This study looks closely at the plans of 16 academic and medical libraries for their collection of health sciences journals, examining issues such as: how many cancellations and new titles are planned for their near future? What areas are most likely to be targeted for cuts or additions? How much has and will overall spending rise or fall? What has been the impact of the pandemic on health sciences journals collections? If libraries cancel titles how do they fulfill requests from faculty members for content? What is the role of interlibrary loan? Academic social media sites? Institutional repositories? Requests for copies directly from authors? How are candidates for title elimination identified? How often are academic departments affected by the cuts able to contribute to library budgets and prevent the cuts?