The loss of revenue from live events is only the start of this particular disaster.

       

       

Bernie Sanders may have had no foreign policy advisers until this week, but he can justly claim to have proposed one of the boldest and radical foreign policy ideas of the 2016 presidential campaign. In what he describes as the most important speech of his campaign—on Democratic Socialism at Georgetown University in November 2015—Sanders called on the United States to fight terrorism in the same way it waged the Cold War. He said: “We must create an organization like NATO to confront the security threats of the 21st century” and we must “expand our coalition to include Russia and members of the Arab League.”

NATO was created in 1949 to give the United States a way to forward-deploy its forces so they would immediately be entangled in a war if the Soviets attacked Western Europe. The most important feature of NATO was the mutual defense clause, whereby an attack on one would be treated as an attack on all. In a new NATO to fight terrorism, the United States could find itself having to deploy tens of thousands of troops throughout the Middle East to fight ISIS. The United States may even be treaty-bound to use its troops to fight alongside Russia in Chechnya. 

If that sounds very unlike Bernie Sanders, it's because it is. It is clear from the speech that Sanders had very little idea what NATO actually is or why it was founded. He was looking for a way to pass the burden of fighting terrorism on to other nations, particularly Muslim nations. Lacking any clear idea as to how to do this, a formal treaty must have seemed as good a way as any. Sanders would surely say that he meant an alliance without a mutual defense pact and without the United States taking the lead. But such an organization currently exists—it is called the counter-ISIS coalition. Presidents Bush and Obama also both sought ways to deepen cooperation with Russia and Arab countries on terrorism without a formal NATO-style alliance, which led to the situation Sanders decries. In any event, the new NATO served its purpose. Sanders could later claim to have given a speech on foreign policy. The specifics of the idea went un-scrutinized. 

Mind the gap

Bernie Sanders’ foreign policy remains a mystery because he has said so little about it. Unlike Donald Trump, who has been vocal about his foreign policy views for many decades, Sanders has focused his message on inequality and the nefarious influence of big money in politics. Recently though, he has begun to come out of his shell. He regularly invokes his opposition to the Iraq War in an effort to negate Hillary Clinton’s superior experience in foreign policy. Sanders clearly hopes that this vote will enable him to win over many Barack Obama supporters who remain suspicious of Clinton. In recent weeks, some foreign policy experts have sketched out how Sanders could build on Obama’s foreign policy legacy and distinguish himself from Clinton. 

Sanders-Obama is the real foreign policy fault-line in the Democratic Party.

The conventional wisdom of the foreign policy debate in the Democratic Party sees an Obama wing that is skeptical of military intervention and a Clinton wing that is more willing to use American power overseas. This is a paradigm that Sanders would certainly endorse and hope to capitalize on but it is not an apt description of the 2016 divide. There is a reason why Obama has come close to endorsing Clinton and has left no doubt that he sees her as his true heir. The gap between Sanders and Obama is much greater than between Clinton and Obama. Obama is an avowed globalist who looked outward, even as he was campaigning in Iowa in 2007. Sanders is a liberal nationalist who looks inward, not just in his rhetoric but in his policy. 

A Sanders nomination would be a striking repudiation not just of Clinton but of Obama’s worldview and message. Sanders-Obama is the real foreign policy fault-line in the Democratic Party. 

Obama 2008: Looking outward

Obama’s 2008 campaign is now shrouded in mythology. He is often described as unlikely a candidate as Sanders. Forgotten is the fact that weeks after he started, he secured the support of major donors and dozens of foreign policy experts. He was always the favorite of a particular part of the establishment. He was young but he had thought about the world and America’s role in it. In 2005, he hired Samantha Power to be his foreign policy adviser in the Senate. His 2006 book "The Audacity of Hope" had a chapter on foreign policy that culled ideas from think tank row. 

In April 2007, a full 18 months before the election, Obama gave a revealing interview to The New York Times' David Brooks in which he spoke about the influence that American theologian Reinhold Niebuhr had on his foreign policy. Niebuhr was a seminal figure in U.S. diplomatic thinking during the Cold War and is credited with developing the most sophisticated critique of American idealism. Obama said that Niebuhr provided:

“the compelling idea that there’s serious evil in the world, and hardship and pain. And we should be humble and modest in our belief we can eliminate those things. But we shouldn’t use that as an excuse for cynicism and inaction. I take away...the sense we have to make these efforts knowing they are hard, and not swinging from naïve idealism to bitter realism.”

Some of these themes would reappear in his extraordinary speech in Oslo in 2010 on receiving the Nobel Peace Prize. 

Throughout the 2008 campaign, Obama spoke about reviving American leadership and presenting a new face to the world. In his announcement speech in Springfield in 2007, Obama said “ultimate victory against our enemies will come only by rebuilding our alliances and exporting those ideals that bring hope and opportunity to millions around the globe.” In his acceptance speech in Chicago, he spoke to “those watching tonight from beyond our shores”. “Our stories are singular,” he said, “but our destiny is shared and a new dawn of American leadership is at hand.” 

