),” July 17, 2000, http://www.un.org/Docs/scres/2000/sc2000.htm (accessed February 6, 2010); Gwyn Prins, “AIDS and Global Security,” International Affairs 80, no. 5 (2004): 931–52.CrossRefGoogle Scholar
  16. The key advocate was Richard Holbrooke, the then U.S. ambassador to the UN. He pushed the Security Council to recognize the global HIV/AIDS threat after visiting Zambia in December 1999. Having overcome the opposition from Russia and China, which ultimately relented and did not take part in the debate, the United States followed through the deliberation and led to the passage of the resolution. See Steve Sternberg, “The Fixer Takes on Global AIDS,” USA Today, June 11, 2002.Google Scholar
  17. 25.
    United Nations General Assembly, “United Nations Millennium Declaration,” September 8, 2000, http://www.un.org/millennium/declaration/ares552e.htm (accessed February 6, 2010).Google Scholar
  18. United Nations General Assembly, “Declaration of Commitment on HIV/ AIDS,” August 2, 2001, http://www.un.org/ga/aids/docs/aress262.pdf (accessed February 6, 2010).Google Scholar
  19. 26.
    Peter Piot, “Global AIDS Pandemic: Time to Turn the Tide,” Science 288, no. 5474 (June 23, 2000): 2176–718, http://www.sciencemag.org/cgi/content/abstract/288/5474/2176 (accessed February 6, 2010).Google Scholar
  20. 27.
    UN Theme Group on HIV/AIDS and Chinese Ministry of Health, “China Responds to AIDS,” November 1997, http://www.unchina.org/unaids/ekey1.html (accessed April 4, 2006).Google Scholar
  21. 28.
    “U.N. Says China Faces AIDS Catastrophe,” Reuters News, June 27, 2002; “UN: HIV/AIDS Poses ‘Titanic Peril’ to China,” Dow Jones International News, June 27, 2002; Leslie Chang, “U.N. Report Slams China AIDS Efforts,” Asian Wall Street Journal, June 28, 2002;Google Scholar
  22. Philip P. Pan, “China Faces ‘Titanic’ AIDS Crisis,” Washington Post, June 28, 2002.Google Scholar
  23. 29.
    National Intelligence Council, The Next Wave of HIV/AIDS: Nigeria, Ethiopia, Russia, India, China (ICA 2002–04D, September 2002), http://www.fas.org/irp/nic/hiv-aids.html (accessed February 6, 2010).Google Scholar
  24. It has been argued that the reason why China attracted a huge amount of external financial assistance from the international community, despite a low prevalence rate in China (0.05 percent), was China’s dire HIV/AIDS situation was substantially overestimated by international organizations. See Therese Hesketh, “HIV/ AIDS in China: The Numbers Problem,” The Lancet 369, no. 9562 (February 24, 2007).Google Scholar
  25. 30.
    Jennifer Brower and Peter Chalk, The Global Threat of New and Reemerging Infectious Diseases: Reconciling US National Security and Public Health Policy (CA: Rand Corporation, 2003), xiv.Google Scholar
  26. 31.
    Barry Buzan, Ole Wæver, and Jaap de Wilde, Security: A New Framework for Analysis (Boulder and London: Lynne Rienner Publishers, 1998), 23–24. During my discussion with Wang Yizhou of the CASS, he paid high tribute to the Copenhagen School, a school of thought associated with a group of scholars who have been cooperating with Buzan and Waever since 1988 under the auspices of the Copenhagen Peace Research Institute in Denmark. Wang argues that this school of thought allows states to be more flexible in extending their concept of security. He believes that the “speech act,” advocated by the Copenhagen School, can be used to describe China’s response to infectious diseases, such as HIV/AIDS, SARS, and avian influenza. The discussion was held on March 14, 2008, in Beijing, China.Google Scholar
  27. 32.
    In terms of threat to security, SARS was equated with the September 11 terrorist attacks on the United States. Zhang Ruowu, “SARS as a Global Threat,” Beijing Review, May 8, 2003, 2.Google Scholar
  28. 33.
    Wang Yizhou, “Zhougguoyu fei chuantonganquan” [China and Non-Traditional Security], Guoji Jingji Pinglun [International Economics Review], no. 11–12 (2004): 32–35.Google Scholar
  29. 34.
    Peter Piot, “AIDS—One of the Biggest Challenges to Society,” Speech to the Central Party School, Beijing, June 15, 2005, http://data.unaids.org/Media/Speeches02/SP_Piot_ChinaPS_15Juno5_en.pdf (accessed February 6, 2010).Google Scholar
  30. 36.
