Two relatives in my family who are highly symptomatic were turned down by their primary care when they asked for a sleep study. One for being too skinny and the other for being "too cheerful".

If you want to criticize the pap manufacturers, there's a lot more than just that too. There's a shortage of machines because of the negligence of the Philips company. Documents have shown that they knew their machines were causing problems for years before finally doing a recall.