Obama’s challenge in office, and the challenge of progressives after the Iraq War, was to develop a foreign policy that remained faithful to his internationalist ideals while resisting calls for large-scale military interventions. In this, his record was mixed. The Middle East stands out as a major failure but he had successes elsewhere. He helped rescue the international financial system, he deepened U.S. engagement in Asia, he negotiated several trade deals, and he secured a controversial nuclear deal with Iran. Throughout, he articulated a case for a liberal brand of American exceptionalism and for continued U.S. global leadership. 

Sanders 2016: Drawing inward

That is now at risk, not just by the prospect of a Trump presidency but also from within the Democratic primary. Sanders has had remarkable success with a campaign message that is entirely inwardly focused. Read his speeches, whether at Georgetown or on the stump, and you will see a sharp change of tone from Obama of 2008. Gone are the passages on a new era of American global leadership. Gone are the messages for people beyond these shores. Gone is the optimism about America’s global role. Gone too is the sense that the United States, flawed as it is, has a positive and indispensable role to play in upholding the international order. 

Rhetorically, Sanders is deeply pessimistic about the United States and its role in the world. For Sanders, America is not getting better—it’s getting worse, including on Obama’s watch. And, woe betide those who think that America can be any more successful abroad. In his Georgetown speech, he said that the first element of his foreign policy would be an acknowledgement of how America gets it wrong so frequently. In addition to the Iraq War, he mentioned the toppling of Mossadegh in Iran in 1953, of Arbenz in Guatemala in 1954, of Goulart in Brazil in 1964, and of Allende in Chile in 1973. 

[Sanders] offered no examples of how the United States has made the world a better place.

Apart from the ham-fisted description of NATO, he offered no examples of how the United States has made the world a better place. The toppling of foreign leaders is not, for him, even partially balanced out by successes in promoting democracy in Chile in 1987 or in Eastern Europe in the early 1990s, or in Indonesia in 1998. He did not mention the Kosovo intervention in 1999, which he actually supported at the time. The speech was not without irony however. Sanders organized the domestic section, on democratic socialism, around Franklin Delano Roosevelt’s 1944 State of the Union speech but made no mention of FDR’s heroic—and frequently risky—efforts to win the war and the post-war world.

As the campaign has progressed, Sanders has been pressed on what he would do if he were to be elected president. He said in a February Democratic debate that the “key doctrine of the Sanders administration would be no, we cannot continue to do it alone, we need to work in coalition.” The very idea that a Democratic candidate could make the unilateralist charge against Obama, one of the most multilateral presidents in modern American history, is itself remarkable and rather implausible. 

The very idea that a Democratic candidate could make the unilateralist charge against Obama, one of the most multilateral presidents in modern American history, is itself remarkable and rather implausible.

But this has not deterred Sanders. He has repeatedly argued that the Obama administration has not done enough to get Muslim nations to fight ISIS. At Georgetown he declared, “We need a commitment from these [Muslim] countries that the fight against ISIS takes precedence over the religious and ideological differences that hamper the kind of cooperation we desperately need.” Quite how Sanders would accomplish this was left unsaid. The reason ISIS is difficult to defeat is because Muslim nations see other challenges, particularly the sectarian struggle with Iran, as a much greater threat to their vital interests. 

Simply saying that the president can will other countries to act contrary to what they see as their vital interests is about as plausible as Trump persuading Mexico to pay for his wall. Clinton has repeatedly recognized the challenges associated with persuading Muslim countries to take on more of the anti-ISIS fight, but Sanders has just doubled down on his charge against Obama. “I’ll be dammed,” he told CNN, “if the kids of Vermont have to defend the Royal Saudi family” and take the lead in the fight against ISIS, even if is just with air power. 

On economic policy, Sanders offers an even more radical departure from Obama’s legacy. Sanders has opposed all U.S. trade agreements throughout his political career, including General Agreement on Tariffs and Trade (GATT), the North American Free Trade Agreement (NAFTA), the Central American Free Trade Agreement (CAFTA), and the Trans-Pacific Partnership (TPP). In 2005, he sponsored a bill calling on the United States to withdraw from the World Trade Organization. He has called for tariffs to prevent American industry from investing in China, Vietnam, and Mexico. He was the only Democrat to vote against the Import-Export Bank and he opposed the expansion of the H1-B visa program for high-skilled workers. 

He has offered no positive vision for the world economy and sees it as a zero sum game—either American workers’ win or other nations do. Obama indulged in anti-trade rhetoric, as has Clinton, in the heat of a primary campaign, but Sanders is different. He has consistently sought to disengage from the global economy—the same one that Obama did so much to save in 2009. This is no small matter. As the global economy flirts with recession and a new crisis, this time originating in China, the rest of the world is asking if America can continue to lead or if it is all tapped out. 

