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Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by diob on Thursday November 15, 2018 @02:28PM (#18462416)
I have to adjust my own pressure as well, since I can't afford to do another sleep study (American Healthcare rocks!).

The biggest difference in my sleep came from when I purchased a machine that auto adjusts based on what you need, so no one could lock me out from getting the best healthcare possible.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by jimison on Thursday November 15, 2018 @02:36PM (#18462505)
> I can't afford to do another sleep study (American Healthcare rocks!).

That's the invisible hand of the free market taking care of you!

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by njarboe on Thursday November 15, 2018 @04:14PM (#18463410)
Almost nothing about the American healthcare system has anything to do with a free markets. From medical schools, to opening a new hospital, to pricing, to forced insurance, healthcare tied to employment, companies or government pay for almost all of it, FDA drug approval process, etc. Not saying free market and medical are a good mix (who knows?), but what there is in America not is not even a market at all.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by mullingitover on Thursday November 15, 2018 @05:03PM (#18463877)
> Not saying free market and medical are a good mix (who knows?), but what there is in America not is not even a market at all.

The free market is simply incompatible with health care. Imagine a world where, any time you have a life-threatening health problem, you can expect to transfer everything you own to the hospital, since they have perfect leverage over you.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by aidenn0 on Thursday November 15, 2018 @05:10PM (#18463933)
That's not how free markets work. Otherwise food would also cost everything you own.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by rocqua on Thursday November 15, 2018 @06:16PM (#18464406)
Any kind of food will do to prevent starvation given a slight mix. So, if you won't sell me potato's for a decent price, I'll just get rice from somewhere else.

In medicine, you tend to need very specific treatments. This means the set of potential suppliers is much lower, which essentially means the supply is restricted. If you won't sell me an epi-pen for less than 100 dollars, there aren't a lot of places I can turn to. Moreover it's not like open-heart surgery is going to work.

Besides, some procedures are just actually expensive. Open-heart surgery takes a lot of labor, organ transplants require intense logistics. Dialysis is a complex and repetitive procedure. The 'fair price' for these in the economic sense is still high. Way to high for most people's morality.

Should people really have to chose between death and the bankruptcy of their entire family? Because in a functioning free market, it is near essential that some people have demand for something they can't pay for. So if we turn dialysis, heart surgery, etc. into free markets, there are going to be people who need those treatments that cannot pay for them.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by brokenmachine on Thursday November 15, 2018 @11:12PM (#18466339)
> So if we turn dialysis, heart surgery, etc. into free markets, there are going to be people who need those treatments that cannot pay for them.

Isn't that exactly what happens now?

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by IshKebab on Thursday November 15, 2018 @05:23PM (#18464038)
Poor analogy. Food is not generally patented, and people can eat many different kinds of food to live.

Would you tell the people that needed epipens "well just have some paracetamol instead".

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by Zak on Thursday November 15, 2018 @05:48PM (#18464218)
In a free market, there would be cheap generic alternatives. Epinephrine itself isn't expensive at all (around a dollar a dose), and the autoinjector was patented in 1977, making it long-expired (though modifications of the design are covered by newer patents).

There are other examples, such as complex surgeries that would illustrate the point you're trying to make better.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by jamiek88 on Thursday November 15, 2018 @05:27PM (#18464061)
Anyone can grow food thus price floor in normal times (and yes everything you own in times of great famine. Diamonds for tripe in WW2 Polish ghettos). Can’t grow a new lung.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by db48x on Thursday November 15, 2018 @05:35PM (#18464123)
I disagree. If doctors had to compete with each other, then none of them could charge so much.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by abjorn on Thursday November 15, 2018 @05:48PM (#18464210)
It's hard to shop around when you're having a heart attack.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by db48x on Thursday November 15, 2018 @09:09PM (#18465677)
You're supposed to do that _before_ you have a heart attack.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by abjorn on Friday November 16, 2018 @10:53AM (#18469494)
Correct me if I'm wrong, but I'm pretty sure the 911 operator doesn't ask your preferred doctor before sending an ambulance.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by anticensor on Friday November 16, 2018 @06:46AM (#18468090)
Congrats. You managed make it like telco market, in that everyone will subcsribe to a group of doctor for a long-term contract.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by njarboe on Friday November 16, 2018 @02:12PM (#18471155)
This is how a HMO works in the US and they are very popular due to lower costs than health insurance plans that allows you to go to any doctor/hospital of your choice. My experience with Kaiser in California is that they also provide better service in general, but sometimes don't have the specialty services you might need in their system.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by axaxs on Friday November 16, 2018 @12:51AM (#18466736)
Not true. Healthcare is pretty much the opposite of a free market. In a true free market, healthcare costs would tank.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by jimison on Thursday November 15, 2018 @04:30PM (#18463548)
Touche.

Perhaps the rhetoric of free-market-can-solve-everything Libertarians, the get-the-government-out-of-my-health-care Republicans, and the healthcare-is-a-human-right Democrats are all co-opted by America's crony capitalism and we get... this.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by outworlder on Thursday November 15, 2018 @09:16PM (#18465730)
I spent a total of $150 with my provider, this includes the sleep study and a follow up, $0 for the machine itself(Airsense 10).

If anyone else is in the same boat, please check with your provider first. It may not be that expensive and in some cases there are even discounts – not because they care about you, but because treating the conditions that sleep apnea causes is so much more expensive.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by HillaryBriss on Thursday November 15, 2018 @05:29PM (#18464077)
> I can't afford to do another sleep study (American Healthcare rocks!)

