Depending on where you read, 20 - 40 million Americans have a sleep disorder. I don't know what proportion of that is sleep disordered breathing. Let's say it is greater than 50%, and that most of those patients are undiagnosed today. There is a lot of work to be done. Presumably treating their OSA will also help comorbid conditions and reduce indirect cost to society. Bascially, in my opinion, a good days work. ------ Disclaimer: The remainder of this stream of consciousness is coming from a young physician who knows nothing about the business of medicine or politics or insurance etc... ------- I think home studies should be embraced. A sleep center should invest in several units, and perform these studies for the slam dunk OSAers (as previously described). Prescribe autotitrate CPAP, and f/u with PA and RN's. And, as apathist has noted, complex or autotitrate failures, get lab studies. If the referal base is large enough this kind of flow should work. In theory, the potential referal base should be HUGE (see my first sentence). The media is already working for us in terms of public awareness. It's just getting those PCP's and other docs to pull the referral trigger. HERE IS THE KICKER: Does anyone know if lawmakers are protecting sleep-boarded MD's in regards to who interprets home studies? ------------------------- Thoughts?