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Friction fixers energize people by turning such goals into emotionally “hot causes,” especially goals that crank up shared anger and pride, which they use to fuel the creation and implementation of “cool solutions”—concrete and coordinated actions. That’s what happened with the cancer tax. Once patient activists convinced Cancer Center leaders that they were heaping debilitating burdens on the people they wanted to help, the upset and determined hospital staffers began working with patients and their families to fix such problems.