A leftward shift of the supply curve can lead to a shortage if the quantity demanded exceeds the quantity supplied, particularly when prices are allowed to adjust without controls. The discussion highlights that such shifts often result from deliberate supply reductions, which can increase prices and affect consumer behavior. The nature of the product plays a crucial role; essential goods like water may create a true shortage, while non-essential items like luxury goods may not. The concept of welfare gains or losses is central to understanding the implications of these shifts, as they vary based on consumer demand and the elasticity of substitution. The conversation emphasizes the importance of defining "shortage" and considering how equilibrium points change in response to supply shifts, ultimately affecting consumer surplus and market dynamics.