CHAPTER 16

HIRB and Public Policy

HIRB is compatible with a range of public policy architectures for health systems. This section attempts to stay above ideological arguments and describe the sweep of possible policy regimes.

In 2006, The International Bank for Reconstruction and Development/The World Bank published a study entitled “Health Financing Revisited—A Practitioner’s Guide.” In the study, the authors state:

“Risk pooling is the collection and management of financial resources so that large unpredictable individual financial risk becomes predictable and is distributed among all members of the pool.”1

The World Bank promulgates three fundamental principles of public finance:

  1. Raise enough revenue to provide individuals with a basic package ...

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