We are the victims of a ‘bait and switch’
The bait
In October 2012, the CFS Advisory Committe (CFSAC) advanced the reasonable
recommendation that HHS convene a workshop of ME/CFS expert clinicians, researchers and advocates to act in consultation with CFSAC members, and work on a case definition taking the 2003 Canadian Consensus Criteria as a starting point.
Nancy Lee, Designated Federal Officer,
stated at this meeting:
“In general, the Federal Government isn’t in the position of telling doctors a case definition. I think a recommendation from CFSAC that the Secretary should tell people to use “X” definition will go nowhere because that’s not what we do. This is a clinical decision that has to come from the clinical community…
I’ve been in two or three meetings with the Secretary since I’ve been here. One of them was around this: the idea of a case definition, the need for one, and in addition, the need for a different name for the disease. She basically said that this has to be coming from the medical community.”
The switch
HHS refused to adhere to the recommendation from CFSAC, as was heatedly debated at the
May, 2013 meeting. Then, on August 27, without any consultation from ME/CFS stakeholders or CFSAC members, HHS announced a
sole solicitation to the Institute of Medicine (IOM) for a
“Study on Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.”
You might ask: “What’s wrong with that? They are working on a case definition, which is what we asked for, isn’t it?” And that is where the “switch” comes in to play.
Instead of complying with the reasonable recommendation from CFSAC, HHS took the “bait” that we thought was reasonable — the proposal to work on a better case definition — and then switched it all around in order to fit
their own agenda.
Gone are the expert clinicians, researchers and patient advocates.
Gone is the consultation.
The Department of Health and Human Services in their wisdom have chosen to use non-experts to redefine our disease.