Nearly half of all pregnancies in the United States are unplanned, the result of millions of people being unable to get the birth control method that works best for them. Reproductive health advocate and 2023 Audacious Project grantee Mark Edwards discusses Upstream USA's nationwide effort to expand access to high-quality contraceptive care by integrating it into primary health-care settings -- a crucial shift towards increasing equal health opportunities and empowering people to decide when and if they want to start families. (This ambitious idea is a part of the Audacious Project, TED's initiative to inspire and fund global change.)