 The Serbsky Center further attempted to eliminate the adversarial character of court proceedings and to degrade the role of specialist reviewers.Lyubov Vinogradova claimed that there has been a diminution in patients' rights because independent experts are now excluded from evaluations and court proceedings.On 28 May 2009, Savenko wrote to the then President of the Russian Federation Dmitry Medvedev an open letter, in which Savenko asked Medvedev to submit to the State Duma a draft law prepared by the IPA to address the sharp drop in the level of forensic psychiatric examinations, which Savenko attributed to the lack of competition within the sector and its increasing nationalization.