Lack of private funding is the main impediment to change for ME patients.
The first thing that must happen to achieve that change is a shift in mindset, a vibe change needs to happen in the community. PwME, and maybe even more importantly their loved ones, need to understand that they can bring about change and actually must bring about change, because, obviously, no one else will do it for them.
People often make it more complicated than it is. Almost anyone can fundraise for an ME charity they trust. They just have to try it. Most people don't because they are too pessimistic and/or have unrealistic expectations for what would make a campaign 'successful.'
Most people underestimate how difficult and expensive it is for a charity to raise, let's say, 50 bucks, and how, in comparison, it's easier for an individual to do it for a charity. Peer-to-peer fundraising is highly underutilized in ME circles. It's kind of absurd to see patients raise 100k for questionable surgeries, but nobody tries to do that for a research charity instead.
Not all patients are able to fundraise, but most are, not all patients will raise huge sums, but some will, in effect what we want is to maximize the number of people trying to raise funds safely and get more optimistic.
Nobody has to fundraise to be 'a good patient', but it's kind of irrational not to try, because it's what has the best change of improving your mid- to long-term outcome, especially if you do it safely. You can't lose (much).
Here is a good example of what one SEVERE patient can do in two months:
https://www.gofundme.com/f/mecfs-forschungsfoerderung
The overall vibe is slightly shifting, but we are far from a situation where we want to be. I remember when I started 'campaigning for campaigning' 8 years ago patients mostly reacted aggressively, this has almost disappeared.