This paper explores the reasons which hinder the coordination of expertise, professional or not, involved in activities of care and cure. Starting from the transformations in the field of chronic and degenerative pathologies, attention will be focused on the features which prevent the existing practical and theoretical expertise to be put to use. Some points for consideration will be raised around the necessity of a continuous interdisciplinary exchange, starting from university education. These are aimed at developing responses which are flexible and planned around the needs of the sick, their caregivers and the healthcare professionals involved in the complex management of these pathologies.
Keywords: Patologie croniche, discorso pubblico, discorso della medicina, problemi comunicativi