In many contexts autism treatment has been facing problems in its application, ranging from quality, uncertainty of methods, accessibility and regulation. Understanding and collectively adapting to them is a valid concern finding activism in multiple directions. This article is inspired by two technical opinions on such treatment methods, emitted by request of the Brazilian Ministry of Health. The present paper is a short reflective piece, not evaluating the treatment interventions themselves, but rather what was absent in the mentioned considerations doing so. It's discussed why the perspective taken, If decontextualized, might cause errors, direct the outcome and miss the institutional root of the issues appointed. Psychology is a field divided by theoretical, methodological and ethical splits, and collectively deciding on a treatment approach for a policy relies on those other aspects as well, such as settling on what will constitute scientific evidence and the internal competition for positions and validity within our institutions. Considering the public health impacts, we conclude by deliberating on reconfigurations which, albeit not completely solving those issues, could redirect us to a better functioning that accounts for the current state of this area of knowledge.