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Look upstream Rishi Manchanda has worked as a doctor in South Central Los Angeles for a decade, where hes come to realize: His job isnt just about treating a patients symptoms, but about getting to the root cause of what is making them illthe upstream" factors like a poor diet, a stressful job, a lack of fresh air

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Strategy mistakes: choosing mechanics that don't match business goals, setting incentives too low so clerks don't see the value, and launching without analytics or fraud controls