How and why conflicts of interest have been allowed to influence treatment of a serious disease that causes brain damage is beyond me, but this can't be allowed to happen with other diseases. (One wonders if it has and we just don't know about it.)
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Anyway - 9 of those 12 docs had severe conflicts of interest at the time those guidelines were being drafted - primarily they either were on the payroll of major insurance companies or on the payroll of major drug companies who are secretly racing to come up with a vaccine for a disease they insist does not exist.
In the documentary: Under Our Skin (www.underourskin.com) one of the original doctors on that panel who resigned admitted that IDSA panel never even met to discuss the possibility of late stage lyme disease. He simply received a letter from some of the other (payrolled) doctors stating that they were releasing the guidelines, late stage lyme is not going to be incorporated, and he could either sign it or resign from the panel.