Several proposals were offered for improving the current situation regarding the prevention of occupational diseases. The first is that a system of financial compensation for disease and disability or premature mortality should be established which would concentrate exclusively on the goal of financial compensation dealing with the combined desires of wage replacement, direct costs of medical care, plus other important intangibles of loss of employment due to incapacitation. Secondly, a system of financial compensation should be established for injuries and disease associated with conditions in the workplace which would be integrated with other social compensatory schemes. Thirdly, the question of whether reliance should be placed on the findings of causal association in deciding whether to compensate or in choosing the particular instrument for compensation must be addressed. If the test of causation is to be preserved, that test should be performed rigorously, observing all traditional tests of validity and quality of medical and scientific factual information. Finally, a new relation between practicing medicine and the functions of occupational medicine should be established in which those professionals who provide occupational health services to industry are no longer separated from clinical practice and from the general care of employees and their families as patients.