@kleelibby I know many areas of the U.S. have a shortage of psychiatrists. That certainly does add to the feeling of loss of the ability to make your own decisions. I have faced a shortage where I live, but not as severe as yours. I do need to go across the whole county to get to another one to use the one I have now. I am trying to find a Medicare Advantage plan that includes hospitalization as regular Medicare is limited in it's coverage for hospitals. However, the Advantage plans available where I live would all require me to find a new Psychiatrist.