I'd hoped to raise this issue in relation to the Time to Act article but computer problems have kept me offline for a few weeks. Still, the issue is still relevant if we are talking about the
urgent need to lever a commitment to properly resource ME/CFS research and infrastructure while we are a 'hot topic'.
At the end of the day, in the current context of budgetary restraint, the
only lever likely to succeed is political pressure.
If I can digress a little, I have just finished reading a fascinating little book - Taliban by Ahmed Rashid. American foreign policy in relation to Afghanistan during the Clinton era was, post Russia, to continue to support the Taliban on the basis that any force that could deliver relative peace and stability in the region should be supported regardless of its complexion. US policy in relation to the Taliban shifted dramatically, not because of a fundamental reassessment of policy, concern for non-Sunni Afghans, or the imposition of an extreme form of Sharia law per se. US support for the Taliban became untenable because of how the Taliban's interpretation of Sharia law impacted on Afghan women - creating outrage amongst American feminist groups, appalled that the administration could support such treatment of women. The Clintons were particularly vulnerable to these protests as both Bill and Hilary relied heavily on the women's vote as a key part of their constituency.
What changed the State Department's mind therefore was not issues of principle or geopolitics but simply an order from above to relieve the Chief's domestic political difficulties.
So ..
We're coming up to crucial mid-terms with a Democratic incumbent who also relies heavily on women's and minorities' votes. Much as I disagree with (and don't fully believe) the premise, ME/CFS has been portrayed as predominantly a women's disease and responsibility at Federal level currently resides under women's health. Additionally, despite the original tag of 'Yuppy Flu', didn't CDC's (or Jason's I can't remember which at the moment?) population studies suggest, once under-reporting was eliminated from the equation, that ME/CFS also disproportionately impacted on lower socio-economic groups and ethnic minorities.
If NIH wish to label ME/CFS as a women's' issue then isn't it time we used this to our advantage and involved feminist groups?
How would the current administration react to a full page national ad that said something along the lines of :
- ME/CFS is a serious neuro-immune disease that affects some X million Americans;
- Only X% of sufferers ever return to full health and fewer than X% are able to continue working;
- The cost of ME/CFS to the US economy is estimated at X million per annum
- ME/CFS is associated with an increased risk of developing (X, Y and Z) and ME/CFS sufferers have been found to die prematurely from (X, Y, Z);
- ME/CFS has recently been associated with a human retrovirus and government officials are currently studying how this might affect the nation's blood supply;
- X% of ME/CFS sufferers are women and the disease also disproportionately affects the poor and ethnic minorities; yet the current administration currently spends more money on researching hay fever?
Please don't think I'm being partisan here. We are where we are and we have to use whatever levers are available to us. Plus all the politicians have to do is to do the right thing.