The Effects of a Fee-waiver Program on Health Care Utilization Among the Poor

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Publisher : World Bank Publications
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4./5 ( download)

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Book Synopsis The Effects of a Fee-waiver Program on Health Care Utilization Among the Poor by : Nazmul Chaudhury

Download or read book The Effects of a Fee-waiver Program on Health Care Utilization Among the Poor written by Nazmul Chaudhury and published by World Bank Publications. This book was released on 2003 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examines the impact of a fee-waiver program for basic medical services on health care utilization in Armenia. Because of the reduction in public financing of health services and decentralization and increased privatization of health care provision, private out-of-pocket contributions are increasingly becoming a significant component of health costs in Armenia. To help poor families cope with this constraint, the Armenian government provided a free-of-charge basic package service to eligible individuals in vulnerable groups, such as the disabled and children from single parent households. Drawing on the 1996 and 1998-99 Armenia Integrated Survey of Living Standards (AISLS), which allows the identification of eligible individuals under this program, the authors estimate the impact of the fee-waiver program on utilization of health services, particularly among the poor. Across the two survey rounds utilization rates have indeed declined despite comparable levels of income, and this decline has occurred among both the poor and the rich, with average utilization falling by 12 percent between the two surveys. But families with four or more children, the largest beneficiary group under the "vulnerable population" program, have decreased their use of health care services in a disproportionate manner--21 percent reduction in use between the two survey rounds. This precipitous drop in health care use by this vulnerable group, despite being eligible for free medical services, suggests that the program was inadequate in stemming the decline in the use of health services. The authors further present evidence to suggest that the free-of-charge eligibility program acts more like an income transfer mechanism, particularly to disabled individuals. This paper--a joint product of Public Services, Development Research Group, and the Human Development Sector Unit, Europe and Central Asia Region--is part of a larger effort in the Bank to understand the impact of health sector reform on health care utilization and poverty.

The Effects of a Fee-Waiver Program on Health Care Utilization among the Poor

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis The Effects of a Fee-Waiver Program on Health Care Utilization among the Poor by : Chaudhury

Download or read book The Effects of a Fee-Waiver Program on Health Care Utilization among the Poor written by Chaudhury and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Effects of a Fee-Waiver Program on Health Care Utilization Among the Poor

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Publisher :
ISBN 13 :
Total Pages : 36 pages
Book Rating : 4.:/5 (129 download)

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Book Synopsis The Effects of a Fee-Waiver Program on Health Care Utilization Among the Poor by : Nazmul Chaudhury

Download or read book The Effects of a Fee-Waiver Program on Health Care Utilization Among the Poor written by Nazmul Chaudhury and published by . This book was released on 2016 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examines the impact of a fee-waiver program for basic medical services on health care utilization in Armenia. Because of the reduction in public financing of health services and decentralization and increased privatization of health care provision, private out-of-pocket contributions are increasingly becoming a significant component of health costs in Armenia. To help poor families cope with this constraint, the Armenian government provided a free-of-charge basic package service to eligible individuals in vulnerable groups, such as the disabled and children from single parent households. Drawing on the 1996 and 1998-99 Armenia Integrated Survey of Living Standards (AISLS), which allows the identification of eligible individuals under this program, the authors estimate the impact of the fee-waiver program on utilization of health services, particularly among the poor. Across the two survey rounds utilization rates have indeed declined despite comparable levels of income, and this decline has occurred among both the poor and the rich, with average utilization falling by 12 percent between the two surveys.But families with four or more children, the largest beneficiary group under the vulnerable population program, have decreased their use of health care services in a disproportionate manner - 21 percent reduction in use between the two survey rounds. This precipitous drop in health care use by this vulnerable group, despite being eligible for free medical services, suggests that the program was inadequate in stemming the decline in the use of health services. The authors further present evidence to suggest that the free-of-charge eligibility program acts more like an income transfer mechanism, particularly to disabled individuals.This paper - a joint product of Public Services, Development Research Group, and the Human Development Sector Unit, Europe and Central Asia Region - is part of a larger effort in the Bank to understand the impact of health sector reform on health care utilization and poverty.

