I was off the board for a few days, so I apologize if this has already been pointed out or was pointed out long ago.
In researching an answer to a question, I was working on how to locate patients with a query and then send a group email to them. After pulling up a few test patients by writing the word "dolphins" (just chose it) in ID Field 3 in demographics, I selected all and created a group email. It is very slick. When I closed the email window, it asked if I wanted to save the email to the patient's imported items. I did. So, I went to check if it were there and, not only was it there, it opened in Word!
So, just for fun I opened the search window, selected a patient using her ID and chose to send a letter. It also saved it to her imported items, and it also saved it in Word! Granted the actual letter isn't formatted perfectly, but at least you can make changes. It's certainly not perfect and, while it is only a few steps more than the normal letter writer, it is still enough steps to make it not worthwhile doing especially given the formatting.
But, it makes me wonder if this can be done since v6, why have we not had this option in the actual letter writer?