Discusses factors that combined to make it possible for health sciences libraries to take initiative for developing technological methods and skills needed for computer librarianship before other types of libraries entered the field: size, money, medical center background, requirements of users, state of health science libraries and librarians,…

Argues that, with the trend toward viewing reference librarians as information brokers and the reification and privatization of information, the traditional goals of libraries and librarianship are being lost, i.e., providing free and open access to books and information to promote informed democracy and the public good. (63 references) (EAM)