The resource utilisation of medically unexplained physical symptoms Sep 2016 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011389/ Okay, so remember this is NZ's largest District Health Board serving 600,000 people. In six months of hospital discharge records, they found 49 people diagnosed as having MUPS. And how much did each of these burdens on society cost the health system for a year? The median hospital costs totalled GBP$1221 (i.e per patient). Around half of the patients were unreasonable enough to visit the hospital more than once. Of the 49 patients, 23 patients (46.9%) had MUPS in an organ system corresponding to a comorbid physical diagnosis, such as atrial fibrillation co-existing with non-cardiac chest pain. But surely 49 MUPS in six months out of a population of 600,000 is too low??? After all, UK estimates suggest these muppets greedily use 25% of outpatient consults and 8% of hospital bed days. Ah, the problem is the NZ health system just isn't diagnosing these people well enough. And what do these people need? "relatively low-cost psychosocial interventions such as CBT" Arrghh Edit, for some reason I don't have an editing menu bar today - can't make quotes or change fonts. Second edit - I restarted my computer and the editing menu bar appeared.