This document discusses the need to rethink design in the 21st century. It argues that design has reached a point of contamination and crisis, proliferating unnecessary products and solutions. It suggests design has become a major source of pollution and we have fulfilled its 20th century mission. It calls for pausing to question why and reconnecting design with emotional value and human well-being. The diagnosis is that responsible design should focus on doing the right things rather than just doing things, and on consuming only what is needed rather than what is wanted.