In essence first you have to have a case to show irregular and possibly criminal activity on behalf of the public servant. That is when the window opens.
I wonder if evidence of corporate manipulation can be classed as irregular activity?
In the case of the Wessely School and CDC-driven efforts (which began in the 1980s) to re-categorize ME/CFS as a psychiatric rather than a physical disease, it is widely understood to have been multinational disability insurance companies such as UNUM Insurance who were involved in lobbying/advising government officials to change the classification to psychiatric.
Disability insurance companies stand to lose a lot of money with ME/CFS placed under a physical disease classification, because for any physical disease, disability insurers by law need to provide payouts for the entire lifetime of the disabled person. However, in the case of psychiatric conditions, I believe by law these insurance companies only need to make payments to the disabled person for a maximum of two years. So there is a big saving for disability insurance companies if ME/CFS is classified as a psychiatric rather than a physical disease.
Given that we have had these insurance companies like UNUM lobbying and "advising" governments in the past to get ME/CFS classified as a psychiatric, it is quite possible that these same companies are currently lobbying/advising the IOM and the DHHS, in order to drive through this change of definition of ME/CFS.
Some links:
UNUM Is Still Doing It To the Disabled
A good free eBook on how disability insurance companies like UNUM and Atos set about changing welfare laws and systems in order to minimize the payout they have to make to disabled patients is here:
Welfare Reform: The Dread of Things to Come
In this eBook it talks, for example, about the UnumProvident Centre for Psychosocial and Disability Research at Cardiff University, UK, which was paid for by UNUM Insurance. The general idea of this research center is to try to exert influence to throw out the biomedical model of illness, and instead introduce a bio-psychosocial model for illness which considers diseases such as ME/CFS to be caused by cultural attitudes and psychological and social factors. In other words, to keep pushing the (erroneous) notion that ME/CFS is "
all in the mind".
The UnumProvident Centre for Psychosocial and Disability Research has links to the UK government's
Department for Work and Pensions, who are responsible for setting welfare and social support policy for the UK.
This eBook also says that UNUM has been targeting (and I guess infiltrating and controlling) non-governmental organization (NGOs) in order to extend its powder and influence. The IOM is of course an NGO, so this makes you wonder if UNUM have some control over the IOM.