<p>More than 50% of US children are crushed with debt—sleep debt. The 2014 National Sleep in America poll found that half of youth obtain less sleep than recommended on school nights, meaning approximately 29 million children in the United States are deprived of one of the most important basic needs for optimal health and well-being. This debt is especially salient because insufficient, irregular, and poor-quality sleep is a risk factor for common concerns that dominate pediatric practice, including obesity, mental health problems, and learning difficulties. However, sleep is rarely effectively addressed in primary care.</p>