The letter summarizes several problems with the health sector in the Caqueta department of Colombia. It notes that the infrastructure has problems, there is a lack of technology and supplies, and the government has been indifferent and non-autonomous leading to administrative and financial issues. Specific issues called out are that malaria is understaffed and unable to meet coverage expectations, and rural areas are not being properly served. The letter asks the mayor of Florencia to help address these problems affecting citizens.