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so this session is about health telehealth technology assessments why how so what maybe the maybe the heading isnt exciting but let me tell you why and probably most of you already know why youre here I mean there are an enormous number of drugs and therapies coming to the market for those of us that live with hemophilia practice in the field or make products for the field we know that we are inexpensive disease and so as governments come under increasing health pressures to begin to figure out how are we going to pay for it and what is it were going to pay for whats the next drug thats going to be approved we really want to take some time to understand what in fact is the process by which governments make those decisions what can we be doing now to prepare for it and so were weve prepared a little bit of a different kind of session today in lieu of having didactic lectures that just walk you through a long series of talks and getting the end and taking a few questions weve ac