Gas density is widely believed to play a governing role in star formation. However, the exact role of density in setting the star formation rate remains debated. We also lack a general theory that explains how the gas density distribution in galaxies is set. The primary factor preventing the resolution of these issues is the limited number of observations of the gas density distribution across diverse environments. Centimeter- and millimeter-wave spectroscopy offer the most promising way forward in this field, but the key density-sensitive transitions are faint compared to the capabilities of current telescopes. In this chapter, we describe how a next-generation Very Large Array (ngVLA) represents the natural next step forward in this sensitivity-limited field. Such a facility would provide a crucial link between the `Milky Way and `Extragalactic views of star formation and dramatically advance our understanding of the drive and role of gas density in galaxies, building on current results from ALMA, NOEMA, the Green Bank Telescope, and other current facilities working in this area.
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