Pakistan is already one of the most urbanized nations in South Asia, and a majority of its population is projected to be living in cities within three decades. This demographic shift is likely to have a significant impact on Pakistan’s politics and stability. This report briefly examines urbanization as a potential driver of long-term insecurity and instability, with particular attention to the cities of Karachi, Lahore, and Quetta.

Already one of the most urbanized nations in South Asia, Pakistan is projected to have a majority of its population living in cities within three decades. This demographic shift will alter Pakistan’s politics and threaten its stability, but the political and security implications of Pakistan’s urbanization remain underanalyzed. This report examines urbanization as a potential driver of long-term insecurity and instability, with particular attention to the cities of Karachi, Lahore, and Quetta. Drawing on demographic trends, election results, and survey data, the authors conclude that urbanization may fuel anti-American sentiment and help recruitment by transnational Islamist groups (but not necessarily Islamist political parties) in the short term. Urbanization is also likely to increase popular demand for political reform in Pakistan. In the near future, a Pakistani government more directly accountable to its electorate might be less willing to cooperate with the United States in unpopular security policies. In the long run, however, a Pakistani government more responsive to its citizens could be a better security partner for the United States. By spurring Pakistani policymakers to focus on provision of good governance and public services rather than on scapegoating external actors, political reform may eventually help reduce anti-American attitudes.

"The ongoing COVID-19 pandemic marks the most significant, singular global disruption since World War II, with health, economic, political, and security implications that will ripple for years to come." -Global Trends 2040 (2021) Global Trends 2040-A More Contested World (2021), released by the US National Intelligence Council, is the latest report in its series of reports starting in 1997 about megatrends and the world's future. This report, strongly influenced by the COVID-19 pandemic, paints a bleak picture of the future and describes a contested, fragmented and turbulent world. It specifically discusses the four main trends that will shape tomorrow's world: - Demographics-by 2040, 1.4 billion people will be added mostly in Africa and South Asia. - Economics-increased government debt and concentrated economic power will escalate problems for the poor and middleclass. - Climate-a hotter world will increase water, food, and health insecurity. - Technology-the emergence of new technologies could both solve and cause problems for human life. Students of trends, policymakers, entrepreneurs, academics, journalists and anyone eager for a glimpse into the next decades, will find this report, with colored graphs, essential reading.

The purpose of this paper is to empirically determine the effects of political instability on economic growth. Using the system-GMM estimator for linear dynamic panel data models on a sample covering up to 169 countries, and 5-year periods from 1960 to 2004, we find that higher degrees of political instability are associated with lower growth rates of GDP per capita. Regarding the channels of transmission, we find that political instability adversely affects growth by lowering the rates of productivity growth and, to a smaller degree, physical and human capital accumulation. Finally, economic freedom and ethnic homogeneity are beneficial to growth, while democracy may have a small negative effect.

For decades, US foreign policy in the Middle East has been on autopilot: Seek Arab-Israeli peace, fight terrorism, and urge regimes to respect human rights. Every US administration puts its own spin on these initiatives, but none has successfully resolved the region’s fundamental problems. In Seven Pillars: What Really Causes Instability in the Middle East? a bipartisan group of leading experts representing several academic and policy disciplines unravel the core causes of instability in the Middle East and North Africa. Why have some countries been immune to the Arab Spring? Which governments enjoy the most legitimacy and why? With more than half the region under 30 years of age, why does education and innovation lag? How do resource economies, crony capitalism, and inequality drive conflict? Are ethnic and sectarian fault lines the key factor, or are these more products of political and economic instability? And what are the wellsprings of extremism that threaten not only the United States but, more profoundly, the people of the region? The answers to these questions should help policymakers and students of the region understand the Middle East on its own terms, rather than just through a partisan or diplomatic lens. Understanding the pillars of instability in the region can allow the United States and its allies to rethink their own priorities, adjust policy, recalibrate their programs, and finally begin to chip away at core challenges facing the Middle East. Contributors: Thanassis Cambanis Michael A. Fahy Florence Gaub Danielle Pletka Bilal Wahab A. Kadir Yildirim

To explore what extended competition between the United States and China might entail out to 2050, the authors of this report identified and characterized China’s grand strategy, analyzed its component national strategies (diplomacy, economics, science and technology, and military affairs), and assessed how successful China might be at implementing these over the next three decades.

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.