Global Health Diplomacy: A Comparative Analysis of China’s and the U.S.’s Soft Power during COVID-19 and the myth of Thucydides Trap

Authors

  • Adam Saud Professor of International Relations, Bahria University, Islamabad, Pakistan.
  • Qudsia Alvi MS-IR Scholar, Bahria University, Islamabad

DOI:

https://doi.org/10.54418/ca-90.169

Keywords:

Global Health Diplomacy, Soft Power, China, United States, COVID-19, WHO

Abstract

The emergence of COVID-19 has provided a new vigor to addressed global health issues. In this regard, global health diplomacy initiatives have seen a considerable surge. Countries around the world are using the opportunity to harness the potential of global health diplomacy in cultivating relations with several countries and also building a soft power projection. A case in point is how China has been spearheading global health efforts to improve relations while projecting a soft power about how China aims to act as global savior. Chinese efforts were able to gain significant traction owing to the fact that the United States under the administration of President Trump suspended its global leadership role, the first such instance in the post-World War-II era. This paper explains the concept of global health diplomacy by conducting a comparative analysis of the global health efforts and policies undertaken by both the United States and China by following qualitative research technique and secondary sources to explain the phenomenon. The study found that China led the response to COVID-19 not only domestically but globally as well. The U.S. lagged but gradually started to compete China in health diplomacy. There is an evident struggle for dominance in health sector between China and the U.S., however, it is not expected to lead into hard power struggle. The paper has concluded that it is important for both countries to work together in future in case of pandemic to spearhead an international effort against such crises. Moreover, it recommends Chinese authorities to include health corridor as a component with Belt and Road Initiative. On the other hand, the United States under the administration of President Joe Biden should invest in multilateral efforts so to empower global health institutions to better prepare for future health crises.

References

Adams, Vincanne; Novotny, Thomas E. and Leslie, Hannah. "Global health diplomacy," Medical Anthropology 27, no. 4 (2008): 315-323. DOI: https://doi.org/10.1080/01459740802427067

Allison, Graham. Destined for War: Can America and China Escape Thucydides’s Trap? (New York: Houghton Mifflin Harcourt, 2017).

Alwan, Ala. “Summary of the Third Seminar on Health Diplomacy,” World Health Organization, Third Regional Seminar on Health Diplomacy, Cairo, 2014, https://applications.emro.who.int/docs/Policy_Brief_2014_EN_15340.pdf?ua=1&ua=1&ua=1%20http://www.emro.who.int/health-topics/health-diplomacy/index.html.

Barkin, Noah. “In the Post-Pandemic Cold War, America Is Losing Europe,” Foreign Policy, May 19, 2020, https://foreignpolicy.com/2020/05/19/coronavirus-pandemic-europe-opinion-polls-united-states-china-losing/

Beaumont, Peter. “Vaccine Inequality Exposed by Dire Situation in World’s Poorest Nations,” The Guardian, May 30, 2021, https://www.theguardian.com/world/2021/may/30/vaccine-inequality-exposed-by-dire-situation-in-worlds-poorest-nations.

Bei,Tang. “A Brief History of Chinese ‘Health Diplomacy’,” Sixth Tone, May 20, 2020. https://www.sixthtone.com/news/1005687/a-brief-history-of-chinese-health-diplomacy.

Cahill, K. M. “Health and foreign policy: An American View,” Annals of Tropical Medicine & Parasitology 91, no. 7 (1997): 735-741, DOI: 10.1080/00034983.1997.11813197. DOI: https://doi.org/10.1080/00034983.1997.11813197

Celebrity Diplomacy: Challenges and Opportunities,” Wilson Center, September 25, 2007, https://www.wilsoncenter.org/event/celebrity-diplomacy-challenges-and-opportunities.

China ‘Willing’ to Help Virus-Ravaged India,” Aa.com.tr, 2021.

