The first paper published on June 15th, the authors provide a set of arguments for classifying ageing as a disease. The paper by Bulterijs, Roy and colleagues propositions that disease classification is too often dependent on social and cultural context, and that separating 'normal' progression from 'healthy' aging lacks coherence and hinders efforts to ameliorate age-related suffering. For example, several currently recognized diseases, such as osteoporosis, isolated systolic hypertension, and senile Alzheimer's disease, were in the past ascribed to normal aging.