"... health care options are more complicated than ours" from boatsforlife - yes, indeed., certainly an understatement! Now, I was not eligible for Camzyos, my gradient was too high and my cardiologist had talked about surgery for several years. Life went on until I had a syncope; (the following is from an essay I wrote): "...it was clear to him that the continued thickening of the ventricle wall, causing disruption in blood flow, was the reason for this incident .... He said in no uncertain terms that this was life-threatening and it was my decision to take action. “Your family will miss you.” Surgery is available to alleviate this condition and I - much to his relief - opted to pursue this route even though I was petrified." I am a coward, too, but am very glad I corralled my courage. I did not know about HCMA either till now. Best of luck in all your decision making.