Ching, Nike. “US, China Compete Over Vaccine, Post-pandemic Recovery in Europe,” Voice of America, February 17, 2021, https://www.voanews.com/covid-19-pandemic/us-china-compete-over-vaccine-post-pandemic-recovery-europe.

Coronavirus Disease (COVID-19): Vaccine Access and Allocation,” World Health Organization, February 19, 2021, https://www.who.int/news-room/q-a-detail/coronavirus-disease-(covid-19)-vaccine-access-and allocation?adgroupsurvey={adgroupsurvey}&gclid=EAIaIQobChMIqs_0xbmG8QIVkZftCh2_Vg_6EAAYASABEgLyuPD_BwE.

CoronaVirus Disease 2019,” US Department of State, April 22, 2021, https://www.state.gov/coronavirus/#international-aid-relations.

Coronavirus: US to halt funding to WHO, says Trump,” BBC News, April 15, 2020, https://www.bbc.com/news/world-us-canada-52289056.

Cueto, Marcos and Brown, Theodore M.. “The Cold War and Eradication,” in The World Health Organization: A History, ed. Marcos Cueto, Casa de Oswaldo Cruz, Fiocruz, Rio de Janeiro and Theodore M. Brown (London: Cambridge University Press, 2019), 86-90. DOI: https://doi.org/10.1017/9781108692878

Davies, Sara E. “Securitizing infectious disease." International Affairs 84, no. 2 (2008): 295-313. DOI: https://doi.org/10.1111/j.1468-2346.2008.00704.x

Davies, Sara E.; Kamradt-Scott, Adam and Rushton, Simon. Disease Diplomacy: International Norms and Global Health Security (Baltimore: John Hopkins University Press, 2015), 1.

Fidler, David F. “Health in Foreign Policy: An Analytical Review,” Canadian Foreign Policy Journal 15, no. 3, March 2011: 11-29. DOI: 10.1080/11926422.2009.9673489. DOI: https://doi.org/10.1080/11926422.2009.9673489

Gauttam, Priya; Singh, Bawa and Kaur, Jaspal. “COVID-19 and Chinese Global Health Diplomacy: Geopolitical Opportunity for China’s Hegemony?” Millennial Asia 11, no. 3 (October 12, 2020): 318–40, https://doi.org/. DOI: https://doi.org/10.1177/0976399620959771

Gypson Katherine., “US Set to Send $11B in International Aid in Latest COVID Bill,” Voice of America, March 10, 2021, https://www.voanews.com/covid-19-pandemic/us-set-send-11b-international-aid-latest-covid-bill.

Huang,.Yanzhong. "Pursuing health as foreign policy: the case of China." Indiana Journal of Global Legal Studies 17, no. 1 (2010): 105-146. DOI: https://doi.org/10.2979/gls.2010.17.1.105

Hussain, Lewis and Bloom, Gerald. “Understanding China’s Growing Involvement in Global Health and Managing Processes of Change,” Globalization and Health 16, no. 39 (May 2020), https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-020-00569-0. DOI: https://doi.org/10.1186/s12992-020-00569-0

Jiahan, Cao “Towards a Health Silk Road: China’s Proposals for Global Health Cooperation,” China Quarterly of International Strategic Studies 6, no. 1 (2020): 19-35. DOI: https://doi.org/10.1142/S2377740020500013

Katz, Rebecca; Kornblet, Sarah; Arnold, Grace; Lief, Eric and Julie E. Fischer, “Defining Health Diplomacy: Changing Demands in the Era of Globalization,” The Milbank Quarterly: A Multidisciplinary Journal of Population Health and Health Policy 89, no. 3 (2011): 503-523. DOI: https://doi.org/10.1111/j.1468-0009.2011.00637.x

Kenworthy, Nora; Koon, Adam D. and Mendenhall, Emily, “On symbols and scripts: The politics of the American COVID-19 response,” Global Public Health: An International Journal for Research, Policy and Practice (March 2021): 1-15, DOI: 10.1080/17441692.2021.1902549; David P. Carter & Peter J. May, “Making sense of the U.S. COVID-19 pandemic response: A policy regime perspective,” Administrative Theory & Praxis 42, no. 2 (2020): 266-277, DOI: 10.1080/10841806.2020.1758991. DOI: https://doi.org/10.1080/10841806.2020.1758991

