We don't even know what we don't know. How many times have we been at this place in the history of biology, where we honestly believe that we are just "that" close to figuring out the processes of life. We were wrong then, and we are wrong now.
We do not know or understand the over-arching cause of cancer, nor the cause of its radical increase. Similarly with heart disease: after a generation of assurances that the cause is a high-fat diet, the premise itself is being rejected. I could go down the list of major congenital diseases, and tell the same story. Even the most basic assumptions which we have about disease are being overturned. And whatever replaces them will likely be overturned yet again.