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Yep, just a good talk. I'd bail on the note completely, or at least get rid of the "you" and blaming. That can be a good tool for yourself but not letters. Leave things open for positive growth. Pointing fingers, however much it seems necessary at the time, does not help.
Don't rule out that your dad has been in a holding pattern with his own stuff because you're a comfort zone. (doesn't necessarily mean roses) You could also be helping him by leaving even if it means a temporary downturn. Like fredweena said, just a good "I gotta go" talk. He's expecting it.
If he's having issues with neglecting healthcare or bills it's not a bad idea to contact family friends or organizations who can help check in. Maybe churches (I know, don't get me started). Even neighbors who've been stable. Not a "take him to a home" thing, but that you're leaving so they can make the connection.
Good luck man. Do your part of keeping it positive so you're there for each other later.
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There are a vast number of people who are uninformed and heavily propagandized, but fundamentally decent. The propaganda that inundates them is effective when unchallenged, but much of it goes only skin deep. If they can be brought to raise questions and apply their decent instincts and basic intelligence, many people quickly escape the confines of the doctrinal system and are willing to do something to help others who are really suffering and oppressed." -Manufacturing Consent: Noam Chomsky and the Media, p. 195
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