Purpose This paper aims to suggest that the language typically used about leadership in healthcare tells us something important about how we see it. Design/methodology/approach Three main metaphors currently adopted for healthcare leadership purposes are explored – military, sporting and finance. Findings The language used about leadership sustains the way the world is seen. A more life-affirming use of language is possible, which more accurately reflects what healthcare is about. Originality/value The paper builds on the work of Gareth Morgan in applying the use of metaphors to healthcare leadership.