Nurse practitioner Anthony Carano speaks with a patient at the Mountain Park Health Center, Thursday, March 30, 2023, in Phoenix. As heat waves fueled by climate change arrive earlier, grow more intense and last longer, people over 60 who are more vulnerable to high temperatures are increasingly at risk of dying from heat-related causes. Heat related deaths are challenging community health systems, utility companies, apartment managers and local governments to better protect older people when temperatures soar.(AP Photo/Matt York)