When we have HCM, our hearts are gradually "failing". 24-7-365! We are all going through constant and various stages of "heart failure" and heart failure is not just "end-of -life" heart failure. So how do you want to spend the rest of your life with your failing heart? To me the big question is, how much of my children's inheritance do I want to spend on Camzyos in order to improve the quality of what's left of my own life? It's a touch choice.