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Im again very happy to be here with you today Im here to showcase how ideal and HTA health Technology Assessment can fit together I dont think we have the answers quite yet but at least were making progress and we can start to see that alignment its thrilling to be here to see a full two days being dedicated to ideal and Im very very hopeful just judging from the interest that Im seeing on Twitter that there are a lot of people around the globe who are ready to increase or enhance the reliability of the evidence base around surgical procedures and medical devices first of all Im going to use this just a standard disclosure slide so Ive been at catyph I was going to say thats Canadas equivalent to nice but given Karls talk maybe I dont want to make that reference Ive been at caddis for about 13 years now Cantus been around for 30 years and just in the interest of full disclosure caddis now receives most of its funding from the federal government and also our provinces and