Stories of failed mergers or service reconfigurations are pretty easy to come by in health care. One of the most dramatic ones we have seen comes from our research on network integration a few years ago. A system in New Zealand was looking to consolidate maternity services to one hospital to control costs and improve quality, but it overlooked engaging one crucial stakeholder—the midwives. Because they were against moving locations, the midwives went so far as to form an anti-consolidation effort in which they told mothers that their children wouldn't be part of the community if they were born in a different hospital.