But governments and even many for-profit corporations often do focus on the "little picture" even when it's obvious the big picture will suffer. To a large extent, I think it's due to the way these organizations operate - bonuses/appointments/re-elections/etc are structured to reward specific short term goals without accounting for damage done to the wider or longer-term implications. It's wrong and it's stupid, but as long as the system is set up in such a manner, it doesn't seem particularly fixable, especially since it's the people in charge and benefiting from the stupid policies that have the most power to change those policies. If Simon Wessely had his way, people who have CFS or "Medically Unexplained Symptoms" of any sort and do not comply with CBT, etc to fix them, should not be allowed anything except infrequent routine doctor visits: So in the case of ME/CFS, "resistant" patients would be put into a corner and ignored, along with FM, IBS, repetitive strain injury, post-viral fatigue syndrome, tension headache, tempomandibular joint dysfunction, atypical facial pain, globus syndrome, non-cardiac chest pain, chronic pain, PMS, chronic pelvic pain, hyperventilation syndrome, and multiple chemical sensitivity. That could save quite a bit of money, especially when doctors are encouraged to avoid "excessive" investigations when diagnosing these conditions. If you think about it, it's quite brilliant - attribute disease to patient beliefs, devise a treatment that isn't a cure, blame patient beliefs if the treatment doesn't work, withhold medical treatment, withhold permanent disability status, and generally obstruct biological research into these illnesses. And then you can extend these methods to use on "medically unexplained" aspects of known biological diseases which are currently incurable and have some of the same symptoms, and seriously consider the same withholding of doctor access and disability status - after all who knows how functional they'd be able to be if they'd just try harder! Oh yeah. It's also evil. BPS is looking more and more like a means to shaft the public when it comes to health care.