All people with ME/CFS have CNS dysfunction, yes. That's not necessarily the same as MRI lesions or constant SPECT-viewable damage. There could be a test for it which hasn't been well-utilized yet. When I read the Ramsay descriptions, it looks remarkably like the CCC. I'm surprised you don't see the same remarkable similarity. Remember, we are not talking about Fukuda as written, or Oxford here. We all agree those are junk that don't define anything nor select any particular disease, especially Oxford and "Empirical". When we talk about "CFS" being the same as ME, we're talking the disease under the sloppy Holmes and Fukuda attempts--the disease Klimas studies with her modifications to Fukuda requiring PEM, the disease Mikovits studies with CCC: distinguished by PEM, cognitive dysfunction, low NK cell function, and oxidative stress.