This document summarizes a joint meeting between representatives from the Medical Library Association (MLA) and the Society for Scholarly Publishing (SSP) that took place on May 24, 2006 in Phoenix, AZ. The purpose of the meeting was to have a conversation, not a confrontation, about key issues in scholarly publishing. Panelists from various scholarly publishers discussed challenges around public access, assessing scientific integrity, managing technological change, and balancing revenue needs with open access. Attendees discussed concerns like version control, interlibrary loan policies, pricing models, and copyright issues. Both groups agreed the dialogue should continue to address these mutual interests.