10 years ago, when I got my first CPAP, they didn't yet have (or hadn't widely released) devices that could upload data wirelessly. Instead, I was expected to b

10 years ago, when I got my first CPAP, they didn't yet have (or hadn't widely released) devices that could upload data wirelessly. Instead, I was expected to bring the device in (or at least the flash card inside it) for regular appointments at the sleep clinic. At least in that particular situation it was made very clear that my insurance was paying for this device on the condition that I would adhere to the program laid out by my doctor. So none of this is particularly new. I purchased my most recent model out of pocket in part because I didn't want to deal with that stress. That said, there is a genuine question of how you ensure that medical devices are available for people who need them (and are willing to actually use them). There's only a couple of brands of CPAPs and it seems likely that prices could be driven down and production increased, but at some point you're still talking about a relatively expensive device available in limited quantities with fairly high rates of noncompliance. (Partly because full compliance with CPAP usage is hard!)