Kevany, Sabastian. “Global Health Diplomacy, ‘Smart Power’, and the New World Order,” Global Public Health: An International Journal for Research, Policy and Practice 9, no. 7 (2014): 787-807. DOI: 10.1080/17441692.2014.921219. DOI: https://doi.org/10.1080/17441692.2014.921219

Kickbusch, Ilona; chmidt,Gaudenz Silbers and Buss, Paulo. "Global health diplomacy: the need for new perspectives, strategic approaches and skills in global health," Bulletin of the World Health Organization 85 (2007): 230-232. DOI: https://doi.org/10.2471/BLT.06.039222

Kickbusch, Ilona; Lister, Graham; Told, Michaela and Nick Drager, Global Health Diplomacy: Concepts, Issues, Actors, Instruments, For and Cases (New York: Springer, 2013), 2-5. DOI: https://doi.org/10.1007/978-1-4614-5401-4

Korea Health Demonstration Project,” USAID, July 1982, https://pdf.usaid.gov/pdf_docs/PNAAJ621.pdf.

Lagon, Mark P. and Sadoff, Rachel. “America Must Not Allow Africa to Go Viral in Africa,” The National Interest, May 1, 2020, https://nationalinterest.org/feature/america-must-not-allow-china-go-viral-africa-150566; Emma Louise-Anderson, “African health diplomacy: obscuring power and leveraging dependency through shadow diplomacy,” International Relations 32, no. 2 (June 2018): 194-217. https://doi.org/10.1177/0047117817751595.

Lancaster, Kirk; Rubin, Michael and Mira Rapp-Hooper, “Mapping China’s Health Silk Road,” Council on Foreign Relations, April 10, 2020, https://www.cfr.org/blog/mapping-chinas-health-silk-road.

Mahani, Akram Khazatzadeh; Ruckert, Arne and Labonté, Ronald. “Global Health Diplomacy,” In The Oxford Handbook of Global Health Politics, eds. Colin McInnes, Kelley Lee, and Jeremy Youde (London: Oxford University Press, 2018), 4.

Marrogi, A. J. and Saadoun al-Dulaimi, “Medical Diplomacy in Achieving U.S. Global Strategic Objectives,” National Defense University Press, July 1, 2014, https://ndupress.ndu.edu/Media/News/Article/577539/medical-diplomacy-in-achieving-us-global-strategic-objectives/

McCormick, James M. ed. The domestic sources of American foreign policy: insights and evidence (Rowman & Littlefield, 2012).

National Center for Health Statistics,” Center for Disease Control and Prevention, April 21, 2021,

Nye, Joseph S. “Public Diplomacy and Soft Power,” The Annals of the American Academy of Political and Social Science 616, no. 1 (March 2008): 94-109, https://doi.org/10.1177/0002716207311699 DOI: https://doi.org/10.1177/0002716207311699

Ornstein,Terra. “Using Celebrity Diplomacy to End Tuberculosis,” USC Center on Public Diplomacy, October 2, 2015, https://uscpublicdiplomacy.org/blog/using-celebrity-diplomacy-end-tuberculosis.

Penler, Alex. “An Old Frontier: What Cold War Women Can Tell Us About Global Health and Vaccine Diplomacy,” LSE Blogs, March 3, 2021, https://blogs.lse.ac.uk/lseih/2021/03/03/an-old-frontier-what-cold-war-women-can-tell-us-about-global-health-and-vaccine-diplomacy/

Procopio, Maddalena. “China’s Health Diplomacy in Africa: Pitfalls Behind the Leading Role,” Italian Institute of Political and International Studies, April 7, 2020, https://www.ispionline.it/en/pubblicazione/chinas-health-diplomacy-africa-pitfalls-behind-leading-role-25694

Rourke, John T. and Boyer, Mark A. International politics on the world stage (New York, NY: McGraw-Hill, 2008).

