rayiner,
My ex husband often went to work on 4 to 6 hours of sleep. He was career military and he had some sleep issues. On weekends, he would stay up late and by Sunday night he could not sleep before midnight or 2:00 am. And by Wednesday, it was not at all uncommon for him to fall asleep on the couch either right after eating dinner or in the middle of eating (or, sometimes, before eating) because he was so short of sleep and exhausted. And he often had no idea he was that tired. He often was surprised that he fell asleep on the couch.
I was very recently talking to my son about how much more of a life my ex had than coworkers of his who required more sleep and who, thus, basically went home, ate dinner and went to bed most nights while he came home and watched TV, played games, pursued hobbies, etc. And I kept finding myself saying stuff like "so he did all this extra stuff and it's not like he had accidents on the job because of it...um, actually he did have that car wreck...but it's not like he maimed himself...um, actually, he has chronic back problems and is retired from the army on partial disability and has a handicapped sticker for his car..."
Some people who are sleeping less than you do not actually need less sleep and are not actually functioning better. They just have sleep disorders. They muddle through as best they can and they may be paying a price they don't realize because probably no one is going to ever say my ex was in that car wreck due to lack of sleep and, thus, has chronic back problems due to lack of sleep (because that accident, among other things, is part of why he has debilitating back problems).
I can't prove his sleep issues caused any of those things. But I do know how much more clumsy I am when I did not sleep well or did not sleep enough. I do know how much more productive I am when I sleep both well and enough. So I can infer that there is very likely a relationship between some of the bad things that happened to him and his chronic sleep issues. Our oldest son has similar sleep issues and I know our lives are so much better now that, most nights, he typically sleeps pretty well because we worked hard on resolving the underlying causes.
/Anecdata.