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When people think about a “hero,” they think of firefighters, first responders, soldiers, or lifeguards. People who save the day. But what about the people who keep the day from needing to be saved? These are upstream heroes-people who keep problems from happening-yet they rarely receive any glory. An example is Darshak Sanghavi, whose work to change certain actuarial rules in the federal health system has allowed thousands of patients to receive preventive care.