Chris Henry’s story about the search for shuteye
actually opens a door to talk about health care reform.
Late last year I finally decided to have the test done for sleep
apnea. I’ve pretty much been sleepy since 1976, when I started high
school. I attributed it then to, of all things, not getting enough
sleep. Go figure. I was attending early morning seminary (Religion
classes for LDS high schoolers) before school every day, but was
going to bed at normal times.
Where it really became pronounced was after I quit working night
crew (Midnight-8 a.m.). I went on a Mormon church mission to Chile
(Concepcion, as it turns out. I’ve got dear friends I’m really
worried about.) and never did seem to adjust to a regular sleep
schedule. At least that’s what I thought, that those months on the
night crew messed up my body’s sleep schedule. All through college
and beyond I’ve battled pretty much daily with the urge to fall
asleep at my desk, or at city council meetings, or in class, at
church. Oddly, I’m fine when I drive, assuming I get a few hours
sleep the night before.
The reasons I never suspected apnea were because I had lifestyle
issues I could point to, I don’t remember anyone talking about it
until the 1990s, and also because I didn’t start snoring until I
became overweight. I had a friend who had it, but he always snored
loud enough to frighten cats.
When I got married my wife said that once in a while when I
sleep I will go silent, then make that noise when I remember to
breathe. There’s also the issue of the legs kicking. Those are
apnea signs.
Last year I had another friend who got a CPAP machine and said
the difference was amazing. So I decided to finally talk to my
doctor about it. She told me that people who get treated for sleep
disorders and have them solved with something like CPAP find the
change to be “transformative.” I liked the sound of that.
The problem was I was changing insurance coverage. To keep the
same traditional plan I had it was going to represent a huge pay
cut. So I opted for what President George W. Bush touted, the
health care savings account.
The savings account system basically means instead of paying
huge premiums I pay a much smaller one and set as much as I want
(up to federal limits) aside to pay for medical costs. My insurance
company pays nothing (save some discount on prescriptions, and
physicals and other preventative things) until I reach $2,800 per
event or $3,500 overall. After that it’s all free. The positive
with the account is that if we spend nothing this year (Like that’s
going to happen.) We keep it all. The potential negative, though,
is we will avoid going to the doctor unless it’s pretty darned
necessary.
Then again, maybe that’s not a negative. I decided to not do the
sleep test, because it would have blown through my entire
deductible. We kind of like the idea of having money in the bank
next year, which would mean less need to set as much money aside
for health care. Nothing might drive the health care cost down more
than people opting to be cautious about spending money on it.
The downside is if this is really a serious issue. Instead of
getting this checked out further, I’m risking lifestyle changes I
should be making anyway will solve the problem. I’ve lost some
weight and will continue doing so for quite a while. I’m doing
better at getting to bed at an earlier hour. Still, it’s tough to
not doze off during some meetings on the sixth floor of the Norm
Dicks Government Center, or in the Port Blakely room at the county
administration building. There are witnesses.
It was not an easy decision to wait on the sleep test. For a
while I was getting pretty excited about the prospect of living
life on sound sleep, or finding out that I didn’t have a problem
that wasn’t self-inflicted.
The question, one that we’ll be asking for years, is what the
cost to society is for having people avoid treatment, to have
people at less than their optimum health? I’m confident that my
work has been fine. Anything I’ve missed in this job hasn’t been
because I was literally asleep. But I know vigor, which I’ve mostly
attributed to the right dose of Diet Coke. How much more productive
might I be, I wonder, if the right amount and kinds of sleep became
a regular thing for me. I’d like to find out.
For now, I’m willing to wait.