The Definition of Failure

- This Perspective essay offers a deeply personal reflection on the consequences of medical terminology particularly the term “heart failure.” The author recounts his mother’s experience being diagnosed with heart failure after a COVID-related illness in New Zealand. Although her condition improved with treatment, the label "heart failure" left her feeling demoralized, misunderstood, and personally responsible for her illness. The author critiques the psychological and semantic burden such language can place on patients, especially when the terminology implies finality or personal failing rather than a chronic, manageable condition. Citing disparities in outcomes, misconceptions about prognosis, and public health communication, the article argues for reevaluating how clinicians talk about and label this disease. Alternatives such as "heart impairment" or "cardiac insufficiency" may better balance accuracy with sensitivity, helping patients engage with care without shame or fear.

- This Perspective essay offers a deeply personal reflection on the consequences of medical terminology particularly the term “heart failure.” The author recounts his mother’s experience being diagnosed with heart failure after a COVID-related illness in New Zealand. Although her condition improved with treatment, the label "heart failure" left her feeling demoralized, misunderstood, and personally responsible for her illness. The author critiques the psychological and semantic burden such language can place on patients, especially when the terminology implies finality or personal failing rather than a chronic, manageable condition. Citing disparities in outcomes, misconceptions about prognosis, and public health communication, the article argues for reevaluating how clinicians talk about and label this disease. Alternatives such as "heart impairment" or "cardiac insufficiency" may better balance accuracy with sensitivity, helping patients engage with care without shame or fear.