Concepts of disease, medical research and the challenges to the schools of the healing professions.

The study of disease is a significant part of the pattern of funding for medical research in North America and elsewhere. Also, the existence of disease and its importance in all branches of the healing professions is the major justification for separate professional schools of medicine. These considerations should encourage a vigorous exploration and development of concepts of disease as an important part of any medical education. Based on much of the current research activities, concepts of disease, especially chronic disease, seem largely outdated and not intimately reflecting the realization that the development of disease is often a physiological response to perturbations in the internal or external environment and not abnormal or pathological in the etymological sense. The importance of viewing cancer and other chronic diseases from this physiological point of view and not from the point of view of end-stage disease is emphasized by the use of one example, the development of cancer with chemicals. The challenge to the healing professions to develop more modern programs for educating the prospective research worker for the study of disease is discussed briefly.