the current biomedical development situation role of related sectors in spokane and eastern washington economy sector as used context this report is broad diverse it comprised institutions or programs operating within three primary clusters 1 basic applied research 2 practice clinical healthcare 3 operations commercial enterprises providing products services see figure 9 use venn diagram appropriate because many areas there are formal informal collaborations among core lines between these often blurred success one area may drive another for example home to several hundred trials new medical devices drug represent last stages usually sponsored by operate a setting thus they reside at center likewise sponsor university based clinicians hospital will be actively engaged their subspecialty ultimate goal economic would