Answer:
The office can always make them pay more for any less than 24 hour notice or a no-show. Lots of docter offices don't do refunds and if the same person has more than like 2 no-shows they will start charging that specific person more to pay for wasting the docters time.
Cutting back on your sleep to get more study time affects your ability to think clearly.
In order to have an imaginable, creative mind, we need sleep. If you are cutting back on your sleep, you could develop health issues in the future such as memory problems, depression, hallucinations, weight gain, high blood pressure...just all these crazy things that people don't think about when they lack sleep.
To me, life is video games and food. And yes you get a stressed feeling, but still, stress is part of a human.