ME/CFS is one of the few chronic diseases that render patients severely disabled for decades. This is a serious liability for insurance companies. It would be much better for them if we had a disease that quickly deteriorated and would lead to a quick death. More than 50% of us are unable to work which is a drain on on government subsidies. If they can claim that this is an imaginary syndrome that can be alleviated by activity and some counseling, they are off the hook.
I had a look at WHO for information on chronic diseases. There are many that cause long term, decades long, disability including ms, vision impairments, heart disease, stroke, cancer, chronic respiratory diseases, diabetes, and obesity.
I think the insurance companies had their part to play at the time of Holmes and Fukuda and the CDC complied because they genuinely did not believe in the seriousness of the disease, even though by then social security was already granting disability to people based on a cfs diagnosis. Why social security acknowledged the disabling nature and private insurers were allowed to refuse is something that needs more research. I have no love for insurance agencies.
I don't think the trajectory you are describing is going to happen. I see no indications that SSA is about to revise its policies.
One can argue that there is a degree of incompetence in all government agencies and certainly at the HHS. Ideally, there should be a lot more funding for all serious diseases because what else is as important to a country than the health of it's citizens?
It is when one disease is set apart from the others in the negligence, marginalization and continued denial of funding compared to the others, that one should be thinking why is this happening?
Why is incompetence so much more apparent in this specific disease? Why are other diseases with similar impact funded ten times more?
It does not make mathematical sense that one diseases is consistently neglected just by chance.
Why not just maintain the status quo? Things were nicely festering at the OWHR.
Why did the P2P cause such confusion and consternation for the very people charged with handling it, if they had settled upon a final strategy of denial of M.E.?
The fact that M.E. is in the problematic category of contested knowledge, like chronic Lyme, Fibromyalgia, Gulf War, makes it a magnet for neglect. It could be worse, imagine what it's like to have what they are calling Morgellon's.
I have lived with m.e. for almost 30 years and have given it a great deal of thought. I don't dispute that the HHS saw this illness as psychiatric. In fact circa 1999 I helped to draft a petition with Condy Eckerle,with major assistance from Pat Fero, that garnered between 4000 and 5000 signatures to demand a GAO investigation of the NIH's budget, which like most things, particularly at that time, led nowhere. But I see the psychiatric view of m.e., which is undergirded by no solid evidence, a null set, as an ongoing stupidity not conspiracy. I don't think that they recognize the seriousness of the disease and are suppressing it. They just don't see. And given that they,the HHS, are charged with being the custodians of the nation's health, they don't have the luxury of deferral and neglect. They simply were not equal to the challenge posed by m.e.
The conditions in which the disease has taken place is the social equivalent of the perfect storm: a skeptical medical establishment, whose views are mediated by all kinds of prejudice, a cowardly incurious press, and a disbelieving public.
And once these conditions were set in motion, they could make the argument that no one was interested. I'll let Ron Davis have the last word,
Dr Davis told
Medscape Medical News, "NIH funds researchers...There are very few [ME/CFS] researchers, so NIH's budget is proportional to that. Of course, the number of researchers is proportional to the NIH funding. So it's a catch-22."