A severely depressed, possibly suicidal patient, or paranoid patient is not going to respond well to a letter like this! It would only serve to “validate” their view of the world a seen from their diseased mind.
Your wife is lucky to have you, but of course too many of those with such challenges don’t have that level of close support.
The medicare cuts may first be coming for the mentally ill, but they are steep enough that they will come for most other recipients as well. My hope is that we still have a good enough country not to allow the Obamcarization of our health system to continue.
This last week we have been waiting for some prescriptions to be filled. No problem with insurer, but with availability. The drug shortage has started. I haven’t had an anti-depressant that I take to help me sleep. The nightmares have been terrible.