(Published in Swedish as ”Tre stora, tre små”.) The subject of the book is biomedical innovation systems in three major countries – USA, the research leader of the world, China, with grand ambitions, and India, with a fast-growing medical industry. But the book also describes how three smaller countries – Ireland, Denmark and Finland – have been able to advance with the support of deliberate policies. They show that it is possible also for a small country, with good strategies, to become successful in a field of growing importance for the future - medical innovation and industry.