I met a sleep study technician who, though convinced he actually has sleep apnea himself, said he could not afford a CPAP. Because he scrapes a living together by working as a temporary contractor for two different local sleep clinics, he does not have health insurance.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by phaedrus on Friday November 16, 2018 @10:17AM (#18469251)
I'll do you one better - when my first wife was in nursing school, part of her education involved many hours of unpaid internship. So she was working 2 years for free giving care at a hospital she could not afford to be treated at herself and which did not have to provide her insurance.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by HillaryBriss on Friday November 16, 2018 @01:51PM (#18470981)
I must admit that is one better. What a system we have...
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by snuxoll on Thursday November 15, 2018 @03:14PM (#18462853)
I know I suffer from sleep apnea (poor sleep quality, relatives have noticed me stop breathing for brief periods while asleep, loud snoring) but I literally cannot bring myself to get a sleep study done because I know it's not going to be cheap, and to top it off I don't even know how expensive it's going to be in the first place.

It's not like I can't afford to pay either, I do have some money stashed in my HSA but when I'm trying to get to a point where I have a full years deductible in it to cover a true emergency it's a bit of a gut punch to suddenly take $X00-$1X00 out to wear a device and then have a technician analyze the data from it.

All of this is why my first step right now is to keep losing weight, because I know weighing 230lbs as a 5'10" male isn't helping me at all either.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by auntienomen on Thursday November 15, 2018 @03:28PM (#18462965)
You don't need to do a full sleep study. Standard procedure these days is to prescribe an at-home sleep apnea test. A sleep health company will send you a little monitoring device by mail. You wear it while sleeping during the night. It measures your pulse, blood oxygen levels, breathing patterns, etc, and transmits your data back to the medical provider. After about a week, they send you and your doctor the results.

Then your doctor will prescribe auto-cpap therapy. Hopefully health insurance defers some of the cost, but in any case it shouldn't be ruinous for someone with an HSA. You can get a Phillips Dreamstation off Amazon for $620.

Please go get tested.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by beef234 on Thursday November 15, 2018 @07:36PM (#18465041)
Or if your family has definitely seen apnea events, just get an apap off Craigslist and a new mask and give it a test run.

Edit- Sorry didn't see this exact comment below, so I concur

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by Hydraulix989 on Saturday November 17, 2018 @04:31AM (#18474758)
You can get a used CPAP from Second Wind:

https://www.secondwindcpap.com/

Or you can sell it if it doesn't help you.

If it's an auto-adjusting machine, then you don't need the sleep technician either. You can just start at a lower pressure and look at your data and then see if you need more.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by patrickg_zill on Thursday November 15, 2018 @03:20PM (#18462901)
(I am not a doctor, etc.)

If you are a bit adventurous, go on Craigslist and buy a used one with a new mask for like $100. You probably are a Large mask size.

Figure out how to adjust it and try it for a few days. Keep a written record of how you feel. See if it helps. Starting at 6 of whatever the unit is will probably be a good starting point.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by Karunamon on Thursday November 15, 2018 @06:56PM (#18464716)
I did this - after finding out what a sleep study and a new machine would cost, I just picked up a set from Craigslist, and the difference is like night and day. Described the symptoms to a psychologist and was basically told that yeah, it’s sleep apnea, but they can’t write the prescription until the study is done.

The only annoying bit is replacing the masks and headgear - they’re considered prescription medical devices, so you have to exploit a loophole in that they are only covered under the RX requirement when purchased as a set. So, I have to buy a mask on one order, and the headgear on another.

It’s a pain in the ass and I’m more than a little bit peeved that I have to beg for permission for this quality of life improvement.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by colomon on Friday November 16, 2018 @06:56AM (#18468139)
Huh? I went several years where my insurance didn't properly cover masks / headgear / tubes etc, and I just purchased them off Amazon without any difficulty.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by Karunamon on Friday November 16, 2018 @12:22PM (#18470122)
You also had a prescription for those right? That's what I was referring to. If you get ahold of a machine without a doctor's permission slip, buying supplies is a bit more challenging.

Amazon won't sell you full mask sets, you have to buy the frame/cushion/headgear/tubing separately and put it together yourself. Usully at a very inflated markup.. recently had to pay $100 for a replacement frame after one of the headgear hooks snapped off of my F10.

Other CPAP companies online won't even talk to you without a prescription on file.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by IOT_Apprentice on Thursday November 15, 2018 @03:49PM (#18463155)
You can die from this (apnea) if you are not careful. Getting a cpap properly set and a mask that works for you will be a life changing event in terms of quality of sleep and your general well being. How much is that worth to you?
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by wpietri on Thursday November 15, 2018 @06:17PM (#18464413)
> All of this is why my first step right now is to keep losing weight

Weight gain is a symptom of untreated sleep apnea, so you should consider whether you're doing this in the right order.

Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by halbritt on Thursday November 15, 2018 @04:47PM (#18463727)
I got an auto-adjusting machine which was set to a fixed pressure by the medical provider. I had a difficult time tolerating it. I had to do a little research to figure out how to use the settings at which point, I made the machine auto-adjusting. It was a great deal more tolerable after that.
Re:Why Sleep Apnea Patients Rely on a CPAP Machine Hacker by virmundi on Thursday November 15, 2018 @03:35PM (#18463017)
How much was that machine? Do you need the sleep study in the first place? How much do you spend on wants like Netflix?

The market can solve many of these. I've looked at CPAP machines. I've spent more on a guitar. You don't need your insurer or the government to clear your purchase of such a machine.

It's like ordering pet meds in the US. I know what flea med to purchase. I don't need a vet prescription. Sites I've visited in the US say I do, so I buy from Canada. Cat's are not dead.