Volume 23, Number 4Editorial2024 LUGPA Advocacy Year in Review: Confronting Challenges, Advancing ProgressMatthew GlansIn 2024, independent practices nationwide faced new and mounting challenges, including increasing and expanding regulatory obligations and growing patient demands against a background of rising input costs and financial pressures. Amid a shifting health care landscape, urologists were tasked with the pressing challenge of doing more with less.Telemedicinehealth care costsinsurance, healthhealth services accessibility