Likewise, the sector is always open to dialogue with all the agents involved, and especially with the different administrations, to find solutions to the challenges posed by the future of the National Health System and the need to work constantly for the efficiency of the public investment in healthcare and, within it, the medicine. Proof of this is the Agreement for Sustainability, Access and Innovation between Government and Farmaindustria, recently extended for 2019 and which aims to ensure the access of citizens to therapeutic innovations in conditions of equity and ensure the sustainability of the health system .