I know how you feel about this topic. I've collected SSDI for about 8 or 9 years. [Frankly, I haven't really kept track of the start date, but Hubby could find, if necessary.] I know 100% that my old American psychiatrist would never say I was "fit to return to work" if I told him I didn't believe I was. He'd believe me, and I would be telling the truth. Actually, I think he has likely felt I was less capable than I'd like to think I am. In any case, with me now living abroad, I have some fear about this. Any review will be anxiety-provoking. I'm actually not completely sure how it would work. My husband said he believes the US Embassy in CZ has designated doctors that do the reviews. If that's the case, I do worry those "designated doctors" lean more on the side of wanting to kick people off disability. I hope not! Right now the head of SS is a Trump appointee. Republicans have a history of thinking that almost no one should receive SSDI or SSI. Ronald Reagan basically said once that if a person is well enough not to be in a psychiatric institution, then they are well enough to work. If they don't work when deemed able to not institutionalized, and then become homeless, Reagan believed that their homelessness was a "choice".