Ruckert, Arne; Labonté Ronald; Lencucha, Raphael; Runnels, Vivien and Michelle Gagnon. "Global health diplomacy: a critical review of the literature." Social Science & Medicine 155 (2016): 61-72; Tanisha M. Fazal, “Health Diplomacy in Pandemical Times,” International Organization 74, no. 51 (December 2020): E78-E97. DOI: https://doi.org/10.1017/S0020818320000326. DOI: https://doi.org/10.1016/j.socscimed.2016.03.004

Saksena, Nivedita. “Global Justice and the COVID-19 Vaccine: Limitations of the Public Goods Framework,” Global Public Health: An International Journal for Research, Policy and Practice (March 2021), 1-10. https://doi.org/10.1080/17441692.2021.1906926. DOI: https://doi.org/10.1080/17441692.2021.1906926

Shumei, Leng. “China Provides Vaccine Aid to 53 Developing Countries, Exports to 22,” The Global Times, February 8, 2021, https://www.globaltimes.cn/page/202102/1215285.shtml; Patrick Atack, “China Exports Half its Vaccine Production: the UK and U.S., Almost None. Chart,” CGTN, April 1, 2021, https://newseu.cgtn.com/news/2021-04-01/China-exports-half-its-vaccines-the-UK-and-U-S-almost-none-Chart-Z3YKzBnOnK/index.html.

U.S. Contributions to the Global Fight Against COVID-19,” U.S. Embassy in Sri Lanka, May 1, 2020, https://lk.usembassy.gov/update-the-united-states-is-continuing-to-lead-the-response-to-covid-19/.

Unequal Vaccine Distribution Self-Defeating, World Health Organization Chief Tells Economic and Social Council’s Special Ministerial Meeting,” United Nations, April 16, 2021, https://www.un.org/press/en/2021/ecosoc7039.doc.htm.

USAID'S COVID-19 Response,” USAID, last modified May 20, 2021, https://www.usaid.gov/coronavirus

Wang, Long and Bateman, Joshua. “China’s Medical Aid in Africa,” The Diplomat, March 14, 2018, https://thediplomat.com/2018/03/chinas-medical-aid-in-africa/

Weiland, Noah and Robbins, Rebecca. “The U.S. Is Sitting on Tens of Millions of Vaccine Doses the World Needs,” The New York Times, March 11, 2021, https://www.nytimes.com/2021/03/11/us/politics/coronavirus-astrazeneca-united-states.html; “American Export Controls Threaten to Hinder Global Vaccine Production,” The Economist, April 17, 2021, https://www.economist.com/science-and-technology/2021/04/17/american-export-controls-threaten-to-hinder-global-vaccine-production.

What is the economic cost of COVID-19?” The Economist, January 7, 2021, https://www.economist.com/finance-and-economics/2021/01/09/what-is-the-economic-cost-of-covid-19

World Health Organization, http://www.emro.who.int/health-topics/health-diplomacy/index.html

Xu, Jian and Effreys, Elaine J “Celebrity Politics in Covid-19 China: “Celebrities Can’t Save the Country,” University of Westminster Blogs, July 15, 2020, https://blog.westminster.ac.uk/contemporarychina/celebrity-politics-in-covid-19-china-celebrities-cant-save-the-country/

Zakaria, Fareed. Ten Lessons for a Post Pandemic World (New York: Norton Press and Company, 2021).

Downloads

Published

2022-07-20

How to Cite

Saud, A. ., & Alvi, Q. (2022). Global Health Diplomacy: A Comparative Analysis of China’s and the U.S.’s Soft Power during COVID-19 and the myth of Thucydides Trap. Central Asia, 90(Summer), 37–67. https://doi.org/10.54418/ca-90.169