A few years ago, I received an invitation from the editors of the then-projected fourth edition of Bioethics-previously published as the Encyclopedia of Bioethics-to revise my 1995 entry on rehabilitation medicine [1]. I accepted the invitation, wrote and submitted the revision, and, in due time, received a review. While most of the review was positive, it nevertheless complained that my essay tends to individualize the problem (of disability) and to pathologize the disabled person. More contemporary work in bioethics…theorizes disability in terms of the patient's embodied experience in the context of unjust social structures. Disability, that is, is best understood not as a property of individuals but rather of social contexts.Although my essay was eventually accepted and published, I was perplexed by these comments. Having spent more than 30 years on the faculty of a medical school's department of rehabilitation medicine and now holding the rank of full professor, I felt I knew something about rehabilitation, and I was certainly aware of the "disability as a social construction" trope. My objection to the reviewer's comments was that rehabilitation medicine must, by its very nature, apply its therapeutic know-how to cognitive, behavioral, and affective symptoms of disability onset; otherwise, it wouldn't be rehabilitation medicine.In this essay, I would like to ponder these questions: If disability is essentially an "embodied experience in the context of unjust social structures," do disability advocates view the rehabilitation effort and the medical model on which it rests as sociocultural mistakes? How can we explain disability advocates' arguments? Because we need to avoid "pathologizing the disabled person," should we forgo rehabilitation's explicitly therapeutic or admittedly "normalizing" attempts to lessen the burdens and discomforts of stroke and musculoskeletal, spinal cord, and brain injury? When I experienced the onset of myasthenia gravis about seven years ago and was significantly (but only temporarily) disabled as a result, if someone had told me my experience was largely one of "unjust social structures," I would have thought him or her mad. But would the disability movement say I would have been wrong to do so? www.amajournalofethics.org 562