He has consistently sought to disengage from the global economy.

A President Sanders would not try to destroy America’s alliances like Donald Trump or leave the Middle East entirely like Rand Paul. But, he would surely try to hide from the world and tend to matters at home. He will be immediately tested by allies and adversaries alike as they try to find the limits of his commitments. All presidents are tested of course—especially those, including Obama and Clinton, who promise to focus on the home front— but they usually try to respond in a resolute way to dispel the concerns. Obama sent additional troops to Afghanistan in 2009, for example. Sanders will probably resist the pressure and focus on his domestic agenda, thus exacerbating foreign crises. He would surely feel a sense of betrayal as America’s allies failed to take up what he considered to be a fair share of the burden. 

America in the world?

2016 is a very different world than 2008. Then, Obama and Democrats saw a world that was full of opportunity, despite the financial crisis and wars in Iraq and Afghanistan. They believed the United States could offer a new face, and a new form of leadership, to the world. When we look back on 2016, it will surely be the year when the United States and much of the rest of the world faced a choice about whether to look outward or turn inward. It is not just the Republican and Democratic primary. Britain will vote on June 23 whether to leave the European Union. Germany and much of the rest of Europe will decide whether to close its borders to refugees.

When we look back on 2016, it will surely be the year when the United States and much of the rest of the world faced a choice about whether to look outward or turn inward.

Of all these tests, the biggest by far is in the United States. Republican and Democratic foreign policy populism is different, of course. Trump and his supporters are both terrified by threats from overseas and determined to lash out as viciously as possible against anything and everything associated with them. To his great credit, Sanders has not peddled fear of the other. His supporters are not frightened by the world. But they are disappointed in it and largely agnostic about what happens outside the United States. The left used to be inherently internationalist, but today Sanders sees no opportunity to lead, only risks of becoming embroiled in someone else’s problems. Sanders will not tear down the liberal international order but he does want to avoid doing much to uphold it. 

Sanders, his aspiring advisers, and much of the media have an interest in situating his foreign policy worldview within the Obama-Clinton paradigm but it is simply not consistent with what he is saying or with what he has done in the very recent past (never mind decades ago). Obama and Clinton obviously differ on some elements on U.S. foreign policy. It is not about large-scale invasions, as is commonly thought. Clinton is not about to send tens of thousands of ground troops to Syria. Rather, she tends to favor small-scale action early on in a conflict to tip the balance while Obama is extremely cautious about a slippery slope. Clinton also tends to see world politics more in terms of power politics while Obama often speaks as if we are headed toward a post-national, more global system. But this all pales in comparison to fundamental questions about whether the United States ought to be engaged in the world, not just militarily but also economically. Obama was elected on a platform of renewing American leadership in the world. He will soon find out if Democrats want to stay on the broad path he set.

       

       

Two decades ago, Hillary Clinton delivered a speech in Beijing that inspired feminists around the world, declaring “women’s rights are human rights.” Since that declaration, a lot has changed for women globally. But what has changed for women in China?

While Chinese women today have increased freedoms, there is still a long way to go before gender equality is realized. Civil unrest concerning gender inequality recently made headlines in China and abroad when a group of five female protesters in China were arrested and jailed for publicly demonstrating against gender inequities, such as inequality in higher education and domestic violence. This incident underlined much of the commentary at a recent Brookings’s John L. Thornton China Center forum on women’s issues and gender inequality in China, during which the following key messages were conveyed:

China is in the midst of a rapid, if quiet, sexual revolution

China’s first and leading sexologist, Li Yinhe, delivered a keynote address that emphasized that when it comes to sex, China is in the midst of an “era of important changes.” Li explained that all sexual activities before marriage were illegal in China before 1997 because of a “hooliganism law,” and a woman could be arrested for having sex with more than one man. Thus, premarital sex was forbidden. In surveys in 1989, only 15% of citizens reported having premarital sex—and “most of them were having sex with their permanent partners,” Li said. That law was overturned in 1997, and recent surveys show that 71% of Chinese citizens admit to having sex before marriage. This is a dramatic change in a short period of time, and marks what Li asserts is a sexual revolution for Chinese citizens.

Chinese law still lags behind changes in social customs

While some sex laws have adapted, others are far behind. Li highlighted some “outdated” sex laws in China that are still “on the book[s],” but that are no longer strictly obeyed by the Chinese people.