“The” Effects of a Fee-waiver Program on Health Care Utilizaiton Among the Poor

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis “The” Effects of a Fee-waiver Program on Health Care Utilizaiton Among the Poor by : Nazmul Chaudhury

Download or read book “The” Effects of a Fee-waiver Program on Health Care Utilizaiton Among the Poor written by Nazmul Chaudhury and published by . This book was released on 2003 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Analyzing the Distributional Impact of Reforms, 2

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Publisher : World Bank Publications
ISBN 13 : 0821363492
Total Pages : 470 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Analyzing the Distributional Impact of Reforms, 2 by : Aline Coudouel

Download or read book Analyzing the Distributional Impact of Reforms, 2 written by Aline Coudouel and published by World Bank Publications. This book was released on 2005 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The analysis of the distributional impact of policy reforms on the well-being or welfare of different stakeholder groups, particularly on th e poor and vulnerable, has an important role in the elaboration and implementation of poverty reduction strategies in developing countries. In recent years this type of work has been labeled as Poverty and Social Impact Analysis (PSIA) and is increasingly implemented to promote evidence-based policy choices and foster debate on policy reform options. While information is available on the general approach, techniques, and tools for distributional analysis, each sector displays a series of specific characteristics. These have implications for the analysis of distributional impacts, including the types of impacts and transmission channels that warrant particular attention, the tools and techniques most appropriate, the data source typically utilized, and the range of political economy factors most likely to affect the reform process. This volume provides an overview of the specific issues arising in the analysis of the distributional impacts of policy and institutional reforms in selected sectors. Each chapter offers guidance on the selection of tools and techniques most adapted to the reforms under scrutiny, and offers examples of applications of these approaches. This is a companion to the first volume, which offers guidance on trade, monetary and exchange rate policy, utility provision, agricultural markets, land policy, and education."

Informality Revisited

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Publisher : World Bank Publications
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4./5 ( download)

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Book Synopsis Informality Revisited by : William Francis Maloney

Download or read book Informality Revisited written by William Francis Maloney and published by World Bank Publications. This book was released on 2003 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: The author develops a view of the informal sector in developing countries primarily as an unregulated micro-entrepreneurial sector and not as a disadvantaged residual of segmented labor markets. Drawing on recent work from Latin America, he offers alternative explanations for many of the characteristics of the informal sector customarily regarded as evidence of its inferiority.

Short But Not Sweet

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Publisher : World Bank Publications
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4./5 ( download)

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Book Synopsis Short But Not Sweet by : Carolina Sánchez-Páramo

Download or read book Short But Not Sweet written by Carolina Sánchez-Páramo and published by World Bank Publications. This book was released on 2003 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: India spends 6 percent of its GDP on health-three times the amount spent by Indonesia and twice that of China-and spending on non-chronic morbidities is three times that of chronic illnesses. It is normally assumed that the high spending on non-chronic illnesses reflects the prevalence of morbidities with high case-fatality or case-disability ratios. But there is little data that can be used to separate out spending by type of illness. The authors address this issue with a unique dataset where 1,621 individuals in Delhi were observed for 16 weeks through detailed weekly interviews on morbidity and health-seeking behavior. The authors' findings are surprising and contrary to the normal view of health spending. They define a new class of illnesses as "short duration morbidities" if they are classified as non-chronic in the international classification of disease and are medically expected to last less than two weeks. The authors show that short duration morbidities are important in terms of prevalence, practitioner visits, and household health expenditure: Individuals report a short duration morbidity in one out of every five weeks. Moreover, one out of every three weeks reported with a short duration morbidity results in a doctor visit, and each week sick with such a morbidity increases health expenditure by 25 percent. Further, the absolute spending on short duration morbidities is similar across poor and rich income households. The authors discuss the implications of these findings in understanding household health behavior in an urban context, with special emphasis on the role of information in health-seeking behavior.

