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spending on health cannot increase indefinitely despite best interests there will always be limits on the available budget and the ability to deliver health services with a limited budget whenever a new medicine is introduced something else already being paid for will need to be stopped or be changed to make budget available for the new medicine this is known as opportunity cost to make sure these decisions are fair and consistent UK decision-makers use a process known as health technology assessment or HTA a health technology is a medicine product intervention or service aimed to improve health a health Technology Assessment summarizes information about the medical social economic and ethical issues related to the use of a health technology and examines the short and long term consequences of using the new health technology it balances the cost of the health technology against the benefit it brings to patient care it aims to do this in a systematic transparent unbiased robust manner