Li said the indicators are clear that the force of these laws is waning. There are fewer people being punished for these offenses and the punishments are becoming increasingly less severe. Her discussion stressed four areas where public opinion has changed drastically over the last few decades, but Chinese laws haven’t adapted:  

1. Pornography: Pornography isn’t considered to be protected as it is in the U.S. In contrast, Chinese law strictly prohibits creating and selling porn. In the 1980s, porn publishers would be sentenced to death. Now the punishment is less severe—for example, a 24-year-old Beijing woman published seven “sex novels” online. Her viewership was 80,000 hits on her novels, but her punishment was only six months in criminal detention.
2. Prostitution: Prostitution is another activity affected by outdated laws in China, where any solicitation of sex is strictly illegal. In the early-1980s through late-1990s the punishment for facilitating prostitution was severe. In 1996, a bathhouse owner was sentenced to death for organizing prostitution. Now, prostitution is widely practiced and the most severe punishment for organized prostitution is that those managing sex workers are ordered to shut down their businesses.  
3. Orgies and sex parties: Chinese law used to brutally punish swingers and individuals who planned sex parties. For example, in the early-1980s “the punishment for spousal swapping was death…[and] people would be sentenced to death for organizing sex parties,” Li explained. But this is another area where the punishment for the law has now become less strict. In 2011 in Nanjing, an associate university professor organized a sex party with 72 people, and the “punishment for him was three and a half years in prison.” Also, in 2014 in Shanghai, some citizens recently organized an online sex party, and their punishment was only three months of criminal detention. According to recent private surveys, “many people are [engaging] in sex parties or orgies.” While in theory these are punishable by criminal law, “no one reports [them], so they do not get noticed,” Li said.  
4. Homosexuality and same-sex marriage: In regards to homosexuality, Li was quick to note that China’s view of homosexuality is historically very different from Western views. For example, in some U.S. states, laws “criminalized or deemed homosexual activities illegal.” But throughout China’s history, there were not severe repercussions or the death penalty for homosexuality, and it “was never illegal.” However, this is not the case for same-sex marriage. Li thinks it will be “hard to predict” when same-sex marriage might be legalized.

Chinese women will have sexual freedom, but when isn’t clear

So what does the future hold for these laws? Li explained that sex is a “hot topic” right now in Chinese public debate, and the “general consensus among legal scholars and sociologists is that these [outdated] laws need to be removed.” Those who oppose removing these laws are “in the minority.” While that may be true, she suggested it would be difficult to “form a timetable” when politicians might consider amending these laws.

As for the five young women sentenced to jail last month, Li said she usually tries to stay out of politics, but thinks people “should stand up and speak out” when their own rights are being violated. Li argued that jailing these women for expressing their opinions violated the rights of all women—and hopes that other women speak up about their arrest.

If you are interested in learning more, watch Li Yinhe’s full keynote and the entire panel event here:

Alison Burke contributed to this post.

       

       

Editor's Note: As part of the 2014 Midterm Elections Series, Brookings scholars and outside experts will weigh in on issues that are central to this year's campaigns, how the candidates are engaging those topics, and what will shape policy for the next two years.

Since the Citizens United decision, political spending by outside groups has been shaping voters’ opinions before Election Day and public policy afterwards.  Spending patterns that began after the 2010 decision will continue during the upcoming midterms: nonparty, outside spending will flow through two distinct pipelines—super PACs and politically active nonprofits. This time around there seems to be a partisan split to the spending, with Democrats leaning towards super PACs and Republicans relying more on dark money nonprofits. But whichever tool is used to funnel money into competitive races, imperfect or non-existent disclosure rules leave voters unable to determine whether access and influence is being sold to highest bidder.

Shining a brighter light on super PAC and nonprofit campaign spending would not cleanse the system of all of its corrupting influences, but it would help to restore citizens’ trust in government by eliminating the secrecy that makes voters believe their elected officials have something to hide. More disclosure would also result in the equally important outcome of demonstrating that government trusts us, its citizens, with information about how the influence industry works.   

When Thomas Jefferson wrote, “Whenever the people are well-informed, they can be trusted with their own government...whenever things get so far wrong as to attract their notice, they may be relied on to set them to rights,” he certainly could not have conceived of secret money’s impact on elections and policy-making. But every year that goes by with Congress failing to address secret campaign spending challenges the founding father’s time-tested wisdom.

When the Supreme Court decided Citizens United, it was either willfully blind or sorely naïve about the state of political finance disclosure. Justice Kennedy swept aside concerns about the corrupting influence of unlimited political spending by claiming that, “With the advent of the Internet, prompt disclosure of expenditures can provide shareholders and citizens with the information needed to hold corporations and elected officials accountable for their positions. . . This transparency enables the electorate to make informed decisions and give proper weight to different speakers and messages.”

Unfortunately, no such prompt disclosure existed at the time, nor has Congress been able to pass any improvements to the transparency regime since then. In the case of super PACs, while information about donors must eventually be disclosed to the Federal Election Commission (FEC), disclosures can be delayed by up to three months.  This is not an inconsequential delay, especially when contributions come are in the multi-million dollar range.

There is even less disclosure by politically active nonprofits.  Their overall expenditures are only disclosed after the election in annual reports filed with the Internal Revenue Service (IRS). The donors to dark money groups may never be known, as the law does not require the names of donors to such groups to be disclosed. Yet more than 55 percent of advertising has been paid for by dark money groups, and 80 percent advertising benefitting Republican candidates has been paid for with undisclosed funds according to the New York Times. 