New Approaches to Providing Health Care to the Poor

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Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis New Approaches to Providing Health Care to the Poor by :

Download or read book New Approaches to Providing Health Care to the Poor written by and published by . This book was released on 1984 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

At Risk in America

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Publisher : John Wiley & Sons
ISBN 13 : 0787959324
Total Pages : 399 pages
Book Rating : 4.7/5 (879 download)

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Book Synopsis At Risk in America by : Lu Ann Aday

Download or read book At Risk in America written by Lu Ann Aday and published by John Wiley & Sons. This book was released on 2002-02-28 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated second edition of At Risk in America provides a detailed analysis of those key population groups most vulnerable to disease and injury in the United States today-including homeless persons, refugees and immigrants, people living with AIDS, alcohol and substance abusers, high-risk mothers and infants, victims of family or other violence, and the chronically or mentally ill. Lu Ann Aday reviews the major theories and knowledge concerning these at-risk groups and offers new approaches and methodologies for tracing the social determinants and societal influences on health. She examines the specific health needs and risks faced by these groups, their experience in the health care system, the current policies and programs that serve them, and the research and policy initiatives that might be undertaken to help reduce their vulnerability.

Legacies of the War on Poverty

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Publisher : Russell Sage Foundation
ISBN 13 : 1610448146
Total Pages : 322 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Legacies of the War on Poverty by : Martha J. Bailey

Download or read book Legacies of the War on Poverty written by Martha J. Bailey and published by Russell Sage Foundation. This book was released on 2013-07-31 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many believe that the War on Poverty, launched by President Johnson in 1964, ended in failure. In 2010, the official poverty rate was 15 percent, almost as high as when the War on Poverty was declared. Historical and contemporary accounts often portray the War on Poverty as a costly experiment that created doubts about the ability of public policies to address complex social problems. Legacies of the War on Poverty, drawing from fifty years of empirical evidence, documents that this popular view is too negative. The volume offers a balanced assessment of the War on Poverty that highlights some remarkable policy successes and promises to shift the national conversation on poverty in America. Featuring contributions from leading poverty researchers, Legacies of the War on Poverty demonstrates that poverty and racial discrimination would likely have been much greater today if the War on Poverty had not been launched. Chloe Gibbs, Jens Ludwig, and Douglas Miller dispel the notion that the Head Start education program does not work. While its impact on children’s test scores fade, the program contributes to participants’ long-term educational achievement and, importantly, their earnings growth later in life. Elizabeth Cascio and Sarah Reber show that Title I legislation reduced the school funding gap between poorer and richer states and prompted Southern school districts to desegregate, increasing educational opportunity for African Americans. The volume also examines the significant consequences of income support, housing, and health care programs. Jane Waldfogel shows that without the era’s expansion of food stamps and other nutrition programs, the child poverty rate in 2010 would have been three percentage points higher. Kathleen McGarry examines the policies that contributed to a great success of the War on Poverty: the rapid decline in elderly poverty, which fell from 35 percent in 1959 to below 10 percent in 2010. Barbara Wolfe concludes that Medicaid and Community Health Centers contributed to large reductions in infant mortality and increased life expectancy. Katherine Swartz finds that Medicare and Medicaid increased access to health care among the elderly and reduced the risk that they could not afford care or that obtaining it would bankrupt them and their families. Legacies of the War on Poverty demonstrates that well-designed government programs can reduce poverty, racial discrimination, and material hardships. This insightful volume refutes pessimism about the effects of social policies and provides new lessons about what more can be done to improve the lives of the poor.

