I've just been reading about the common practice of treatment triaging in medicine, where you start a patient off with the cheapest treatment that is approved for their condition, then only move up the scale of cost if that drug fails to give relief. It occurred to me that this might be another reason for fighting to remove treatments such as GET in particular from lists of recommended CFS treatments. Even if a drug is later approved for use in certain cases of CFS - like rituximab - patients may still be required to undergo GET first before they can qualify for it. And as we know, GET can have serious negative consequences. Perhaps someone here knows more about this treatment triaging system than me - at least as it operates in their country?