Physicians have dealt with a 29% real decline in Medicare reimbursements over the past two decades, even as practice expenses (like staffing, equipment, and malpractice insurance) have risen faster than inflation This proposed cut is akin to telling a factory worker, “Great job automating the line to boost output. Here’s a pay cut because you’re too productive now.” Urology community: make your voice heard now. Like and retweet… extend the reach. Don’t assume others will do it.