Making Americans Healthier

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Publisher : Russell Sage Foundation
ISBN 13 : 1610444876
Total Pages : 413 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Making Americans Healthier by : Robert F. Schoeni

Download or read book Making Americans Healthier written by Robert F. Schoeni and published by Russell Sage Foundation. This book was released on 2008-01-25 with total page 413 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends billions of dollars annually on social and economic policies aimed at improving the lives of its citizens, but the health consequences associated with these policies are rarely considered. In Making Americans Healthier, a group of multidisciplinary experts shows how social and economic policies seemingly unrelated to medical well-being have dramatic consequences for the health of the American people. Most previous research concerning problems with health and healthcare in the United States has focused narrowly on issues of medical care and insurance coverage, but Making Americans Healthier demonstrates the important health consequences that policymakers overlook in traditional cost-benefit evaluations of social policy. The contributors examine six critical policy areas: civil rights, education, income support, employment, welfare, and neighborhood and housing. Among the important findings in this book, David Cutler and Adriana Lleras-Muney document the robust relationship between educational attainment and health, and estimate that the health benefits of education may exceed even the well-documented financial returns of education. Pamela Herd, James House, and Robert Schoeni discover notable health benefits associated with the Supplemental Security Income Program, which provides financial support for elderly and disabled Americans. George Kaplan, Nalini Ranjit, and Sarah Burgard document a large and unanticipated improvement in the health of African-American women following the enactment of civil rights legislation in the 1960s. Making Americans Healthier presents ground-breaking evidence that the health impact of many social policies is substantial. The important findings in this book pave the way for promising new avenues for intervention and convincingly demonstrate that ultimately social and economic policy is health policy. A Volume in the National Poverty Center Series on Poverty and Public Policy

Reducing Poverty and Investing in People

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Publisher : World Bank Publications
ISBN 13 : 1464800952
Total Pages : 185 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Reducing Poverty and Investing in People by : Victoria Monchuk

Download or read book Reducing Poverty and Investing in People written by Victoria Monchuk and published by World Bank Publications. This book was released on 2013-12-16 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book assesses the status, objectives, features, performance, and financing of safety nets in Africa. It identifies how governments and donors can strengthen safety nets to protect and promote poor people. Overall safety nets are on the rise in Africa and are beginning to evolve from fragmented programs into systems.

Trade Liberalization and Labor Market Adjustment in Brazil

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Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Trade Liberalization and Labor Market Adjustment in Brazil by : Nina Pavcnik

Download or read book Trade Liberalization and Labor Market Adjustment in Brazil written by Nina Pavcnik and published by . This book was released on 2003 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Living and Dying with Hard Pegs

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Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Living and Dying with Hard Pegs by : Augusto de la Torre

Download or read book Living and Dying with Hard Pegs written by Augusto de la Torre and published by . This book was released on 2003 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Malnutrition and Poverty in Guatemala

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Publisher : World Bank Publications
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4./5 ( download)

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Book Synopsis Malnutrition and Poverty in Guatemala by : Michele Gragnolati

Download or read book Malnutrition and Poverty in Guatemala written by Michele Gragnolati and published by World Bank Publications. This book was released on 2003 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objective of this paper is to document the extent and distribution of child and adult malnutrition in Guatemala; to analyze the relationship between selected child, maternal, household and community characteristics and children's nutritional status; and to outline the implications of the most important findings for nutritional policy. The prevalence of chronic malnutrition among Guatemalan children in 2000 was the highest in Latin America and among the highest in the world. The data show very strong socioeconomic and geographic inequality. The econometric analysis reveals a strong impact of income and of intergenerational effects. Education of adults in the household and the availability of infrastructure are other important determinants of children's growth attainment. Finally, even controlling for income and other household and community characteristics, ethnicity remains an important determinant of child nutritional status. The study also reveals an increasing prevalence of excess weights and obesity among children and adults. Overnutrition tends to be higher among individuals living in urban areas and among non-poor and non-indigenous households. This paper-a product of the Human Development Sector Unit, Latin America and the Caribbean Region-is part of a larger effort in the region to study poverty and human development processes.