Congress and the executive branch have no shortage of methods to make money in politics more transparent, but have so far failed to demonstrate they respect voters enough to entrust us with that information.  The Real Time Transparency Act (S. 2207, H.R. 4442) would ensure that contributions of $1000 or more to candidates, parties and PACs, including super PACs, are disclosed within 48 hours. It would also require electronic filing of campaign finance reports.  The DISCLOSE Act, S. 2516, would disclose contributors to political nonprofits entrusting voters with information that currently is only known to the candidates who may benefit from dark money contributions. 

Affirmative congressional action would be the strongest signal that government trusts its citizens, but executive branch agencies can also take important steps to make political finance information more transparent. The IRS is in the process of reforming rules to better clarify when a nonprofit is a political organization and thus must disclose its donors.  The Securities and Exchange Commission can likewise modify its rules to require publicly traded companies to disclose their political activities.

Many large donors have gone to great lengths to take their political activities underground, claiming they fear attacks in the form of criticism or boycotts of their companies.  But just as participating in the political process through contributing to election efforts is an expression of free speech, so is criticizing such efforts.  Yet until campaign finance information is fully and quickly made public, the first amendment rights of voters and their ability to participate fully in our democracy are drastically shortchanged.

      

Event Information

Sub-Saharan Africa’s growth performance over the last decade has been astounding, though they mask underlying job creation challenges facing policymakers. The unemployment rate for sub-Saharan Africa remained fairly stable over the period. In 2015, it stood at a slightly high 7.4 percent, compared with over 9 percent in the European Union and 5.3 percent in the United States. However, the figures on vulnerable employment and the working poor[1] in Africa tell a different story—averaging 69.9 percent and 64.0 percent in 2015, respectively. Indeed, of those who are employed, four in five workers are not in the wage economy, but in the informal sector, with no access to workers’ benefits, social protection, and job reliability. In addition, many workers—both formal and informal—are underemployed or overqualified.

The conventional knowledge of structural transformation—labor migration from agriculture to high-productivity, labor-intensive industry—has been turned on its head in Africa. Instead, Africans are moving to jobs in the services sector, which some experts argue is a less productive path. Then again, unique opportunities in African digital jobs are opening up doors the world has never seen before.

The need for decent job creation in Africa also provides both threats and opportunities to the United States. For example, a lack of viable jobs could make the turn to crime, violence, and even extremism—with the promise of steady income from these activities—more appealing to economically marginalized individuals, especially among the youth. Furthermore, job creation boosts the growth of the middle class, expanding the base of consumers for American products, at the same time creating new, stronger trade partners able to supply goods to American consumers. Already, the United States and other countries are creating a myriad of programs to boost entrepreneurship on the continent.

On Monday, June 27, the Brookings Institution’s Africa Growth Initiative and the Congressional African Staff Association hosted an event to discuss why Africa is struggling to create the quantity and quality of jobs it needs and what policies—both African and U.S.—can turn that trend around. Ernest Danjuma Enebi, founder and managing partner of The Denda Group, moderated the discussion. Panelists included Dr. Eyerusalem Siba, research fellow at the Africa Growth Initiative; Hassanatu Blake, co-founding director and president of the non-profit Focal Point Global; and Nicolas Cook, a specialist in African Affairs in the Foreign Affairs, Defense, and Trade Division of the Congressional Research Service.

The discussion touched on multiple key points, including what Africa’s unique structural transformation path means for the region’s employment landscape; how development partner efforts affect job growth on the continent; how Africa can avoid a potential “demographic timebomb” of youth unemployment and instead benefit from a “demographic dividend”; and how the United States is addressing the challenges these trends pose for both the continent and the U.S.

Enebi began the dialogue with a Q&A with Siba on an overview of African economic trends, youth unemployment, and formal sector jobs on the continent.

Blake argued that the high youth unemployment is due in part to the region’s struggling educational systems where Poor quality education leads to poor grades on periodic tests and thus students are being pushed out of school, she said. Once out of the formal schooling system, they enter the workforce underprepared without the skills they need to succeed in the job market.

Blake continued to argue this point through a description of Harambee, a private South African organization that works towards improving prospects of youth employment. The program has placed over 20,000 youth into jobs over the past 5 years by testing job applicants on literacy and mathematical ability and matching them with employers. Harambee addresses a broader skills mismatch that Blake argued is holding back job creation. More broadly, Blake argued, public-private partnerships must be created to help youth find jobs and employers find employees.

A major theme of the discussion was that a shift away from aid and towards the support of labor-intensive industries and enabling environments for business can spur job creation.