    Hsu Lee-Nah, Governance and HIV/AIDS (Bangkok: UNDP South East Asia HIV and Development Program, 2000)Google Scholar
  31. UNDP South East Asia HIV and Development Program, Introducing Governance into HIV/AIDS Programs: People’s Republic of China, Lao PDR and Viet Nam (Bangkok: UNDP South East Asia HIV and Development Program, 2002).Google Scholar
  32. 37.
    Nick Knight, “Imagining Globalisation: The World and Nation in Chinese Communist Party Ideology,” Journal of Contemporary Asia 33, no. 3 (August 2003): 318–37.CrossRefGoogle Scholar
  33. 38.
    Rosemary Foot, “Chinese Power and the Idea of a Responsible State,” The China Journal 45 (January 2001): 2.CrossRefGoogle Scholar
  34. 39.
    Asian Development Bank, Governance: Sound Development Management (Manila: Asian Development Bank, 1995)Google Scholar
  35. World Bank, Governance and Development (Washington, D.C.: World Bank, 1992)CrossRefGoogle Scholar
  36. World Bank, Governance: The World Bank’s Experience (Washington, D.C.: World Bank, 1994).CrossRefGoogle Scholar
  37. 41.
    For example, on May 16, 2003, the Irish government decided to ban athletes from SARS-affected areas, including China and Hong Kong, from participating in the 2003 Special Olympics World Summer Games, held in Dublin, Ireland, between June 21 and June 29, 2003. The Irish government reversed its decision on June 7 with the condition that athletes had to stay in a nonaffected country for ten days prior to their arrival in Ireland. The University of California at Berkeley announced on May 7, 2003, that students from SARS-affected countries were not allowed to attend its summer school program. See William Chiu and Veronica Galbraith, “Calendar of Events,” in At the Epicentre: Hong Kong and the SARS Outbreak, ed. Christine Loh and Civic Exchange (Hong Kong: Hong Kong University Press, 2004): xxiv-xxv.Google Scholar
  38. 42.
    Nailene Chou Wiest, “Show Faith in China to Fight SARS, Says Wen,” South China Morning Post (April 30, 2003): 1.Google Scholar
  39. 43.
    Rosemary Foot, “Chinese Power and the Idea of a Responsible State,” The China Journal 45 (January 2001): 1–19.CrossRefGoogle Scholar
  40. 44.
    Ronald C. Keith, “China as a Rising World Power and its Response to ‘Globalisation,’ ” in China as a Rising World Power and its Response to “Globalisation,” ed. Ronald C. Keith (London: Routledge, 2005), 3.Google Scholar
  41. 46.
    John J. Mearsheimer, “China’s Unpeaceful Rise,” Current History (April 2006): 160–62.Google Scholar
  42. 47.
    Pang Zhongying, “Beijing a Normal Global Power: On Rebuilding China’s World View,” Beijing Review, July 18, 2002, 12–13.Google Scholar
  43. 48.
    Shogo Suzuki, “Seeking ‘Legitimate’ Great Power Status in Post-Cold War International Society: China’s and Japan’s Participation in UNPKO,” International Relations 22, no. 1 (2008): 45–63.CrossRefGoogle Scholar
  44. 49.
    Xia Liping, “China: A Responsible Great Power,” Journal of Contemporary China 10, no. 26 (2001): 17–25CrossRefGoogle Scholar
  45. Zheng Bijian, “China’s ‘Peaceful Rise’ to Great-Power Status,” Foreign Affairs 84 (2005): 18–24CrossRefGoogle Scholar
  46. Jia Qingguo. “Learning to Live with the Hegemon: Evolution of China’s Policy Toward the US since the End of the Cold War,” Journal of Contemporary China 14, no. 44 (August 2005): 395–407CrossRefGoogle Scholar
  47. Yu Xintian, “Understanding the Preventing New Conflicts and Wars: China’s Peaceful Rise as a Strategic Choice,” Global Change, Peace and Security 17, no. 3 (October 2005): 279–90.CrossRefGoogle Scholar
  48. 50.
    Some of the examples include Hongying Wang, “National Image Building and Chinese Foreign Policy,” China: An International Journal 1, no. 1 (March 2003): 46–72;Google Scholar
  49. Li Zhengguo, Guojia xingxiang goujian [The Construction of National Image] (Beijing: zhongguo chuanmei daixue, 2006)Google Scholar
  50. Liu Jie, ed., Fu zeren daiguo di lujing xuanze [The Way to be Responsible Power] (Shanghai: shishi chubanshe, 2007);Google Scholar
  51. Li Anshan, “Wei zhongguo zhengming: zhongguo de feizhou zhanlue yu guojia xingxiang” [In Defense of China: China’s African Strategy and National Image], Shijie jingji yu zhengzhi [World Economics and Politics] 4 (2008): 6–15.Google Scholar
  52. 51.