Voice Lessons

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Publisher : World Bank Publications
ISBN 13 :
Total Pages : 56 pages
Book Rating : 4./5 ( download)

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Book Synopsis Voice Lessons by : Cara Mentzel

Download or read book Voice Lessons written by Cara Mentzel and published by World Bank Publications. This book was released on 2017 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Voice Lessons is the story of one younger sister growing up in the shadow of a larger-than-life older sister--looking up to her, wondering how they were alike and how they were different and, ultimately, learning how to live her own life and speak in her own voice on her own terms. As Cara Mentzel, studied, explored, married, gave birth (twice) and eventually became an elementary school teacher, she watched her sister, Idina Menzel, from the wings and gives listeners a front row seat to opening night of Rent and Wicked, a seat at the Tonys, and a place on the red carpet when her sister taught millions more, as the voice of Queen Elsa in the animated musical Frozen, to "Let It Go." Voice Lessons is the story of sisters--sisters with pig tails, sisters with boyfriends and broken hearts, sisters as mothers and aunts, sisters as teachers and ice-queens, sisters as allies and confidantes. As Cara puts it, "My big sister is Tony-Award-Winning, Gravity-Defying, Let-It-Go-Singing Idina Menzel who has received top billing on Broadway marquees, who has performed for Barbra Streisand and President Obama, at the Super Bowl and at the Academy Awards. The world knows her as 'Idina Menzel', but I call her 'Dee'." Voice Lessons is their story. This program is read by the author

Intellectual Property Rights, Licensing, and Innovation

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Publisher : World Bank Publications
ISBN 13 :
Total Pages : 42 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Intellectual Property Rights, Licensing, and Innovation by : Guifang Yang

Download or read book Intellectual Property Rights, Licensing, and Innovation written by Guifang Yang and published by World Bank Publications. This book was released on 2003 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is considerable debate in economics literature on whether a decision by developing countries to strengthen their protection of intellectual property rights (IPRs) will increase or reduce their access to modern technologies invented by industrial countries. This access can be achieved through technology transfer of various kinds, including foreign direct investment and licensing. Licensing is the focus of this paper. To the extent that inventing firms choose to act more monopolistically and offer fewer technologies on the market, stronger IPRs could reduce international technology flows. However, to the extent that IPRs raise the returns to innovation and licensing, these flows would expand. In theory, the outcome depends on how IPRs affect several variables--the costs of, and returns to, international licensing; the wage advantage of workers in poor countries; the innovation process in industrial countries; and the amount of labor available for innovation and production. Yang and Maskus develop a theoretical model in which firms in the North (industrial countries) innovate products of higher quality levels and decide whether to produce in the North or transfer production rights to the South (developing countries) through licensing. Different quality levels of each product are sold in equilibrium because of differences in consumers' willingness-to-pay for quality improvements. Contracting problems exist because the inventors in the North must indicate to licensees in the South whether their product is of higher or lower quality and also prevent the licensees from copying the technology. So, constraints in the model ensure that the equilibrium flow of licensing higher-quality goods meets these objectives. When the South strengthens its patent rights, copying by licensees is made costlier but the returns to licensing are increased. This change affects the dynamic decisions regarding innovation and technology transfer, which could rise or fall depending on market parameters, including the labor available for research and production. Results from the model show that the net effects depend on the balance between profits made by the Northern licensor and lower labor costs in the South. If the size of the labor force used in Northern innovation compared with that used in producing goods in both the North and South is sufficiently small (a condition that accords with reality), stronger IPRs in the South would lead to more licensing and innovation. This change would also increase the Southern wage relative to the Northern wage. So, in this model a decision by developing countries to increase their patent rights would expand global innovation and increase technology transfer. This result is consistent with recent empirical evidence. It should be noted that while the results suggest that international agreements to strengthen IPRs should expand global innovation and technology transfer through licensing, the model cannot be used for welfare analysis. Thus, while the developing countries enjoy more inward licensing, the cost per license could be higher, and prices could also rise, with an unclear overall effect on economic well-being. This paper--a product of Trade, Development Research Group--is part of a larger effort in the group to assess the impact of intellectual property rights on economic development.