The authors make a number of arguable assumptions in this article. First, they state that polysomnography is “not readily available.” This article is from Europe (Switzerland), where the availability may be different; but in the United States, I would argue, polysomnography is not that difficult to access. In an unpublished survey from the American Academy of Sleep Medicine including > 1,000 sleep centers in the United States, the average wait time for a polysomnography was approximately 22 days. This is certainly no longer than the wait for an elective cardiac catheterization or similar elective procedure. Second, another assumption is that the only important information gleaned from polysomnography is the diagnosis of OSA. I have personally discovered many things on polysomnography beyond the formulation of an apnea-hypopnea index, such as arrhythmias, including atrial fibrillation and prolonged (ie, > 5 s) sinus pauses; arousing periodic limb or body movements; profound oxygen desaturation; and a Cheyne-Stokes breathing pattern, to name a few. Of course, one must actually look at the polysomnography to find these things, but, alas, that is for a different editorial.