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Two questions about this - 

1) if you have good insurance and it pays for CPAP, then if its deregulated does that mean it goes the way of OTC medication.  You CAN by it OTC or you can get a prescription.  For me, a prescription for CPAP is cheaper because it costs me nothing (except the high premium I pay every month for that coverage).  On the other hand, if it goes just to OTC it will cost me what??

2) I have central sleep apnea - does that mean that the machine is really doing me more harm than good?  Just wondering because I am still having daytime sleepiness.  I could probably sleep 16 hours a day if my wife allowed it!  Dr.s answer - up the pressure.  Doesn't help - rip it off during the night.  End up with red mat over the nose and cheeks from the machines pressure.

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Here are my answers, for what they're worth:

1. when i talk about deregulation, i mean CPAP becomes a consumer item like the floor humidifiers we buy at Target, Walmart, Costco -- no prescription required. A tremendous amount of time and money is put into the manufacturers getting through the current FDA regulatory approval process, and those costs are passed to the consumer in the form of higher insurance premiums. without the prescription requirement, costs for the device would come down because of those savings, and also because of increased competition and the economies of scale that would go along with deregulation. even though you think you're not paying because your insurance covers it, you're paying. it's just who you're paying that differs. right now, you're paying inflated prices in the form of your insurance premium. you could instead have a lower insurance premium (resulting from the reduced cost to the insurance companies of not having to pay for CPAPs), and pay Target or Walmart or your local Pharmacist instead, and come out ahead in absolute dollar terms.

2. for central sleep apnea, your doctor should talk to you about the ASV device (auto servo ventilation). Has he?

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