Actors employ strategic intervention to alter the trajectory of an industri
al district because they are dissatisfied with an existing or expected tr;t
rajectory. In this study we examine two medical industrial districts. In th
e Philadelphia biotechnology district, strategic intervention altered its t
rajectory; and in the Minneapolis biomedical technology district, the traje
ctory of the district has altered but no strategic intervention emerged to
redirect the trajectory. The structure and, functioning of social networks
within each district had an impact on the strategic interventions. Philadel
phia housed a larger array of powerful firms and institutions than Minneapo
lis, but no pharmaceutical giant dominated the spawning of spin-offs in Phi
ladelphia comparable to the dominance of Medtronic in Minneapolis. Diverse
medical facilities in Philadelphia diffuse technological information and co
ntacts about starting firms, whereas the University of Minnesota Medical Sc
hool and its research institutes create a centralized source of information
and contacts. The venture-capital sector of Philadelphia draws on diverse
pools of capital, with no dominant vested interest to defend sectors of bio
technology: however, in Minneapolis, a few financial actors and large firms
direct that allocation of capital. Philadelphia contains numerous public-p
rivate partnerships; Minneapolis does rot have that diversity. As increased
FDA regulation and pressure from managed care firms create conditions that
favor large firms, the Philadelphia region continues to support small firm
s, whereas the Minneapolis region is withdrawing support. Philadelphia's wi
de-ranging social networks provide a more supportive framework for small fi
rms than exists in Minneapolis, where the social networks have greater cent
ralization and redundancy.