In 1982 we began discussions about the need for a new journal devoted to exploring the impact of technology on health care, and in 1984 we signed on with Cambridge University Press to launch the International Journal of Technology Assessment in Health Care. The first issue appeared in 1985 in connection to the inaugural meeting that year of the International Society for Technology Assessment in Health Care (ISTAHC), which has held annual meetings for 18 years starting in Washington DC in 1986. The Society was later reformed as Health Technology Assessment International (HTAi) in 2003. The Journal has served as the official scientific publication of both ISTAHC and HTAi for 24 years, and its mission remains as it was stated in the introduction to the first issue: to serve as an international forum to explore the effects of health care technology, and to provide “a channel of communication among the diverse and world-wide audience of scholars, practitioners, policy makers, and administrators concerned with this issue. . .to nurture the discipline of technology assessment” (1).