It's a matter of monitoring and dosage. You can easily do mass scale sedation with proper monitoring and appropriate patient selection. If your BMI is over 25 or you have OSA, you wouldn't qualify. If you're healthy, fit, and consenting, you could be sedated for a long haul flight and have minimal hangover, perhaps even feeling rested.
Edit: Since its not obvious, they have some machines that can go in autonomous mode and alert the hospital if the patient needs an actual doctor to fix something.