WHO: where there is no vision, the people perish.

Forces are already in motion that will change the future of health sciences librarianship. In addition to changes in academic health centers, changes in the publishing industry, the mode of delivering information by librarians, the use of computers to manipulate and make information available, the user's access to information, and communications technology are briefly described. The author proposes that health sciences librarians can participate in the creative process of constructing their professional future by being informed, expanding cooperative efforts, planning, ceasing a romanticized view of the profession, and becoming achievers rather than sustainers.