    Rana Mitter, “An Uneasy Engagement: Chinese Ideas of Global Order and Justice in Historical Perspective,” in Order and Justice in International Relations, ed. Rosemary Foot, John Gaddis, and Andrew Hurrell (Oxford: Oxford University Press, 2003), 207–35.CrossRefGoogle Scholar
  53. 54.
    Gang Bian, “Asia Told: China Can Contain Virus,” China Daily, April 30, 2003.Google Scholar
  54. 56.
    This section draws partly and elaborates on Lai-Ha Chan, Pak K. Lee, and Gerald Chan, “Rethinking Global Governance: A China Model in the Making?” Contemporary Politics 14, no. 1 (2008): 3–19.CrossRefGoogle Scholar
  55. 59.
    Jeremy Paltiel asserts that “the political process of ‘socialization’ involves patterns of conscious resistance to preserve distinctive identities and patterns of normative convergence to seek access to the ‘status’ of a sovereign power” (emphasis added). See Jeremy T. Paltiel, The Empire’s New Clothes: Cultural Particularism and Universal Value in China’s Quest for Global Status (Basingstoke: Palgrave Macmillan, 2007), 8.CrossRefGoogle Scholar
  56. 60.
    For a study that argues that Chinese elites reject democratic governance as a global norm, see Daniel C. Lynch, “Envisioning China’s Political Future: Elite Responses to Democracy as a Global Constitutive Norm,” International Studies Quarterly 51, no. 3 (September 2007): 701–22. Chinese International Relations specialists are opposed to the notion that China’s ascendancy is unachievable without socialization into the U.S.-led global norms and rules. Paltiel, The Empire’s New Clothes, 234.CrossRefGoogle Scholar
  57. 62.
    However, China had intervened in the internal affairs of other countries. In the Maoist period, especially during the 1960s, the Chinese Communist Party provided Communist parties in Southeast Asia with material and propaganda support. With Chinese endorsement, the Southeast Asian Communist parties carried out insurgency attacks on their non-Communist governments. Michael Yahuda, China’s Role in World Affairs (London: Croom Helm, 1978), 77–78;Google Scholar
  58. Yahuda, Towards the End of Isolationism: China’s Foreign Policy after Mao (London: Macmillan Press, 1983), 223–24;CrossRefGoogle Scholar
  59. Pak K. Lee, Gerald Chan, and Lai-Ha Chan, “China’s ‘Realpolitik’ Engagement with Myanmar,” China Security 5, no. 1 (Winter 2009): 105–26, esp. 110–11.Google Scholar
  60. 63.
    Andrew Linklater, “Citizenship and Sovereignty in the Post-Westphalian State,” European Journal of International Relations 2, no. 1 (1996): 77–103CrossRefGoogle Scholar
  61. Linklater, “What is a Good International Citizen?” in Ethics and Foreign Policy, ed. Paul Keal (Sydney: Allen and Unwin, 1992), 21–43.Google Scholar
  62. 64.
    The core elements of the Lockean culture include the notion equal sovereignty and the principle of nonintervention in internal affairs. On the other hand, Kantian culture emphasizes collective security and post-sovereignty norms. See Chen Zhimin, “Soft Balancing and Reciprocal Engagement; International Structures and China’s Foreign Policy Choices,” in China’s Reforms and International Political Economy, ed. David Zweig and Chen Zhimin (London and New York: Routledge, 2007), 54.Google Scholar
  63. 65.
    Cai Tuo, “Global Governance: The Chinese Angle of View and Practice,” Social Sciences in China 25, no. 2 (2004): 57.Google Scholar
  64. 70.
    See Tang Guanghong, “Shijie duoyangxing yu Zhongguo waijiao xinlinian” [The Diversity of the World and New Ideas of China’s Diplomacy], Guoji wenti yanjiu [Research on International Issues] 5 (2005): 22–27Google Scholar
  65. Wang Yusheng and Yin Chengde, “Guanyu ‘goujian hexie shijie’ de jidian sikao” [Several Thoughts on “Constructing a Harmonious World”], Guoji wenti yanjiu [Research on International Issues], no. 4 (2006): 1–4, 23.Google Scholar
  66. 73.
    Hedley Bull, The Anarchical Society: A Study of Order in World Politics, 3rd ed. (Houndmills: Palgrave Macmillan, 2002)Google Scholar
  67. Andrew Linklater, “The English School,” in Theories of International Relations, 3rd ed., ed. Scott Burchill et al. (Basingstoke: Palgrave Macmillan, 2005), 84–109Google Scholar
  68. Andre Linklater and Hidemi Suganami, The English School of International Relations (Cambridge: Cambridge University Press, 2006), 59–68.CrossRefGoogle Scholar
  69. 74.
