For the poor in Bangladesh “health insurance” is an unknown concept. It is generally assumed that they would not be able to afford such type of social protection. It has been suggested that non-profit, mutual, community-based health insurance schemes may improve their access to health care of acceptable quality. In many countries around the world such schemes have emerged. They are characterised by an ethic of mutual aid, solidarity and the collective pooling of health risks. In several countries these schemes operate in conjunction with health care providers, mainly hospitals in the area. More information on the concept and resources can be found here. We are considering facilitating the development of such a scheme through the activities of our Community Clinic.