Provide the product for the following reaction? 
Definitions:
Real Rate
The interest rate adjusted for inflation, reflecting the true cost of borrowing or the true return on investment.
Inflation
The rate at which the general level of prices for goods and services is rising and, subsequently, purchasing power is falling.
Medical Technology
The application of scientific and technological advances to the development of solutions and equipment that improve health conditions, diagnosis, and treatment of diseases.
Escalating Costs
Refers to the phenomenon where the prices of goods, services, or requirements for running a business or project continuously rise over time.
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