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Thank you very much for the opportunity to speak with you today. I am coming from Toronto, Canada. I am a health policy and health services researcher. I work with one of Ontario�s health technology assessment groups that generates evidence relevant to this. I think I am speaking to one of the key workshop objectives, which is to think about innovative hearing technologies and their role in healthy aging, and explore barriers to the development and use. Health technology assessment is a very important tool. It is both a barrier, and the drug industry commonly talks about health technology assessment as the fourth hurdle after getting through a Phase 1 clinical trial, a Phase 2 clinical trial, a Phase 3 clinical trial, the health technology assessment would be a fourth hurdle. It is also a very important facilitator, both with respect to development and use. HTA, and I will go into this in some detail, is really a field of applied policy analysis. It is developed and designed to suppor