In promoting people's good health, health communication may help reduc
e the incidence of disabling injuries. Yet little is known about the b
roader question of how health communication efforts contribute to the
production of stigma and the negative implications for effective and e
thical health promotion. In the United States alone, as many as 49 mil
lion people have a physical or a cognitive disability. This article co
nsiders the paradox that health communication approaches to prevent in
jury-with the implicit message ''Don't let this happen to you!''-may p
ortray people with disabilities in a stigmatizing way. The psychosocia
l consequences of stigma heighten the stakes for people with disabilit
ies who strive for fair treatment in employment, social interaction, a
nd policy outcomes. In an era in which health communication is hailed
as a remedy for an unprecedented array of health conditions, this arti
cle poses a startling point for critically examining how health commun
ication may better prevent the many ailments of humankind.