    Stephen D. Krasner, “Sharing Sovereignty: New Institutions for Collapsed and Failing States,” International Security 29, no. 2 (2004): 85–120.CrossRefGoogle Scholar
  70. 75.
    Anne-Marie Slaughter, “The Real New World Order,” Foreign Affairs 76, no. 5 (1997): 184CrossRefGoogle Scholar
  71. Slaughter, “Disaggregated Sovereignty: Towards the Public Accountability of Global Government Networks,” Government and Opposition 39, no. 2 (Spring 2004): 159–90CrossRefGoogle Scholar
  72. Slaughter, A New World Order (Princeton and Oxford: Princeton University Press, 2004).Google Scholar
  73. 76.
    Soviet Union proposed to Beijing the construction of a joint submarine station on Hainan, southern China in 1958. Mao rejected the proposal and accused Moscow of “trying to control all of our coastline” and infringing on PRC sovereignty. See Lorenz M. Lüthi, The Sino-Soviet Split: Cold War in the Communist World (Princeton: Princeton University Press, 2008), 90–95.Google Scholar
  74. 78.
    Robert A. Pape, “Soft Balancing Against the United States,” International Security 30, no. 1 (Summer 2005): 10.CrossRefGoogle Scholar
  75. 79.
    Joshua Cooper Ramo, The Beijing Consensus (London: Foreign Policy Centre, 2004).Google Scholar
  76. 84.
    Chen Yugang, “Shilun quanqiuhua beijing xia zhongguo ruanshili di guojiang” [Discussing and Building of China’s Soft Power under the Background of Globalization]. Guoji guancha [International Review] 2 (2007): 36–42, 59.Google Scholar
  77. 85.
    See David Shambaugh, ed., PowerShift: China and Asia’s New Dynamics (Berkeley and London: University of California Press, 2005)Google Scholar
  78. Joshua Kurlantzick, Charm Offensive: How China’s Soft Power is Transforming the World (New Haven and London: Yale University Press, 2007); and “China Lays on the Charm: The Soft Power of Hard Government,” Economist.com, November 8, 2006.Google Scholar
  79. 87.
    Lampton’s definition of ideational power is similar to Joseph Nye’s “soft power”—which rests on attraction—and Amitai Etzioni’s “normative power”—the capacity to motivate using ideas and social approval. However, ideationalpower is broader than both as it “derives from the intellectual, cultural, spiritual, leadership, and legitimacy resources that enhance a nation’s capacity to efficiently define and achieve national objectives.” See David Lampton, The Three Faces of Chinese Power: Might, Money, and Minds (Berkeley: University of California Press, 2008), 118Google Scholar
  80. Amitai Etzioni, A Comparative Analysis of Complex Organizations (New York: The Free Press, 1975), 6Google Scholar
  81. Joseph S. Nye Jr., Soft Power: Means to Success in World Politics (New York: Public Affairs, 2004), 10.Google Scholar
  82. 89.
    Torbjørn Knutsen, The Rise and Fall of World Orders (Manchester: Manchester University Press, 1999), 12.Google Scholar
  83. 94.
    For a similar study about the limits of China’s soft power, see Yanzhong Huang and Sheng Ding, “Dragon’s Underbelly: An Analysis of China’s Soft Power,” East Asia: An International Journal 23, no. 4 (Winter 2006): 22–44.CrossRefGoogle Scholar
  84. 96.
    The Pew Research Center, The Pew Global Attitudes Project: 24 — Nation Pew Global Attitudes Survey (Washington, D.C.: The Pew Research Center, June 12, 2008), 6, http://pewglobal.org/reports/pdf/260.pdf (access February 6, 2010).Google Scholar
  85. 97.
    Fergus Hanson, Australia and the World: Public Opinion and Foreign Policy (Sydney: Lowy Institute for International Policy, September 2008), 8, http://www.lowyinstitute.org/Publication.asp?pid=895 (accessed February 15, 2010).Google Scholar
  86. 105.
    Xu Jin, “Zhengzhi caozuo, linian gongxian nengli yu guoji hua yu quan” [Political Manipulation, the Ability of Norm Contributions and the Power of International Discourse], Zhongguo waijiao [China’s Foreign Affairs], September 2009:21–23; and Liang Kaiyin, “Lun zhongguo tuozhan guoji hua yu quan de xinsilu” [New Way of Thinking: Expanding China’s Power in International Discourse], Guoji luntan [International Forum] 11, no 3 (May 2009): 43–47.Google Scholar

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