P2P – Sold Down the River in a Canoe With No Paddles

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I was not surprised when many patients expressed relief, even so far as to be pleased, with the outcome of the National Institutes of Health Pathways to Prevention for ME/CFS Draft Report (commonly referred to as the P2P). After all, far from recommending graded exercise therapy (GET), the panel regarded it as possibly harmful. As for cognitive behavior therapy (CBT), it hardly received a resounding endorsement, going so far to say that it doesn’t improve quality of life.  Neither CBT nor GET were recommended as primary treatment strategies.  Our worst fears were waylaid by this panel of non-experts. “They heard us,” we cried.  But don’t be fooled. 

This is a carefully crafted political document.  If your alarm bells didn’t ring at the five mentions of “self-management” in the Draft Executive Summary, then the myriad ways the authors stated the psychological:  major depressive disorder, biopsychosocial parameters, multimodal therapy, mind-body connection, anxiety, and fear surely should have gotten your attention.

“ME/CFS exists.” Here is a definitive sentence coming from our health care bureaucracy affirming what we’ve known for 30 years. How profusely can we thank them!?  I, for one, felt more patronized than thankful.  We don’t need empty words; we need money and action, neither of which was promised in the report.  With words like “finite resources,” “palliative care,” and “cost-effectiveness of treatment studies,” I’m afraid the status quo will prevail despite or in spite of the P2P Report.

Compared to the year-long hard work of our online activists and advocates and the very small changes to the content of the original report, making critical comments during the comment period is likely to bring about only incremental change at best. However, we don’t have to accept any of this!

We deserve better than this P2P report. Myalgic Encephalomyelitis (ME) deserves to be recognized as its own distinct disease (separate from chronic fatigue syndrome (CFS)), with a true ME definition that includes post exertional relapse as the hallmark symptom. We deserve federal research funding commensurate with similar diseases such as multiple sclerosis (MS) – a far cry from the measly $5 million “ME/CFS” is getting now.

The National PR Campaign for ME, brought to you by MEadvocacy.org, is starting in January. We are taking our message about ME to the American people and policy makers in Washington with a six month sustained campaign. Our goal is to be in major newspapers, in important blogs, on radio, and on television, such as the national morning shows.  

We're fundraising as we go along; we're currently fundraising for February with a goal of an additional $5000 reached by mid-January. Let's keep the momentum going! Please donate!

 Learn more about the National PR Campaign for ME, and donate, here: https://meadvocacy.nationbuilder.com/donatepr


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  • commented 2014-12-30 20:55:37 -0500
    Without an accepted definition of the disease, ANYTHING that comes out of this ill-designed process can be challenged and nullified in the future. They might as well be defining flight paths for Santa Claus.

    The ONLY way anything positive can come out of this is a statement to the effect of: "After reviewing the available disease definitions and in consideration of the recommendation of experts in the treatment and research of this disease, we are recommending the Canadian Consensus Criteria (CCC) be accepted and approved.
  • commented 2014-12-29 18:05:36 -0500
    I really don’t like the direction of those .words. as they “describe” why we are all so deathly sick. We are all going to have to REBEL as happened with HIV-AIDS.
    Plus, get some motivated advocates to speak out.
  • commented 2014-12-29 17:34:56 -0500
    My daughter and I were “taken in” by the report, just like thousands of others. Your report is very upsetting; however, grateful that you are keeping on top of things for us, and “telling it like it is.”