I’m an anesthesiologist in Grande Prairie, Alberta, and for most of my career, I’ve worked on two questions. How do people and systems move through change successfully? What circumstances break them? I spent years leading health system reform and reconciliation work—including as president of the Canadian Medical Association, the first Indigenous physician and the youngest person to hold the role—and the through-line of all of it was emotion. Not policy. Not strategy or resources. I came to understand that most failed attempts to fix hard problems in hospitals, in governments, and around...