Of course, causes of unemployment are largely driven by the demand-side factors, acknowledged the panelists. A major theme of the discussion was that a shift away from aid and towards the support of labor-intensive industries and enabling environments for business can spur job creation. Indeed, Cook discussed the importance of the mantra “trade not aid” in addressing these issues, as there are many large American firms with an economic interest in expanding to Africa; however this interest is miniscule compared to Africa’s trade with the rest of the world. Increasing global investments in Africa is, thus, a key part of any job creation, he emphasized.

Cook also touched on global relationships with Africa. He noted that only 1 percent of U.S. foreign direct investment (FDI) goes to Africa, and only one percent of American trade is with Africa. Now, several economic development programs, like the U.S. Electrify Africa Act of 2015 and the USAID Power Africa Initiative, exist but are in need of continued funding. To boost trade, the United States has launched the Trade Africa program and has established trade hubs in western, eastern, and southern Africa.

Investments in infrastructure, greater participation in the export market, interventions on improving managerial and marketing skills and the use of information and communications technologies (ICTs) to access global markets can help clear the way for greater job creation.

Siba agreed with the idea of a focus on trade and FDI as major factors in job creation. In fact, she shifted the discussion toward a focus on investments in supporting industry because, as she emphasized, the biggest predictor of business performance including job creation is export market participation. Investments in infrastructure, greater participation in the export market, interventions on improving managerial and marketing skills and the use of information and communications technologies (ICTs) to access global markets can help clear the way for greater job creation, she said.

There are clearly many opportunities for foreign investors to support African industry, but challenges to development remain due to poor infrastructure and a lackluster environment for business.

Blake agreed that ICTs and infrastructure hold great potential for spurring job growth, but pointed out that ICT and infrastructure investment “look different” in different parts of the continent. In some countries in central Africa that she worked with and Cameroon, she suggested, ICTs are not always the best vehicle to drive job growth due to the prohibitive cost of ICT devices and emphasized that keeping local conditions in mind when exploring potential job-creating programs and investments is essential for success.

Cook then pivoted to a discussion on the importance of small enterprises and technology in boosting job growth. He pointed out the importance of WhatsApp as a new means of communication that has helped spur job growth and productivity, and the mobile money transfer platform m-Pesa as a key component of the increase in micro-lending in Kenya. Offered by Safaricom, Kenya’s largest mobile network, M-Pesa allows mobile phone users to transfer money, pay bills, and deposit money. The World Bank highlighted the service in 2009, concluding that “The affordability of the service has been key in opening the door to formal financial services for Kenya’s poor.” The service has also allowed financing of micro-enterprise to take off, but Cook acknowledged that ascertaining the precise impact of these technologies on job growth is very difficult due to the scarcity of data.

The small credit card market and rarely used banking services exclude a wide percentage of the population from the financial system. The widespread presence of mobile phones has now opened up this system.

Fifty to 80 percent of new jobs in Africa are created by small businesses that are not likely to survive more than five years.

Siba elaborated on Cook’s description of the vital role of small businesses in creating jobs on the continent. She argued that any job creation programs in Africa should focus on solving the challenges of small businesses in job creation because they dominate the market structure. Unfortunately, at the moment, small businesses there are not robust. Fifty to 80 percent of new jobs in Africa are created by small businesses that are not likely to survive more than five years. Since small and medium enterprises comprise over 90 percent of all firms in sub-Saharan Africa, this volatility affects the whole economy. As a result, any potential solutions must take this market structure into account. In addition, as Siba suggested, increased focus must be paid to the integration of African businesses into regional markets and domestic and global value chains so that small and medium enterprises have more opportunities to grow.

The discussion concluded with a focus on opportunities for growth: Governments should focus on processing raw commodities for local uses, like timber, coffee, and cocoa; small- and medium-sized enterprises should be scaled up with stronger access to financing and skill development; governments should pursue partnerships with private companies to address the skills mismatch; and education funding should be deliberately targeted to address missing skills, correctly processed, and carefully monitored. Continued job creation in Africa depends on it.

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Summer jobs programs for young people have experienced a resurgence of interest and investment since the Great Recession, driven by concerns about high youth unemployment rates, particularly among low-income, black, and Hispanic youth. 

Summer jobs programs typically last five to seven weeks and provide work opportunities to teens and young adults who otherwise might struggle to find jobs. They offer a paycheck, employment experiences, and other organized activities in the service of multiple goals: increasing participants’ income, developing young people’s skills and networks to improve their labor market prospects, and offering constructive activities to promote positive behavior. Most young people are placed in subsidized positions in the public and nonprofit sectors, although most cities also secure unsubsidized and private-sector placements, which typically come with higher skill and work-readiness requirements. Recent research finds that summer jobs programs have positive effects: reducing violence, incarceration, and mortality and improving academic outcomes.

But a strong program does not automatically follow from good intentions. Program design and implementation carry the day and determine the results. Moreover, research has not yet linked summer jobs programs to improved employment outcomes; evaluations to date are silent on effective program design; and, in the absence of agreed-upon standards and best practices, there is no guarantee of quality.

