So there's some news from Belgium. The government has extended its ME/CFS-convention until 2020. In parliament our Minister of Health said the assessment report of GET/CBT rehabilitation has shown to be highly successful. Patients however were not allowed to see the report... The new convention does have some considerable changes compared to the previous one. While CBT is still central and reimbursed by the government, GET is acknowledged to be misguided. Instead the new agreement proposes physical activity within the patient’s personal limits. So in short it seems like CBT-proponents have ditched GET to save CBT. So far only one center has signed up for the agreement: the university hospital at Leuven. They are known to favor a psychosocial view of ME/CFS (think Van Houdenhove, Luyten, Kempke etc.) Although treatment should not be seen as curative, it’s still aimed at rehabilitation. The minister even claims that “work resumption difficulties are an important disease-maintaining factor….” Regarding diagnostic criteria, the minister suggests following the CDC in using the IOM-criteria as these put more emphasis on post-exertional malaise. In my view it seems that the minister has followed some of the advise of the Dutch Health Council. The new agreement takes off the (most controversial) edges of GET/CBT rehabilitation, but maintains its essence. The date 2020 (previous conventions were prolonged for 4 instead of 2 years) means they are looking forward to the NICE guideline before making any substantial changes. The minister’s speech (In Dutch) can be read on MEgids: https://www.me-gids.net/module-ME_CVS_docs-viewpub-tid-1-pid-2085.html Note: I've used the term 'ME/CFS', though the minister and all government agencies still use the singular term 'CFS'.