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Background The genetic background of the Finnish population has led to a unique epidemiology for some the rare hereditary disorders. In particular the incidence of PKU-is very low, less than 1:1. Finland has screened only for congenital hypothyroidism from cord blood since 1984. A proposal to start a pilot study on screening with MS/MS with the cost estimation of 1-3€/newborn necessitated a Health technology assessment (HTA). In this article the major problems encountered during the assessment process and thereafter are presented.

HTA on neonatal screening for rare metabolic disorders faced misconceptions and blurred objectivity