This paper is written to help clarify what is known about summer jobs programs and to provide information and guidance to city leaders, policymakers, and funders as they consider supporting larger and better summer efforts. Many jurisdictions are rebuilding their summer programs after a long hiatus that followed the end of dedicated federal funding in the late 1990s. Summer jobs programs are complex endeavors to design and deliver. Local leaders and administrators make a multitude of choices about program design, implementation, and funding, and these choices have a direct impact on quality and results. It is an opportune moment to assess the knowledge base and gaps about the operations and impacts of summer jobs programs.

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• Summer Jobs Ross 7 12 16
• Press release

       

Editor's Note: In this blog, Vera Songwe introduces the African Leadership Transitions Tracker, a new interactive that aims to start a broader conversation about leadership transitions and what they mean for the region and beyond.

On March 28, Nigerians voters will go to the polls to participate in their nation’s fifth election since the military handed over power to civilians in 1999. As Africa’s largest economy and an important oil exporter, this election comes at an important time for Nigeria and for the continent as a whole.

Events around this election have generated significant debate around electoral and voting processes on the continent such as the importance of a constitution, the cost, the frequency and level of contestability, and the power of incumbency in African elections. However, amid this dialogue, much less consideration has been devoted to where this election stands within the continuum of leader transitions Nigeria has experienced since it first gained independence in 1960. Nigerians have, in fact, gone through 18 leadership transitions in the last 55 years, including the untimely death of former President Umaru Masu Yar’Adua in May 2010, the multiparty elections that brought President Olusegun Obasanjo to power in 1999, and the first presidential elections that brought President Shegu Shagari to power in 1979. Nigeria’s high rate of leadership changeover should not, however, be considered illustrative of Africa’s overall story. On the contrary, a high level of diversity exists among countries in the region on this measure, with countries like Angola having had only one leadership transition since it achieved its independence in 1975, and Benin, on the other hand, undergoing an election, coup, or other type of leadership transition nearly every two years in the country’s 55-year post-independence history. However, overall in Africa today there are more peaceful and competitive leadership transitions than there have been over the last six decades. This contestability process is gaining ground across the continent, and while coups d’etat appear to be fading revolutions are gaining ground where competition has not taken hold.

The recent passing of Singapore’s 30 year-long leader Lee Kwan Yew credited with having taken Singapore from a third world country to a fully developed country in less than a generation, has brought the question of leadership and leadership transitions back to the fore. A 2010 report by Michael Spence’s Growth Commission heralds Lee Kuan Yew as the hero of Singapore’s growth story. The African Leadership Transition Tracker hopes to launch a dialogue on what the frequency, nature, and scope of leadership transitions mean for African countries’ growth, stability, and development trajectory overall. Moreover, how have transition trends in the region changed from the time of the African founding fathers and the tumultuous years of the 1960s to the present day?

As an initial step towards thinking this question through, Brookings’s African Growth Initiative is today launching the African Leadership Transitions Tracker as a resource both to inform readers about African political history and a tool to initiate analysis on what leadership changeover might mean (or not mean) for development. The Transitions Tracker specifically records all changes that have occurred at the head-of-state level in every African country between the end of the colonial period and the present day. We are hoping that recording this information and presenting it visually (and as a downloadable data set) will help start a broader conversation and support additional work on these issues. Brookings will update this data on a regular basis, and we welcome your feedback as we further refine this interactive. Moreover, the information we present today is by no means the full story—key variables are needed to complement this study, including, for example, the various political party affiliations of leaders within a country or cross tabulations with resources that seek to measure the level of citizen participation and engagement in these transitions. However, as further analysis takes place, we are hoping that the African Leadership Transitions Tracker will enrich dialogue about developments occurring in the region and place current news on elections or other types of changeover events within the broader context of the continent’s leadership story overall.  Over the next few months, we will be running a series of articles based on this data.  

Special thanks to Ehui Adovor, graduate student at George Washington University and the many AGI research assistants, analysts, and program staff that have supported this project, including Jessica Pugliese, Brandon Routman, Christina Golubski, Andrew Westbury, and Amy Copley.

      

       

       

It is well recognized across the health care industry that the major goals of the Affordable Care Act (ACA) include not only expanding health insurance coverage, but also improving the quality of care and the patient health care experience. A key strategy in achieving these goals is improving the efficiency and delivery of care through innovative financing mechanisms and new delivery models, such as Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), bundled payments for acute and post-acute care, and population-based models that aim to improve the health of entire communities. These alternative models emphasize quality and outcomes, while moving care away from the traditional and predominant method of fee-for-service (FFS).¹

The Frontline Work Force
Many conversations focused on the implementation of these models typically emphasize the role of physicians. However, the success of these models relies heavily on the support and manpower of a multidisciplinary team; particularly "frontline health care workers." Frontline workers may include medical assistants (MAs), medical office assistants, pharmacy aides, and health care support workers. Oftentimes, they provide routine, critical care that does not require post-baccalaureate training.²

