Fully understand your sentiment. But I am not an AME, I have no influence on who gets referred, I had no influence on the FAA, and my interaction has been with pilots who have needed help with SI. The reality is there are going to be pilots who are identified as being at high risk for OSA, they are going to need to find a sleep physician who can ensure that the medical certificate is not placed in jeopardy. If that is what a troll does so be it.