A medical provider who treated athletes during the 2022 New York City Marathon argues that race organizers must prepare for a climate-changed world. The incident occurred on Nov. 6, 2022, a day described as record hot for the event. The provider, who has since treated thousands of patients, says the date still weighs on them. At the time, they were volunteering as a medical provider and an amateur runner. Their assignment was a row of cots in the moderate-severity zone of the finish-line medical tent. Around the three-and-a-half-hour mark of the race, the tent filled with athletes. Unseasonably climbing temperatures were taking a visible toll on runners of all levels. A volunteer wheeled a middle-aged man into the zone. He had collapsed at the finish line. The provider asked him his name, and he answered without hesitation.