Comment by dimal
I agree and disagree. Maintaining the health of a human body in a complex industrialized society is the most complex problem in the known universe. The amount of variables involved is astounding. But we’ve settled on a system that is more of a bureaucracy than a scientific endeavor and we wonder why it fails. We haven’t been doing our best. We could do better.
We should support science, but give up on medicine for health maintenance and chronic illness. Medicine as a practice is centered on curing acute illnesses and fixing acute injuries. I went to the emergency room recently for a really bad cut on my hand. The experience was fantastic. That’s the type of problem they know how to solve. It’s a completely different type of problem than a chronic illness, which depends on behaviors, environment, diet, exercise, etc.
And not just “you should exercise“. To recover my energy, I had to find just the right amount of the right type of exercise that would increase my energy without overexerting myself and making my symptoms worse. There’s no way that industrialized bureaucratic endeavor like modern medicine could help with that, unless of course I was rich. The medical industry can’t change. I’ve given up on it. We need a new science.
In the UK the NHS recommends “pacing” for ME/CFS, which is a very slow, gradual increase in activity without triggering over-exertion - same as what you found effective. I believe there are some materials and support groups available to people who qualify for them, it’s definitely one of the recognised treatments. [1]
Changing a lifestyle in support of recovery is of course much harder than taking medication. Can people’s jobs adapt? Can the benefits / social security systems? Do people have support networks which they can rely on? So I agree that maintaining health is super complex, and there are additional social/economic challenges here.
1: https://www.cambscommunityservices.nhs.uk/Bedfordshire/servi...