In aggregated variables the impact of interventions is typically ill-defined because different micro-level realizations of the same macro-intervention can result in different changes of downstream macro-variables. We show that this ill-definedness of causality on aggregated variables can turn unconfounded causal relations into confounded ones and vice versa, depending on the respective micro-level realization. We argue that it is practically infeasible to only use aggregated causal systems when we are free from this ill-definedness. Instead, we need to accept that macro causal relations are typically defined only with reference to the micro states. On the positive side, we show that cause-effect relations can be aggregated when the macro interventions are such that the distribution of micro states is the same as in the observational distribution; we term this natural macro interventions. We also discuss generalizations of this observation.