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You start by throwing in stuff about how they could pick up the phone and call, dictate what they should talk about and then tell them she has them all fooled and you know the truth, I think the tone of the letter is confrontational. I would stick to the facts about Mom needing more care and Medicaid the ramifications of that ie: she can't help them out financially anymore. They can't argue with facts, IMO the rest will just cause discord.
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Mom2Mom, the letter sounds good and right to the point.   I just hope your brothers will read past the first paragraph, some are like that.   As for some people their attention span for reading is a few seconds.

If you think your brothers are like that, I would put the paragraph about Mom will need a higher level of care at the start of the letter, along with the information about changing utilities.
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