For this reason, you'll likely want to send your letter to the newspaper in your area with the largest circulation, unless you have an topic in mind that especially lends itself to a smaller, more targeted, publication. If the first paper to which you send your letter doesn't print it, send the letter to the next largest paper. As a professional courtesy, send the letter to only one newspaper at a time.
Editors appreciate and remember receiving exclusive pieces.
To improve your letter's chances of placement, call the newspaper to which you plan to send it, and ask about the paper's policies concerning letters to the editor. Tailor you letter so that it pertains to your community. People will express more interest in localized information. Include a contact name and telephone number in case the editor has questions. If you're not sure of the answer, you may want to examine your healthcare policy.