The Human Development Index (HDI) is a composite statistic of life expectancy , education , and income per capita indicators. A country scores higher HDI when the life expectancy at birth is longer, the education period is longer, and the income per capita is higher. It is used to distinguish whether the country is a developed , a developing or an underdeveloped country . The index was developed in 1990 by Pakistani economist Mahbub ul Haq   The UN report covers 185 member states of the United Nations (out of 193), along with Hong Kong and Palestine ; 8 UN member states are not included because of lack of data. The average HDI of regions of the World and groups of countries are also included for comparison.
The Drug Enforcement Administration of the US Department of Justice considers off-label prescribing of HGH to be illegal, and to be a key path for illicit distribution of HGH.  This section has also been interpreted by some doctors, most notably  the authors of a commentary article published in the Journal of the American Medical Association in 2005, as meaning that prescribing HGH off-label may be considered illegal.  And some articles in the popular press, such as those criticizing the pharmaceutical industry for marketing drugs for off-label use (which is clearly illegal) have made strong statements about whether doctors can prescribe HGH off-label: "Unlike other prescription drugs, HGH may be prescribed only for specific uses. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands."   At the same time, anti-aging clinics where doctors prescribe, administer, and sell HGH to people are big business.   In a 2012 article in Vanity Fair , when asked how HGH prescriptions far exceed the number of adult patients estimated to have HGH-deficiency, Dragos Roman, who leads a team at the FDA that reviews drugs in endocrinology, said "The . doesn't regulate off-label uses of . Sometimes it's used appropriately. Sometimes it's not."