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Ethical issues
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== Unethical policies and practices == ===Refusal of medical care === The poor treatment of people with ME/CFS has often widespread because of specific government policies or practices. For example, in 2007 the United Kingdom published a "best practice" guide to diagnosis and treatment which claimed investigating medical symptoms of any kind reported by people with ME/CFS might be harmful to those patients, resulting in the refusal of basic medical tests and harm from additional illnesses that were left untreated as a result.<ref name=":0" /> This advice remained in place for over 11 years. ===Social care and disability benefits === A report from the [[CFS/ME Observatory]] project in the [[UK]] found that the knowledge, behaviors and [[stigma |attitudes]] of health and social care staff often led to patients not being diagnosed for years, and as a result struggling to access essential social care, health care or disability benefits. People in the UK identifying as Black, Asian or from ethnic minorities found it even harder to get a diagnosis and appropriate care. Some people reported being incorrectly diagnosed with [[anxiety]] or [[depression]] while their ME/CFS symptoms were ignored, and offered only [[antidepressant]]s as a result. The [[Department for Work and Pensions|UK social security disability assessment process]] was described as being unsuitable for assessing ME/CFS.<ref name="socialsupport2011">{{Citation | last1 = de Carvalho Leite | first1 = JC | author-link1 = JosΓ© de Carvalho Leite | last2 = de L Drachler | first2 = M | authorlink2 = Maria de L Drachler | last3 = Killett | first3 = A | authorlink3 = Anne Killett | last4 = Kale | first4 = S | authorlink4 = Swati Kale | last5 = Nacul | first5 = L | authorlink5 = Luis Nacul | last6 = McArthur | first6 = M | authorlink6 = Maggie McArthur | last7 = Hong | first7 = CS | author-link8 = Chia Hong | last8 = O'Driscoll | first8 = L | author-link8 = Lucy Driscoll | last9 = Pheby | first9 = D | author-link9 = Derek Pheby | last10 = Campion | first10 = P | author-link10 = Peter Campion | last11 = Lacerda | first11 = E | author-link11 = Eliana Lacerda | last12 = Poland | first12 = F | author-link12 = Fiona Poland | title = Social support needs for equity in health and social care: a thematic analysis of experiences of people with chronic fatigue syndrome/myalgic encephalomyelitis | journal =International Journal for Equity in Health | volume = 2 | issue = 10 | pages = 46 | date = 2011 | pmid = | doi = 10.1186/1475-9276-10-46 | url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229491/| pmc = PMC3229491}}</ref>
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