Cryptic crossword clue
Debate is about what costs NHS billions 8

The most common and most likely answer to this crossword clue is the 8 letter word DIABETES

I've seen this crossword clue in The Daily Telegraph
D
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A
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Buddy explains!

The straight part
We know that "what costs NHS billions" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case what costs nhs billions = diabetes.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does DIABETES mean?

DIABETES noun
  1. Diabetes insipidus; any condition characterized by excessive or incontinent urine, now specifically as caused by impaired production of, or response to, the antidiuretic hormone vasopressin.
  2. Any of a group of metabolic diseases whereby a person (or other animal) has high blood sugar due to an inability to produce, or inability to metabolize, sufficient quantities of the hormone insulin.
  3. Any food or beverage with a high amount of sugar.

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