This document discusses why mathematical scientists need to be involved in climate science. It notes that our understanding of the Earth system is limited, like a 19th century doctor's understanding of patients. It outlines several open climate problems related to carbon cycling, the hydrological cycle, sea and land ice, and tipping points. These problems involve sub-grid scale phenomena not fully captured in large-scale models. The document argues that developing conceptual and reduced complexity models analogous to models in other fields could provide a more fundamental understanding and conceptual framework to complement large computational models in climate science.