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The American biomedical model is a “ghost” haunting European biomedical research.Its pervading influence is evident in the reorientation of the circulation of people, tools and results from a trans-European to a trans-Atlantic direction, and by the realignment of research practices in western medicine in the years following the war.27 It is therefore not a complete surprise if the most significant conclusions to emerge from our comparative exercise stress the similarities between Britain and France, for the rise of biomedicine led to profound changes, which blur the contrasts that have usually been drawn when thinking about the two sides of the “medical Channel”. However, a major paradox resulting from our comparison is that, despite these differences, French and British biologists and clinicians considered American biomedicine in much the same way, i.e. as a reference point, a resource, and a challenge. A group of medical statisticians built on their links with some influential clinicians and experimenters to promote a version of epidemiology that concentrated mainly on clinical trial methodology and on the inferential analysis of complex aetiologies like cancer and cardiovascular diseases, thus advancing a form of “experimental” medicine typical of the era of biomedicine, but not biological in essence.    

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