[The concept of disease and handicap in the National Insurance Act. Clinical features, epidemiology and medical ethical points of view].

The article discusses the physicians' problems in their work corrected to medical certification for a National Disability Pension etc. The most prevalent problems are quantitative assessment of disability in general, and diagnostic understanding of the growing number of ill-defined conditions with somatic and psycho-social components in particular. The article considers physicians' ethical weighing up of obligations both to the individual patient/applicant and to proper use of public funds. A public discussion and clarification of the place of National Disability Pension in the solving of social problems is advised.