This paper shows that altruism provides an efficiency rationale for pu
blic provision of insurance to the poor The framework is one in which
there are rich altruists and risk-averse poor who face some possibilit
y of loss, The government represents the rich and makes transfers on t
heir behalf. With unconditional transfers the poor may forgo insurance
and rely on private charity to bail them out in the event of-loss, Th
is reliance on private charity has adverse efficiency effects. These m
ay be avoided if the government makes in-kind transfers of insurance.