MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME
MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME
MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME
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The same day, the follow<strong>in</strong>g comments appeared on an <strong>ME</strong> <strong>in</strong>ternet group: “There is some parallel with the<br />
treatment of <strong>ME</strong> patients <strong>in</strong> the UK: (1) <strong>ME</strong> patients are given a psychiatric label. (2) As a result, they are<br />
regarded as irrational and their op<strong>in</strong>ions are not taken seriously. (3) Effectively they are silenced, s<strong>in</strong>ce no‐<br />
one will afford them credibility. Not their GPs, not their MPs, not their employers, and sometimes not<br />
their friends. (4) By silenc<strong>in</strong>g patients, their opposition is neutered, and psychiatric dom<strong>in</strong>ance <strong>in</strong> <strong>ME</strong><br />
cont<strong>in</strong>ues unchallenged. (5) Liaison psychiatrists exult <strong>in</strong> their success, and bank their loot from the MRC<br />
and DWP” (see http://groups.yahoo.com/group/Local<strong>ME</strong>/).<br />
As Greg Crowhurst, husband of an extremely severely affected <strong>ME</strong> sufferer, noted <strong>in</strong> his paper “Be a trouble<br />
maker”: “ ‘You can’t go after a health care system (that is) under the control of the <strong>in</strong>surance companies<br />
and pharmaceutical corporations. That system is immune’ warns Noam Chomsky <strong>in</strong> his latest book<br />
(Interventions; Hamish Hamilton, 2007), yet a radical corporate‐led health care system is exactly what New<br />
Labour are br<strong>in</strong>g<strong>in</strong>g about <strong>in</strong> the UK, shadily and with little public consultation. Large companies are be<strong>in</strong>g<br />
<strong>in</strong>vited to tender for the commission<strong>in</strong>g function of Primary Care Trusts (PCTs). Private companies will<br />
then have control over which treatments patients receive and who receives them. Cl<strong>in</strong>ical decision‐mak<strong>in</strong>g<br />
will <strong>in</strong>creas<strong>in</strong>gly come under the control of commercial managers and shareholders. That great bane of <strong>ME</strong><br />
sufferers’ lives, the medical <strong>in</strong>surance <strong>in</strong>dustry – which s<strong>in</strong>ce the mid 1980s has lobbied hard with great<br />
success to have <strong>ME</strong> reclassified as a psychiatric behavioural disturbance, <strong>in</strong> order to avoid massive pay<br />
outs – makes no secret of its <strong>in</strong>tention to take over the UK health market. In 2001, UnumProvident launched<br />
New Beg<strong>in</strong>n<strong>in</strong>gs, a public‐private partnership which has been hugely <strong>in</strong>fluential <strong>in</strong> shap<strong>in</strong>g policy,<br />
especially <strong>in</strong> relation to the DWP’s Pathways to Work programme. Illness, accord<strong>in</strong>g to (Unum’s) distorted<br />
logic, is a dysfunction of the person; the problem of illness is located <strong>in</strong> the <strong>in</strong>dividual’s beliefs and<br />
behaviour. New Labour’s Welfare Reform Act was passed <strong>in</strong> May 2007. ‘Pathways to Work’, based on Unum’s<br />
behaviourist logic, is to be rolled out across the country by 2008. GPs and Primary Care staff will be offered rewards<br />
for gett<strong>in</strong>g people back to work. All of this is tak<strong>in</strong>g place aga<strong>in</strong>st a wider picture of social control and state<br />
repression: as ‘the new rulers of the world’ (Pilger 2003), the corporations, aided and abetted by media and<br />
government, take over and implement health and social policies consistent with their own strategic and<br />
economic <strong>in</strong>terests (Noam Chomsky, Failed States, Pengu<strong>in</strong> 2003). These topics however ‘scarcely enter <strong>in</strong>to public<br />
discussion and the basic facts are little known’. What can be done? It means a day‐to‐day dedication to the task. It<br />
means <strong>in</strong>credible courage and determ<strong>in</strong>ation and above all a complete refusal to compromise on the truth that <strong>ME</strong> is a<br />
physical disease” (Co‐Cure ACT, 14 th August 2007).<br />
For more <strong>in</strong>formation, see “Corporate Collusion?” by Hooper, Marshall and Williams<br />
(http://www.meactionuk.org.uk/Corporate_Collusion_2.htm ).<br />
Interviewed on BBC Radio Ulster on 3 rd May 2006, Jonathan Kerr, Senior Lecturer <strong>in</strong> Inflammation,<br />
Department of Cellular and Molecular Medic<strong>in</strong>e, Hon. Consultant <strong>in</strong> Microbiology, St George’s University<br />
of London, discussed his work on abnormal gene expression <strong>in</strong> <strong>ME</strong>/CFS and went on record stat<strong>in</strong>g:<br />
“(<strong>ME</strong>)CFS is complex and it does <strong>in</strong>volve many different systems…many of these patients are severely<br />
affected, so severely that they are bed bound and housebound for the duration of the illness, which may be<br />
lifelong…those that are not bed bound or housebound will have severe limitations <strong>in</strong> their professional<br />
capacity, their personal lives, their social life. So it is a very severe illness”.<br />
The Medical Research Council’s PACE Trial Pr<strong>in</strong>cipal <strong>Invest</strong>igators, however, th<strong>in</strong>k that <strong>ME</strong>/CFS is an<br />
aberrant illness belief and that the behavioural modification strategies used <strong>in</strong> the PACE Trial are<br />
curative.<br />
Patients with <strong>ME</strong>/CFS and their families are <strong>in</strong> despair, because no‐one <strong>in</strong> authority <strong>in</strong> the UK seems to be<br />
listen<strong>in</strong>g: as Mike O’Brien MP, M<strong>in</strong>ister of State for Health, made pla<strong>in</strong> at the APPG<strong>ME</strong> meet<strong>in</strong>g on 2 nd<br />
December 2009, M<strong>in</strong>isters can no longer tell agencies of State what to do. This apparently means that, no<br />
matter what conclusions are arrived at or what recommendations are made or what evidence is put before a<br />
M<strong>in</strong>ister, the M<strong>in</strong>ister concerned can deny hav<strong>in</strong>g any power to implement change. The M<strong>in</strong>ister himself is<br />
reported to have said that he could not require the MRC to undertake research <strong>in</strong> any specific field, nor