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Many researchers working on health technology assessments (HTAs) are keen to address disparities in health care. But the COVID-19 pandemic and recent prominence of the Black Lives Matter movement have cast a bright spotlight on structural racism in the US and elsewhere, showing that addressing health disparities after they are established is both too late and not enough. To eliminate health disparities, researchers have been called on to examine underlying inequities, specifically the ways that systematic exclusions are baked into the principles, data, approaches, and even objective methods that we use in our work. To be accountable for our own role in perpetuating health disparities, researchers must examine how our assumptions and approaches perpetuate racism.