The people with the shiny ideas and the shiny kit can see that change is essential and just know that their ideas are right as well as shiny. Unaccountably, the less shiny people with the unfashionable kit fail immediately to see the inherent rightness of the cause. This post has the superficial form of a rant, but it is a rant based on some important observations and a question without an easy answer: how do transformation teams understand and address the user needs of those whose fate is to be transformed?