What trend is show in life at home in the 21 century

Social changes in 21st century have made little change in attitudes and behaviors toward mental illness in low-income countries. ... Poverty levels have increased, cultural differences even among generations have been widened, and risk for common mental illness among lower socioeconomic groups has increased.

Explanation:

theres no poem include that

- "he is a very real person and his intent isn't to influence us vonnegut addresses this towards the end of the letter when he says, if we choose to curse, that is by our own individual means."