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The Silent Plague: Why We've Abandoned the Forgotten Sick

September 24, 2026
  • #Meloss
  • #Healthcarejustice
  • #Mecfs
  • #Chronicillness
  • #Medicalneglect
  • #Publicinquiry
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The Silent Plague: Why We've Abandoned the Forgotten Sick

The Invisible Crisis

For years, I've covered stories that others overlooked, but few have been as neglected as the devastating chronic condition known as ME/CFS—myalgic encephalomyelitis or chronic fatigue syndrome. These patients are not lazy or imagined—they are trapped in bodies that betray them daily.

"I've just been completely abandoned," one sufferer wrote to me. "A 10-year waiting list for treatment."

These words struck me like a thunderclap. They echoed across the nation, not with screams of anguish but with the quiet desperation of people who feel forgotten by society itself.

The Weight of Neglect

Officially estimated at 400,000 individuals in the UK alone, ME/CFS is a condition that can shut down lives entirely. Victims suffer from profound fatigue, cognitive impairments, and a cascade of physical symptoms so severe that many cannot work, socialize, or even move without immense pain.

Yet these are the voices we've systematically silenced.

  • 400,000 people in the UK live with ME/CFS
  • Women are disproportionately affected—about four times more than men
  • Long Covid cases (often meeting ME/CFS criteria) now number 2 million in England and Scotland

When Science Becomes a Tool of Dismissal

What is most disturbing about this tragedy isn't just its scale—it's how medical science has been weaponized to dismiss it.

Until recently, official guidelines were based on flawed studies that claimed ME/CFS could be treated with Cognitive Behavioral Therapy (CBT) or Graded Exercise Therapy (GET). But by 2020, even the National Institute for Health and Care Excellence (Nice) admitted the research quality was 'low' or 'very low.' In 2021, they stopped recommending these therapies altogether.

"CBT cannot treat the condition. GET is not only useless but actively dangerous,"

Yet despite this scientific consensus, many doctors still prescribe these treatments, often with devastating consequences. One patient told me that repeated attempts at graded exercise left her bedbound. Another described being told by a cardiologist to walk despite using a wheelchair—a recommendation directly contradicting Nice guidelines.

Systemic Gaslighting

The medical establishment's treatment of ME/CFS has not only been ineffective—it's been punitive. Patients are often treated as if their symptoms are fabricated, or worse, caused by psychological issues. Parents have been accused of fabricating illness in their children and referred to social services.

I've heard countless stories of doctors who either refuse to acknowledge the condition or deny its severity entirely. When challenged, they become defensive or dismissive. It's as though these patients don't exist at all.

Global Failure

This is not just a British crisis. In Sweden, Australia, and Switzerland, outdated treatments are still being recommended. Even in countries known for progressive healthcare like Norway and Finland, ME/CFS patients face systemic barriers to proper diagnosis and care.

The lack of progress transcends borders—a truly global failure of compassion and scientific integrity.

Why the Silence?

One must ask: why do so many people continue to be abandoned, ignored, and maligned? Why is it that a condition affecting millions goes largely unacknowledged by policymakers, media, and the public?

Perhaps it's because ME/CFS primarily affects women—especially those who are already marginalized. Perhaps it's because the illness challenges assumptions about effort, productivity, and normalcy. Or maybe, simply put, we've allowed the voices of the sick to be drowned out by those who profit from their suffering.

A Call for Justice

There has never been a stronger case for a public inquiry into how ME/CFS has been treated. Not only are millions living with excruciating conditions ignored, but they're being subjected to treatments that can worsen their symptoms or even cause harm.

We cannot accept that suffering must be endured in silence. We cannot allow science to be subordinated to profit margins and bureaucratic inertia.

The time has come to stop turning a blind eye to this crisis. The time has come to listen—to believe— and above all, to act.

Key Facts

  • Estimated UK ME/CFS population: 400,000 people
  • Long Covid cases in England and Scotland: 2 million
  • Women affected ratio compared to men: About 4:1
  • Number of NHS practitioners who completed new ME/CFS guidance module: 74

Background

The article discusses the chronic condition myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), which affects millions of people globally, particularly women. The condition is characterized by profound fatigue, cognitive impairments, and severe physical symptoms that can prevent patients from working or socializing. Despite being a serious medical issue, the condition has been systematically neglected and dismissed by the medical establishment for decades.

Quick Answers

What is ME/CFS?
ME/CFS is myalgic encephalomyelitis or chronic fatigue syndrome, a devastating chronic condition that shuts down lives almost entirely, causing extreme loss of energy and wide range of physical and cognitive symptoms.
How many people in the UK live with ME/CFS?
An estimated 400,000 people in the UK live with ME/CFS.
What is the gender ratio for ME/CFS sufferers?
Women are disproportionately affected by ME/CFS, with about four times more women than men affected.
What happened to the National Institute for Health and Care Excellence's guidance on ME/CFS treatments?
In 2020, the National Institute for Health and Care Excellence found that research quality for CBT and GET treatments was 'low' or 'very low'. In 2021, it stopped recommending these therapies altogether.
What are some consequences of incorrect ME/CFS treatment?
Incorrect treatment such as repeated attempts at graded exercise can leave patients bedbound and cause severe worsening of symptoms like post-exertional malaise, which can render patients incapable of almost all movement.
What are some examples of medical dismissals of ME/CFS?
Examples include doctors recommending graded exercise for wheelchair users, referring parents to social services for allegedly fabricating their children's illness, and treating patients with contempt and derision.
How many NHS practitioners completed the new ME/CFS guidance module after a year?
Only 74 of tens of thousands of practitioners who would benefit from it had completed the new learning module on ME/CFS guidance after a year.
What is post-exertional malaise?
Post-exertional malaise is a devastating ME/CFS symptom that robs people of their remaining energy, rendering many patients bedbound and sometimes incapable of almost all movement.

Frequently Asked Questions

What are the main symptoms of ME/CFS?

ME/CFS symptoms include profound fatigue, cognitive impairments, and a cascade of physical symptoms so severe that many patients cannot work, socialize, or even move without immense pain.

Why is ME/CFS neglected by the medical community?

ME/CFS has been systematically dismissed due to centuries-old patterns of dismissing predominantly female illnesses as 'hysterical', combined with government attempts to reduce benefits bills and insurers' efforts to reduce payouts.

What treatments have been recommended for ME/CFS despite being harmful?

Cognitive Behavioral Therapy (CBT) and Graded Exercise Therapy (GET) were previously recommended despite being ineffective or dangerous. GET is particularly harmful as it can trigger post-exertional malaise.

What is the current state of ME/CFS treatment in the UK?

Despite official guidance changes in 2020 and 2021, many doctors still prescribe discredited treatments like CBT and GET, with some patients being pushed into dangerous therapies or simply receiving no treatment.

What international issues exist regarding ME/CFS care?

ME/CFS patients in Sweden, Australia, Switzerland, Norway, Finland, and the Netherlands face systemic barriers to proper diagnosis and care, with outdated treatments still being recommended in these countries.

What has been done about medical malpractice in ME/CFS cases?

An inquest into the death of a young ME/CFS patient ruled that provision in the health service for patients with severe ME was nonexistent. Additionally, the National Institute for Health and Care Excellence stopped recommending harmful therapies in 2021.

Source reference: https://www.theguardian.com/commentisfree/2026/sep/24/abandoned-dismissed-and-gaslighted-me-sufferers-betrayed

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