The document discusses how designers can become leaders by taking ownership of the outcomes and impacts of their work. It argues that when designers are accountable for success or failure and can receive rewards or punishments, they gain authority to pursue goals that others may not understand. The document uses examples of Jonathan Ive of Apple and David Plouffe, a presidential campaign manager, to show how designers and others have demonstrated leadership through measurable results. It suggests designers could design "larger architectures" using visual elements to create profound and noticeable consequences if they take responsibility for the results.