This study looks closely at the collection development and spending plans of library specialists in medicine and biology, predominantly from major academic institutions, but also including some corporate libraries and smaller colleges. The study covers overall budgetary allocations for medicine and biology, with time series data, as well as data for spending on eBooks, books, journals, databases, and other information vehicles. The study also reports on collection development plans for specific subject areas such as oncology, pharmacology, and evolutionary biology, just to name a few. The 100-page study also gives extensive data on the use of institutional digital repositories, trends in information literacy, relations with library patrons and many other areas of interest. Participants include Harvard University, McGill University, the University of Manitoba, the University of Auckland, the University of Pittsburgh, Carnegie-Mellon, Sanofi-Aventis and many others.