Comment by elric

> Current generation APAP works great - not sure why you’re calling it awful

It doesn't. Your PAP machine doesn't even know whether you're awake or sleeping. It can only ever play catch-up to your breathing getting worse. Properly titrated CPAP (or BiLevel or ASV) is vastly superior both in terms of therapy and comfort.

> What needs to die is regulatory capture and bureaucratic barriers

That I agree with.

> which is what the sleep study scam does

It's not a scam. It provides incredibly useful data. Sleep problems are not just a boolean sleep apnea yes/no. All kinds of shit can go wrong during sleep. Maybe you have central sleep apneas, or complex apneas, maybe you need ASV rather than CPAP. Maybe you have restless leg syndrome (orthogonal to sleep disordered breathing). Maybe you just have positional apnea. Maybe you have REM disorders. Your apple watch won't tell you any of that.

Many people end up getting a sleep study because they're tired. That doesn't have to be apnea. Other people get sleep studies because they snore or because a bedpartner tells them they breathe weird in their sleep. That's more likely to be apnea.