For example, MAs can play an important role in a medical home model. Upon discharge from the hospital, frontline workers can provide direct outreach to patients that are at high risk for readmission, and discuss any lingering symptoms, worsening of conditions, or medication issues. If necessary, MAs can assign a high-risk patient to a social worker, care coordinator or nurse.³

In a team care environment, frontline health care workers are essential for taking over routine tasks and allowing physicians to employ their specialized skills on their most complex patient cases, which allows all team members to work at “the top of their license”.⁴ Frontline workers can also bridge the gap between patients and a multitude of providers and specialists; help deliver care that is culturally and linguistically appropriate; and provide critical patient education and outreach outside of regular office visits. 

A Workforce in Need of Reform
While team-based care is widely accepted as an industry norm, its current infrastructure is not well-supported. While the frontline workforce represents nearly half of all health care professionals, they are markedly underpaid, underappreciated, and lack formal training to transition into higher-skilled and/or higher paid positions.

A recent study by the Brookings Metropolitan Policy Program “Part of the Solution: Pre-Baccalaureate Healthcare Workers in a Time of Health System Change” demonstrates this glaring disparity between current frontline workforce investment and its value to health reform efforts. The study analyzes the characteristics of the top ten ‘pre-baccalaureate health care workers’ (staff that holds less than an associate’s degree) within the US’s one-hundred largest metropolitan areas (see Table 1).

Table 1: Top ten pre-baccalaureate health care workers in the US’s top one-hundred metropolitan areas

Personal care aides represent a striking example of the underinvestment in frontline workers. The study shows that personal care aides have the lowest levels of educational attainment compared to their peers (32% have no more than a high school diploma), and have the lowest median earnings ($20,000 annually). Meanwhile, The Center for Health Workforce Studies’ (CHWS) estimates that this profession is among the top three national occupations with the highest projected job growth between 2010 and 2020. They are also in highest demand: between 2010 and 2020 there will be an estimated 600,000 personal aide vacancies.⁵ According to this study, MAs are also among the least educated and lowest paid frontline professions. Ninety percent lack a bachelor’s degree and a significant share (29%) are classified as ‘working poor.’

Policy Solutions

A number of policy solutions can be applied to enhance the frontline worker infrastructure. Our recommendations include:

Invest in front line health care workforce training and education. Case studies from a recent Engelberg Center toolkit, outlines how providers are training their frontline workforce to master fundamental skills including care management, patient engagement, teamwork, and technological savviness.

For example, a New Jersey ACO carried out clinical transformation by investing in new frontline staff, and by redefining the role of medical assistants to include health coaching. The return on investment for employers is potentially large. After injecting a substantial initial investment into this project, this ACO saw a 12.3% decrease in net health care costs within the first year of the program’s implementation; as well as significantly improved efficiency, quality of care and patient experience. As the educational curricula for frontline professions are largely variable, more attention should also be spent on the quality of educational content to train these occupations, as well as on developing an understanding of how delivery systems are augmenting traditional educational curricula.

2. Active inclusion of frontline health care workers in payment reform. Although the services of frontline health care workers are beginning to play a role in new payment models, typically frontline staff does not benefit directly from any bonus payments or shared savings incentives. However, their increasingly valuable role in the care team may warrant allowing frontline health care staff to be included in the receipt of shared savings and/or bonus payments based on the achievement of specifically tailored performance and outcomes targets.

The increasing demand for frontline health care workers, driven in part by the ACA’s payment and delivery reforms, will likely spell out a brighter future for these occupations, whose services had routinely been undervalued and underpaid. Future policy efforts should be focused on extending educational grants that have been aimed at primary care and nursing to frontline workers, as well as considering dedicating portions of shared savings to enhancing the earning potential for frontline workers. Some efforts, such as the U.S. Department of Labor’s recent rule to grant wage and overtime protections to home health and personal care aides, are early suggestions of a shift toward greater respect and empowerment for these occupations. It is yet to be seen what effects the continuation of such efforts will have on their high projected attrition trends.

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Fiona Hill, director of the Center on the United States and Europe at Brookings and a senior fellow in Foreign Policy, discusses the decision of a majority of voters in Britain to leave the E.U. and the consequences of Brexit for the country’s economy, politics, position as a world power, and implications for its citizens.

Show Notes

Mr. Putin (New and Expanded)

The "greatest catastrophe" of the 21st century?

Brexit and the dissolution of the U.K. Brexit—in or out? Implications of the United Kingdom’s referendum on EU membership

EU: how to decide (Anand Menon)

Thanks to audio engineer and producer Zack Kulzer, with editing help from Mark Hoelscher, plus thanks to Carisa Nietsche, Bill Finan, Jessica Pavone, Eric Abalahin, Rebecca Viser, and our intern Sara Abdel-Rahim.

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