Maybe I don't know enough about Wakefield and I'm wrong, but Garner and his gang seem far more extreme to me. The difference being that although most patients think he's a jackass, most physicians agree with him. Wakefield had the explicit support of the Lancet, and the personal support of its editor-in-chief for 12 years, but most physicians were definitely not on their side, were on the right side of the controversy.
Meanwhile Garner's BS is literally the current standard, cruelly enforced with no restraint. He's only saying the same things that most physicians think, but in a more extreme way. And he does that precisely because they are platformed and supported, with the backing of most professional associations and regulatory bodies. It's not as if this level of extremism is anything new, Wessely achieved getting us compared to terrorists in the public eye, and he wasn't alone in that either.
I'm pretty sure Wakefield and whoever supported him would have been just as extreme if they had that vote of confidence, but they did not, and here this rotten ideology absolutely does.
And although the antivaccine movement has and will continue to kill and maim a lot of people, there probably aren't many suicides of despair, which appears to be the main cause of death for people with ME/CFS. Even if the death and injury count is lower, there is something far more morally bankrupt in causing so much misery and suffering that so many people kill themselves, knowing that help isn't not just on the way, but is intentionally being held back. It's like a prison guard who takes special attention to a detainee, assuring them that they will make their life hell.
For this, I find the psychobehavioral quacks to be far more disturbingly immoral. All made so much worse that it gets enthusiastic thumbs up from the medical profession. On that there is absolutely great public interest, but the difference is that this is accepted social murder. In the end this is all that matters. This here is every bit as immoral as the antivaccine movement, but one has almost unanimous professional benediction, and as a consequence high public support, while the other has very low professional support, but growing public approval.
Public approval that will only keep growing because the medical profession keeps blundering, including by pushing extremist nonsense like this. Because if institutions are willing to be this dishonorable in pushing for harmful pseudoscience, then what other extremist shady stuff do they do? It could be all there is, but that's not very convincing. Certainly not for people looking for conspiracies.
And this extremism will not fall back down. A latest, and especially disgusting, messaging has been explicitly that all those suicides of despair they are explicitly responsible for are actually our fault, for depriving them of hope. Peak banality of evil. Hard to see any difference at all with some recent far-right messaging about NPCs (non-playable characters, an explicitly dehumanizing framing that casts some people as openly disposable, whose lives don't matter, being nothing more than background in the lives of people who suffer from main character fallacy).