Is this insensitive?

Question

Wanting to send a birthday card to a friend who’s been stuck in a mental hospital for the past 4 years, due to schizophrenia, he will slowly upgrade to more independent living, I know he wishes he could have a family and such. 
Is this card insensitive?

Answer

I always say “if you have to think about it, don’t do it”

Answer

The part of the card that says I’m always right is the part I’m thinking can be seen as little insensitive

Answer

I think if you have to think about it, just pick something else. Then you don’t have to worry about it.

Answer

The front of the card is great. Inside is a little cringey.

Answer

Eh. I would play it safe

Answer

I don’t think so?

Answer

Get a different one something more along the lines of thinking of you. Etc then happy birthday

Is this insensitive?

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